HomeMy WebLinkAbout2018-04-25 - Agenda Packet - Community & Arts Foundation
AGENDA
COMMUNITY & ARTS
FOUNDATION
WEDNESDAY, APRIL 25, 2018
REGULAR MEETING
LOCATION:
Tri-Communities Conference Room City of Rancho Cucamonga
10500 Civic Center Drive
Rancho Cucamonga, CA 91703
MEMBERS:
CHAIR Paula Pachon MEMBER Linda Bryan
VICE CHAIR Tina Chen MEMBER Fatima Corbett
SECRETARY/TREASURER Mark Rivera MEMBER Jim Harrington
MEMBER Alfred Arguello MEMBER Bryan Snyder
MEMBER Nick Baker
MEMBER Rosemarie Brown
Mission Statement
♦ Enriching lives through support of the arts at the Victoria Gardens Cultural Center and supporting efforts
that benefit the community.
If you need special assistance or accommodations to participate in this meeting, please contact the
Community Services at (909) 477-2760. Notification of 48 hours prior to the meeting will enable the
City to make reasonable arrangements to ensure accessibility. Listening devices are available for
the hearing impaired.
APRIL 25, 2018
COMMUNITY & ARTS FOUNDATION
Page 1 of 2
A. 5:00 P.M. –CALL TO ORDER
A1. Pledge of Allegiance
A2. Roll Call: Paula Pachon, Chair
Tina Chen, Vice Chair
Mark Rivera, Secretary/Treasurer
Al Arguello
Linda Bryan
Nick Baker
Rosemarie Brown
Fatima Corbett
Jim Harrington
Bryan Snyder
B. ANNOUNCEMENTS/PRESENTATIONS
B1. None.
C. COMMUNICATIONS FROM THE PUBLIC
This is the time and place for the general public to address the Community & Arts Foundation.
State law prohibits the Board from addressing any issue not previously included on the Agenda.
The Board may receive testimony and set the matter for a subsequent meeting. Comments are to
be limited to five minutes per individual.
D. CONSENT CALENDAR
The following Consent Calendar items are expected to be routine and non-controversial.
They will be acted upon by the Community & Arts Foundation Board at one time without
discussion. Any item may be removed by a Member or member of the audience for
discussion.
D1. Approval of the Minutes of the Regular Community & Arts Foundation meeting held February 28,
2018. 1
D2. Treasurer’s Reconciliation Summary Reports for the LAIF and PAL Accounts for February and
March 2018. 5
E. STAFF REPORTS
E1. Financial Update. 52
F. FOUNDATION BUSINESS
The following items do not legally require any public testimony, although the President may
open the meeting for public input.
F1. Review of 2017 Taxes and Collection of Completed Conflict of Interest Forms. 54
APRIL 25, 2018
COMMUNITY & ARTS FOUNDATION
Page 2 of 2
F2. Consideration to Reschedule the June 27th Full Foundation Board Meeting to June 13, 2018.
F3. Review of One Sheet with Foundation Information.
F4. Discussion and Update on Employment Process for Executive Director Position 112
F5. Verbal Update of 2017/18 Foundation Sponsored Programs.
G. COMMITTEE REPORTS
G1. Executive Committee. (Paula Pachon, Tina Chen, Mark Rivera)
G2. Fundraising Committees.
• Golf Tournament
• Bunco Night
• Monte Carlo Night
G3. High School Program/Scholarship Committee. (Rosemarie Brown, Tina Chen, Al Arguello)
G4. Foundation Program Report. (Paula Pachon, Linda Bryan, Rosemarie Brown)
G5. Art in Public Places. (Linda Bryan)
H. IDENTIFICATION OF ITEMS FOR THE NEXT MEETING
This is the time for the Community & Arts Foundation Board to identify the items they wish
to discuss at the next meeting. These items will not be discussed at this meeting, only
identified for the next meeting.
I. ADJOURNMENT
I, Valerie Smith, Administrative Secretary of the City of Rancho Cucamonga, or my designee,
hereby certify that a true, accurate copy of the foregoing agenda was posted on day,
Thursday, April 19, 2018, seventy-two (72) hours prior to the meeting per Government Code
54954.2 at 10500 Civic Center Drive.
/s/ Valerie Smith
Valerie Smith
Administrative Secretary
City of Rancho Cucamonga
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RANCHO CUCAMONGA COMMUNITY & ARTS
Schedule G orm 990 or 990-FOUNDATION
832084
04-01-18
Supplemental Information cont/nu
33-0255599 Pa e4
Schedule G (Form 990 or 990-EZ)
93
SCHEDULE I
(Form990)
~toflheTraaawy
Int.ma! -Sorvice
Name of the organization
Grants and Other Assistance to Organizations,
Governments, and Individuals in the United States
Complete If the organization answered "Yes" on Fann 990, Part IV, line 21 or 22.
.... Attach to Form 990.
lnfonnatlon about Schedule I !Form 9901-and II!! lnstructlcH1s_ls at
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION
Pirt I I General lnfonnatlon on Grants and Assistance
OMB No. 1545-0047
2016
Open to Pubic
ln11••ht
Employer Identification number
33-0255599
1 Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' ellglblllty for the grants or assistance, and the selection
criteria used to award the grants or assistance? .................................................................................................................................................................................... 00 Yes D No
2 Describe in Part N the oraanlzatlon's orocedures for monltorlna the use of arant funds In the United States.
Part U I Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete If the organization answered "Yes" on Form 990, Part IV, line 21, for any
reclolent that received more than " 000. Part II can be du....nr..tM If additional snace Is needed.
1 (a) Name and address of organization (b)EIN (c) IRC section (d) Amount of (e) Amount of ~ MlilU1Ull OT (g) Description of (h) Purpose of grant
or government (If applicable) cash grant non-cash valuation (book, noncash assistance or assistance FMV, appraisal, assistance other)
CITY-RANCHO CUCAMONGA
10500 CIVIC CBNTBR DRIVB r -' ~ r ;~ Jc._, ~ SDUCATIOHAL, CtJLTURAL,
RANCHO CUCAMONG, CA 91730 I ,91i 3a'1J.(!O ~ 115 "' 1'0. 33 ~\p ~ ~IVIC ~
' ) /{_ 1 ,.L ~ ·---,
~' ~
--~ """" ' ~u ~L
2 Enter total number of section 501 (c)(3) and government organizations listed In the llne 1 table •.................. ..........•....•.....••..........•........ ................. ............ ............ ...... .... 1 •
3 Enter total number of other 2111__anlzatlons Dsted_in the Hne 1_Dble ••••rn······•••••H••············ .. ·······················•oo•············ .. ································································......... ....
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2016)
832101 11-01-18
94
RANCHO CUCAMONGA COMMUNITY & ARTS
Schedule 1 IForm 990l l2016l FOUNDATION
Pa1 m I Grants and Other Assistance to Domestic lndlvlduala. Complete H the organization answered "YPs" on Form 990, Part IV, One 22.
Part Ill can be duplicated H additional space is needed.
(a) Type of grant or assistance
ART SHOW FESTIVAL AWARD
l!IUSICAL PBRPORMANCB FOR LOCAL HISTORY CULTURAL
ARTS NIGHT
PBB FOR SINGING AT BROADWAY AT TBB GARDBNS
PRODUCTION OP INTO TBB WOODS
SCHOLARSHIP
SCHOLARSHIP
lemental Information. Provl1
PART I, LINE 2:
(b) Number of I (c) Amount of I (d) Amount of non-I .. (ej Method of valuation
recipients cash grant cash assistance (book. FMV, appraisal, other)
1 150,
1 1,308,
1 240,
ORGANIZATION MONITORS AND TRACKS GRANT FUNDS RECEIVED AND GRANT FUNDS PAID
OUT WITHIN ITS ACCOUNTING SOFTWARE AND BY REVIEW OF STAFF.
632102 11-111-16
33-0255599 Paae2
If) Description of noncash assistance
Schedule I (Form 990) (2016)
95
RANCHO CUCAMONGA COMMUNITY & ARTS
--'"""' ... '"""'' '"'''''"''"""• ----·-------· I Part W I Continuation of Grants and Other Assistance to Individuals In the United States (Schedule I (Form 990), Part Ill.)
SCHOLARSHIP
SCHOLARSHIP
SCHOLARSHIP
SCHOLARSHIP
SCHOLARSHIP
SCHOLARSHIP
SCHOLARSHIP
632242
04-01·18
(a) Type of grant or assistance
IF~
!)
(b) Number of (c) Amount of
recipients cash grant
1 . 500,
1. 500,
1 . 500. --~ Ii. 1.
r\ ~ /JL ~~ 500. 1 .
1 . 500,
1. 500.
(d) Amount of non-(e) Method of
cash assistance valuation (book, FMV,
appraisal, oth~
o. c:ASB
o. c:ASB
o. =us
If.. -, Ir \
' l (2JIB ~
IJ J
~ o. CASJI
o. ~SH
o. CUB
---------• Ul.l'U£
(f) Description of non-cash assistance
Schedule I (Form 990)
96
SCHEDULEO
(Form 990 or 990-EZ)
Supplemental Information to Form 990 or 990-EZ OMB No. 1545-0047
2016
Department of Iha Traaawy
lnbmal Revenue Savlca
Name of the organization
Complete to provide Information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional Information.
~ Attach to Form 990 or 990-EZ.
Information about Schedule 0 orm 990 or 990-and ltll lnatructlona Is at
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION
Open to l!iubllC
II
Employer Identification number
33-0255599
FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION:
AND BEYOND THE RANCHO CUCAMONGA COMMUNITY BY ANNUALLY RAISING
SUBSTANTIAL FUNDING AND EFFECTIVELY MANAGING OUT RESOURCES.
. .. . -
LINE 4D
PROVIDE FINANCIAL SUPPORT FOR THE OPERATIONS AND PROGRAMS FOR THE ARTS
AND YOUTH.
PROVIDE FINANCIAL SUPPORT FOR THE OPERATION AND PROGRAMS OF THE SENIOR
CENTER.
SUPPORT FOR RANCHO CUCAMONGA ARMED FORCES BANNER.
PROVIDE FINANCIAL . THE CENTER
FORM 990, PART VI, SECTION B, LINE l~B:
LINE llA EXPLANATION -THE FOUNDATION'S EXECUTIVE COMMITEE MEETS BEFORE THE
DUE DATE TO REVIEW THE TAX RETURN. COPIES ARE THEN MADE AVAILABLE TO BOARD
MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C:
ORGANIZATION REQUIRES BOARD MEMBERS TO ANNUALLY DISCLOSE INTERESTS THAT
COULD GIVE RISE TO CONFLICTS.
FORM 990, PART VI, SECTION C, LINE 19:
GOVERNING DOCUMENTS AND ANY FINANCIAL INFORMATION IS AVAILABLE TO OTHERS
UPON APPROPRIATE REQUEST AND IS PRESENTED TO THE GOVERNING BOARD MEMBERS.
LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
632211 08-25-16
Schedule 0 (Form 990 or 990-EZ) (2016)
97
SCHEDULER
(Fonn990)
~tof1helr118111'y
lntomal Revenue S.VU..
Name of the organization
Related Organizations and Unrelated Partnerships
.... Complete If the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37 •
.... Attach to Form 990.
Information about Sc:heduJe R IForm 990:
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION
Its ls at
Part I I Identification of Disregarded Entitles. Complete If the organization answered 'Yes' on Form 990, Part IV, line 33.
(a) (b) (c) (d) (e)
OMB No. 1541HJ047
2016
Open ID Public
Employer Identification number
33-0255599
(f)
Name, address, and EIN (If applicable) Primary activity Legal domicile (state or Total Income End-of·year assets Direct controUlng
of disregarded entity foreign country) entity
--1~ :...:1 ~ .,~ tM -I
"<: I I \\ '---J
J
~ Identification of Related Tax-Exe~gan~ If the o~Jmwered 'Y~ ft:I_ 990, Part IV, Une 34 bu It had one or more related tax-exempt
organizations during the tax year. I ~ -
(a) (b) (c) (d) (e) (f)
Section <pJ2tbX13) Name, address, and EIN Primary activity Legal domicile (state or Exempt Code Public charity Direct controlling oonRllod
of related organization foreign country) section status (If section entity onllty?
601(c)(3)) Yes No
CITY OP RANCHO CUCAMONGA -95-3213002
10500 CIVIC CBN'l'BR DR.IVB
RANCHO CUCAMONGA, CA 91730 ::ITY GOVBRNHBNT CALIPOJUllA 115 x
For Paperwort< Reduction Act Notice, see the Instructions for Form 990. Schedule R (Form 990) 2016
032101 oe.oo-10 LHA
98
RANCHO CUCAMONGA COMMUNITY & ARTS
Schedule A (Form 990) 2016 FOUNDATION 3 3-0 2 5 5 5 9 9 Page 2
Part ID Identification of Related Organizations Taxable as a Partnership. Complete If the organization answered •ves• on Form 990, Part IV, llne 34 because It had one or more related
organizations treated as a partnership during the tax year.
(a) (b) (c) (d) (e) If) (g) (h) (I) ID
Name, address, and EIN Primary activity Legal Direct contro lB ng Predominant Income Share of total Share of D11proparU011111 CodeV·UBI Glnlral ..
of related organization domlolle entity ~elatelj, unrelated, Income end-of-year amount In box managing (alatall' lllDClllona? !.!!! !!!f farelgn exc uded from tax under assets 20 of Schedule
country) sections 512-514) Yes No K· 1 (Form 1065) \'111 No
--' -
l\ 0 h ~ f:L_., L--.--~
~
, r
(k)
Per=.e ownershp
Part IV Identification of Related Organ ~ Taxable aa :_. '
organizations treated as a corporatl'". trust dunng,,ii e ~ ·~ t. ~ •• -•• or \ eo J T " -·-\ \ 11swered "Yes" on Form r [), Part IV, line 34 because It had one or more related ,___
(a)
,. W (b) \...: ~L{c) LI (e) L (f) (g) (h) Jl. Name, address, and EIN Primary activity Legal domlolle Direct controlling Type of entity Share of total Share of Percentaee 512(1>~13)
of related organization (alalall' entity (C corp, S corp, Income end-of-year ownershp oonlroled
farelgn or trust) assets enl tv?
oountry) Yes No
.
832182 Oll-06-18 Schedule R (Form 990) 2016
99
RANCHO CUCAMONGA COMMUNITY & ARTS
ScheduleR(Form990)2016 FOUNDATION 33-0255599 Page3
Part V Transactions With Related Organizations. Complete If the organization answered "Yes" on Form 990, Part IV, One 34, 35b, or 36.
Note: Complete line 1 If any entity is listed in Parts II, Ill, or IV of this schedule.
1 During the tax year, did the organization engage in any of the foUowing transactions with one or more related organizations listed in Parts 11.fV?
a Receipt of (I) interest, (ii) annuities, (Ill) royalties, or (Iv) rent from a controlled entity ..................................•.....•..............................................................................................
b Gift, grant, or capital contribution to related organlzatlon(s) ...................................................•..•...•................................................................................................................
c Gift, grant. or capital contribution from related organlzatlon(s} ..............................................•.........................................................................................................................
d LDans or loan guarantees to or for related organlzatlon(s} ...•.........................................................................................•................................................................................
e LDans or loan guarantees by related organlzatlon(s}
f Dividends from related organlzatlon(s} ........................................................................................................................•...................................................................................
g Sale of assets to related organlzatlon(s} ................................................................•........................................................................................................................................
h Purchase of assets from related organlzatlon(s} ................................•............................................................................................................................................................
Exchange of assets with related organlzatlon(s} ............................................................................................................................................................................................ .
Lease of facilities, equipment, or other assets to related organlzatlon(s) .................................................................•.......................................................................................
k Lease of facilities, equipment, or other assets from related organlzatlon(s} .........•.............•.............•..............................•..........•.•....................................................................
I Performance of services or membership r ··fuRdr:aisklg,_sollcltatl °T-far-ialated organlzatlon(s}
m Performance of services or membership ~id1alsb ~itatiorjs ~(s}
n Sharing of facilities, equipment, malling I or other ~with f-ijrted org~(s) ·····:·
o Sharing of paid employees with related o
p
q
r Other transfer of cash or property to related organlzatlon(s}
s Other transfer of cash or Droi
.. -·-·-··-· . -· -·--·-·-. ----·--..------·--._. -·· ···---·· _.. ····-···--·
(a)
··-·--
(b)
-·----·---·-·-----.-. -·---· ---·· _.., ·-·--·
(c) (d)
·-1:
x
1c x
1d x
1e x
-x
!
! x
x
x
x
! x
x ::c x
x
~ 1 x
Name of related organization Transaction Amount Involved Method of determining amount involved
type (a-s}
11,CITY OF RANCHO CUCAMONGA B 140.332. CASH
12' CITY OF RANCHO CUCAMONGA c 6.794. c:ASH
13} CITY OF RANCHO CUCAMONGA p 11.601. ::!ASH
141 CITY OF RANCHO CUCAMONGA Q 150.
15\
161
832183 09--08-18 Schedule R (Form 990) 2016
100
RANCHO CUCAMONGA COMMUNITY &: ARTS
ScheduleR!Form990)2016 FOUNDATION 33-0255599 Page4
~ Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of Its activities (measured by total assets or gross revenue)
that was not a related organization. See Instructions regarding exclusion for certain Investment partnerships.
(a) (b, (c) (d) ~~ (f) (g) (h) (I) m (k)
Name, address, and BN Primary activity Legat domicile Predominant Income ~i Share of Share of lll1prupor· CodaV-UBI o.n..i .. Percentage
of entity (state or foreign Jrelatel!. unrelated, total encklf-year tioalll amount In box 20 ~:l ownership e uded fi'om tax under ~-of Schedule K-1 country) . sections 512-514) ~es No Income assets Yes No (Form 1065} Yea No
ffe L[ IF -. . " ) ' ..... ~ ..
J
LJ I\ I £ ~ ~ t
~L' i --
Schedule R (Form 990) 2016
832184 09-08-18
101
& ARTS
33-0255599 Pa es
Provide additional Information for responses to questions on Schedule R. See Instructions.
632165 09-06-16 Schedule R (Form 990) 2016
102
TAXABLE YEAR
2016
California Exempt Organization
An nual Inform ation Retu rn
07 01 2016
Corparallon/Organlzatian name
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION
Addltlonal lnfannatlon. See lnatruotlona.
SlrMt •cktr-(auilll 11' room)
P.O. BOX 807
City
RANCHO CUCAMONGA
fll'elgn oounll'y nama
• 11281141 11-30-18
FORM
199
06/30 2017
Calllomla cwparatlon number
1538709
FEIN
33-0255599
PMBno.
Slata ZJPcod9
CA 1729
A Arst Return ......................................................... 0 Yes 00 No J If exempt under R&TC Section 2370111, has the organization
B Amended Return ..... .. ....... .. . ... ... ...... ... ...... ..... ... .. • 0 Yes 00 No engaged In political activlUes? See Instructions. . ........... • 0 Yes 00 No
C IRC Section 4947(a)(1) trust .................................... 0 Yes 00 No K Is the organization exempt under R&TC Section 23701g? • 0 Yes 00 No
D Anal Information Return? If "Yes," enter the gross receipts from nonmember sources $ -----
• 0 Dlllaalvacl 0 s.n.nc11red(Wllhcftwn) 0 Mervec11R-uan1zec1 L II organization Is exempt under R&TC SecUon 23701d
Enllr c1a111: (mmldd/WWI • and meets the filing fee exception, check box. No filing
E Check accounting method: (1)00 Cuh (2)0 Aocrua1 (3)0 Olhw fee ls required. .......................•.............................. • 00
F Federal return filed? (1) •O 11911T(2)•0 llllO-PF (3)•0 SohH(ll90) M Is Iha organization a Limited Llablllty Company? ............ •O Yes 00 No
(4)00 Other 990 series N Did the organization file Form 100 or Form 109 to
a Is this a group filing? See Instructions .....................• 0 Yes 00 No report taxable Income? .. .. . ... ... .. ... .... .. . ... ... .. . . .. ... ... .. .. • 0 Yes 00 No
H Is this organlzaticri In a group exemption .................. 0 Yes 00 No O Is the organization under audit by the IRS or has the
If "Yes,' what Is the parenrs name? IRS audited In a prior year? ..... .. ..• ••. .• . ..•. ... ... ... ... ... ..•. • 0 Yes 00 No
ID~" fefidleedralwlFlhor ~S jleft8lng? ..•.•..••.•. ··••••·•···· 0 Yes IX] No
Did the organization have any chan '• iR s
not re orted to the FTB? See In
Part I
Receipts
and
Revenues
Expense•
2
3
4
6
8
7
8
• 136 687. 00 t--.:.+---='-"-"-""-"-'----=-
2 00
3 183 983. 00
320 670. 00
00
7 00
B Total ross Income. Subtract line 7 from line 4 • 8 3 2 0 6 7 0 • oo
9 Total expanses and disbursements. From Sida 2, Part II, line 18 . ... . . . . .. ... ... ...... ... .. . ... . .. .. .. .. . .. .. . . . . .•... • ,._s ..... ___ 2_4 ..... 8 __ 5_7_3_._o __ o
10 Excess of recel ts over e enses and disbursements. Subtract line 9 from line 8 .. . .... .... . ............. • 10 7 2 , 0 9 7 • 00
11 Total payments ........................................................................................................................ • ......... 11._... _______ ..... o-..o
12 Use tax. Sae General Instruction K ........... .. ... ............ ... ... .......... .. ............. ...... ............ .. ...... ... ..... • l-"12-+---------0--0
13 13 00
Filing Fee 14 14 oo
Sign
Here
16
18
Slgnabre
ofoffl-
SUSAN F. MATZ CPA
Paid Frm'a name
Preparer'•
UH Only
•
I:":"· .... LSL CPAS
wnployed) 203 N BREA BLVD. SUITE 1203
andadctea BREA CA 9 2 8 21
Ma Iha FTB discuss this return with Iha re arer shown above? Saa Instructions
022 I 3651164
15 N/A oo
00
00
Data •Telephone
Chedllf e N
.. ,...,,ployed 00637563
5-2700123
714 672-0022
No
Form 199 C1 2016 Side 1 •
103
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION 33-0255599
Part II Organizations with gross receipts Of more ttian $50,000 and private foundation• regardless of
amount of grou receipts -complete Part II or furnish substitute Information. ·•
Receipts
from
Other
Sourcea
Expensea
and
Gross sales or receipts from all business activities. See Instructions . . .. . .. . . . .. . . . . . ... ... .. . . . . .. . .. . .. . ... .. . . . . .. . ... .. . . •
2 Interest ....................................................................................................................................... •
3 Dividends .... ... ... ... . .. . . .. .. . .. ... .. .. .. .... ... .. . ... ... ... ... .. .. . ... . .. ... . .. .. . . . .. ... .. . . . .. . . .. ...... ... .. .. .. ... . ... .. . ... ... ... ... . •
4 Gross rents •
6 Gross royalties . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .. . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . •
6 Gross amount received from sale of assets (See Instructions) . ... ... .. . ... ... . ... .. . ... ... ... ... .. ... . . . . .. . . .. .. . .. . .. . .. . . •
7 Other Income •
B Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1, Part I, line 1
9 Contributions, gifts, grants, and similar amounts paid . . ... ... ... .. ... ... . .. ... . .. ... ... .... ...... ... .. ... . .. . .. . . . . . .. ...... .. . . •
10 Disbursements to or for members .. ... ... ..... .... ... ... .. . ...... .. ... . .. . .. .. . .... ... .. ... ... ... .... .. . .. . ... .. . .. . ... .. . ...... ... .... •
11 Compensation of officers, directors, and trustees .................................. $~~ ... $.'.f.~'.f.~ ... ~ ... •
12 Other salaries and wages . ... ... . .. ... .. .. .. .... ... ............ ... .. ... . ... .. ... . ...... .. ... .... ...... ...... ... .. .. .. .. .. . . . .. ... .. . .. . ... . •
13 Interest .. .. .. ... .. .. ......... ... . .. ... . .. .•.. .. .... ... ....... ..... ... ... .. ... ... ... ...... ... ... .......... ...... ..... ... . .. ... . . . . ... .. . ... ... . •
14 Taxes ......................................................................................................................................... . •
Disburse-15 Rents . ... . ...... ...... .. .... ... ...... ... ... .. ... . .. ........ .. . . . ... .. ... .... .... .. ..... .... .. ... ... .. ... ... . ... .. .... ......... ... .. ... . .. . .. .. •
menta 16 Depreciation and depletion (See Instructions) ............•.................................................•........................ •
17 Other Expenses and Disbursements ..................................................... ~.~.~ .... ~T~T~ ... ~.. •
18 Total avnenses and disbursements. Add line 9 throuoh One 17. Enter here and on Side 1 Part I One 9 ..........•....
1
2
3
4
6
6
7
6
g
10
11
12
13
14
16
16
17
1R
828951 11-30-18
110. 971. 00
25.716. 00
00
00
00
00
00
136.687. 00
156.089. 00
00 o. 00
5.098. 00
00
00
00
00
87.386. 00
248.573. 00
S heel I L c ue Balance Sheet Bealnnlna of taxable year End Of taxable year
Assets (a} (bl le\ ldl
1 Cash ................................................ 1. 539. 828. • 708.002.
2 Net accounts recervable ························ -• 4.000.
3 Net notes receivable ······························ -•
4 Inventories ·········································· •
6 Federal and state government obliget ooa-" I -Jn \ 1 L.....-:::::.J • . I
6 Investments In other bonds ...... . ........ \ I l I I \\ 1 1 I •
1 Investments In stock \ l· ~,; • I \ l ........ • ·················· ) I '"' i ............... \ I l 8 ~;:~~:=:nts ·················s ~ ~···4 •
9 I \ I~ I 1. 4"!ib. 86 8. . • 2,350 868. .................. ,
LI.I ......... 1...: j, i...I 10 a Depreciable assets ···························
b Less accumulated depreciation ............ ( ) ( )
11 Land • ················································
12 Other assets • ·······································
13 Total aaaeta ....................................... 2.990.696. 3.062.870.
Llabllltiea and net worth
14 Accounts payable ................................. •
16 Contributions, gifts, or grants payable • ......
16 Bonds and notes payable • .....................
17 Mortgages payable • ······························
18 Other llabllllles ........... ························
19 Capital stock or principal fund • ...............
20 Paid-In or oapttal awplua. Atlach reooncillatlon • ...
21 Retained earnings or Income fund ............ 2 .990.696. • 3.062.870.
22 Total llabllttlea and net worth .. ······· 2.990.696. 3.062.870.
Schedule M-1 Reconclllation of Income per books with Income per return
Do not complete this schedule H the amount on Schedule L, line 13, column (d), Is less than $50,000.
1 Net Income per books .................................... • 72.097. 1 Income recorded on books this year
2 Federal Income tax • ....................................... not Included In this return • ························ •
3 Excess of capital losses over capital gains ......... • a Deductions In this return not charged
4 Income not recorded on books this year ············ • against book Income this year ..................... •
5 Expenses recorded on books this year not 9 Total. Add line 7 and line 8 ························
deducted In this return ································· • 10 Net Income per return.
6 Total. Add line 1 throuoh line 5 ·····-····· ... . .. 72.097. Subtract line 9 from line 6 . . . ..... . . 72.097.
I
,
I
I
• Side 2 Form 199 Ct 2016 022 3652164 I •
104
RANCHO CUCAMONGA COMMUNITY & ARTS FOUND 33-0255599
FORM 199 CASH CONTRIBUTIONS
INCLUDED ON PART I, LINE 3
STATEMENT 1
CONTRIBUTOR'S NAME CONTRIBUTOR'S ADDRESS
DATE OF
GIFT
BURRTEC WASTE INDUSTRIES 9890 CHERRY AVENUE FONTANA, CA 02/01/17
92335
US BANK
RANCHO BASEBALL LLC
BANK OF AMERICA
1420 KETTNER BLVD. 7TH FLOOR
SAN DIEGO, CA 92101
P.O. BOX 4770 RANCHO
CUCAMONGA, CA 91729
3650 14TH STREET SUITE 204
RIVERSIDE, CA 92501
02/01/17
02/01/17
02/01/17
CITY OF RANCHO CUCAMONGA 10500 CIVIC CENTER DR. RANCHO 02/01/17
CUCAMONGA, CA 91730
LEWIS OPERATING CO
DOUG AND DEE MORRIS
EDISON INTERNATIONAL
RC PROF. FIREFIGHTERS
ASSOC'N
TERRI JACOBS
TOTAL INCLUDED ON LINE 3
PO BOX 807 RANCHO CUCAMONGA,
CA 91729
2244 WALNUT GROVE AVENUE
ROSEMEAD, CA 91770
9259 ARCHIBALD AVE RANCHO
CUCAMONGA, CA 91730
PO BOX 807 RANCHO CUCAMONGA,
CA 91729
02/01/17
02/01/17
02/01/17
02/01/17
AMOUNT
10,000.
25,000.
8,475.
25,000.
6,794.
7,500.
21,000.
13,670.
5,100.
10,000.
5,000.
137,539.
STATEMENT(S) 1
105
RANCHO CUCAMONGA COMMUNITY & ARTS FOUND
FORM 199 COMPENSATION OF OFFICERS, DIRECTORS AND TRUSTEES
NAME AND ADDRESS
JIM HARRINGTON
PO BOX 807
RANCHO CUCAMONGA, CA 91729
LINDA BRYAN
PO BOX 807
RANCHO CUCAMONGA, CA 91729
BRYAN SNYDER
PO BOX 807
RANCHO CUCAMONGA, CA 91729
ALFRED ARGUELLO
PO BOX 807
RANCHO CUCAMONGA, CA 91729
FATIMA CORBETT
P.O. BOX 807
RANCHO CUCAMONGA,
ROSEMARIE BROWN
PO BOX 807
RANCHO CUCAMONGA, CA 91729
TINA CHEN
PO BOX 807
RANCHO CUCAMONGA, CA 91729
NICK BARER
PO BOX 807
RANCHO CUCAMONGA, CA 91729
PAULA PACHON
PO BOX 807
RANCHO CUCAMONGA, CA 91729
MARK RIVERA
PO BOX 807
RANCHO CUCAMONGA, CA 91729
TOTAL TO FORM 199, PART II, LINE 11
TITLE AND
AVERAGE HRS WORKED/WK
MEMBER
1.00
MEMBER
1.00
MEMBER
1.00
MEMBER
1.00
VICE CHAIR
1.00
MEMBER
1.00
CHAIR
1.00
SECRETARY/TREASURER
1.00
33-0255599
STATEMENT 2
COMPENSATION
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
o.
STATEMENT(S) 2
106
RANCHO CUCAMONGA COMMUNITY & ARTS FOUND
FORM 199
DESCRIPTION
ANIMAL CENTER
DONOR EXPENSES
BOARD DEVELOPMENT
BOARD TRAVEL AND MEETIN
OTHER EXPENSES
DIRECT EXPENSES OF FUNDRAISING EVENTS
ACCOUNTING FEES
OFFICE EXPENSES
INSURANCE
ALL OTHER EXPENSES
TOTAL TO FORM 199, PART II, LINE 17
33-0255599
STATEMENT 3
AMOUNT
39,096.
2,592.
1,576.
827.
38,819.
1,300.
141.
2,049.
986.
87,386.
FORM 199 OTHER INVESTMENTS STATEMENT 4
DESCRIPTION
CERTIFICATES OF DEPOSIT
FNMA NOTES
TOTAL TO FORM 199,
BEG. OF YEAR END OF YEAR
750,000. 750,000.
700,868. 1,600,868.
2,350,868.
FORM 199 FUND BALANCES STATEMENT 5
DESCRIPTION BEG. OF YEAR END OF YEAR
UNRESTRICTED ASSETS 2,990,696. 3,062,870.
TOTAL TO FORM 199, SCHEDULE L, LINE 21 2,990,696. 3,062,870.
STATEMENT(S) 3, 4, 5
107
022
DateAccepted ------------DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR
20 16
Exempt Crganlmtion name
California e -file Return Autho r ization f o r
Exem pt Org an ization s
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION
Part I Electronic Return Information (Whole dollars only)
FORM
8453-EO
Identifying numbw
33-0255599
1 Total gross receipts (Form 199, line 4) .................................................................................................................. 1 _ _...3.._.2 .... 0........_, ...... 6 ...... 7 .... 0_. __ oo-..
2 Total gross Income (Form 199, line 8) .................................................................................................................. 2 __ 3_2.,....0_._, .... 6 .... 7_0_. ___ oo ....
3 Total expenses and disbursements (Form 199, One 9) .......................................................................................... 3 _--"2""'4""8"-'-, 5"""""7""'3""".---oo:..
Part II Settle YolD' Account Electronlcal!y for Taxable Year 2016
4 0 8ectronlc funds withdrawal 4a Amount 4b Withdrawal date Cmm/dd/yywl
Part Ill Banking Information (Have you verified the exempt organization's banking Information?)
5 Routing number
8 Account number 7 Type of account 0 Checking 0 Savings
Pert IV Declaration of Officer
I authorize the exempt organization's account to be setUed as designated In Part II. If I check Part II, Box 4, I authorize an electronic funds withdrawal for the amount listed
on line 4a.
Under penalties of perjury, I declare that I am an officer of the above exempt organization and that the Information I provided to my electronic return originator (ERO),
transmitter, or Intermediate service provider and the amounts In Part I above agree with the amounts on the corresponding lines of the exempt organization's 2016
California electronic return. To the best of my knowledge and belief, the exempt organization's return Is true, correct, and complete. If the exempt organization Is filing
a balance due return, I understand that If the Franchise Tax Board (FTB) does not receive full and timely payment of the exempt organization's fee llablllty, the exempt
organization will remain liable for the fee liability and all applicable Interest and penalties. I authorize the exempt organization return and accompanying schedules and
statements be transmitted to the FTB by the ERO, transmitter, or Intermediate service provider. If the procenlng of the exempt organization'• return or refund la
delayed, I authorize the m to dlaclose to the ERO or Intermediate service provider the reason(•) for the dela •
Sign
Here Slgnalll'e of offlow
I declare that I have reviewed the above exempt organization's return and that the entries on form FTB 8453-EO are complete and correct to the best of my knowledge. (If I
am only an Intermediate service provider, I understand that I am not responsible for reviewing the exempt organization's return. I declare, however, that form FTB 8453-EO
accurately reflects the data on the return.) I have obtained the organization officer's signature on form FTB 8453-EO before transmitting this return to the FTB; I have
provided the organization officer with a copy of all forms and Information that I will file with the FTB, and I have followed all other requirements described In FTB Pub.
1345, 2016 e-flle Handbook for Authorized e-flle Providers. I will keep form FTB 8453-EO on file for four years from the due date of the return or four years from the date
the exempt organization return Is flied, whichever Is later, and I will make a copy available to the FTB upon request If I am also the paid preparer, under penalties of perjury,
I declare that I have examined the above exempt organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are
true, correct, and complete. I make this declaration based on all Information of which I have knowledge.
ERO'e-lrrrrrr.. Date Ched< If
ERO _a'g_na_u_·~,..--------------------L-------1.~~1so~ep~:'~:_ ..... o1....1L...;.;.;.;:;.;.;..:.~-X-....c...;:0~0:;....;.6~3~7~5~6:;....;.3 __
Must Frm'eneme(oryoin lrrrrrr.. LSL CPAS FEIN 95-2700123 Sign :::::::~~ ,.........,2~0~3,,_N--B-REA ___ B_L_:vD ____ s_U_I_T_E_~.~2~0~3.,....----------i-----------
BREA CA ZIPcode92821
Under penalties of perjury, I declare that I have examined the above organization's return and accompanying schedules and statements, and to the best of my knowledge
and belief, they are true, correct, and complete. I make this declaration based on all Information of which I have knowledge.
Paid Paid ~ oate Chock preparw'e If aall-Preparer signature employed X
Must Flnn'a nama (or yo .. e
If aelf-empk>~~ Sign end edctaa
lrrrrrr.. LSL CPAS
,.. 203 N BREA BL:vD. SUITE #203
BREA, CA
For Privacy Notice, get FTB 1131 ENG/SP.
629021 11-17-16
FEIN
Paid preparw'• PTIN
P00637563
95-2700123
ZIP code 9 2821
FTB 8453-EO 2016
108
MAIL TO: ANNUAL
Replltly ol Charitable Truall REGISTRATION RENEWAL FEE REPORT
P.O . Box 903447 TO ATTORNEY GENERAL OF CALIFORNIA Sacramento, CA 94203-4470
Telephone: (918) 445-2021 Sections 12588 and 12587, California Government Code
11 Cal. Code Reps. sections 301-307, 311and312
WEB SITE ADDRESS: Failure to submit this report annually no later than tour months and fifteen days after the
http://ap.ca.pov/charltlel/ end ot the organization's accounting period may result In the 1011 of tax exemption and
the aaaesament ot a minimum tax ol $800, plus Interest, and/or lines or llllnp penalties
as defined In Government Code section 12588. 1. IRS extensions wlll be honored.
State Charity Registration Number. CT 0 6 5 6 4 8 Check If:
D Change Of addren
RANCHO CUCAMONGA COMMUNITY & ARTS
FOUNDATION D Amended report
,.,,,. "'~!ration
P.O. BOX 807 Corporate or Organization No. 1538709
Adcha (Numbor and S"8el)
RANCHO CUCAMONGAi CA 91729 Federal Employer l.D. No . 33-0255599
City ot Town, Stam and ZIP Code
ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 CaL Code Regs. sections 301-307, 311 and 312)
Make Check Payable to Attorney General's Registry of Charitable Trusts
Gross Annual Revenue f!!. Gross Annual f!evenye Fee Gross &Jnual Revenue f!!.
Less than $26,000 0 Between $100,001 and $260,000 $50 Between $1,000,001 and $10 mlDlon $160
Between $25,000 md $100,000 $25 Between $250,001 and $1 mDDon $75 Between $10,000.001 and $60 mDllon $226
Greater than $60 mllDon $300
PART A· ACTIVITIES
For your most recent ful accounting period (beginning 07/01/2016 ending 06l30l2017 ) list:
Gross annual revenue $ 281£851. Total assets $ 3 £062,870. -'
PART 8-STATEM ENTS REGAfU ING O ~iz+T)ON DURI~ THE fl .. aqp OF *' REPORT -~
Note: If you answer •yes•~ •oftheqq• ltlOM lb~low,:~_~t~mu:~\~.,.,._,sb~w:=.• explanation
and details for each respo ~. ~leatM ..-w:RRF-1 ~tmto for I requ
:~ .. ,, or ~:Jta .
1. During this reportilg perlod j v era~~ c 'Bets,~ transactions betv(• ~the organization Yes No
and any officer, director or • ---.. ~ -· either-:tlrectly or entity In wh in ' such officer, dlrei:t :ir or trustee had
any financial Interest? x
2. During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property
or funds? x
3. During this reporting period , did non-program expenditures exceed 50% of gross revenues? x
4. During this reporting period , were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 4720
with the Internal Revenue Service, attach a copy. x
5 . During this reporting period, were the services of a commercial fundralser or fundralslng counsel for charitable purposes used?
If •yes,• provide an attachment Hating the name, address , and telephone number of the service provider. x
6. During this reporting period , did the organization receive any governmental funding? If so , provide an attachment llstlng the
name of the agency, maDln g address, contact person , and telephone number. SEE STATEMENT 6 x
7. During this reporting period , did the organization hold a raffle for charitable purposes? If "yes ,• provide an attachment Indicating
the number of raffles and the date(s) they occurred. SEE STATEMENT 7 x
8 . Does the organization conduct a vehicle donation program? If •yes,• provide an attachment Indicating whether the program Is
operated by the charity or whether the organization contracts with a commercial fundralser for charitable purposes. x
9. Did your organization have prepared an audited financial statement In accordance with generaDy accepted accounting
principles for this reporting period? x
Organization's area code and telephone number (909) 477-2760
Organization's e-mail address
I declare under penalty ot perjury that I have examined th is report, Including accompanying documents , and to the best ot my knowledge and belief , It 11 true,
corrli:t and compl ete.
Sig nature of au1harlzed offlcor
G292D1
04--01-18
PAULA PACHON
Printed Name
CHAIRMAN
Tide 0.18
RRF-1 (3-05)
109
RANCHO CUCAMONGA COMMUNITY &: ARTS FOUND
FORM RRF-1 INFORMATION REGARDING GOVERNMENT FUNDING
PART B, LINE 6
CITY OF RANCHO CUCAMONGA
10500 CIVIC CENTER DRIVE
RANCHO CUCAMONGA, CA 91730
CHRISTEN MITCHELL, MANAGEMENT ANALYST II
(909)477-2760 X2205
33-0255599
STATEMENT 6
STATEMENT(S) 6
110
RANCHO CUCAMONGA COMMUNITY & ARTS FOUND
FORM RRF-1 EXPLANATION OF CHARITABLE RAFFLES
PART B, LINE 7
ONE RAFFLE ON OCTOBER 31, 2016
33-0255599
STATEMENT 7
STATEMENT(S) 7
111
ITEM F4.
Discussion and Update on
Employment Process for
Executive Director Position
112
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Created by Briana Dasaro on 04/13 /2018
6 Attachments
View in Br wser -
All lnclaslve Service wlffJ • $liver &Jnlalf
Briana Dasaro
Partner
Cloud Payroll
909-657-41019 Ext 700 (w)
7231 Boulder Ave #526
Highland, CA 92346
United States
Website
Facebook
Hi Tlna,
Great to talk with you this aftemoonl As we discussed, here is
some Information about our service as well as the quote
Information for 1 employee.
There is quite a bit of information in this email so If you have
any questions about anything or if I've missed something,
please give me a call.
I will connect you with our HR representative in a separate
emall.
I have attached:
1) Quote Information-Pricing and One-lime Setup Fees listed
below.
2) Blank W-4 Form for all employees, for your convenience.
3). Information about the Security of your Payroll taxes.
4.) Informational brochure on our Payroll Service
5.) A DE-1-NP form that you will need for payroll for Non-Profit.
All packages Include:
Direct Deposit
New Hires Reporting
Tax Filings
Quarterly Reporting
Garnishments
Employee Portal
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General Ledger Report-Uploads to Quickbooks
Sick Leave Accruals
401 K accruals
Vacation Accruals
The list goes onl ... To see a full list-Visit our website!
Regarding the Semi-M onthly/Bl-weekly and Monthly
Pricing for limRliw.lll we have two rates:
1. Web-Print Rate:
Our All-Inclusive web-print rate requires you to go Into the
payroll system, enter the hours for your employees, and
process your payroll every pay period. This is our most cost
effective option!
1 Employee Semi-monthly/Bi-weekly= $31.15
1 Employee Monthly: $46.15
2. Non-Web Print rate (J.1 O addltlona!).;,
This service is ALSO All-Inclusive and with this rate we process
your payroll for you every pay period! You simply CALL-EMAIL-
OR FAX in your hours to us, and we take care of the rest!
1 Employee Semi-monthly/Bi-weekly: $41.15
1 Employee Monthly: $56.15
To have Live Checks instead of Direct DeP.osit or Debit Cards
we have a few options:
1. We can provide you with BLANK security check stock (500pc
for $85), NONE of your banking information is printed on these
checks until you process payroll; Safe and Secure! (We can
email you your checks if we process for you so you can print
them out-or we can Currier service the checks to you for
$19.95 + 0.15 per envelope).
We can also take a sample of your existing check stock to
make sure it's compatible with our system's printing features if
you prefer to use your own instead of the BLANK checkstock.
You can then print, sign and deliver the checks to your
employees from your location (Or have them laser signed
through our system so you only have to print and distribute),
OR
2. We can print the checks here and deliver them to you for you
to sign or we can setup the laser signature and you can simply
hand them to your employees when they're delivered. (Delivery
is $19.95 and $0.15 per envelope)
Please be Informed that there are ONE-Time setup fees that
are Incurred during the setup_process and WILL NOT occur
1galn.:
Basic Service w/ Tax filing (up to 100 emp ): $150
Basic Service per employee (This offsets the cost to enter each
employee into our system): 2$ per employee
Sick Leave Accrual Tracking: FREE
Laser Signature (Optional-So you no longer have to wait for
signatures on live checks for your employees): $30
Logos on Checks (Optional-If you want your company logo
branded on the live checks): $30
Direct Deposit (Optional-This is a flat fee to setup Direct
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Deposit) : $30
Journal Entry Setup (Optional-This allows the importing of your
payroll reports into your bookkeeping software for your ease
and convenience): $45+
Estimated One-Time setup total: $182.00
$150 (Basic Service w/ Tax filing)+ $30 (Direct Deposit)+ $2
(Basic Service Employee $2 x 2)
Annual W-2 Cost: 45$ Base Fee + $5 Per W-2 + delivery
(Delivery is $19.95 and $0.15 per envelope)
-cloud Payroll does NOT charge for Sick Leave Accrual
Tracking, it is INCLUDED in your payroll package!
For a quick calculation of what Payroll may cost, please CLICK
HERE
Here at Cloud Payroll, we care about your experience with us
and want to ease the setup process of starting with a payroll
company! One of the ways we do that is by providing a 90 Day
Satisfaction Guarantee!
If for any reason in the first 90 Days of service with Cloud
Payroll, if you are not 100% satisfied we will refund you all
payroll fees AND help you switch back to your former provider!
Your satisfaction with our service matters to us and we strive to
run perfect payrolls every time!
Bey,ond Pay,roll we are affiliated P-artners with Greear
Consyttant GrouP-. LLC that services our clients jn d jvjduat HR
needs based UP-On t heir unjgue business'.
**Due to the changes in the tax world this New Year 2018, we
strongly advise all of our clients to make sure they're In
compliance to avoid heavy fines and penalties!***
PS. Please give me a call if you have any questions or
concerns about anything!
Warmest regards.
Briana Dasaro
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117
Security of your Payroll Tax Deposits
Acco unt ants Wor ld:
Cloud Payroll {CP) utilizes Accountants World's software Payroll Relief to handle all of the
payroll processing needs for their clients. Why Payroll Relief? For the following reasons:
25 Years Experience in the Payroll and Accounting Business
1000+ Payroll Service Bureau's currently use Payroll Relief for their clients
10,000+ Employers have their payroll processed by Payroll Relief's software
Over a Million payroll checks were processed last year with Payroll Relief
Bonded
Fidelity-$5,000,000
Professional -$2,000,000
Secure Web Servers -SAS70 Type II Audited and ISO 27001 Certified
All sensitive data is encrypted in transit using SSL 'green-bar' digital certificates.
All data is backed up on a regular basis and is redundantly stored
They will not share your data with any external party
Complete Payroll Software Functions and Reporting Capabilities
118
Security
AccountantsWorld (Cloud Payroll's software provider) hosts our clients' data on
Amazon Web Servers -The same industry-leading IT infrastructure used by
Amazon.com to run their entire business. These servers are fully secure, and comply
with leading industry certifications including ISO 27001 and SAS70 Type II audits.
Data stored on our systems is redundantly stored in multiple physical locations as part
of normal operations. Additionally, database data is mirrored in real time to a
redundant system in a separate physical location. What this means is that a single
system failure will not result in a loss of any data.
As a result of these stringent security measures, our clients' documents and data files
are safer with Cloud Payroll/AccountantsWorld than if they were stored on your in-
house networks and computers.
119
Local Owned Business
• Your Dollars Stay Local
4 """"'" ·-!..., -(
~ I I. \~/
National Payroll Companies
• Your Dollars Leave the Area
w..,,..,.$$ w
&
Intuit
rx
120
Family Owned Business
• Your Dollars Help a Local Family
Provide for their Needs
Brian & Kim Bigham
Owners
Briana Bigham
Relationship M gr
,..:. J
~,
Landen Bigham
Relationship Mgr
Nationa l Payro ll Compa ni es
• Your Dollars Help a CEO and
Shareholders increase Profits
Gary Butler
ADP CEO
$8.9 Million Year
Brad Smith
Intuit CEO
$7.3 Million Year
Tom Golisano
Paychex CEO
$1.6 Billion Net Worth
John Stumpf
Wells Fargo CEO
$12.84 M illion Year
121
Personal Service
• You will talk to a person that has
a personal interest in you as a
client and the company
• We know your account and
payroll
• 24+ years of payroll experience
• 19+ years of client service . expenence
• You can talk the owner of Cloud
Payroll
National Payroll Companies
• Call Center -You get whoever
answers the phone, they may be
in another country.
• Staff turnover, the bad ones you
don't want, the good ones get
promoted.
• Problems maybe escalated to a
supervisor, but you will NEVER
talk to the owner or CEO of the
company
122
Process & Print Instantly 24/7
Cloud Payroll
• Anywhere you have the internet,
via com puter, tablet or smart
phone, you can process and
INSTANTLY print your checks an d
reports.
• No 'Viewer' needed. Checks and
reports can be viewe d anywhere
yo u have internet access.
~,..: (" ,. ,. :~. ·. ~ . -" . .:.' --. '.
.. · .. ·L
-~~
Free d o m I
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123
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124
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125
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126
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Data stored on our systems is redundantly stored in multiple physical locations as part
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127
All lncl,,.lve .. wlce wltll a $11v•r Unl"'1
909-857-6019
7231 Boulder Ave. #526
Highland, CA 92346
Fax: 909-657-6019 (same)
CloudPayroHPros.com
Paid Sick Leave Starts July 15
\ 2015
The Healthy Workplace, Healthy Family Act of 2015 AB 1522 takes effect July 1, 2015. This effects all employers
in California, with a few exceptions.
AB 1522 entitles an employee working in California, on or after July 1, 2015, for 30 or more calendar days
within a year, Is entitled to be paid sick leave.
• This applies to temporary, part-time and full-time employees.
• Paid sick leave accrues at the rate of one hour per every 30 hours worked (i.e. an employee who works
40 hours per week accrues 1.33 hours per week).
• Sick leave is paid at the employee's current rate of pay.
• Accrued paid sick leave must carry over to the following year and may be capped at 48 hours (or 6 days)
based on the employer's policy.
• Employees may begin using accrued sick leave on the 90th calendar day of employment.
• An employee may use paid sick leave for:
o Themselves or a family member for the diagnosis, care, or treatment of an existing health
condition or preventive care.
o Specified purposes for an employee who Is a v i ctim of domestic violence, sexual assault, or
stalking.
• Employer may limit use at 24 hours or 3 days per year.
• Employees need to be notified prior to implementation (see attached forms).
• Employer may lend paid sick days to an employee in advance of accrual.
Alternative to Accrual
• Employer can provide 24 hours or 3 days at the beginning of each calendar year, on the employee's
anniversary date (i.e. after twelve months from hire date).
o Employer won't need to track accrual but will need to track and display usage on wage
statement or other written document (i.e. check stub).
Under this method, employer Is not required to provide for carryover of sick leave.
11 P a ge
128
6 Steps to Successful Compliance
1. Display poster on paid sick leave where employees can read it easily. Document policy and share with
staff (see attached).
2. Provide written notice to individual employee at the time of hire with paid sick leave information (see
attached).
3. Provide for accrual of one hour of sick leave for every 30 hours worked for each eligible employee to
use.
4. Allow eligible employees to use accrued paid sick leave upon request or notification.
5. Show how many hours of sick leave an employee has available. This must be on a pay stub or a
document issued the same day as a paycheck.
6. Keep records showing how many hours have been earned and used for three years.
Paid Time Off (PTO)
• Employers may offer more time and usage than provided In Paid Sick Leave provision, but not less.
• PTO policy must be In writing.
• PTO Plans will be found compliant if they provide both the same hours for usage AND for the same
purposes as outlined In Paid Sick Leave provision.
Sick Leave Pay
• Same as hourly rate.
• If an employee is paid commission or piece rate, then divide the total compensation for previous 90
calendar days by the number of hours worked and pay this rate. For example:
• Employee was paid a piece rate of $0.36 per square foot for 16,500 square feet during the 400 hours of
work in a 90 day period. He earned $5,940.
o His hourly rate for paid sick leave is $5,940/400 hours= $14.85 per hour.
• Employee is paid commissions only. In a 90 day period, she worked 480 hours and earned $9,000.
o Her hourly rate for paid sick leave is $9000/480 hours= $18.75 per hour.
Local Ordinances
• Employer will comply with both the local and California laws.
• Employer will have to provide the more generous provision or benefit to an employee, where they differ
between local and state laws.
• In some areas, such as the City and County of San Francisco for example, there are separate ordinances
requiring paid sick leave. If the provisions of the local ordinance require more accrued sick leave, that
provision would take precedence as it is more generous. For employers in the City and county of San
Francisco, there is a higher rate of accrued sick leave.
129
All laclnl¥• .. nice wltll • $1~!•' U•llWI
Separation
90M57-601 9
7231 Boulder Ave. #526
Highland, CA 92346
Fax: 909-657-6019 {same)
CloudPayroHProl.com
• An employer is not required to pay out unused accrued paid sick days at the time of termination,
resignation, or retirement.
• If an employee is rehired within one year, previously accrued and unused paid sick days shall be
reinstated.
• If Employer has a separate PTO plan, a final payout of PTO is due at separation.
Protection from Retaliation
• Paid Sick Leave law protects employees who:
o use sick leave
o file a complaint with the Labor Commissioner's Office
o allege a violation of these rights
o cooperate in an investigation or prosecution
o oppose a policy or practice prohibited by this article
Retaliation Prohibited
• Prohibits an employer from:
o denying an employee the right to use paid sick leave
o discharging {terminating)
o threatening to discharge
o demoting
o suspending
o discriminating against an employee
There is a REBUTI ABLE presumption of unlawful retaliation if the employer acts in a manner described above
within 30 days of the employee's request for leave or other protected activity.
Possible Retaliation Damases
• If an employer takes any of the prohibited actions, the employee may be awarded
o Reinstatement {if terminated)
o Lost wages {if suspended or terminated)
o Removal of any disciplinary action from personnel file
o A civil penalty of up to $10,000 per violation
• Employer may also be required to post a notice to employees about the retaliation.
3 I P a g e
130
An Employee May File a Paid Sick Leave Claim
Against employers who:
• Unlawfully withhold payment for use of accrued sick days
• Fall to provide a statement of accrual of sick leave
• Fail to accurately track accrued sick leave
• Require an employee to use a full day or half day absence for any use of sick leave. However, an
employer may require a minimum of 2 hours for each use of paid sick leave
• Deny payment for sick leave if the employee falls to provide prior notice for an unforeseen illness
• Require the worker requesting sick leave to find a replacement to cover his scheduled shift or
assignment
• Deny sick leave due to a failure to provide details
Administrative Penalties May Be Awarded
• An employee need only assert that the sick leave was for a covered purpose in general terms
• An employee may recover
o An administrative penalty equal to the paid sick leave x 3 or $250 whichever is greater, but in no
case greater than an aggregate penalty of $4,000.
o The administrative penalty may also Include a sum of $50 per day for each day the violation
occurred or continued.
Administrative Penaltv Example
• Employee earns $12.50 per hour and works 8 hours per day for $100 per day
o Employee was denied 3 days of accrued sick leave
o Penalty is 3 times the accrued sick leave
o $100 per day for 3 days x 3 = $900
o Because this amount is greater than $250, employee is awarded $900
• Employee is also entitled to $50 per day until the violation is corrected
Frequently Asked Questions
Q: May an employer require a doctor's note?
A: No -Doctor's notes -requiring a doctor's note as a condition for paying out sick pay, could be considered
retaliation as long as the employee notified you either verbally or in writing they needed to take time off for one
of the many reasons allowed by law for paid sick leave. There is no requirement they give advance notice.
Q: What do I have to do to notify my employees about the sick leave law?
A: Add the revised Employee Notification Form effective January 1, 2015 for all new employees as part of your
new hire packet. (see attached) The section that speaks to paid sick leave must also be given to all existing
employees explaining how their sick pay works no later than July 8th, 2015.
Q: What are employer's options for handling Employee Sick Leave Accrual?
131
All l11clu•l11e Serlflce with • S,ll11er Ual.,.
A: There are two (2) ways to handle paid sick leave:
90MS7-8019
7231 Boulder Ave. #526
Highland, CA 92346
Fax: 909-657-6019 (same)
CloudPayrollPros.com
1. Allow accrual of 1 hour for every 30 hours worked beginning July 1, 2015. Employees who have
completed 90 days are allowed to use sick time as soon as they accrue it. With this method you
must allow carry over to the next year, but you can cap It at 48 hours.
2. Utilize the "Front load" method which gives employees 24 hours of sick leave at the beginning
of the accrual period. With this method, the time off is given annually and it can be considered a
"Use it or lose It" plan. Sick leave can be used Immediately if the employee has been there more
90 days.
Q: Must an employer pay out sick leave when an employee leaves employ?
A: No -Unused sick time is not paid out at termination, but It Is reinstated if the employee returns within one
year.
Q: What other actions should employers take?
A: Make sure to take the following steps:
1. Make sure you have the Healthy Workplaces/Healthy Families Act of 2014 poster where
employees can easily read it.
2. Train your managers on documentation and the importance of consistent application of sick
leave polices. There is a rebuttable assumption of retaliation If an employer takes an adverse
action against an employee within 30 days of the employee taking a paid sick day.
3. PTO polices should be reviewed to ensure they allow for the provisions specifically identified in
AB 1522.
Still have questions?
You can get answers by either going to the Department of Industrial Relations website
(http://www.dir.ca.gov/DLSE/Paid Sick Leave.htmhttp://www.dir.ca.gov/DLSE/Paid Sick Leave.htm ) or calling
us at Cloud Payroll (909) 657-6019. Please feel free to share this pamphlet with others as you see fit.
P.S. Cloud Payroll does not charge to setup Accruals for employees (some companies are charging
$50 Base Fee + $5 per employee, in addition to a per payroll Accrual Fee}, and our rates are up to
60% less than Paychex, ADP and other payroll service companies. Give us a call for a free no
obligation quote I
SI P a g e
132
Form W-4 (2018)
Future developments. For the latest
information about any future developments
related to Form W-4, such as legislation
enacted after it was published, go to
www.irs.gov/FonnW4.
Purpose. Complete Form W-4 so that your
employer can withhold the correct federal
income tax from your pay. Consider
completing a new Form W-4 each year and
when your personal or financial situation
changes.
Exemption from withholding. You may
claim exemption from withholding for 2018
if both of the following apply.
• For 2017 you had a right to a refund of an
federal income tax withheld because you
had no tax liability, and
• For 2018 you expect a refund of all
federal income tax withheld because you
expect to have no tax liability.
If you're exempt, complete only lines 1, 2,
3, 4, and 7 and sign the form to validate It.
Your exemption for 2018 expires February
15, 2019. See Pub. 505, Tax Withholding
and Estimated Tax, to learn more about
whether you qualify for exemption from
withholding.
General Instructions
If you aren't exempt, follow the rest of
these Instructions to determine the number
of withholding allowances you should claim
for withholding for 2018 and any additional
amount of tax to have withheld. For regular
wages, withholding must be based on
allowances you claimed and may not be a
flat amount or percentage of wages.
You can also use the calculator at
www.lrs.gov/W4App to determine your
tax withholding more accurately. Consider
using this calculator if you have a more
complicated tax situation, such as if you
have a working spouse, more than one job,
or a large amount of nonwage income
outside of your job. After your Form W-4
takes effect, you can also use this
calculator to see how the amount of tax
you're having withheld compares to your
projected total tax for 2018. If you use the
calculator, you don't need to complete any
of the worksheets for Form W-4.
Note that if you have too much tax
withheld, you will receive a refund when you
file your tax return. If you have too little tax
withheld, you will owe tax when you file your
tax return, and you might owe a penalty.
Filers with multiple jobs or working
spouses. If you have more than one job at
a time, or if you're married and your
spouse Is also working, read all of the
Instructions including the instructions for
the Two-Earners/Multiple Jobs Worksheet
before beginning.
Nonwage Income. If you have a large
amount of nonwage income, such as
interest or dividends, consider making
estimated tax payments using Form 1040-
ES, Estimated Tax for Individuals.
Otherwise, you might owe additional tax.
Or, you can use the Deductions,
Adjustments, and Other Income Worksheet
on page 3 or the calculator at www.irs.gov/
W4App to make sure you have enough tax
withheld from your paycheck. If you have
pension or annuity Income, see Pub. 505 or
use the calculator at www.irs.gov/W4App
to find out If you should adjust your
withholding on Form W-4 or W-4P.
Nonresident alien. If you're a nonresident
alien, see Notice 1392, Supplemental Form
W-4 Instructions for Nonresident Allens,
before completing this form.
Specific Instructions
Personal Allowances Worksheet
Complete this worksheet on page 3 first to
determine the number of withholding
allowances to claim.
Une C. Head of household please note:
Generally, you can claim head of
household filing status on your tax return
only If you're unmarried and pay more than
50% of the costs of keeping up a home for
yourself and a qualifying individual. See
Pub. 501 for more information about filing
status.
Une E. Child tax credit. When you file
your tax return, you might be eligible to
claim a credit for each of your qualifying
children. To qualify, the child must be
under age 17 as of December 31 and must
be your dependent who lives with you for
more than half the year. To learn more
about this credit, see Pub. 972, Child Tax
Credit. To reduce the tax withheld from
your pay by taking this credit Into account,
follow the instructions on line E of the
worksheet. On the worksheet you will be
asked about your total income. For this
purpose, total income includes all of your
wages and other income, including Income
earned by a spouse, during the year.
Une F. Credit for other dependents.
When you file your tax return, you might be
eligible to claim a credit for each of your
dependents that don't qualify for the child
tax credit, such as any dependent children
age 17 and older. To learn more about this
credit, see Pub. 505. To reduce the tax
withheld from your pay by taking this credit
Into account, follow the Instructions on line
F of the worksheet. On the worksheet, you
will be asked about your total Income. For
this purpose, total Income Includes all of
----------------·------------Separate here and give Fonn W-4 to your employer. Keep the worksheet(•) for your records. -----------------------------
Fonn W-4 OMB No. 1545-0074 Em ployee's Withholding Allowance Certificate
~@1 8 Department ot the Truaury .,. Whether you're entitled to claim a certain number of alowances or exemption from withholding la
Internal Revenue SeMce aubject to revl-by the IRS. Your employer may be required to nnd a copy of thla fonn to the IRS.
1 Your flnrt name and middle Initial I Last name 12 Your social aecurlly number
5
6
7
Home address (number and street or rural route) 3 0 Single 0 Married 0 Married, but withhold at higher Single rate.
City or town, state, and ZIP code
Note: If manied flUng separatBly, check "Married, but withhold et higher Single rate."
4 H your last name dlffenl from that shown on your social security card,
check here. You mlltlt caB 800-772-1213 for a replacement card. .,.. 0
Total number of allowances you're claiming (from the applicable worksheet on the following pages) 5
Additional amount, If any, you want withheld from each paycheck • • • • • • • • • • . • • • 1--8-+$------
I claim exemption from withholding for 2018, and I certify that I meet both of the following conditions for exemption.
• Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and
• This year I expect a refund of all federal income tax withheld because I expect to have no tax liabilitv.
If vou meet both conditions, write "ExemDt" here • . • . . . . • • • • • • • . .,.. 1""1;.;;...y.I-------'-----...:
Under penalties of pel')ury, I declare that I have exarmned this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.
Employee's signature
(This form is not valid unless you sign It.) .,.
8 Employer's name and address (Employer. Complete boxes 8 and 10 If sending to IRS and complete
boxas 8, 9, and 1 O If sending to State Directory of New Hires.)
For Privacy Act and Paperwork Reduction Act Notice, see page 4.
9 First date of
employment
cat. No. 1022oa
Date.,.
10 Employer Identification
number (EIN)
Form W-4 (2018)
133
Form W-4 (2018)
your wages and other income, including
income earned by a spouse, during the year.
Une G. Other credits. You might be able
to reduce the tax withheld from your
paycheck if you expect to claim other tax
credits, such as the eamed income tax
credit and tax credits for education and
chUd care expenses. If you do so, your
paycheck will be larger but the amount of
any refund that you receive when you file
your tax retum will be smaller. Follow the
instructions for Worksheet 1-6 in Pub. 505
if you want to reduce your withholding to
take these credits into account.
Deductions, Adjustments, and
Additional Income Worksheet
Complete this worksheet to determine if
you're able to reduce the tax withheld from
your paycheck to account for your itemized
deductions and other adjustments to
income such as IRA contributions. If you
do so, your refund at the end of the year
wlll be smaller, but your paycheck will be
larger. You're not required to complete this
worksheet or reduce your withholding if
you don't wish to do so.
You can also use this worksheet to figure
out how much to increase the tax withheld
from your paycheck if you have a large
amount of nonwage income, such as
Interest or dividends.
Another option is to take these items into
account and make your withholding more
accurate by using the calculator at
www.irs.gov/W4App. If you use the
calculator, you don't need to complete any
of the worksheets for Form W-4.
Two-Earners/Multiple Jobs
Worksheet
Complete this worksheet if you have more
than one job at a time or are married filing
jointly and have a working spouse. If you
don't complete this worksheet, you might
have too little tax withheld. If so, you will
owe tax when you file your tax retum and
might be subject to a penalty.
Figure the total number of allowances
you're entitled to claim and any additional
amount of tax to withhold on all jobs using
worksheets from only one Form W-4. Claim
all allowances on the W-4 that you or your
spouse file for the highest paying job in
your family and claim zero allowances on
Forms W-4 flied for all other Jobs. For
example, If you eam $60,000 per year and
your spouse earns $20,000, you should
complete the worksheets to detennlne
what to enter on lines 5 and 6 of your Form
W-4, and your spouse should enter zero
("-0-j on lines 5 and 6 of his or her Form
W-4. See Pub. 505 for details.
Another option is to use the calculator at
www.lrs.gov/W4App to make your
withholding more accurate.
Tip: If you have a working spouse and your
incomes are similar, you can check the
"Married, but withhold at higher Single
rate" box instead of using this worksheet. If
you choose this option, then each spouse
should fill out the Personal Allowances
Worksheet and check the "Married, but
withhold at higher Single rate" box on Form
W-4, but only one spouse should claim any
allowances for credits or fill out the
Deductions, Adjustments, and Additional
Income Worksheet.
Instructions for Employer
Employees, do not complete box 8, 9, or
10. Your employer will complete these
boxes if neceasary.
New hire reporting. Employers are
Page2
required by law to report new employees to
a designated State Directory of New Hires.
Employers may use Fonn W-4, boxes 8, 9,
and 10 to comply with the new hire
reporting requirement for a newly hired
employee. A newly hired employee is an
employee who hasn't previously been
employed by the employer, or who was
previously employed by the employer but
has been separated from such prior
employment for at least 60 consecutive
days. Employers should contact the
appropriate State Directory of New Hires to
find out how to submit a copy of the
completed Fonn W-4. For information and
links to each designated State Directory of
New Hires Oncludlng for U.S. territories), go
to www.acf.hhs.gov/programs/css/
employers.
If an employer is sending a copy of Form
W-4 to a designated State Directory of
New Hires to comply with the new hire
reporting requirement for a newly hired
employee, complete boxes 8, 9, and 10 as
follows.
Box 8. Enter the employer's name and
address. If the employer Is sending a copy
of this fonn to a State Directory of New
Hires, enter the address where child
support agencies should send income
withholding orders.
Box 9. If the employer is sending a copy of
this fonn to a State Directory of New Hires,
enter the employee's first date of
employment, which is the date services for
payment were first performed by the
employee. If the employer rehired the
employee after the employee had been
separated from the employer's service for
at least 60 days, enter the reh ire date.
Box 10. Enter the employer's employer
Identification number (EIN).
134
Fann W-4 (2018) Page3
A
B
c
D
E
Personal Allowances Worksheet (Keep for your records.)
Enter "1" for yourself
Enter "1 n if you will file as married filing jointly •
Enter "1" if you will file as head of household •
} {
• You're single, or married filing separately, and have only one job; or
Enter "1" it • You're married filing jointly, have only one job, and your spouse doesn't work; or
• Your wages from a second job or your spouse's wages (or the total of both) are $1,500 or less.
Child tax credit. See Pub. 972, Child Tax Credit, for more Information.
• If your total income will be less than $69,801 ($101,401 if married filing jointly), enter "4 n for each eligible child.
• If your total Income will be from $69,801 to $175,550 ($101,401 to $339,000 if married filing jointly), enter "2" for each
eligible child.
• If your total income will be from $175,551 to $200,000 ($339,001 to $400,000 if married filing jointly), enter "1" for
each eligible child.
• If your total Income will be higher than $200,000 ($400,000 if married filing jointly), enter "-0-"
A ---B ---c ---
D ---
E
F Credit for other dependents.
G
H
• If your total income will be less than $69,801 ($101,401 If married filing jointly), enter "1" for each eligible dependent.
• If your total income will be from $69,801 to $175,550 ($101,401 to $339,000 if married filing jointly), enter "1" for every
two dependents (for example, "-0-" for one dependent, "1" If you have two or three dependents, and "2" if you have
four dependents).
• If your total income will be higher than $175,550 ($339,000 If married filing jointly), enter "-0-" F
G Other credits. If you have other credits, see Worksheet 1-6 of Pub. 505 and enter the amount from that worksheet here
Add lines A through G and enter the total here ... H
For accuracy,
complete all
worksheets
that apply.
• • If you plan to Itemize or claim adjustments to Income and want to reduce your withholding, or if you
have a large amount of nonwage Income and want to Increase your withholding, see the Deductions,
Adjustments, and Addltlonal Income Worksheet below.
• If you have more than one job at a time or are married filing jointly and you and your spouse both
work, and the combined earnings from all jobs exceed $52,000 ($24,000 If married filing jointly), see the
Two·Eamera/Multlple Jobs Worksheet on page 4 to avoid having too little tax withheld.
• If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form
• W-4above.
Deductions, Adjustments, and Additional Income Worksheet
Note: Use this worksheet only If you plan to itemize deductions, claim certain adjustments to Income, or have a large amount of nonwage
Income.
1
2
3
4
5
6
7
8
9
10
Enter an estimate of your 2018 itemized deductions. These Include quallfylng home mortgage interest,
charitable contributions, state and local taxes (up to $10,000), and medical expenses In excess of 7 .5% of
your Income. See Pub. 505 for details
{
$24,000 if you're married filing jointly or qualifying wldow(er) }
Enter: $18,000 if you're head of household •
$12,000 if you're single or married filing separately
Subtract line 2 from line 1. If zero or less, enter "-0-"
Enter an estimate of your 2018 adjustments to Income and any additional standard deduction for age or
blindness (see Pub. 505 for Information about these items) •
Add lines 3 and 4 and enter the total
Enter an estimate of your 2018 nonwage Income (such as dividends or Interest)
Subtract line 6 from line 5. If zero, enter "-0-". If less than zero, enter the amount in parentheses
Divide the amount on line 7 by $4, 150 and enter the result here. If a negative amount, enter in parentheses.
Drop any fraction
Enter the number from the Personal Allowances Worksheet, line H above
Add lines 8 and 9 and enter the total here. If zero or less, enter "-0-". If you plan to use the Two-Earners/
Multiple Jobs Worksheet, also enter this total on line 1, page 4. Otherwise, stop here and enter this total
on Form W-4, line 5, page 1
1 --$ ___ _
2 --$ ___ _
3 --$ ___ _
4 --$ ___ _
5 __ $ ___ _
6 __ $ ___ _
7 ~$ ___ _
8
9
10
135
Form W-4 (2018) Page4
Two-Eamers/Multiole Jobs Worksheet
Not e: Use this worksheet only if the instructions under line H from the Personal Allowances Worksheet direct you here.
1 Enter the number from the Personal Allowances Worksheet, line H, page 3 (or, if you used the
Deductions, A djustments, and Additional Income Worksheet on page 3, the number from line 1 O of that
worksheet) 1
2 Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if you're
married filing jointly and wages from the highest paying job are $75,000 or less and the combined wages for
you and your spouse are $107 ,000 or less, don't enter more than "3" . 2
3 If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (rf zero, enter "-0-")
and on Form W-4, line 5, page 1. Do not use the rest of this worksheet • 3
Note: If line 1 is less than line 2, enter "-0-" on Form W-4, line 5, page 1. Complete lines 4 through 9 below to
figure the additional withholding amount necessary to avoid a year-end tax bill.
4 Enter the number from line 2 of this worksheet 4
5 Enter the number from line 1 of this worksheet 5
6 Subtract line 5 from line 4 . 6
7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here 7 $
8 M ultiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed 8 $
9 Divide line 8 by the number of pay periods remaining in 2018. For example, divide by 18 if you're paid every
2 weeks and you complete this form on a date in late April when there are 18 pay periods remaining in
2018. Enter the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld
from each paycheck 9 $
Table 1 Table2
Married Fiiing Jointly All Others Married Fiiing Jointly All Others
If wages from LOWEST Enter on If wages from LOWEST Enter on If wages from HIGHEST Enter on If wages from HIGHEST Enter on
paying job are-llne2above paying job are-llne2 above paying job are -llne7 above paying job are -llne7above
$0 -$5,000 0 $0 -$7,000 0 $0 -$24,375
5,001 -9,500 1 7,001 -12,500 1 24,376 -82,725
9,501 -19,000 2 12,501 -24,500 2 82,726 -170,325
19,001 -26,500 3 24,501 -31,500 3 170,326 -320,325
26,501 -37,000 4 31,501 -39,000 4 320,326 -405,325
37,001 -43,500 5 39,001 -55,000 5 405,326 -605,325
43,501 -55,000 6 55,001 -70,000 6 605,326 and over
55,001 -60,000 7 70,001 -85,000 7
60,001 -70,000 8 85,001 -90,000 8
70,001 -75,000 9 90,001 -100,000 9
75,001 -85,000 10 100,001 -105,000 10
85,001 -95,000 11 105,001 -115,000 11
95,001 -130,000 12 115,001 -120,000 12
130,001 -150,000 13 120,001 -130,000 13
150,001 -160,000 14 130,001 -145,000 14
160,001 -170,000 15 145,001 -155,000 15
170,001 -180,000 16 155,001 -185,000 16
180,001 -190,000 17 165,001 and over 17
190,001 -200,000 18
200,001 and over 19
Privacy Act and Paperwork Reduction
Act Notice. We ask for the information on
this form to carry out the Internal Revenue
laws of the United States. Internal Revenue
Code sections 3402(f)(2) and 6109 and
their regulations require you to provide this
information; your employer uses it to
determine your federal income tax
withholding. Failure to provide a properly
completed form will result in your being
treated as a single person who claims no
withholding allowances; providing
fraudulent information may subject you to
penalties. Routine uses of this information
include giving It to the Department of
Justice for civil and criminal litigation; to
cities, states, the District of Columbia, and
U.S. commonwealths and possessions for
use in administering their tax laws; and to
the Department of Health and Human
Services for use in the National Directory of
New Hires. We may also disclose this
information to other countries under a tax
treaty, to federal and state agencies to
enforce federal nontax criminal laws, or to
federal law enforcement and intelligence
agencies to combat terrorism.
You aren't required to provide the
information requested on a form that's
subject to the Paperwork Reduction Act
unless the form displays a valid OMB
control number. Books or records relating
to a form or its instructions must be
$420 $0 -$7,000 $420
500 7,001 -36,175 500
910 36,176 -79,975 910
1,000 79,976 -154,975 1,000
1,330 154,976 -197,475 1,330
1,450 197,476 -497,475 1,450
1,540 497,476 and over 1,540
retained as long as their contents may
become material in the administration of
any Internal Revenue law. Generally, tax
returns and return information are
confidential, as required by Code section
6103.
The average time and expenses required
to complete and file this form will vary
depending on individual circumstances.
For estimated averages, see the
instructions for your income tax return.
If you have suggestions for making this
form simpler, we would be happy to hear
from you. See the instructions for your
income tax return.
136
~ Employment
EDD Development
__,.,_ • Department
State of Callfornla
1111 11111111
01NP11151
NONPROFIT EMPLOYERS REGISTRATION A ND UPDATE FORM
Did you know you can register online anytime? The Employment Development Department (EDD) a-Services for Business online
application is secure, saves paper, postage, and time. You can access the online application at
www.edd.ca.gov/e-Services_for_Business and follow the easy step-by-step process to complete your registration.
Review the instructions prior to completing this form. Do not submit this form until you have paid wages in excess of $100 to one or
more employees in any calendar quarter. Additional information about registering with the EDD is available online at
www.edd.ca.gov/Payroll_Taxes/Am_l_Required_to_Register_as_an_Employer.htm .
Important: This form may not be processed If the required Information Is missing.
A. IWANTTO D Register for a New Employer Account Number (Go to Item B.)
•
(Select only Existing Employer I I I 1-1 I I I I D (Enter Employer Account Number when reporting an Update, one box then
complete the Account Number: -Purchase, Sale, Reopen, Close, or Change in Status.)
items specified ~date Em~loyer Account Information
for that selection.) Address N, 0) D OBA (I) D Personal Name Change (F) DAdd/Change/Delete Officer/Partner/Member {G)
(Provide the Employer Account Number at the top of Item A, then complete the Items identified above and Item S.)
Effective Date of Update (s): I I
D Report a Purchase of Business Date of Purchase Purchase Price D Entire Business Purchase
(Provide the Seller's Employer
Account Number at the to p of Item A.) I I $ D Partial Business Purchase
D Report a Sale of Business Date of Sale D Entire Business Sold
(Provide the business' Employer
D Partial Business Sold Account Number at the top of -'-'--Item A. Com plete Item 0.)
D Reopen a Previously Closed Account (Provide the previous Employer Account Number at the top of ltemA then go to Item B.)
D Close Employer Account Reason for Closing Account Date of Last Payroll
(Provide the Employer Account D No longer have employees
Number at the to p of Item A.) D Out of Business I I
D Report a Change in Status: Business ownership, Entity Type, or Name
Reason for Change:
Change: From To
(Provide the Employer Account Number at the top of Item A, and complete the rest of the form.)
Effective Date of Chan ge: I I
B. EMPLOYER lYPE DNonprofit D Nonprofit 501 ( c)(3) D Church or religious orders
(Seled type then
proceed to Item C.) D Nonprofit School DRed Cross
c. TAXPAYER lYPE D Corporation D Association D Other (Specify)
(Select only one
type)
D. FIRST PAYROLL First payroll date wages paid exceeded $100: --'--'--(Wages are all compensation for an employee's
DATE services.) Refer to Information Sheet wages [DE 231A) and Information Sheet Types of Payments [DE 231TP) at
(MM/DD/YYYY) www.edd.ca.gov/Payroll_Taxes/Forms_and_Publications.htm.
E. LOCATION OF Do you have employees working in California? Yes No
EMPLOYEE D D
SERVICES Do you have employees residing in California that are working outside of Ca lifornia? Yes No
D D
F. ANANCING METHOD D Tax Rated Method D Reimbursable Method
(Please select one)
G. OWN ER(S), CA Driver
CORPORATE NA ME TITLE SSN License Add Chg. De l.
OF FI CER(S), Number
OR PARTNERS D D D
INFORMATION
D D D
D D D
D D D
H . LE GAL NAME OF ORGAN IZATION (Corporatlon/LLC/LLP/LP: Enter exactly as it appears on your official registration documents.)
• DE 1NP Rev. 8 (2-16) (INTERNET) Page 1 of4 cu
137
NO N PROFIT EMPLOYERS
REGISTRATION AND UPDATE FORM 1111 11111111 •
01NP11152
I. DOING BUSINESS AS (OBA) (If applicable)
J. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) K. DATE OWNERSHIP BEGAN (MM/DDNYYY)
I I
L. STATE OR PROVINCE OF INCORPORATION/ORGANIZATION M. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER
N. PHYSICAL BUSINESS Street Number Street Name Unit Number (If applicable)
LOCATION
(PO Box or Private City State/Province I ZIP Code Country
Mail Box will not be
accepted.) Business Phone Number
0. MAILING ADDRESS Street Number Street Name Unit Number (If applicable)
(PO Box or Private Mall
Box Is acceptable.) City State/Province I ZIP Code Country
0 Same as above
Phone Number
P. E-MAIL Valid E-mail Address
0 Check to allow
e-man contact.
Q. INDUSTRY ACTMTY Describe In detail your specific product/services:
R. CONTACT PERSON Name I Contact Phone Number E-mail Address
(Complete a Power of
Attorney [POAJ Declaration Relation Address
[DE 48), if appHcable.)
s. DECLARATION I certify under penalty of perjury that the above Information Is true, correct, and complete, and that
these actions are not being taken to receive a more favorable Unemployment Insurance rate. I further
certify that I have the authority to sign on behalf of the above business.
Signature Date
Name I Title Phone Number
• DE 1NP Rev. 8 (2-16) (INTERNET) Page 2 of4
138
INSTRUCTIONS FOR NONPROFIT EMPLOYERS REGISTRATION AND UPDATE FORM
The Nonprofit Employers Registration and Update Form (DE 1 NP) is for new employers to register with the Employment
Development Department (EDD) and existing employers to make updates to their business status.
Section 1086 of the California Unemployment Insurance Code (CUIC) requires an employer to register with the
EDD within 15 days after hiring one or more employees and paying wages in excess of $100 for employment in a
calendar quarter.
If you are a new employer or already registered and need to update your employer account information (for example, a
change in your business structure), or would like to reopen or close your employer account, please submit your request
using one of the following methods:
• Register online at the EDD e-Services for Business website at www.edd.ca.gov/e-Services_for_Business.
• Complete a paper DE 1 NP and mail it to: EDD, Account Services Group, MIC 28, PO Box 826880, Sacramento, CA 94280-0001.
• Fax your completed DE 1NP to 916-654-9211.
The DE 1 NP for Nonprofit Employers and all other industry specific registration forms for Commercial; Agricultural;
Governmental Organizations, Public Schools, and Indian Tribes; Household Workers; or Depositing Only Personal Income
Tax Withholding are available online at www.edd.ca.gov/Payroll_ Taxes/Forms_and_Publications.htm .
NOTE: Forms will be processed in the order received. Attach additional sheets as needed.
A. I WANT TO -Check the box that applies.
• Register for a New Employer Account Number -Select if registering a new business.
• Update Employer Account Information -Select if reporting changes in location and mailing address, doing
business as (OBA), personal name changes, and to add/change/delete an officer/partner/member. Select the
update you want to report and complete the items in parenthesis.
• Report a Purchase of Business -Select if a business registered with the EDD has been purchased. Enter the
seller's Employer Account Number at the top of Item A, the date (MM/DDIYYYY) the transfer occurred, and the
purchase price. Indicate if the entire business or a partial business was purchased.
• Report a Sale of Business -Select if a business registered with the EDD has been sold. Enter the Employer
Account Number at the top of Item A and the date (MM/DDIYYYY) the transfer occurred. Indicate if the entire
business or a partial business was sold. Complete Item P with your forwarding address.
• Reopen a Previously Closed Account -Select if the business has become subject to California payroll taxes.
Enter the closed Employer Account Number at the top of Item A.
• Close Employer Account -Select if you are no longer subject to California payroll taxes. Select a reason for closing
the employer account, provide the last payroll date, and enter the Employer Account Number at the top of Item A.
• Report a Change in Business Ownership, Entity Type, or Name -Select if the business has changed ownership,
entity type, or business name. Provide the reason for change. Enter the former legal entity type on the "From" line,
the new entity on the "To" line, the effective date for the change, and the current Employer Account Number at the
top of Item A. Complete the rest of the form with the new business information.
B. EMPLOYER TYPE -Check the box that best describes your employer type.
C. TAXPAYER TYPE -Check the box that best describes the legal form of ownership. If other, please specify.
D. FIRST PAYROLL DATE -Enter the first date (MM/DDIYYYY) you paid wages exceeding $100. These wages are
subject to Unemployment Insurance (UI), Employment Training Tax (ETT), and State Disability Insurance (SDI). If you
are reopening a previously closed employer account, enter the date when payroll resumed.
E. LOCATION OF EMPLOYEE SERVICES -Check the box that best describes the location of the employees' residence
and work locations.
F. FINANCING METHOD -Select a financing method for Unemployment Insurance contributions.
G. INDIVIDUAL OWNER, CORPORATE OFFICER(S), PARTNERS -Enter name, title, Social Security number (SSN),
and California driver license number of each individual/business entity, as applicable. If an individual/business entity is
from a foreign jurisdiction, enter "Foreign" in the SSN/FEIN box. Select the "Add" to add, "Chg." to change, and "Del."
to delete an individual/entity on the account.
DE 1NP Rev. 8 (2-16) (INTERNET) Page 3 of4
139
H. LEGAL NAME OF ORGANIZATION -Enter the business legal name. For Corporation/LLC/LLP/LP, enter the name
exactly as it appears on your official registration documents. If you are registered with the California Secretary of State
(SOS) and do not have the business name as it was registered, log on to the SOS website at www.sos.ca.gov to
obtain the information.
I. DOING BUSINESS AS (OBA) (If applicable) -Enter business name known to the public, if different from the legal name.
J. FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEIN) -Enter the Federal Employer Identification Number
(FEIN) assigned by the Internal Revenue Service {IRS). If not assigned, enter "Applied For."
K. DATE OWNERSHIP BEGAN -Enter the date {MM/DD/YYYY) new ownership began operating.
L. STATE OR PROVINCE OF INCORPORATION/ORGANIZATION -Enter the state or province where the business is
incorporated or organized.
M. CALIFORNIA SECRETARY OF STATE ENTITY NUMBER -Enter the California Corporate/LLC/LLP/LP entity
number. If you are registered with the California Secretary of State {SOS) and do not have the entity number, log on to
the SOS website at www.sos.ca.gov to obtain the information.
N. PHYSICAL BUSINESS LOCATION -Enter the California street address {PO Box or Private Mail Box will not be
accepted) and phone number where the business is physically conducted. If you have multiple California locations,
please attach a listing of the physical business addresses.
0. MAILING ADDRESS -Enter the mailing address where the EDD correspondence and forms should be sent {PO
Box or Private Mail Box is acceptable). If the physical and mailing addresses are the same, check the box "Same as
above.• Provide a daytime phone number.
P. E-MAIL -Enter a valid e-mail address. Check the box if you would like to receive registration information via e-mail.
Q. INDUSTRY ACTIVITY -Describe in detail the principal product or service your business offers/provides and check
the box that best describes the industry activity. This information is used to assign an Industrial Classification Code
to your business. For more information on industry coding or the North American Industrial Classification System
(NAICS), visit the website at www.census.gov/epcd/www/naics.html.
R. CONTACT PERSON -Enter the name, daytime phone number, e-mail address, relation, and address of the person
authorized by the ownership to provide the EDD with information needed to maintain the accuracy of your employer
account. If the contact person is an outside accountant, agent, or tax representative , complete and submit a Power
of Attorney (POA) Declaration {DE 48 ).
S. DECLARATION -This declaration must be signed by an individual having the authority to sign on behalf of the
business under penalty of perjury.
Allow up to 14 days for your paper request to be processed. You will receive your Employer Account Number by US Postal
Service. To obtain an Employer Account Number faster, register online at www.edd.ca.gov/e-Services_for_Business. The
California Employer's Guide {DE 44) is available at www.edd.ca.gov/pdf_pub_ctr/de44.pdf to help you understand your
tax withholding and filing responsibilities.
Need more help or lnfonnation?
If you have questions regarding this form, the registration process, or to determine whether your business is required
to register, visit the EDD website at www.edd.ca.gov/Payroll_Taxes/Reporting_Requirements.htm or contact the
Taxpayer Assistance Center at 888-745-3886 or TTY {nonverbal) 800-547-9565.
• The EDD provides seminar and other educational opportunities for taxpayers to learn how to report employees'
wages, pay taxes, and to help avoid errors and unnecessary billings. Register for a seminar near you at
www.edd.ca.gov/Payroll_Tax_Seminars/ or call 888-745-3886 for more information.
• The EDD website www.edd.ca.gov offers additional information, forms, publications, and information sheets to
assist you.
DE 1NP Rev. 8 (2-16) (INTERNET) Page4 of4
140
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