HomeMy WebLinkAboutAgenda Report - July 20, 2016 C-15TM
CITY OF LODI
COUNCIL COMMUNICATION
AGENDA ITEM
Cub I 5
AGENDA TITLE: Adopt Resolution Approving Arts Grants for Fiscal Year 2016/2017
MEETING DATE: July 20, 2016
PREPARED BY: Parks, Recreation, and Cultural Services Director
RECOMMENDED ACTION: Adopt resolution approving arts grants for Fiscal Year 2016/2017.
BACKGROUND INFORMATION: Each year the City Council allocates funding to support the arts. In
Fiscal Year 2016/17, the amount is $36,500, the same as the
previous year. The Arts Commission is tasked with reviewing grants
and recommendations for spending the allocated funds, and solicits applications for grants each spring.
For FY 2016/17 funding, the Arts Commission is recommending the City Council earmark $10,000 to
support the First Friday Art Hop, the Taco Truck Cook -Off, and the Blues and Brews Festival, and
allocate the remaining $26,500 to nonprofit organizations to further the arts in Lodi (see attached grant
recommendation summary).
Eleven grant applications were received by the May 16, 2016, deadline and reviewed by a panel of Lodi
Arts Commissioners, and 10 projects were recommended for funding. On June 8, 2016, the Commission
voted 6-0 to recommend nine of the 10 applications for funding, and 5-1 on the application from
Changing Faces Theater Company.
The grants are being submitted for a total of $23,415 for approval by the City Council. They are: Central
Valley Youth Symphony, $4,000; Breakthrough Project, $1,075; Changing Faces Theater Company,
$5,500; Valley Community Orchestra, $1,765; Lodi Community Art Center, four grants totaling $4,575;
Sandhill Crane Association, $1,500; Stockton Symphony Association, $5,000. The remaining $3,085 will
be used for mini -grants of no more than $1,000 each throughout the balance of this fiscal year.
FISCAL IMPACT: Funds are included in FY 2016/17 budget.
FUNDING AVAILABLE: Account #10010102.72607
Jordan , A ersDeputy CityMana er/Internal Services Director
Y � Y
JH\JW:tI
cc: City Attorney
Jeff Hoo ' '
Fit
Parks, creation, and Cultural Services Director
APPROVED:
411 Oft
ep en Sch�, City Manager
Jennifer Ferraiolo
From:
Sent:
To:
Cc:
Subject:
Attachments:
Jennifer Ferraiolo
Friday, July 01, 2016 11:31 AM
steven-orr@outlook.com
City Council; Steve Schwabauer; Janice Magdich; Jordan Ayers; Jeff Hood
FW: Communication to City Counsil on future Agenda Resolution.
Outlining Letter CFTC.docx; 2003Inc&Exp.pdf; 2011tax-CFTC.pdf; 2012tax-CFTC.pdf;
2013tax-CFTC.pdf; 2014tax-CFTC.pdf; CFTC Profit Chart.docx
Thank you for your email. It was received by the City Council and forwarded to the City Manager and Parks, Recreation,
and Cultural Services Department for information, response, and/or handling.
Jennifer M. Ferraiolo, CMC
City Clerk
P.O. Box 3006
Lodi, CA 95241-1910
(209) 333-6702
(209) 333-6807 FAX
From: Steven Orr [mailto:steven-orrPoutlook.com]
Sent: Friday, July 01, 2016 11:01 AM
To: Jennifer Ferraiolo
Subject: Communication to City Counsil on future Agenda Resolution.
Please forward to the City Council the enclosed attachments pertaining to the future Counsil Agenda item
regarding recommendations for the 2016-2017 Arts Commission Grants. Thank you for your attention to this
request.
Steven Orr
Lodi Arts Commissioner
i
Arts Commission Grant Non -approval Recommendation
June 30, 2016
Dear Lodi Counsil Representatives:
Today's Lodi News Sentinel published a quote by Martin Luther stating: "You are not only responsible for what you say,
but also what you do not say." By saying nothing and remaining silent regarding what I believe is the wrong
recommendation pertaining to one particularly flawed Arts Commission grant application, as an Arts Commissioner I
would be completely disregarding my personal convictions toward a fiduciary responsibility to the Lodi taxpayers and
the city government. You, Counsil members, get to have the final vote as to how and where the Art Commission grant
money will be spent. I can only respectfully request that before making that decision you consider the information I've
enclosed with this letter.
My recommendation to the grant committee was non -approval until a full independent audit can answer multiple
unusual conditions as to the general clarification and operation of the applicant organization. I believe that my having
had no particular past or present personal contact or acquaintance with the grantee may allow me to have a more
independent perspective regarding the application. Also, to you I would recommend non -approval for the following
reasons:
- No listing with the Secretary of State's office as a public benefit Non-profit Corporation found.
- No listing with San Joaquin County as a business or company found.
- No external audit protocol in place.
- No external accounting procedures(i.e. Quickbooks for non -profits, etc.).
- No internal audit by an independent board of Trustees or Directors.
- No listing of an actual Board on the IRS 990 Tax Returns.
- No independent Treasurer maintaining the books.
- The books are maintained and only in the care of the grant applicant at his home residence (as validated on the
enclosed copies of past IRS Form 990s).
- The 990 -EZ tax returns are prepared only from a summary prepared and provided to the accounting firm by the grant
applicant. (as stated in the grant application)
- The organization's budget balance projection does not accurately reflect the accountings on previous IRS Tax Returns.
- Previous Tax Returns show a sizable annual net asset excess of profits. None of these profits were returned to the
grant committee.
- At the end of 2003, the applicants beginning ruling year, the entity had an asset balance of $6,599.00. With continuing
annual increases of profits after expenses, the entity now has in excess of $74,000.00 in monetary assets.
- Applicant has received over $100,000.00 in taxpayer grant revenue in the last 10 years. This year requesting an
increase from $10,000.00 to $12,000.00. Additional mini -grants have also been requested and awarded in past years.
- According to prior tax returns, over 50% of the organizations revenue goes toward salaries, compensations and
employee benefits, including a generous annual salary of at least $7000.00 to the grant applicant, vastly exceeding the
$1000.00 median payment to the Director of a youth show as published by the American Association of Community
Theaters.
- There is no expense sheet outlining the distributions of the employee salaries and benefits(except for that of the
Director).
- There is no accurate or remotely detailed background and resume outline on the actual number and qualifications of
the paid staff.
- There is no proper required disclaimer on the tax return documents regarding the applicant's wife also being a
Director of the organization.
- While grant, tax, and publicity information all show the organization to be run by a Mr. Bartram, EIN classifications
seems to be attributed to an Eduardo Araya on Eilers Lane in Lodi.
Finally, I would evaluate this operation to actually be a highly profitable children's summer camp with a theatrical
theme, possessing a large and very healthy reserve of excess grant money which can fund several years of similar
programs. Similar programs throughout the local area function quite successfully with considerably much smaller
budgets. Therefore, I believe that the taxpayers money would be better served to assist the more needy and less
fortunate community non -profits.
Sincerely,
Steven Orr, Lodi Arts Commissioner
Overview / At -A -Glance
General Information
CHANGING FACES THEATER COMPANY
Lodi, CA 95242
EIN: 76-0718614
Affiliation Type: Included with Premium Report Purchase (Add to cn
At -A -Glance
IRS Subsection: Included with Premium Report Purchasent—id
NTEE Codes: A65 (Theater)
Assets: $6,599
Income: $38,769
Expenses: $32,170
Liabilities: $0
Ruling Year: 2003
Fiscal Year Start: January 1
Fiscal Year End: December 31
Financial information in this report is derived from the organization's 2003 Form 990 -EZ.
Mission
Provide theater education & theater learning experience
GUIDESTAR
lefile GRAPFIIC print - DO NOT PROCESS 1 As Filed Data -
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black Tung benefit trust or private foundation)
R Sponsoring orlantzallons of donor advised funds, organizations that operate one or mare hospital facilities, and
certain controlling organreatinns as defined tit section 512(b)(13) must hie Form 990 (see instructions)
All other organrzatrans with gross receipts less than $200.000 and rota! assets less than $500,000 at the end of the
year may use this form
11. The organization may have to use a copy of this return to satisfy state reporting requirements
Form/9 V —EZ
Department tithe Treasury
Internal Revenue Service
DIN: 934921360102621
MB No 1545-1150
2011
Open to Public
Inspection
A For the 2011 calendar year, or tax year beginning 01-01-2011 , and ending 12-31-2011
B Check if applicable
11--r Address change
—Name change
1Initial return
r
1Terminated
1—Amended return
1- Application pending
C Name of organization
CHANGING FACE'S THEATER COMPANY
Number and street (or P O box, if mail is not delivered to street address)
Room/Suite
City or town, state or country, and ZIP + 4
LODI, CA 95242
D Employer identification number
76-07186[4
E Telephone number
F Group Exemption
Number ►
G Accounting method FCash I Accrual Other (specify) 11.-
I Website:► N/A
Tax -Exempt status(check only one)-I-r� 501(c)(3)SI— 501(c)( ) 4(insert no )tr- 4947(a)(1) or I— 527
11 Check ! 1 if the organization is not
required to attach Schedule B
(Form 990, 990 -EZ, or 990 -PF)
K Check ►r if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and Its gross receipts are
normally not more than $50,000 A Form 990 -EZ or Form 990 return is not required though Form 990-N (e -postcard) may be required (see
instructions) But if the organization chooses to file a return, be sure to file a complete return
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts, If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or
more, file Form 990 instead of Form 990 -EZ P $ 76,022
E= Revenue, Expenses, and Changes in Net Assets or Fund Balances (See the instructions for Part I )
Check if the oraanizatron used Schedule 0 to respond to any question in this Part I
F
°'
a
a
1 Contributions, gifts, grants, and similar amounts received
2 Program service revenue Including government fees and contracts
3 Membership dues and assessments . . . . . . . . .
4 Investment income . . . . . . . . . .
5a Gross amount from sale of assets other than inventory .
b Less cost or other basis and sales expenses . .
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line
.
5a
. . .
. . .
1
15,025
2
60,986
3
4
11
5c
5b
j`
5a)
¢
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000)
I 6a 1
b Gross income from fundraising events (not including $ _of contributions from fundraising
events
reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds
$15,000)
1 6b 1
c Less direct expenses from gaming and fundraising events . . .
16c
d Net Income or (loss) from gaming and fundraising events (Add lines 6a and 6b and
subtract line 6c)
6d
7a Gross sales of inventory, less returns and allowances . . . .
b Less cost of goods sold
7a
7b
c Gross profit or (loss) from sales of Inventory (Subtract line 7b from line 7a)
7c
8 Other revenue (describe in Schedule 0)
8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . .
g
76,022
10 Grants and similar amounts paid (list in Schedule 0) . . . . . . .
10
11 Benefits paid to or for members
11
12 Salaries, other compensation, and employee benefits . . . . . . . . .
12
33,550
a,
w
13 Professional fees and other payments to independent contractors
13
14
10,639
a.
14 Occupancy, rent, utilities, and maintenance
w
15 Printing, publications, postage, and shipping
15
1,787
16
19,837
16 Other expenses (describe in Schedule 0) . . . . . . . . . •
17 Total expenses. Add lines 10 through 16
17
65,813
0
18 Excess or (deficit) for the year (Subtract line 17 from line 9)
18
10,209
o.
0
v
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
4
end-of-yearhgure reported on pnoryear's return) . . . . . . . . . . .
19
41,955
a.
2:
20 Other changes in net assets or fund balances (explain in Schedule 0)
20
21 Net assets or fund balances at end of year Combine lines 18 through 20 . . . . . ►
21
52,164
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions. Cat No 10642I
Form 990 -EZ (2010)
Form 990 -EZ (2010)
Page 2
Part 11
Balance Sheets
Check if the organization used Schedule 0 to respond to any question in this Part II
.r
(See the instructions for Part II)
22 Cash, savings, and investments
23 Land and buildings
24 Other assets (describe in Schedule 0)
25 Total assets
26 Total liabilities (describe in Schedule O)
27 Net assets or fund balances (line 27 of column (B) must agree with line 21)
(A) Beginning of year
(B) End of year
41,955
22
52,164
MIKE BARTRAN
LODI,CA 9 242
23
8,250
24
41,955
25
52,164
26
41,955
27
52,164
Part III Statement of Program Service Accomplishments
Check if the organization used Schedule 0 to respond to any question in this Part III . r
Expenses
(Required for section 501
(c)(3) and 501(c)(4)
organizations and section
4947(a)(1) trusts,
optional for others )
What is the organization's primary exempt purpose?
Provide Theater Education Theater Learning Experience
Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benefited, and other relevant information for each program title
28PARTICIPANTS LEARNED UNDER THE GUIDANCE &SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING, STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here . . ■ r
28a
65,813
29
(Grants $ ) If this amount includes foreign grants, check here . r
29a
30
(Grants $ ) If this amount includes foreign grants, check here . . ► r
30a
31 Other program services (describe in Schedule 0 )
(Grants $ ) If this amount includes foreign grants, check here . . ► r
31a
32 Total program service expenses (add lines 28a through 31a) IP,
32
65,813
Part IV
List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated (See the instructions for Part IV )
Check it Che organization uses scneauie u to respona to any question in rnls cart iv r
(a) Name and address
(b) Title and average
hours per week
devoted to position
(c) Compensation
(If not paid,
enter -0-.)
(d) Contributions to
employee benefit plans &
deferred compensation
(e) Expense
account and
other allowances
MIKE BARTRAN
LODI,CA 9 242
DIRECTOR 040 00
8,250
Form 990 -EZ (2011)
Form 990-EZ(2011)
Other Information (Note the statement requirements in the instructions for Part V.)
Check rfthe organization used Schedule 0 to respond to any question in this Part V .
Part V
33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0
34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change on
Schedule 0 (see instructions)
35 If the organization had income from business activities, such as those reported on lines 2, 6a, and 7a (among
others), but not reported on Form 990-T, explain in Schedule 0 why the organization did not report the income on
Form 990-T
a Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
b If'Yes'to line 35a, has the organization filed a Form 990-T for the year? If'No,'provide an explanation in
Schedule 0
c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If'Yes,'complete Schedule C, Part III .
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If "Yes," complete applicable parts of Schedule N
37a Enter amount of political expenditures, direct or indirect, as descnbed in the instructions ►
137a
Yes
33
34
Page 3
No
No
No
35a
35b
35c
No
No
No
36
No
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
b If"Yes," complete Schedule L, Part II and enter the total amount involved . 38b
39 Section 501(c)(7) organizations. Enter
a Initiation fees and capital contributions included on line 9
b
40a
39a
37b
No
38a
No
Gross receipts, included on line 9, for public use of club facilities . .
Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under
section 4911 IP. 0 section 4912 0 section 4955
39b
0
b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit
transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990 -EZ? If "Yes," complete Schedule L, Part I .
c Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958 . . F
d Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the
organization ►
e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If"Yes," complete Form 8886-T
41 List the states with which a copy of this return is fled P.
40b
No
40e
No
42a The organization's books are in care of IP MIKE BARTRAM
2940 WHITE OAKS WAY
Located at II* LORI, CA ZIP +4 ► 95242
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
If "Yes," enter the name of the foreign country N. -
See
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts.
Telephone no P. (209)747-8043
c At any time during the calendar year, did the organization maintain an office outside of the U S ?
Yes
42b
No
No
42c
No
If"Yes," enter the name of the foreign country 11.-
43
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041—Check here ► I
and enter the amount of tax-exempt interest received or accrued during the tax year . . I 43 I
44a Did the organization maintain any donor advised funds? If "Yes", Form 990 must be completed instead of
Form 990 -EZ.
b Did the organization operate one or more hospital facilities during the year? If'Yes,'Form 990 must be completed
instead of Form990-EZ
c Did the organization receive any payments for indoor tanning services during the year?
Yes
No
44a
No
44b
44c
d If'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If'No,'providean explanation
in Schedule 0
44d
45a Did the organization have a controlled entity within the meaning of section 512(b)(13)?
45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If 'Yes,' Form 990 and Schedule R may need to be completed instead of
Form990-EZ (see instructions)
45a
45b
No
No
No
No
No
Form 990 -EZ (2011)
!orm 990 -EZ (2011)
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
Part VI
Yes
Pane 4
No
46
No
Section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts only.
All section 501(c)(3) organizations and section 4947(a)(1) nonexempt charitable trusts must answer questions
47-49b and 52.
Check if the organization used Schedule 0 to respond to any question in this Part VI r
No
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
48 Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
49a Did the organization make any transfers to an exempt non -charitable related organization?
b If"Yes," was the related organization a section 527 organization?
Yes
47
No
48
No
49a
No
49b
50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None "
(a) Name and address of each employee
paid more than $100,000
(b) Title and average
hours per week
devoted to position
(c) Compensation
(d) Contributions to
employee benefit plans &
deferred compensation
(e) Expense
account and
other allowances
NONE
f Total number of other employees paid over $100,000
51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
(a) Name and address of each independent contractor paid more than $100,000
(b) Type of service
(c) Compensation
NONE
d
Total number of other independent contractors each receiving over $10
52 Did the organization complete Schedule A? NOTE: All Section 501(c)(
must attach a completed Schedule A
Under penalties of perjury, I declare that I have examined this return, Including acco
knowledge and belief, it is true, correct, and complete. Declaration of preparer (Dthei
knowledge.
Sign
Here
Paid
Preparer's
Use Only
1111, ....r*
Signature of officer
MICHAEL BARTRAM DIRECTOR
Type or pnnt name and title
Preparer's
sig nature XIMENA RADRIGAN
Farm's name for yours x1MENA RADRIGAN CPA
if self-employed),
address, and ZIP + 4 F 2034 PACIFIC AVENUE
STOCKTON, CA 95204
Date
2012-05-15
May the IR
S discuss this return with the preparer shown above? See instructioi
Jefile GRAPHIC print
SCHEDULE A
(Form 990 or 990EZ)
Department of the Treasury
!Memel Revenue Service
DO NOT PROCESS
1
As Filed Data -
DLN: 93492136010262
Name of the organization
CHANGING FACES THEATER COMPANY
Part I
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
■ Attach to Form 990 or Fort 990 -EZ. lg. See separate inst ructions.
OMB No 1545-0047
2011
Open to Public
Inspection
Employer identification number
76-0718614
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is (For lines 1 through 11, check only one box )
1 r A church, convention of churches, or association of churches section 170(b)(1)(A)(i).
2 r A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )
3 r A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 r A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state
5 r An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II )
6 r A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 r An organization that normally receives a substantial part Outs support from a governmental unit or from the general public
described in
section 170(b)(1)(A)(vi) (Complete Part II )
8 r A community trust described in section 170(b)(1)(A)(vi) (Complete Part II )
9 F An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part III )
10 r An organization organized and operated exclusively to test for public safety Seesection 509(a)(4).
11 r An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a r Type I b r Type II c r Type III - Functionally integrated d r Type III - Other
e r By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a )(1) or
section 509(a)(2)
f If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization,
check this box E
g Since August 17, 2006, has the organization accepted any gift orcontribution from any of the
following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ri)
and (111) below, the governing body of the the supported organization?
(ii) a family memberofa person described in (i) above?
(iii) a 350/0 controlled entity ofa person described in (i) or (ii) above?
h Provide the following information about the supported organization(s)
Yes
No
11g(i)
11g(ii)
11g(iii)
Name of
supported
organization
(ii)
EIN
(iii)
Type of(v)
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions))
(iv)
Is the
organization in
col (r) listed in
your governing
document?
you
Did notifythe
organization in
col (i) of your
support?
pp
(vi)
Is the
organization in
col (i) organized
in the U S ?
(vii)
Amount of
support'
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990
Cat No 11285F
ScheduleA(Form 990or 990-EZ)2011
Schedule A (Form 990 or 990 -EZ) 2011
Part II
Page 2
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify
under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
ublic Support
Calendar year (or fiscal year beginning
in)
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual
grants ")
2 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge
4 Total. Add lines 1 through 3
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2% of the
amount shown on line 11, column
(f)
6 Public Support. Subtract line 5 from
line 4
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
0
Section B. Total Support
Calendar year (or fiscal year beginning
in)
7 Amounts from line 4
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
9 Net income from unrelated
business activities, whether or
not the business is regularly
carried on
10 Other income (Explain in Part
IV ) Do not include gain or loss
from the sale of capital assets
11 Total support (Add lines 7
through 10)
12 Gross receipts from related activit es, etc (See instructions )
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
12 1
13 First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here 0-1-
Section
r
Section C. Computation of Public Support Percentage
14 Public Support Percentage for 2011 (line 6 column (f) divided by line 11 column (f))
15 Public Support Percentage for 2010 Schedule A, Part II, line 14
14
0 0/0
15
16a 33 1/3%support test -2011. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ►r
b 33 1/3% support test -2010. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ►r
17a 10%-facts-and-circumstancestest-2011. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 100/0 or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly supported
organization IN-1—
b
rb 100k -facts -and -circumstances test -2010. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 100/0 or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test The organization qualifies as a publicly
supported organization ►r
18 Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions of-
Schedule
r
Schedule A (Form 990 or 990 -EZ) 2011
Schedule A (Form 990 or 990 -EZ) 2011
Part III
Page 3
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
blic Su ort
Calendar year (or fiscal year beginning
in)
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual grants ")
2 Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt
purpose
3 Gross receipts from activities that
are not an unrelated trade or
business under section 513
4 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge
6 Total. Add lines 1 through 5
7a Amounts included on lines 1, 2,
and 3 received from disqualified
persons
b Amounts included on lines 2 and 3
received from other than
disqualified persons that exceed
the greater of $ 5,000 or 1% of the
amount on line 13 for the year
c Add lines 7a and 7b
8 Public Support (Subtract line 7c
from fine 6 )
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
14,756
22,224
13,588
10,066
15,025
75,659
41,679
48,814
54,515
47,399
60,986
253,393
0
0
56,435
71,038
68,103
57,465
76,011
329,052
71,038
68,103
57,465
76,011
329,052
329,052
Section B. Total Support
Calendar year (or fiscal year beginning
in)
9 Amounts from line 6
3Oa Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
b Unrelated business taxable
income (less section 511 taxes)
from businesses acquired after
June 30, 1975
c Add lines 10a and 10b
11 Net income from unrelated
business activities not included
in line 10b, whether or not the
business is regularly carried on
12 0 ther income Do not include
gain or loss from the sale of
capital assets (Explain in Part
IV )
13 Total support (Add lines 9,10c,
11 and 12 )
14 First Five Years If the Form 990 is
check this box and stop here
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
56,435
71,038
68,103
57,465
76,011
329,052
0
0
0
0
56,435
71,038
68,103
57,465
76,011
329,052
for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
•r
Section C. Computation of Public Support Percentage
15 Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
16 Public support percentage from 2010 Schedule A, Part III, line 15
15
16
100 000 0/0
100 000
Section D. Computation of Investment Income Percents_[ e
17 Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
18 Investment income percentage from 2010 Schedule A, Part III, line 17
17
0
18
19a 33 1/3% support tests -2011. If the organization did not check the box on line 14, and line 15 is more than 33 1 3% and line 17 is not
more than 33 1/30/0, check this box and stop here. The organization qualifies as a publicly supported organization RF
b 33 1/30/0 support tests -2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line
18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ►r
20 Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ►r
Schedule A (Form 990 or 990 -EZ) 2011
Schedule A (Form 990 or 990 -EZ) 2011
Part IV
Page 4
Supplemental Information. Supplemental Information. Complete this part to provide the explanation
required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any
additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990 -EZ) 2011
1efile GRAPHIC print - DO NOT PROCESS
As Filed Data
r
DLN: 93492136010262
SCHEDULE 0
(Form 990 or 990 -EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990 -EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990 -EZ.
OMB No 1545-0047
2011
Open to Public
Inspection
Name of the organization
CHANGING FACES THEATER COMPANY
Employer identification number
76-0718614
Identifier
Return
Reference
Explanation
Form 990 -EZ, Part I, Line 16, Other Expenses COSTUMES / MAKEUP2,376 Form 990 -EZ, Part I, Line 16, Other
Expenses PRODUCTION MATERIALS 3,286 Form 990 -EZ, Part I, Line 16, Other Expenses PROPS 717 Form 990 -EZ,
Part I, Line 16, Other Expenses DINNER SUPPLIES 5,701 Form 990 -EZ, Part I, Line 16, Other Expenses LIGTHTING,
SOUND EQUIPMENT 3,227 Form 990 -EZ, Part I, Line 16, Other Expenses ROYALTIES 810 Form 990 -EZ, Part I, Line
16, Other Expenses PRE -SHOW 261 Form 990 -EZ, Part I, Line 16, Other Expenses CAST/CREW MISC 1,270 Form
990 -EZ, Part I, Line 16, Other Expenses MIS PRODUCTION COST 661 Form 990 -EZ, Part I, Line 16, Other Expenses
SPONSORSHIP FOR LffTLE LEAGUE TEAM 150 Form 990 -EZ, Part I, Line 16, Other Expenses MISSELANEOUS 564
Form 990 -EZ, Part I, Line 16, Other Expenses SARTA 90 Form 990 -EZ, Part I, Line 16, Other Expenses DONATIONS
465 Form 990 -EZ, Part I, Line 16, Other Expenses MMIC 9 Form 990 -EZ, Part I, Line 16, Other Expenses SHEILA
DAY- GAS EXPENSE 50 Form 990 -EZ, Part I, Line 16, Other Expenses Income Taxes Reparation 200
Additional Data
Software ID: 11000218
Software Version: 2011.0.0
EIN: 76-0718614
Name: CHANGING FACES THEATER COMPANY
Form 990 -EZ, Special Condition Description:
Special Condition Description
Iefile GRAPHIC print - DO NOT PROCESS As Filed Data -
Form 9 V ""'EZ
Department of the Treasury
Internal Revenue Service
A For the 2012 calendar
B Check if applicable
1 Address change
I— Name change
I—Initial return
r
I Terminated
I—Amended return
I—Application pending
OLIN 934921420003431
MB No 1545-1150
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except black lung benefit trust or private foundation)
■ Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and
certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions)
All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the
year may use this form
! The organization may have to use a copy of this retum to satisfy state reporting requirements
ear or tax ear be, innin 01-01-2012
and endinr 12-31-2012
C Name of organization
CHANGING FACES THEATER COMPANY
Nu d street (or P 0 box, if mail is not delivered to street address) Room/suite
City or town, state or country, and ZIP + 4
LODI, CA 95242
6 Accounting Method FCash EAccrual 0 ther (specify) ID-
I Website: ` N/A
J Tax-exempt status(check only one)—I_ 501(c)(3)S 501(c)( ) 1(insert no )17 4947(a)(1) or r 527
2012
Open to Public
Inspection
D Employer identification number
76-0718614
E Telephone number
F Group Exemption
Number ►
H Check ► I— if the organization is not
required to attach Schedule B
(Form 990, 990 -EZ, or 990 -PF)
K Check ID -r" if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are
normally not more than $50,000 A Form 990 -EZ or Form 990 return is not required though Form 990-N (e -postcard) may be required (see
instructions) But if the organization chooses to file a return, be sure to file a complete return
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part II, line 25,
column (B) below) are $500,000 or more, file Form 990 instead of Form 990 -EZ w$ 61,395
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
Check if the organization used Schedule 0 to respond to any question in this Part I
F
a'
La;
a`
1 Contributions, gifts, grants, and similar amounts received
2 Program service revenue including government fees and contracts
3 Membership dues and assessments
4 Investment income
5a Gross amount from sale of assets other than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a
5a
1
16,712
2
44,683
3
4
5c
5b
¢
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000)
b Gross income from fundraising events (not including $ ofcontributions
16a
1
6b
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000)
c Less direct expenses from gaming and fundraising events
6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract
line 6c)
6d
7a Gross sales of inventory, less returns and allowances
b Less cost of goods sold
7a
7b J!
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
7c
8 Other revenue (describe in Schedule 0)
8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ►
g
61,395
10 Grants and similar amounts paid (list in Schedule 0)
10
11 Benefits paid to or for members
11
12 Salaries, other compensation, and employee benefits
12
26,950
m
w
13 Professional fees and other payments to independent contractors
13
14
6,578
F,„
14 Occupancy, rent, utilities, and maintenance
iu
15 Printing, publications, postage, and shipping
15
1,422
16 Other expenses (describe in Schedule 0)
16
18,603
17 Total expenses. Add lines 10 through 16 ►
17
53,553
m
18 Excess or (deficit) for the year (Subtract line 17 from line 9)
18
7,842
vi
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
<
o.
end -of -year figure reported on prior year's return)
19
52,164
20
Z
20 Other changes in net assets or fund balances (explain in Schedule 0)
21 Net assets or fund balances at end of year Combine lines 18 through 20 F
21
60,006
For Paperwork Reduction Act Notice, see the separate instructions.
Cat No 10642I
Form 990 -EZ (2012)
Form 990 -EZ (2012 )
Part II
Balance Sheets (see the instructions for Part II)
Check if the organization used Schedule 0 to respond to any question in this Part II
Page 2
r
22 Cash, savings, and investments
23 Land and buildings
24 Other assets (describe in Schedule 0)
25 Total assets
26 Total liabilities (describe in Schedule 0 )
27 Net assets or fund balances (line 27 of column (B) must agree with line 21)
(A) Beginning of year
(B) End of year
52,164
22
60,006
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING, STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here . r
23
53,553
29
(Grants $ ) If this amount includes foreign grants, check here . ► r
24
52,164
25
60,006
31 Other program services (describe in Schedule 0 )
(Grants $ ) If this amount includes foreign grants, check here . ► r
26
52,164
27
60,006
Part III Statement of Program Service Accomplishments (see the instructions for Part III)
Expenses
(Required for section 501
(c)(3) and 501(c)(4)
organizations and section
4947(a)(1) trusts,
optional for others )
Check if the organization used Schedule 0 to respond to any question in this Part III . r
What is the organization's primary exempt purposes
Provide Theater Education Theater Learning Experience
Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benfited, and other relevant information for each program title
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING, STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here . r
28a
53,553
29
(Grants $ ) If this amount includes foreign grants, check here . ► r
29a
30
(Grants $ ) If this amount includes foreign grants, check here . ■ r
30a
31 Other program services (describe in Schedule 0 )
(Grants $ ) If this amount includes foreign grants, check here . ► r
31a
32 Total program service expenses (add lines 28a through 31a) ►
32
53,553
r7 List of Officers, Directors, Trustees, and Key Employees List each one even if not compensated (see the instructions for Part IV)
Check if the organization used Schedule 0 to respond to any question in this Part IV
r
(a) Name and title
(b) Average
hours per week
devoted to position
(c)Reportable
compensation
(Forms W-2/1099-
MISC) (if not paid,
enter -0-)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
DIRECTO R
040 00
7,100
Form 990 -EZ (2012)
Form 990 -EZ (2012) Page 3
OMNIOther Information (Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V ) Check if the organization used Schedule 0 to respond to airy yuestbon in this Part V
Yes
No
33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0
34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change
on Schedule 0 (see instructions)
35a Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
b If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If"No," provide an explanation in Schedulec'
c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If "Yes," complete applicable parts of Schedule N
37a Enter amount of political expenditures, direct or indirect, as descnbed in the instructions R 137a 1
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?
b If "Yes," complete Schedule L, Part II and enter the total amount involved
39 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on line 9
b Gross receipts, included on line 9, for public use of club facilities
. 38b
33
No
34
No
35a
No
35b
No
35c
No
36
No
37b
No
38a
No
39a
39b
40a Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under
section 49110' 0 , section 4912 IP. 0 , section 495511w 0
b Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990 -EZ? If "Yes," complete Schedule L, Part I
c Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958 . , . ►
d Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the organization
40b
No
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
41 List the states with which a copy of this return is filed ►
40e
No
42a The organization's books are in care of'', MIKE BARTRAM
Located at IP 2940 WHITE OAKS WAY LODI, CA
Telephone no ► (209) 747-8043
ZIP +4 ' 95242
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
If "Yes," enter the name of the foreign country IP-
See
►See the instructions for exceptions and filing requirements for Form TDF 90-22.1, Report of Foreign Bank and
Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside the U S ?
Yes
No
42b
No
42c
If "Yes," enter the name of the foreign country F•
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041—Check here
and enter the amount of tax-exempt interest received or accrued during the tax year . . . . 43
44a Did the organization maintain any donor advised funds dunng the year? If "Yes," Form 990 must be completed instead of
Form 990 -EZ
b Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed
instead of Form 990 -EZ
c Did the organization receive any payments for indoor tanning services during the year?
d If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No," provide an
explanation in Schedule 0
Yes
44a
44b
44c
No
No
No
No
No
44d
No
45a Did the organization have a controlled entity within the meaning of section 512(b)(13)? 45a No
45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990 -EZ (see instructions)
45b
No
Form 990 -EZ (2012)
Form 990 -EZ (2012)
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If "Yes," complete Schedule C, Part I
rEffra Section 501(c)(3) organizations only
All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50
and 51
Check if the organization used Schedule 0 to respond to any question in this Part VI
No
Yes
Pare 4
No
46
No
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
48 Is the organization a school as described in section 170(b)(1)(A)(u)? If"Yes," complete Schedule E
49a Did the organization make any transfers to an exempt non -charitable related organization?
b If"Yes," was the related organization a section 527 organization?
50 Complete this table for the organization's five highest compensated employees (other han officers, directors, trustees and key
Yes
47
No
48
No
49a
No
49b
No
employees) who each received more than $100,000 of compensation from the organization If there is none, enter "None "
(a) Name and title of each employee paid
more than $100,000
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099-
MISC)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
NONE
f Total number of other employees paid over $100,000
51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
(a) Name and address of each indenendentcontractor paid more than 5100,000
(b) Type of service
(c) Compensation
NONE
d Total number of other independent contractors each receiving over $100,000
■
52 Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1)
► F Yes r No
nonexempt charitable trusts must attach a completed Schedule A
Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my
knowledge and belief, It is true, correct, and complete. Declaration of prepare, (other than officer) Is based on all Information of which preparer has any
knowledge.
Sign
Here
Signature of officer
0MICHAEL BARTRAM DIRECTOR
Type or pnnt name and title
Paid
Preparer
Use Only
zo13-05-15
Date
Pnnt/Type preparers name
Preparers signature Date
XIMENA RADRIGAN 2013-05-15
Finn's name ■ XIMENA RADRIGAN CPA
Firm's address 2034 PACIFIC AVE
STOCKTON, CA 95204
Check r if
self -em lo ed
Firm's EIN R
PTIN
Phone no (209) 462-9930
May the IRS discuss this return with the preparer shown above? See instructions ► I—Yes F No
Form 990 -EZ (2012)
lefile GRAPHIC print - DO NOT PROCESS 1 As Filed Data -
SCHEDULE A
(Form 990 or 990EZ)
Department of the Treasury
Internal Revenue Service
Name of the organization
CHANGING FACES THEATER COMPANY
Part I
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
■ Attach to Form 990 or Form 990 -EZ. ► See separate instructions.
DLN: 934921420003431
UMC IV0 1D4D-UU4/
2012
Open to Public
Inspection
Employer identification number
76-0718614
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is (For lines 1 through 11, check only one box )
1 r A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 r A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )
3 E A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 r A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state
5 r An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II )
6 r A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 r An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II )
8 r A community trust described in section 170(b)(1)(A)(vi) (Complete Part II )
9 F An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization afterJune 30, 1975 See section 509(a)(2). (Complete Part III )
10 r An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11 r An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a r Type I b r Type II c r Type III - Functionally integrated d r Type III - Non -functionally integrated
e r By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or
section 509(a)(2)
f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization,
check this box
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
and (iii) below, the governing body of the supported organization?
(ii) A family member of a person described in (i) above?
(iii) A 350/0 controlled entity of a person described in (i) or (ii) above?
h Provide the following information about the supported organization(s)
Yes
No
11g(i)
11g(ii)
11g(iii)
(i) Name of
supported
organization
(ii) EIN
(iii) Type of
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions))
(iv) Is the
organization in
col (i) listed in
your governing
document?
(v) Did you notify
the organization
in col (i) of your
support?
(vi) Is the
organization in
col (i) organized
in the U S ?
(vii) A mount of
monetary
support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat No 11285F
Schedule A (Form 490 or 990 -EZ) 2012
Schedule A (Form 990 or 990 -EZ) 2012
Page 2
TrIMI Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
.OG...1141-1111 r.............••.ti, r....
Calendar year (or fiscal year beginning
in) ►
1 Gifts, grants, contributions, and
membership fees received (Do not
include any"unusual
grants ")
2 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge
4 Total. Add lines 1 through 3
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organlzation) included on
line 1 that exceeds 2% of the
amount shown on line 11, column
(f)
6 Public support. Subtract line 5 from
line 4
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f)Total
0
Section B. Total Support
Calendar year (or fiscal year beginning
in) ►
7 Amounts from line 4
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
9 Net income from unrelated
business activities, whether or not
the business is regularly carried
on
10 0 ther income Do not include gain
or loss from the sale of capital
assets (Explain in Part IV )
11 Total support (Add lines 7 through
10)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
12 Gross receipts from related activities, etc (see instructions)
12
13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here
111-1—
Section
r
Section C. Computation of Public Support Percentage
14 Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
15 Public support percentage for 2011 Schedule A, Part II, line 14
14
0 °%
15
16a 331/3%support test -2012. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The orgarioxation qualifies as a publicly supported organization ►�
b 33 1/3%support test -2011. If the organization did not check a box on Zine 13 or 16a, and line 15 is 33 i/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ►�
17a 10%-facts-and-circumstancestest-2012. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 100/0 or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here. Explain
in Pan IV how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly supported
organization ►r
b 100/0 -facts -and circumstancestest-2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly
supported organization 11•7
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ►F
Schedule A (Form 990 or 990 -EZ) 2012
Schedule A (Form 990 or 990 -EZ) 2012
Page 3
IIIMEITIM Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II, If the organization falls to qualify under the tests listed below, please complete Part II.)
Calendar year (or fiscal year beginning
in) I•
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual grants ")
2 Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt
purpose
3 Gross receipts from activities that
are not an unrelated trade or
business under section 513
4 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge
6 Total. Add lines 1 through 5
7a Amounts included on lines 1, 2,
and 3 received from disqualified
persons
b Amounts included on lines 2 and 3
received from other than
disqualified persons that exceed
the greater of $ 5,000 or 1% of the
amount on line 13 for the year
c Add lines 7a and 7b
8 Public support (Subtract line 7c
from line 6 )
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
22,2?4
13,588
10,066
15,025
16,712
77,615
48,814
54,515
47,399
60,986
44,683
256,397
0
0
J1,CI 3N
68,103
57,465
76,011
61,395
334,012
68,103
57,465
76,011
61,395
334,012
334,012
Section B. Total Support ..... _
Calendar year (or fiscal year beginning
in) I►
9 Amounts from line 6
1Oa Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
b Unrelated business taxable
income (less section 511 taxes)
from businesses acquired after
June 30, 1975
c Add lines 10a and 10b
11 Net income from unrelated
business activities not included
in line 10b, whether or not the
business is regularly carried on
12 Other income Do not include
gain or loss from the sale of
capital assets (Explain in Part
IV )
13 Total support. (Add lines 9, 10c,
11, and 12 )
14 First five years. If the Form 990 is for the organizat on's first, second, third, fourth, or fifth tax year as a
check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
71,038
68,103
57,465
76,011
61,395
334,012
0
0
0
0
71,038
68,103
57,465
76,011
61,395
334,012
16 Public support percentage from 2011 Schedule A, Part III, line 15
501(c)(3) organization,
►F
15
16
100 000 %
100 000
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
18 Investment income percentage from 2011 Schedule A, Part III, line 17
17
0
18
19a 331/3"/o support tests -2012. If the organization did not check the box on line 14, and line 15 is more than 33 1/3°%o, and line 17 is not
more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization I►r'
b 331/3%support tests -2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18
is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization Ili -
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions fr
Schedule A (Form 990 or 990 -EZ) 2012
Schedule A (Form 990 or 990 -EZ) 2012
Part IV
Page 4
Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;
Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See
instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990 -EZ) 2012
`efile GRAPHIC print - DO NOT PROCESS lAs Filed Data - 1 DLN: 934921420003431
TY 2012 Compensation Explanation
Name: CHANGING FACES THEATER COMPANY
EIN: 76-0718614
Software ID: 12000057
Software Version: 12.13.328.3
Person Name
Explanation
efile GRAPHIC • rint - DO NOT PROCESS
Form99 V'EZ
Department rite Treasury
Internal Revenue Service
As Filed Data -
DLN: 93492134022814
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code
(except private foundation)
I► Do not enter Social Security numbers on this form as it may be made public. By law, the
IRS generally cannot redact the information on the form.
I► Information about Form 990 -EZ and its instructions is at www.irs.nov/form990.
A For the 2013 calendar ear or tax
B Check if applicable
1 Address change
I-- Name change
1
Initial return
I— Terminated
r
Amended return
I—Application pending
ear be
innin
01-01-2013
and endin
12-31-2013
C Name of organization
CHANGING FACES THEATER COMPANY
Number and street (or P 0 box, if marl is not delivered to street address) Room/suite
•
MB No 1545-1150
2013
Open to Public
Inspection
D Employer identification number
76-0718614
E Telephone number
City or town, state or province, country, and ZIP or foreign postal code
LODI, CA 95242
F Group Exemption
Number •-
GAccounting Method F Cash rAccrual Other(specify) I►
I Website: Ib► N/A
3 Tax-exempt status(check only one)7 501(c)(3)-CL+r 501(c)( ) w(insert no )r 4947(a)(1) or r 527
H Check 1.- r if the organization is not
required to attach Schedule B
(Form 990, 990 -EZ, or 990 -PF)
K Form of organization ECorporation rTrust FAssociation E Other
L Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part II, column
(B) below) are $500,000 or more, file Form 990 instead of Form 990 -EZ I► $ 62,607
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the Instructions for Part I)
Check if the organization used Schedule 0 to respond to any question in this Part I
F
''
17
cu
a
a
1 Contributions, gifts, grants, and similar amounts received
2 Program service revenue Including government fees and contracts
3 Membership dues and assessments
4 Investment income
5a Gross amount from sale of assets other than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) from sale of assets other than Inventory (Subtract line 5b from line 5a)
6 Gaming and fundraising events
5a
1
13,000
2
37,607
3
12,000
4
5c
5b
a Gross income from gaming (attach Schedule G if greater than $15,000) •
b Gross income from fundraising events (not including $ of contributions
16a
from fundraising events reported on line 1) (attach Schedule G if the
sum of such gross income and contributions exceeds $15,000)
c Less direct expenses from gaming and fundraising events
F6b
6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract
line 6c)
6d
7a Gross sales of inventory, less returns and allowances
b Less cost of goods sold
17a
7b
c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a)
7c
8 Other revenue (describe in Schedule 0)
8
9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ►
g
62,607
10 Grants and similar amounts paid (list in Schedule 0)
10
11 Benefits paid to or for members
11
12 Salaries, other compensation, and employee benefits
12
28,500
a
w
13 Professional fees and other payments to independent contractors
13
14
7,059
m
14 Occupancy, rent, utilities, and maintenance
w
15 Printing, publications, postage, and shipping
15
819
16 Other expenses (describe in Schedule 0)
16
19,942
17 Total expenses. Add lines 10 through 16 ►
17
56,320
18 Excess or (deficit) for the year (Subtract line 17 from line 9)
18
6,287
N
19 Net assets or fund balances at beginning of year (from line 27, column (A )) (must agree with
4
end -of -year figure reported on prior year's return)
19
60,006
z
20 Other changes in net assets or fund balances (explain in Schedule 0)
20
21 Net assets or fund balances at end of year Combine lines 18 through 20 r
21
66,293
For Paperwork Reduction Act Notice, see the separate instructions.
Cat No 10642I
Form 990 -EZ (2013)
Form 990 -EZ (2013)
Part II
Page 2
Balance Sheets (see the instructions for Part II)
Check if the organization used Schedule 0 to respond to any question in this Part II
r
22 Cash, savings, and investments
23 Land and buildings
24 Other assets (describe in Schedule 0)
25 Total assets
26 Total liabilities (describe in Schedule 0)
27 Net assets or fund balances (line 27 of column (B) must agree with line 21)
(A) Beginning of year
(B) End of year
60,006
22
66,293
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING,STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here . ■ 7
23
56320
29
(Grants $ ) If this amount includes foreign grants, check here . ► r
24
60,006
25
66,293
31 Other program services (describe in Schedule 0 )
(Grants $ ) If this amount includes foreign grants, check here . I► r
26
60,006
27
66,293
Part III Statement of Program Service Accomplishments (see the instructions for Part III)
Expenses
(Required for section 501
(c)(3) and 501(c)(4)
organizations and section
4947(a)(1) trusts,
optional for others )
Check if the organization used Schedule 0 to respond to any question in this Part III . r
What is the organization's primary exempt purpose?
Provide Theater Education TheaterLearnina Experience
Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benefited, and other relevant information for each program title
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING,STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here . ■ 7
28a
56320
29
(Grants $ ) If this amount includes foreign grants, check here . ► r
29a
30
(Grants $ ) If this amount includes foreign grants, check here . . r
30a
31 Other program services (describe in Schedule 0 )
(Grants $ ) If this amount includes foreign grants, check here . I► r
31a
32 Total program service expenses (add lines 28a through 31a) ►
32
56,320
List of Officers, Directors, Trustees, and Key Employees (list each one even if not compensated — see the instructions for Part IV)
Check if the organization used Schedule 0 to respond to any question in this Part IV
r
(a) Name and title
(b) Average
hours per week
devoted to position
(c)Reportable
compensation
(Forms W-2/1099-
MISC) (if not paid,
enter -0-)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
MIKE BARTRAN
DIRECTOR
040 00
7,000
Form 990 -EZ (2013)
instructions far Part V ) Check if the oraariization used Schedule 0 to respond to any question in this Part V
Page 3
r
Form 990 -EZ (2013)
• Other Information (Note the Schedule A and personal benefit contract statement requirements in the
Yes
No
33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0
34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change
on Schedule 0 (see instructions)
35a Did the organization have unrelated business gross income of $1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
b If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0
c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If"Yes," complete applicable parts of Schedule N
37a Enter amount of political expenditures, direct or indirect, as descnbed in the instructions ► 1 37a
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? .
b If"Yes," complete Schedule L, Part II and enter the total amount involved
39 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on line 9
b Gross receipts, included on line 9, for public use of club facilities
40a Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under
section 4911 /0 0 , section 4912 I ' 0 , section 4955 0
38b
39a
39b
b Section 501(c)(3) and 501(c)(4) organizations Did the organization engage in any section 4958 excess benefit
transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been
reported on any of its prior Forms 990 or 990 -EZ? If "Yes," complete Schedule L, Part I
c Section 501(c)(3)and 501(c)(4)organizations Enter amount of tax imposed on organization managers or
disqualified persons during the year under sections 4912, 4955, and 4958 . . .
d Section 501(c)(3) and 501(c)(4) organizations Enter amount of tax on line 40c reimbursed by the organization
110,
33
No
34
No
35a
No
35b
No
35c
No
36
No
37b
No
38a
No
40b
No
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
41 List the states with which a copy of this return is filed ►
42a The organization's books are in care ofl• :MCC DAR TRAM Telephone no ♦X209) 747-804 3
Located at 2940 WHITEr)nKS WAY LODI, CA ZIP +4 ► 95242
40e
No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority
over a financial account in a foreign country (such as a bank account, securities account, or other financial
account)?
If"Yes," enter the name of the foreign country IP-
See
►See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and
Financial Accounts.
c At any time during the calendar year, did the organization maintain an office outside the U S ?
If "Yes," enter the name of the foreign country lb -
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041?Check here
and enter the amount of tax-exempt interest received or accrued during the tax year . . . . 10'1 43 1
Yes
No
42b
No
42c
No
44a Did the organization maintain any donor advised funds dunng the year? If "Yes," Form 990 must be completed instead of
, Form 990 -EZ
b Did the organization operate one or more hospital facilities dunng the year? If "Yes," Form 990 must be completed
instead of Form 990 -EZ
c Did the organization receive any payments for indoor tanning services during the year?
d If "Yes," to line 44c, has the organization filed a Form 720 to report these payments' If "No,"provide an
explanation in Schedule 0
45a Did the organization have a controlled entity within the meaning of section 512(b)(13)?
45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990 -EZ (see instructions)
Yes
No
44a
No
44b
No
44c
No
44d
No
45a
No
45b
No
Form 990 -EZ (2013)
Form 990 -EZ (2013)
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If"Yes," complete Schedule C, Part I
Yes
Page 4
No
46
No
MEI Section 501(c)(3) organizations only
All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50
and 51.
Check if the organization used Schedule 0 to respond to any question in this Part VI r
No
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
48 Is the organization a school as described in section 170(b)(1)(A)00? If "Yes," complete Schedule E
49a Did the organization make any transfers to an exempt non -charitable related organization?
b If"Yes," was the related organization a section 527 organization?
50 Complete this table for the organization's five highest compensated employees (other han officers, directors, trustees and key
employees) who each received more than $ 100,000 of compensation from the organization If there is none, enter "None "
(a) Name and title of each employee (b) Average (c) Reportable (d) Health benefits, (e) Estimated amount
hours per week compensation contributions to of other compensation
devoted to position (Forms W-2/1099- employee benefit plans,
and deferred
Yes
47
48
No
No
49a
No
49b
No
MISC)
NONE
compensation
f Total number of other employees paid over $100,000
51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
(a) Name and business address of each independent contractor
NONE
(b) Type of service
(c) Compensation
d Total number of other independent contractors each receiving over $100,000
52 Did the organization complete Schedule A? NOTE: All Section 501(c)(3) organizations and 4947(a)(1)
nonexempt charitable trusts must attach a completed Schedule A P' F Yes r No
Under penalties of penury, I declare that 1 have examined this return, including accompanying schedulim. and statements, and to the base of my
knowledge and belief, It is true, correct, and complete. Declaration of pr, arer (other than officer) Is based on all information of which prepares has any
knowledge.
Sign
Here
Paid
Preparer
Use Only
111, ♦a*x:s
Signature of officer
2014 -CS -14
MiCHAEL[lARTRAM 5152013
Type or ono? name and idle
Date
Pnnt/Type preparers name
XIMENA RADRIGAN
Preparer's signature
Date
2014-05-14
Finn's name i XIMENA RADRIGAN CPA
Firm's address lb- 2034 PACIFIC AVE
STOCKTON, CA 95204
May the IRS discuss this return with the preparer shown above? See instructions
Check r if
self-employed
PTIN
Firm's EIN
Phone no (209) 462-9930
R r Yes r No
Form 990-EZ(2013)
refile GRAPHIC
print
- DO NOT PROCESS
SCHEDULE A
(Form 990 or 990EZ)
Department of the
Treasury
i,i[ernai Revenue Service
As Filed Data
- 1
DLN: 93492134022814
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)
nonexempt charitable trust.
I. Attach to Form 990 or Form 990 -EZ. O. See separate instructions.
► Information about Schedule A (Form 990 or 990 -EZ) and its instructions is at
w ww. i rs.gov /form 990.
Name of the organization
CHANGING FACES THEATER COMPANY
OMB No 1545-0047
2013
Open to Public
Inspection
Employer identification number
76-0718614
• Reason for Public Charity Status (AR organlzatfons must complete this part.) See instructions.
The organization is not a private foundation because it is (For lines 1 through 11, check only one box )
1 r A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 r A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )
3 r A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 r A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state
5 1— An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II )
6 r A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 r An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II )
8 r A community trust described in section 170(b)(1)(A)(vi) (Complete Part II )
9 F An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975 See section 509(a)(2). (Complete Part III )
10 1— An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11 r An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). Check
the box that describes the type of supporting organization and complete lines 11e through 11h
a r Type I b r Type II c r Type III - Functionally integrated d r Type III - Non -functionally integrated
e r By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons
other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or
section 509(a)(2)
f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization,
check this box
g Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
and (iii) below, the governing body of the supported organization?
(ii) A family memberofa person described in (i) above?
(iii) A 350/0 controlled entity of a person described in (i) or (ii) above?
h Provide the following information about the supported organization(s)
Yes
No
11g(i)
11g(ii)
11g(iii)
(i) Name of
supported
organization
(ii) EIN
(iii) Type of
organization
(described on
lines 1- 9 above
or IRC section
(see
instructions))
(iv) Is the
organization in
col (i) listed in
your governing
document?
(v) Did you notify
the organization
in col (i) of your
support?
(vi) Is the
organization in
col (i) organized
in the U S ?
(vii) Amount of
monetary
support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990E2.
Cat No 11285F
Schedule A lF o r m 990 or 994EZ) 2013
Schedule A (Form 990 or 990 -EZ) 2013
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendaryear(orfiscal year beginning (a) 2009 (b) 2010 (c) 2011 (d) 2012 (e) 2013 (f) Total
in) IP
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual
grants ")
2 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge
Part II
Page 2
4 Total. Add lines 1 through 3
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 2°h of the
amount shown on line 11, column
(f)
6 Public support. Subtract line 5 from
line 4
Section B. Total Support
Calendar year (or fiscal year beginning
in) ■
7 Amounts from line 4
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
9 Net income from unrelated
business activities, whether or not
the business is regularly carried
on
10 Other income Do not include gain
or loss from the sale of capital
assets (Explain in Part IV )
11 Total support (Add lines 7 through
10)
12 Gross receipts from related activities, etc (see instructions)
(a) 2009 (b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
a
12
13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization, check
this box and stop here �r
Section C. Computation of Public Support Percentage
14 Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f)) 14 0 %
15 Public support percentage for 2012 Schedule A, Part II, line 14
16a 331/3%support test -2013. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ►�
b 33113"/o support test -2012. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization P1
17a 10%facts-and-circumstances test -2013. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is
100/0 or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly supported
oroanization !T
b 10010 -facts -and -circumstances test -2012. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 100/0 or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly
supported organization 11'7
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions P1
15
Schedule A (Form 990 or 990 -EZ) 2013
Schedule A (Form 990 or 990 -EZ) 2013
Part III
Page 3
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II. If the organization fails to qualify under the tests listed below, please complete Part IL)
.7Ca:LIVaa n. ra.v..r 1,aspf.v. a
Calendar year (or fiscal year beginning
in) ►
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual grants ")
2 Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt
purpose
3 Gross receipts from activities that
are not an unrelated trade or
business under section 513
4 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge
6 Total. Add lines 1 through 5
7a Amounts included on lines 1, 2,
and 3 received from disqualified
persons
b Amounts included on lines 2 and 3
received from other than
disqualified persons that exceed
the greater of $ 5,000 or 1% of the
amount on line 13 for the year
c Add lines 7a and 7b
8 Public support (Subtract line 7c
from line 6 )
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
13,588
10,066
15,025
16,712
13,000
68,391
54,515
47,399
60,986
44,683
0
207,583
0
0
68,111:r
57,465
76,011
61,395
13,000
275,974
57,465
76,011
61,395
13,000
275,974
275,974
Section B. Total Support
Calendar year (or fiscal year beginning
in) ■
9 Amounts from line 6
10a Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
b Unrelated business taxable
income (less section 511 taxes)
from businesses acquired after
June 30, 1975
c Add lines 10a and 10b
11 Net income from unrelated
business activities not included
in line 10b, whether or not the
business is regularly carred on
12 Other income Do not include
gain or loss from the sale of
capital assets (Explain in Part
IV )
13 Total support. (Add lines 9,10c,
11, and 12 )
14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
68,103
57,465
76,011
61,395
13,000
275,974
0
0
0
0
68,103
57,465
76,011
61,395
13,000
275,974
16 Public support percentage from 2012 Schedule A, Part III, line 15
15
16
100 000 %
100 000 %
Section D. Computation of Investment Income Percentage
17 Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
18 Investment income percentage from 2012 Schedule A, Part III, line 17
17
0 %
18
19a 33 1/30/o support tests -2013. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not
more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ►r
b 33 113%support tests -2012, If the organization did not check a box en line 14 or line 19a, and line 16 is more than 33 1/3% and line 13
is not more than 33 1/3°4, check this box and stop here. The organization qualifies as a publicly supported organization ■n
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions 11k61—
Schedule
'r
Schedule A (Form 990 or 990 -EZ) 2013
Schedule A (Form 990 or 990 -EZ) 2013 Page 4
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or
1713; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Part IV
Facts And Circumstances Test
Return Reference
Explanation
Schedule A (Form 990 or 990 -EZ) 2013
efile GRAPHIC
print -
SCHEDULE 0
(Form 990 or 990 -EZ)
Department of the Treasury
Internal Revenue Service
DO NOT PROCESS
1
As Filed Data -
DLN: 93492134022814
Supplemental Information to Form 990 or 990 -EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
I► Attach to Form 990 or 990 -EZ.
I► Information about Schedule 0 (Form 990 or 990 -EZ) and its instructions is at
ww w. irs.gov /f orm990.
OMB No 1545-0047
2013
Open to Public
Inspection
Name of the organization
CHANGING FACES THEATER COMPANY
Employer identification number
76-0718614
990 Schedule 0, Supplemental Information
Return Reference
Explanation
Form 990 -EZ, Part 1, Line 16, Other Expenses
COSTUMES / MAKEUP2,624
Form 990 -EZ, Part I, Line 16, Other Expenses
PRODUCTION MATERIALS 3,843
Form 990 -EZ, Part 1, Line 16, Other Expenses
PROPS 71
Form 990-Ez, Part I, Line 16, Other Expenses
DINNER SUPPLIES 4,791
Form 990 -EZ, Part 1, Line 16, Other Expenses
LIGTHTING, SOUND EQUIPMENT 5,124
Form 990 -EZ, Part I, Line 16, Other Expenses
PUBLICITY MATERIALS 122
Form 990 -EZ, Part I, Line 16, Other Expenses
PRE -SHOW 320
Form 990 -EZ, Part 1, Line 16, Other Expenses
CAST/CREW MISC 1,504
Form 990 -EZ, Part I, Line 16, Other Expenses
CORES 23
Form 990-Ez, Part I, Line 16, Other Expenses
DONATIONS 288
Form 990 -EZ, Part 1, Line 16, Other Expenses
SNACKS 432
Form 990 -EZ, Part I, Line 16, Other Expenses
EVENT ATTENDANT 60
Form 990 -EZ, Part I, Line 16, Other Expenses
SECURITY 80
Form 990 -EZ, Part 1, Line 16, Other Expenses
TECH FEE260
[ Form 990 -EZ, Part I, Line 16, Other Expenses
SPONSORSHIP LITTLE LEAGUE200
Form 990 -EZ, Part I, Line 16, Other Expenses
1
TAX PREPARATION FFFS 200
Iefile GRAPHIC print - DO NOT PROCESS l As Filed Data - f DLN: 934921340228141
TY 2013 Compensation Explanation
Name: CHANGING FACES THEATER COMPANY
EIN: 76-0718614
Software ID: 13000230
Software Version: 13.5.0.0
Person Name
Explanation
(efile GRAPHICrint - DO NOT PROCESS E As Filed Data - 1
Short Form
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
P.- Do not enter social security numbers on this form as it may be made public.
Information about Form 990 -EZ and its instructions is at www.irs.aov/form990.
Form99 V "EZ
Department of the Treasury
Internal Revenue Service
DLN: 934921350245551
MB No 1545-1150
A For the 2014calendar
B Check if applicable
I—Address change
I— Name change
I—Initial return
1 Final
return/terminated
rAmended return
Application pending
year,
or tax
Y
ear beginnin
9
01-01-2014 and ending 12-31-2014
C Name of organhlarron
CHANGING FACES THEATER COMPANY
Number and street (or P 0 box i mail is not delivered to street address)
—Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LODI, CA 95242
2014
Open to Public
Inspection
D Employer Identification number
76-0718614
E Telephone number
F Group Exemption
Number IP-
11
►
GAccounting Method FCash [—Accrual Other(specify) IP-
I
►
I Website: ► N/A
] Tax-exempt status(checkonlyone) -1_ 501(c)(3)S1 501(c)( ) 1(insert no )1— 4947(a)(1) or I— 527
11 Check ► r lithe organization is not
required to attach Schedule B
(Form 990, 990 -EZ, or 990 -PF)
K Form of organization I—Corporation ETrust F Association FOther
L Add lines 5b, 6c, and 7b to line 9 to determine gross receipts If gross receipts are $200,000 or more, or if total assets (Part II, column
(B) below) are $500,000 or more, file Form 990 instead of Form 990 -EZ ► $ 59,183
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
Check if the organization used Schedule 0 to respond to any question in this Part I
F
w
1 Contributions, gifts, grants, and similar amounts received
2 Program service revenue including government fees and contracts
3 Membership dues and assessments
4 Investment income
5a Gross amount from sale of assets other than inventory
b Less cost or other basis and sales expenses
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a)
6 Gaming and fundraising events
a Gross income from gaming (attach Schedule G if greater than $15,000)
5a
1
14,780
2
32,203
3
12,200
4
5b
6a
Sc
b Gross income from fundraising events (not Including $ of contributions
from fundraising events reported on line 1) (attach Schedule G lithe
1 sum of such gross income and contributions exceeds $15,000) 6b
c Less direct expenses from gaming and fundraising events 6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)
7a
b
Gross sales of inventory, less returns and allowances
Less cost of goods sold
c Gross profit or (loss) from sales of inventory (Subtract Ilne 7b from line 7a)
8 Other revenue (describe in Schedule 0 )
9 Total revenue. Add Tines 1, 2, 3, 4, 5c, 6d, 7c, and 8
10
11
12
13
14
15
16
17
Grants and similar amounts paid (list In Schedule 0 )
Benefits paid to or for members
Salaries, other compensation, and employee benefits
7a
6d
7b
i
Professional fees and other payments to independent contractors
Occupancy, rent, utilities, and maintenance
Printing, publications, postage, and shipping
Other expenses (describe in Schedule 0)
Total expenses. Add lines 10 through 16
7c
8
9
10
59,183
11
12
27,500
13
14
15
16
17
NPC Ass PCs
18 Excess or (deficit) for the year (Subtract lune 17 from line 9)
19 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
end -of -year figure reported on prior year's return)
20 Other changes in net assets or fund balances (explain in Schedule 0)
Net assets or fund balances at end of year Combine lines 18 through 20
21
For Paperwork Reduction Act Notice, see the separate instructions.
Cat No 10642I
18
5,671
1,080
17,174
51,425
7,758
19
66,293
20
21
74,051
Form 990 -EZ (2014)
Form 990 -EZ (2014)
Balance Sheets (see the instructions for Part II)
Check if the organization used Schedule 0 to respond to any question in this Part II
Page 2
r
22 Cash, savings, and investments
23 Land and buildings
24 Other assets (describe in Schedule O )
25 Total assets
26 Total liabilities (describe in Schedule O )
27 Net assets or fund balances (line 27 of column (B) must agree with line 21)
(A) Beginning of year
(B) End of year
66,293
22
74,051
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING, STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here ► r
23
51,17S
29
(Grants $ ) If this amount includes foreign grants, check here . ■ r
24
66,293
25
74,051
31 Other program services (describe in Schedule O )
(Grants $ ) If this amount includes foreign grants, check here . ► r
26
66,293
27
74,051
Part III Statement of Program Service Accomplishments (see the instructions for Part III)
Expenses
(Required for section 501
(c)(3) and 501(c)(4)
organizations, optional for
others )
Check if the organization used Schedule 0 to respond to any question in this Part III . r
What is the organization's primary exempt purpose?
Provide Theater Education Theater Learning Experience
Describe the organization's program service accomplishments for each of its three largest program services, as
measured by expenses In a clear and concise manner, describe the services provided, the number of persons
benefited, and other relevant information for each program title
28 PARTICIPANTS LEARNED UNDER THE GUIDANCE SUPERVISION OF TRAINED PROFESSIONALS
EVERY ASPECT OF THE THEATER SUCH AS ACTING, STAGE CHOREOGRAPHY, LIGHTING, COSTUMING,
DIRECTING ADN PRODUCTION
(Grants $ ) If this amount includes foreign grants, check here ► r
28a
51,17S
29
(Grants $ ) If this amount includes foreign grants, check here . ■ r
29a
30
(Grants $ ) If this amount includes foreign grants, check here . . ! r
30a
31 Other program services (describe in Schedule O )
(Grants $ ) If this amount includes foreign grants, check here . ► r
31a
32 Total nrooramservice expenses (add lines 28a through 31a) F
32
51,425
Part IV
List of Officers, Directors, Trustees, and Key Employees (hst each one even if not compensated — see the instructions for Part IV)
Check if the organization used Schedule 0 to respond to any question in this Part IV
(a) Name and title
(b) Average
hours per week
devoted to position
(c)Reportable
compensation
(Forms W-2/1099-
MISC) (if not paid,
enter -0-)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
MIKE BARTRAN
DIRECTOR
040 00
7,000
Form 990 -EZ (2014)
Form 990-EZ (2014) Page 3
Other Information (Note the Schedule A and personal benefit contract statement requirements in the
instructions for Part V ) Check if the organization used Schedule 0 to respond to any question in this Part V
Yes
No
33 Did the organization engage in any significant activity not previously reported to the IRS? If "Yes," provide a
detailed description of each activity in Schedule 0
34 Were any significant changes made to the organizing or governing documents? If "Yes," attach a conformed copy
of the amended documents if they reflect a change to the organization's name Otherwise, explain the change
on Schedule 0 (see instructions)
35a Did the organization have unrelated business gross income of$1,000 or more during the year from business
activities (such as those reported on lines 2, 6a, and 7a, among others)?
b If "Yes," to line 35a, has the organization filed a Form 990-T for the year? If "No," provide an explanation in Schedule 0
c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e)
notice, reporting, and proxy tax requirements during the year? If "Yes," complete Schedule C, Part III
36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during
the year? If"Yes," complete applicable parts of Schedule N
37a Enter amount of political expenditures, direct or indirect, as descnbed in the instructions -
137a
33
No
34
No
35a
No
35b
35c
No
36
No
b Did the organization file Form 1120-POL for this year?
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? .
b If"Yes," complete Schedule L, Part II and enter the total amount involved
39 Section 501(c)(7) organizations Enter
a Initiation fees and capital contributions included on line 9
b Gross receipts, included on line 9, for public use of club facilities
40a
. 38b
37b
No
38a
No
39a
39b
Section 501(c)(3) organizations Enter amount of tax imposed on the organization during the year under
section 4911 IP'
0 , section 4912 lir, 0 , section 4955 6 0
b Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations Did the organization engage in any section 4958
excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that
has not been reported on any of its prior Forms 990 or 990 -EZ? If "Yes," complete Schedule L, Part I
c Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations Enter amount of tax imposed on organization
managers or disqualified persons during the year under sections4912, 4955, and 4958 Or-
d
d Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations Enter amount of tax on line 40c reimbursed
by the organization
e All organizations At any time during the tax year, was the organization a party to a prohibited tax shelter
transaction? If "Yes," complete Form 8886-T
41 List the states with which a copy of this retum is filed
Telephone no F (209)747-8043
ZIP +4 Po 95242
42a The organization's books are in care of OP 1,11Kt:1- 5il0\ 1
Located at! 2940 WHITE OAKS WAY LODI, CA
40b
No
40e
No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority - No
over a financial account in a foreign country (such as a bank account, securities account, or other financial ®-
account)? No
If"Yes," enter the name of the foreign country I►
See the instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and
Financial Accounts (FBA R)
c At any time during the calendar year, did the organization maintain an office outside the U S ? No
If"Yes," enter the name of the foreign country ► r
43 Section 4947(a)(1) nonexempt charitable trusts filing Form 990 -EZ in lieu of Form 1041 - Check here
and enter the amount of tax-exempt interest received or accrued during the tax year . . . . ► l
43
44a Did the organization maintain any donor advised funds dunng the year? If "Yes," Form 990 must be completed instead of
Form 990 -EZ
b Did the organization operate one or more hospital facilities during the year? If "Yes," Form 990 must be completed
instead of Form 990 -EZ
c Did the organization receive any payments for indoor tanning services during the year?
d If "Yes," to line 44c, has the organization filed a Form 720 to report these payments? If "No,"provide an
explanation in Schedule 0
45a Did the organization have a controlled entity within the meaning of section 512(b)(13)?
45b Did the organization receive any payment from or engage in any transaction with a controlled entity within the
meaning of section 512(b)(13)? If "Yes," Form 990 and Schedule R may need to be completed instead of
Form 990 -EZ (see instructions)
Yes
No
44a
No
44b
No
44c
No
44d
No
45a
No
45b
No
Form 990 -EZ (2014)
Form 990 -EZ (2014)
46 Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to
candidates for public office? If"Yes," complete Schedule C, Part I
Yes
Page 4
No
46
No
MIZI Section 501(c)(3) organizations only
All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50
and 51
Check if the organization used Schedule 0 to respond to any question in this Part VI
No
Yes
47 Did the organization engage in lobbying activities or have a section 501(h) election in effect dunng the tax year?
If "Yes;' complete Schedule C, Part II No
48 Is the organization a school as described in section 170(b)(1 )(A )(ri)? If "Yes," complete Schedule E
49a Did the organization make any transfers to an exempt non -charitable related organization?
b If "Yes," was the related organization a section 527 organization?
50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key
employees) who each received more than $100000 ofcompensation from the organization If there is none, enter "None "
47
48
49a
49b
No
No
No
(a) Name and title of each employee
(b) Average
hours per week
devoted to position
(c) Reportable
compensation
(Forms W-2/1099-
MISC)
(d) Health benefits,
contributions to
employee benefit plans,
and deferred
compensation
(e) Estimated amount
of other compensation
NONE
f Total number of other employees paid over $100,000
is -
51
51 Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000
of compensation from the organization If there is none, enter "None "
NONE
(a) Name and business address of each independent contractor
(b) Type of service
(e) Compensation
d Total number of other independent contractors each receiving over $100,000
52 Did the organization complete Schedule A7 NOTE. All Section 501(c)(3) organizations must attach a
completed Schedule A
► FYes ENo
Under penalties of perjury, I declare that I have examined this return, Including accompanying schedules and statements, and to the best of my
knowledge and belief, It is true, correct, and complete. Declaration of preparer (other than officer) is based on all Information of which preparer has any
knowledge.
Sign
Here
2015-05-15
Signature of officer
ill MICHAEL 9AIOTRAM 05157015
Paid
Preparer
Use Only
Type or pnnt name and title
Date
PnntJType preparers name
MIMENA RADRIGAN
Preparers signature
Date
2015-05-15
Firm's name ■ XIMENA RADRIGAN CPA
Firm's address P-2034 PACIFIC AVE
STOCKTON, CA 95204
Check 1 if
self -em lo ed
Firm's EIN I -
PTIN
Phone no (209) 462-9930
May the IRS discuss this return with the preparer shown above? See instructions
► I— Yes r No
Form 990-EZ(2014)
lefile
GRAPHIC eLint - DO NOT PROCESS
SCHEDULE A
(Fomi 990 or 990EZ)
Department of the
Treasury
Intemal Revenue Service
As Filed Data 1 DLN: 93492135024555
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1)
nonexempt charitable trust.
► Attach to Form 990 or Foram 990 -EZ.
iw Information about Schedule A (Form 990 or 990 -EZ) and its instructions is at
www.irs.gov/form990.
Name of the organization
CHANGING FACES THEATER COMPANY
OMB No 1545-0047
2014
Open to Public
Inspection
Employer identification number
76-0718614
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it Is (For lines 1 through 11, check only one box )
1 r A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).
2 r A school described in section 170(b)(1)(A)(ii). (Attach Schedule E )
3 r A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).
4 r A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the
hospital's name, city, and state
5 r An organization operated for the benefit of a college or university owned or operated by a governmental unit described in
section 170(b)(1)(A)(iv). (Complete Part II )
6 r A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).
7 E An organization that normally receives a substantial part of its support from a governmental unit or from the general public
described in section 170(b)(1)(A)(vi). (Complete Part II )
8 r A community trust described in section 170(b)(1)(A)(vi) (Complete Part II )
9 r An organization that normally receives (1) more than 331/3% of its support from contributions, membership fees, and gross
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
Its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization afterJune 30, 1975 See section 509(a)(2). (Complete Part III )
10 r An organization organized and operated exclusively to test for public safety See section 509(a)(4).
11 r An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of
one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2) See section 509(a)(3). C heck
the box in lines lla through lid that describes the type of supporting organization and complete lines 11e, 11f, and 11g
a r Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the
supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting
organization You must complete Part IV, Sections A and B.
b r Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or
management of the supporting organization vested in the same persons that control or manage the supported organization(s) You
must complete Part IV, Sections A and C.
c r Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its
supported organization(s) (see instructions) You must complete Part IV, Sections A, D, and E.
d r Type III non -functionally integrated. A supporting organization operated in connection with its supported organization(s) that is
not functionally integrated The organization generally must satisfy a distribution requirement and an attentiveness requirement
(see instructions) You must complete Part IV, Sections A and D, and Part V.
e r Check this box lithe organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally
integrated, or Type III non -functionally integrated supporting organization
f Enter the number of supported organizations
Provide the following information about the supported organization(s)
9
(i)Name of supported
organization
(ii) EIN
(iii) Type of
organization
(described on lines
1- 9 above or IRC
section (see
instructions))
(iv) Is the organization
listed in your governing
document?
(v) Amount of
monetary support
(see instructions)
(vi) Amount of
other support (see
instructions)
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat No 11285F
Schedule A (Form 990 or 990E2)2014
Schedule A (Form 990 or 990 -EZ) 2014
Part I1
Page 2
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under
Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Calendar year (or fiscal year beginning
in) ■
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual
grants ")
2 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
3 The value of services or facilities
furnished by a governmental unit to
the organization without charge
4 Total. Add lines 1 through 3
5 The portion of total contributions
by each person (other than a
governmental unit or publicly
supported organization) included on
line 1 that exceeds 20/0 of the
amount shown on line 11, column
(f)
6 Public support. Subtract line 5 from
line 4
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
0
Section B. Total Support
Calendar year (or fiscal year beginning
in) ►
7 Amounts from line 4
8 Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
9 Net income from unrelated
business activities, whether or not
the business is regularly carried
on
10 Other income Do not include gain
or loss from the sale of capital
assets (Explain in Part VI )
11 Total support Add lines 7 through
10
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
12 Gross receipts from related activities, etc (see instructions)
12
13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)
organization, check this box and stop here
Section C. Computation of Public Support Percentage
14 Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f))
15 Public support percentage for 2013 Schedule A, Part II, line 14
14
0
15
16a 33 1/3%support test -2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
b 33 1/3°/o support test -2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ►f
17a 10%-facts-and-circumstancestest-2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 100/0 or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly supported
organization
b 10% -facts -and -circumstances test -2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts -and -circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts -and -circumstances" test The organization qualifies as a publicly
supported organization ►r
18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions PPE
Schedule A (Form 990 or 990 -EZ) 2014
47,399
44,683
49,607
44,403
Schedule A (Form 990 or 990 -EZ) 2014
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under
Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning
in) ►
1 Gifts, grants, contributions, and
membership fees received (Do not
include any "unusual grants ")
2 Gross receipts from admissions,
merchandise sold or services
performed, or facilities furnished in
any activity that is related to the
organization's tax-exempt
purpose
3 Gross receipts from activities that
are not an unrelated trade or
business under section 513
4 Tax revenues levied for the
organization's benefit and either
paid to or expended on its
behalf
5 The value of services or facilities
furnished by a governmental unit to
the organization without charge
6 Total. Add lines 1 through 5
Part III
Page 3
7a Amounts included on lines 1, 2,
and 3 received from disqualified
persons
b Amounts included on lines 2 and 3
received from other than
disqualified persons that exceed
the greater of $ 5,000 or 10/0 of the
amount on line 13 for the year
c Add lines 7a and 7b
8 Public support (Subtract line 7c
from line 6
Section B. Total Support
)
Calendar year (or fiscal year beginning
in) ►
9 Amounts from line 6
l0a Gross income from interest,
dividends, payments received on
securities loans, rents, royalties
and income from similar
sources
b Unrelated business taxable
income (less section 511 taxes)
from businesses acquired after
June 30, 1975
c Add lines 10a and 10b
11 Net income from unrelated
business activities not included
in line 10b, whether or not the
business is regularly carried on
12 Other income Do not include
gam or loss from the sale of
capital assets (Explain in Part
VI )
13 Total support. (Add lines 9, 10c,
11, and 12 )
14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a sec tion501(c) 3) organ! zation,
check this box and stop here
Section C. Computation of Public Support Percentage
15 Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f))
(a) 2010
10,066
57,465
(b) 2011 (c) 2012
15,025
60,986
16,712
76,011
61,395
(d) 2013 (e) 2014
13,000 14,780
62,607
59,183
(f) Total
69,583
247,078
336,661
316,661
(a) 2010
(b) 2011
(c) 2012
(d) 2013
(e) 2014
(f) Total
57,465
76,011
61,395
62,607
59,183
316,661
0
0
0
0
57,465
76,011
61,395
62,607
59,183
316,661
16 Public support percentage from 2013 Schedule A, Part III, line 15
Section D. Computation of investment Income Percentage
17 Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f))
18 Investment income percentage from 2013 Schedule A, Part III, line 17
19a 33 1/33/4 support tests -2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/30/o, and line 17 is not
more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organ zation >rF
b 33 1/31)/o support tests -21313.1f the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/30/0 and I[ne
18 is not more than 33 I/3°I0, check this box and stop here. The organization qualifies as a pubhtly supported organization !PT
20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions ■�
15
16
17
100 000 w°
100 000 0/0
0 0/0
18
Schedule A (Form 990 or 990 -EZ) 2014
Schedule A (Form 990 or 990 -EZ) 2014 Page 4
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I If you checked lla of Part I, complete Sections A and B If you checked
llb of Part I, complete Sections A and C If you checked 1lc of Part I, complete Sections A, D, and E If you checked 11 d of Part
1, complete Sections A and D, and complete Part V )
Section A. All Supporting Organizations
Yes
No
1 Are all of the organization's supported organizations listed by name in the organization's governing documents?
If "No,"describein Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
2 Did the organization have any supported organization that does not have an IRS determination of status under
section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported
organization was described in section 509(a)(1) or (2).
3a Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes,"answer
(b) and (c) below.
b Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and
satisfied the public support tests under section 509(a)(2)7 If "Yes,"describe in Part VI when and how the
organization made the determination.
c Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B)
purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
4a Was any supported organization not organized in the United States ("foreign supported organization")? If "Yes"
and if you checked 11a or 11b in Part I, answer (b) and (c) below.
b Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign
supported organization? If "Yes,"describe in Part VI how the organization had such control and discretion despite
being controlled or supervised by or in connection with its supported organizations. . .
c Did the organization support any foreign supported organization that does not have an IRS determination under
sections 501(c)(3) and 509(a)(1) or(2)? If "Yes," explain in Part VI what controls the organization used to ensure
that all support to the foreign supported organization was used exclusively for section 170(c)(2)(8) purposes.
5a Did the organization add, substitute, or remove any supported organizations during the tax year? If "Yes," answer
(b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the
supported organizations added, substituted, or removed, (n) the reasons for each such action, (nu) the authority under
the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by
amendment to the organizing document).
b Type I or Type II only. Was any added or substituted supported organization part of a class already designated in
the organization's organizing document?
c Substitutions only. Was the substitution the result of an event beyond the organization's control?
6 Did the organization provide support (whether in the form of grants or the provision of services or facilities) to
anyone other than (a) its supported organizations, (b) individuals that are part of the charitable class benefited by
one or more of its supported organizations, or (c) other supporting organizations that also support or benefit one
or more of the filing organization's supported organizations? If "Yes,"provide detail in Part VI.
7 Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor
(defined in IRC 4958(c)(3)(C)), a family member ofa substantial contributor, or a 35 -percent controlled entity
with regard to a substantial contributor? If "Yes," complete Part I of Schedule L (Form 990) .
8 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If
"Yes," complete Part II of Schedule L (Form 990).
9a Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified
persons as defined in section 4946 (other than foundation managers and organizations described in section 509
(a)(1) or (2))? If "Yes, "provide detail in Part VI.
b Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the
supporting organization had an interest? If "Yes,"provide detail in Part VI.
c Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit
from, assets in which the supporting organization also had an interest? If "Yes," provide detail in Part VI.
l0a Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f)
(regarding certain Type II supporting organizations, and all Type III non -functionally integrated supporting
organizations)? If "Yes," answer b below.
b Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine
whether the organization had excess business holdings).
11 Has the organization accepted a gift or contribution from any of the following persons?
a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below,
the governing body of a supported organization?
b A family member of a person described in (a) above?
c A 350/0 controlled entity of a person described in (a) or (b) above? If "Yes" to a, b, or c, provide detail in Part VI.
1
2
3a
3b
3c
4a
4b
4c
5a
5b
5c
6
7
8
9a
9b
9c
10a
10b
lla
11b
llc
Schedule A (Form 990 or 990 -EZ) 2014
Schedule A (Form 990 or 990 -EZ) 2014
Supporting Organizations (continued)
Section B. Type I Supporting Organizations
1 Did the directors, trustees, or membership of one or more supported organizations have the power to regularly
appoint or elect at least a majority of the organization's directors or trustees at all times during the tax year? If
"No, "descrobe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the
organization's activities. If the organization had more than one supported organization, describe how the powers to
appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or
restrictions, if any, applied to such powers during the tax year.
2 Did the organization operate for the benefit of any supported organization other than the supported organization(s)
that operated, supervised, or controlled the supporting organization? If "Yes,"explain in Part VI how providing
such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the
supporting organization.
Yes
Page 5
No
1
2
Section C. Type II Supporting Organizations
1 Were a majority of the organization's directors or trustees during the tax year also a majority of the directors or
trustees of each of the organization's supported organization(s)? If "No,"describe in Part VI how control or
management of the supporting organization was vested in the same persons that controlled or managed the supported
organization(s).
Yes
No
1
Section D. All Type III Supporting Organizations
1 Did the organization provide to each of its supported organizations, by the last day of the fifth month of the
organization's tax year, (1) a written notice describing the type and amount of support provided during the prior
tax year, (2) a copy or the Form 990 that was most recently filed as of the date of notification, and (3) copies of
the organization's governing documents in effect on the date of notification, to the extent not previously provided"
2 Were any of the organization's officers, directors, or trustees either (i) appointed or elected by the supported
organization(s) or (11) serving on the governing body of a supported organization? If "No," explain in Part VI how
the organization maintained a close and continuous working relationship with the supported organization(s).
3 By reason of the relationship described in (2), did the organization's supported organizations have a significant
voice in the organization's investment policies and in directing the use of the organization's income or assets at
all times during the tax year? If "Yes," describe in Part VI the role the organization's supported organizations played
in this regard.
Yes
No
1
2
3
Section E. Type III Functionally -Integrated Supporting Organizations
1 Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions)
a r The organization satisfied the Activities Test Complete line 2 below
b r The organization is the parent of each of its supported organizations Complete line 3 below
c r The organization supported a governmental entity Describe in Part VI how you supported a government entity (see
instructions)
2 Activities Test Answer (a) and (b) below.
a Did substantially all of the organization's activities during the tax year directly further the exempt purposes of the
supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those
supported organizations and explain how these activities directly furthered their exempt purposes, how the
organization was responsive to those supported organizations, and how the organizat,on determined that these
activities constituted substantially all of its activities.
b Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more of
the organization's supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons
for the organization's position that its supported organization(s) would have engaged in these activities but for the
organization's involvement.
3 Parent of Supported 0 rganizations Answer (a) and (b) below.
a Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees o
each of the supported organizations? Provide details in Part VI.
b Did the organization exercise a substantial degree of direction over the policies, programs and activities of each
of its supported organizations? If "Yes,"describe in Part VI the role played by the organization in this regard.
Schedule A (Form 990 or 990 -EZ) 2014
Schedule A (Form 990 or 990 -EZ) 2014 Page 6
Part V — Type III Non -Functionally Integrated 509(a)(3) Supporting Organizations
1 E Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov 20, 1970 See instructions. All other
Type III non -functionally integrated supporting organizations must complete Sections A through E
Section A - Adjusted Net Income
(A) Pnor Year
(B) Current Year
(optional)
1 Net short-term capital gain
2 Recoveries of prior -year distributions
3 Other gross income (see instructions)
4 Add lines 1 through 3
5 Depreciation and depletion
Portion of operating expenses paid or incurred for production or collection of
6 gross income or for management, conservation, or maintenance of property
held for production of income (see instructions)
7 Other expenses (see instructions)
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)
1
2
3
4
5
6
7
8
Section B - Minimum Asset Amount
1 Aggregate fair market value of all non -exempt -use assets (see
instructions for short tax year or assets held for part of year)
a Average monthly value ofsecunties
b Average monthly cash balances
c Fair market value of other non -exempt -use assets
d Total (add lines la, lb, and lc)
Discount claimed for blockage or other factors (explain in detail in Part
e VI)
2 Acquisition indebtedness applicable to non-exempt use assets
3 Subtract line 2 from line ld
4 Cash deemed held for exempt use Enter 1-1/2% of line 3 (for greater
amount, see instructions)
5 Net value of non -exempt -use assets (subtract line 4 from line 3)
6 Multiply line 5 by 035
7 Recoveries of prior -year distributions
8 Minimum Asset Amount (add line 7 to line 6)
(A) Prior Year
(B) Current Year
(optional)
1
la
lb
lc
ld
2
3
4
5
6
7
8
Section C - Distributable Amount
1 Adjusted net income for prior year (from Section A, line 8, Column A)
2 Enter 85% of line 1
3 Minimum asset amount for prior year (from Section B, line 8, Column A)
4 Enter greater of line 2 or line 3
5 Income tax imposed in prior year
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary
reduction (see instructions)
7 r Check here if the current year is the organization's first as a non -functionally -integrated
Type III supporting organization (see instructions)
Current Year
1
2
3
4
5
6
Schedule A (Form 990 or 990 -EZ) 2014
-EZ)2014
Page 7
Section D - Distributions
Current Year
1
Amounts paid to supported organizations to accomplish exempt purposes
1 Distributable amount for 2014 from Section C, line
6
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
3
Administrative expenses paid to accomplish exempt purposes of supported organizations
4
Amounts paid to acquire exempt -use assets
5
Qualified set-aside amounts (prior IRS approval required)
a From 2009
6
Otherdistributions (describe in Part VI) See instructions
7
Total annual distributions. Add lines 1 through 6
8
Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI) See instructions
9
Distributable amount for 2014 from Section C, line 6
d From 2012
10
Line 8 amount divided by Line 9 amount
Section E - Distribution Allocations (see
instructions
(i)
Excess Distributions
(ii)
Underdistributions
Pre -2014
(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6
2 U nderdistributions, if any, for years prior to 2014
(reasonable cause required --see instructions)
3 Excess distributions carryover, if any, to 2014
a From 2009
b From 2010.
c From 2011.
d From 2012
e From 2013
f Total of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see
instructions)
j Remainder Subtract lines 3g, 3h, and 3i from 3f
4 Distributions for 2014 from Section D, line 7
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder Subtract lines 4a and 4b from 4
5 Remaining underdistributions for years prior to
2014, if any Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014 Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)
7 Excess distributions carryover to 2015. Add lines
3] and 4c
8 Breakdown ofline 7
a From 2010
b From 2011
c From 2012
d From 2013
e From 2014.
_
Schedule A (Form 990 or 990 -EZ) (20 14 )
Schedule A (Form 990 or 990 -EZ) 2014
Part VI
Page 8
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b;
Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, iia, 11b, and 1lc; Part IV,
Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines
lc, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line le; Part V Section D, lines 5, 6, and 8; and Part
V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Return Reference
f
Explanation
Schedule A (Form 990 or 990 -EZ) 2014
Iefile GRAPHIC print - DO NOT PROCESS [As Filed Data -
SCHEDULE 0
(Form 990 or 990 -EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990 -EZ
Complete to provide infonration for responses to specific questions on
Form 990 or 990 -EZ or to provide any additional infomiation.
I► Attach to Form 990 or 990 -EZ.
Information about Schedule 0 (Form 990 or 990 -EZ) and its instructions is at
www. irs.gav/f arm990.
DLN: 934921350245551
OMB No 1545-0047
2014
Open to Public
Inspection
Name of the organization
CHANGING FACES THEATER COMPANY
Employer identification number
76-0718614
990 Schedule 0, Supplemental Information
Return Reference
Explanation
Form 990-E, Part I, Line 16, Other Expenses
COSTUMES/ MAKEUP2,386
Form 990 -EZ, Part I, Line 16, Other Expenses
PRODUCTION MATERIALS 3,504
Form 990 -EZ, Part I, Line 16, Other Expenses
PROPS 118
Form 990 -EZ, Part I, Line 16, Other Expenses
DINNER SUPPLIES 3,605
Form 990 -EZ, Part I, Line 16, Other Expenses
LIGTHTING, SOUND EQUIPMENT 5,734
Form 990 -EZ, Part I, Line 16, Other Expenses
FRE -SHOW 162
Form 990 -EZ, Part I, Line 16, Other Expenses
CAST/CREW MISC 635
Form 990 -EZ, Part I, Line 16, Other Expenses
DONATIONS 190
Form 990 -EZ, Part I, Line 16, Other Expenses
TAX PREPARATION FFFS 200
Form 990 -EZ, Part I, Line 16, Other Expenses
Royalties 640
efile GRAPHIC print - DO NOT PROCESS 1 As Filed Data - 1 DLN: 93492135024555
TY 2014 Compensation Explanation
Name: CHANGING FACES THEATER COMPANY
EIN: 76-0718614
Software ID: 14000292
Software Version: 14.4.1.0
Person Name
Explanation
Changing Faces Theatre Company
Tax year runs annually: Jan. 1- Dec. 31
Federal Tax Form 990 -EZ
Year Income Expenses Profit Assets Total Salaries Grantee's Salary
2003 $38,769 $32,170 $6,599 $6,599 n/a n/a
2011 $76,022 $65,813 $10,209 $52,164 $33,550 (51%) $8,250
2012 $61,395 $53,553 $7,842 $60,006 $26,950 (50%) $7,100
2013 $62,607 $56,320 $7,842 $66,293 $28,500 (51%) $7,000
2014 $59,185 $51,425 $7,758 $74,051 $27,500 (53%) $7,000
2015 unavailable as of this writing
RESOLUTION NO. 2016-143
A RESOLUTION OF THE LODI CITY COUNCIL
APPROVING FISCAL YEAR 2016/17 ARTS GRANTS
WHEREAS, the Fiscal Year 2016/17 budget includes $36,500 in Arts grants; and
WHEREAS, grant applications were distributed to local nonprofit organizations with a
submittal deadline of May 16, 2016. Eleven grant applications were submitted and screened by
a Lodi Arts Commission review panel; and
WHEREAS, ten applications were approved at the Lodi Arts Commission meeting on
June 8, 2016; and
WHEREAS, grants to local nonprofit organizations are hereby submitted for City Council
approval totaling $23,415 and $3,085 in mini grants to be determined by the Commission as
shown below:
Grants Submitted for Approval
Grant Requestor
Grant Amount
Central Valley Youth Symphony (Concert)
$ 4,000
Breakthrough Project (Unity Celebration)
$ 1,075
Changing Faces Theater Company (Theater)
$ 5,500
Valley Community Orchestra (Concert)
$ 1,765
Lodi Community Art Center (Various) (Four Grants)
$ 4,575
Sandhill Crane Association (Art Show)
$ 1,500
Stockton Symphony Association (Concert)
$ 5,000
Arts Foundation (Various Mini Grants)
$ 3,085
TOTAL
$26,500
WHEREAS, the Lodi Arts Commission respectfully requests that the City Council
approve the use of the remaining funds totaling $10,000 for Commission -sponsored events,
i.e., First Friday Art Hop, the Taco Truck Cook -Off, and the Blues and Brews Festival, that
promote the Arts in Lodi.
NOW, THEREFORE, BE IT RESOLVED that the Lodi City Council does hereby approve
the Fiscal Year 2016/17 Arts grants to local nonprofit organizations and Commission -approved
mini grants as delineated above in the amount of $26,500; and
BE IT FURTHER RESOLVED that the City Council does hereby approve utilizing the
remaining Arts grant funds totaling $10,000 from Fiscal Year 2016/17 budget for Commission -
sponsored events, i.e., First Friday Art Hop, the Taco Truck Cook -Off, and the Blues and Brews
Festival that promote the Arts in Lodi.
Dated: July 20, 2016
hereby certify that Resolution No. 2016-143 was passed and adopted by the City
Council of the City of Lodi in a regular meeting held July 20, 2016, by the following vote:
AYES: COUNCIL MEMBERS — Johnson, Kuehne, Mounce, and Mayor Chandler
NOES: COUNCIL MEMBERS — None
ABSENT: COUNCIL MEMBERS — Nakanishi
ABSTAIN: COUNCIL MEMBERS — None
NNIFER
City Clerk
2016-143
FERRAIOLO