Norcal Haven INC

IRS exemption revoked

Burlingame, CAUnknown exempt organizationEIN 94-2902680Revenue $122K in FY2021

On file with the IRS1818 Gilbreth Road · Burlingame, CA

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To assist the Armenian seniors and their families in the San Francisco Bay Area in coping with today's challenges of aging.

100¢ of each $1 spent went to programs.
Run by 6 volunteers and 2 employees.
Mission: Form 990 Part I, line 1 · Programs: Part IX · People: Part I, lines 5–6

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FY2021 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
Revoked
IRS exemption revoked
Concern: the IRS revoked its tax exemption.
IRS Auto-Revocation List
Latest return
FY2021
latest Form 990
Concern: the latest return is for FY2021, 5 tax years back; more than 4 tax years.
IRS e-file · Filing history
Spent on programs
100%
of spending
Looks good: 100% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
125 mo
of spending, in cash
Looks good: 125.2 months of spending in cash; 3 or more.
Pt X · Ln 1–2 · Pt I · Ln 18
Liabilities
$0
0% of total assets
Looks good: liabilities are 0% of assets; 50% or less.
Pt X · Ln 26
Independent board members
0
of 4 voting members
Concern: none of 4 voting members are independent.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$122K
Spent
$119K
To programs
100%
Net assets
$1.3M

From the FY2021 Form 990 · see the original

990 PDF Claim
IRS revoked this organization's tax-exempt status on May 15, 2025

Is it real?

No. The IRS revoked its tax exemption. Latest filing on record: FY2021.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

100 cents of each dollar spent went to programs.

Program services 100% · $119K

Form 990 Part IX, line 25. Every line is in By the numbers.

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Who runs it and what they're paid

5 people listed on the 990.

Part VII, Section A · reportable compensation
$0Pt VII · Sec A
$0Pt VII · Sec A
$0Pt VII · Sec A
Asst Director
$0Pt VII · Sec A
$0Pt VII · Sec A
See Norcal Haven INC executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2No
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Helps Armenian seniors and families in the Bay Area manage aging challenges.

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1 program · in their own filed words · FY2021
01

no activity

Pt IX · col B

By the numbers

The FY2021 990, line by line.

1The main four
Money inPt VIII
$122K
Ln 12
Investment incomeLn 3$73K
Gifts and grantsLn 1h$48K
Money outPt IX
$119K
Ln 25
Programscol B$119K
Owns and owesPt X
$1.3M
net assets · Ln 32
Cash and savingsLn 1–2$1.2M
Total assetsLn 16$1.3M
LiabilitiesLn 26$0
PeoplePt VI, VII
5
listed · VII A
PaidVII A0
Voting boardVI 1a4
IndependentVI 1b0
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$48K
Fundraising eventsLn 1c$0
Investment incomeLn 3$73K
Gains on assetsLn 7$0
Total revenueLn 12$122K
Assets in detailPt X, end of year
CashLn 1$13K
SavingsLn 2$1.2M
Cash and savings togetherLn 1–2$1.2M
Land, buildings, equipmentLn 10c$19K
Total assetsLn 16$1.3M
LiabilitiesLn 26$0
Net assetsLn 32$1.3M
OperationsPt I, VI
EmployeesI 52
VolunteersI 66
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aNo
Whistleblower policyVI 13No
Records policyVI 14No
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY21End FY21
Cash and savingsLn 1–2$1.3M$1.2M
Land, buildings, equipmentLn 10c$19K$19K
Total assetsLn 16$1.3M$1.3M
LiabilitiesLn 26$0$0
Net assetsLn 32$1.3M$1.3M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$0$0
Grants to domestic individualsLn 2$0$0
Grants and assistance to foreign recipientsLn 3$0$0
Benefits paid to or for membersLn 4$0$0
Pay of current officers, directors and key staffLn 5$0$0$0
Pay of disqualified personsLn 6$92K$92K$0
Other salaries and wagesLn 7$0$0$0
Pension plan contributionsLn 8$0$0$0
Other employee benefitsLn 9$0$0$0
Payroll taxesLn 10$0$0
Management feesLn 11a$0$0
Legal feesLn 11b$0$0
Accounting feesLn 11c$1K$1K$0
Lobbying feesLn 11d$0$0$0
Investment management feesLn 11f$0$0$0
Other fees for servicesLn 11g$0$0$0
Office expensesLn 13$506$506
OccupancyLn 16$15K$15K
InsuranceLn 23$2K$2K
Other expenses (24a–d)Ln 24$8K$8K
Total functional expensesLn 25$119K$119K$0$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2021 Latest Viewing $122K$119K$3K$1.3M 990 PDF

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Schedules filed Part IV

III · Programs R · Related orgs G · Fundraising L · Interested persons I · Grants O · Explanations
See the full FY2021 990 (6 parts)
Part I · Summary $121,702 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $18,075$48,410
I-9 Program service revenuePrior year $0$0
I-10 Investment incomePrior year $86,889$73,292
I-11 Other revenuePrior year $25,408$0
I-12 Total revenuePrior year $130,372$121,702
I-13 Grants and similar amounts paid$0
I-14 Benefits paid to members$0
I-15 Salaries and benefitsPrior year $84,708$91,510
I-16a Professional fundraising fees$0
I-17 Other expensesPrior year $62,399$27,210
I-18 Total expensesPrior year $147,107$118,720
I-19 Revenue less expensesPrior year −$16,735$2,982
Part VI · Governance 0 of 4 board members independent, 4 to look at
VI-1a Voting members of the governing body4
VI-1b Independent voting members0
VI-12a Written conflict of interest policyNo
VI-13 Written whistleblower policyNo
VI-14 Document retention and destruction policyNo
VI-15a Process for setting top official's payNo
VI-2 Family or business relationship among officers or directorsNo
Part VIII · Statement of revenue $121,702 across 10 lines filed
VIII-1b Membership dues$11,905
VIII-1c Fundraising events$0
VIII-1f All other contributions, gifts and grants$14,005
VIII-1h Total contributions, gifts and grants$48,410
VIII-3 Investment incomeRelated to mission $73,292 · Unrelated business $0 · Excluded from tax $0$73,292
VIII-5 RoyaltiesRelated to mission $0 · Unrelated business $0 · Excluded from tax $0$0
VIII-6 Net rental income or lossRelated to mission $0 · Unrelated business $0 · Excluded from tax $0$0
VIII-7 Net gain or loss on sales of assetsRelated to mission $0 · Unrelated business $0 · Excluded from tax $0$0
VIII-8 Net income from fundraising eventsUnrelated business $0 · Excluded from tax $0$0
VIII-12 Total revenueRelated to mission $73,292 · Unrelated business $0 · Excluded from tax $0$121,702
Part IX · Statement of functional expenses $118,720 across 20 lines filed
IX-1 Grants to domestic organizationsPrograms $0$0
IX-2 Grants to domestic individualsPrograms $0$0
IX-3 Grants and assistance to foreign recipientsPrograms $0$0
IX-4 Benefits paid to or for membersPrograms $0$0
IX-5 Pay of current officers, directors and key staffPrograms $0 · Management $0$0
IX-6 Pay of disqualified personsPrograms $91,510 · Management $0$91,510
IX-7 Other salaries and wagesPrograms $0 · Management $0$0
IX-8 Pension plan contributionsPrograms $0 · Management $0$0
IX-9 Other employee benefitsPrograms $0 · Management $0$0
IX-10 Payroll taxesPrograms $0$0
IX-11a Management feesPrograms $0$0
IX-11b Legal feesManagement $0$0
IX-11c Accounting feesPrograms $1,176 · Management $0$1,176
IX-11d Lobbying feesPrograms $0 · Management $0$0
IX-11f Investment management feesPrograms $0 · Management $0$0
IX-11g Other fees for servicesPrograms $0 · Management $0$0
IX-13 Office expensesPrograms $506$506
IX-16 OccupancyPrograms $15,000$15,000
IX-23 InsurancePrograms $2,114$2,114
IX-24 Other expenses (24a–d)Programs $8,414$8,414
IX-25 Total functional expensesPrograms $118,720 · Management $0 · Fundraising $0$118,720
Part X · Balance sheet $1,264,838 assets, 16 lines filed
X-1 Cash, non-interest-bearingStart of year $12,360$12,702
X-2 Savings and temporary cash investmentsStart of year $1,251,104$1,225,627
X-3 Pledges and grants receivableStart of year $0$7,160
X-10c Land, buildings and equipment, netStart of year $19,349$19,349
X-16 Total assetsStart of year $1,289,971$1,264,838
X-17 Accounts payable and accrued expensesStart of year $0$0
X-18 Grants payableStart of year $0$0
X-19 Deferred revenueStart of year $0$0
X-20 Tax-exempt bond liabilitiesStart of year $0$0
X-24 Unsecured notes and loans payableStart of year $0$0
X-25 Other liabilitiesStart of year $0$0
X-26 Total liabilitiesStart of year $0$0
X-27 Net assets without donor restrictionsStart of year $0$0
X-28 Net assets with donor restrictionsStart of year $0$0
X-32 Total net assets or fund balancesStart of year $1,289,971$1,264,838
X-33 Total liabilities and net assetsStart of year $1,289,971$1,264,838
Part XI · Reconciliation of net assets $1,264,838 net assets at year end
XI-1 Total revenue$121,702
XI-2 Total expenses$118,720
XI-3 Revenue less expenses$2,982
XI-4 Net assets at start of year$1,289,971
XI-5 Net unrealized gains (losses) on investments$0
XI-6 Donated services and use of facilities$0
XI-7 Investment expenses$0
XI-8 Prior period adjustments$0
XI-10 Net assets at end of year$1,264,838

Form 990 e-file (XML) FY2021 from the IRS · Classification, formation year and address from the IRS Business Master File

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