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ANNUAL
REGISTRATION RENEWAL FEE REPORT
TO ATTORNEY GENERAL OF CALIFORNIA
IN
MAIL TO:
Registry of Charitable Trusts
P.O. Box 903447
Sacramento, CA 94203-4470
Telephone: (916) 445-2021
Sections 12586 and 12587, California Government Code
11 Cal. Code Regs. sections 301-307, 311 and 312
Failure to submit this report annually no later than four months and fifteen days after the
end of the organization's accounting period may result In the loss of tax exemption and
the assessment of a minimum tax of ~800. plus interest. andlor fines or filing penalties
as defined in Government Code Section 12586.1. IRS extensions will be honored.
WEBSITE ADDRESS:
[Link]
State Charity Registration Number
Pacific
Name
Check if:
Change of address
DAmended report
...
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Re
of Organization
ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311and 312)
Make Check Payable to Attorney General's Registry of Charitable Trusts
Gross Annual Revenue
Fee
Less than $25,000
Between $25,000 and $100,000
Fee
Gross Annual Revenue
$50
$75
Between $100,001and $250,000
Between $250,001 and $1 million
$25
Gross Annual Revenue
Fee
Between $1,000,001 and $10 million
Between $10,000,001 and $50 million
Greater than
$150
$225
PART A - ACTIVITIES
1/01/05
For your most recent full accounting period (beginning
Gross annual revenue
PART B - STATEMENTS
Note:
1 , 251 , 318 .
REGARDING
ending
Total assets
ORGANIZATION
12 / 31 / 0 5 ) list:
1,318,144.
DURING THE PERIOD OF THIS REPORT
If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each
'yes' response. Please review RRF-1 instructions for information required.
During this reporting period, were there any contracts, loans, leases or other financial transactions between the
organization and any officer, director or trustee thereof either directly or with an entity in which any such officer,
director or trustee had
financial interest?
period, was there any theft, embezzlement,
diversion
or misuse of the organization's
charitable
Duri
During this reporting period, were any organization funds used to pay any penalty,
Form 4720 with the Internal Revenue S
attach a
.
During this reporting period, were the services of a commercial fundraiser
purposes used? If 'yes,' provide an attachment listing the name, address,
service
i
During this reporting
the
of the
Duri
indi
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 fundraiser for
charitable
.
enditures
fine or judgment?
this reporting period, did the organization
the number of raffles and the
nr.'n",rAn an audited
hold a raffle for charitable
occurred.
financial
statement
If you filed a
or fundraising counsel for charitable
and telephone number of the
period, did the organization receive any governmental funding?
rnaili
address contact
and
number.
Organization's
revenues?
exceed 50% of
purposes?
in accordance
If so, provide an attachment
If 'yes,' provide
with generally
listing
an attachment
accepted
accounting
e-mail address
I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge
and bel , it is true, correct and complete.
,
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CAVA9801L
08116/05
RRF'
(3.0/
"
DEC 0 7 2006
Attorney General's
Registry of Charitable Trusts