Part II Declaration and Signature Authorization of …€¦ · Part II Declaration and Signature...

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IRS e-file Signature Authorizationfor an Exempt Organization

OMB No. 1545-1878Form 8879-EOFor calendar year 2011, or fiscal year beginning , 2011, and ending , 20

I Do not send to the IRS. Keep for your records.

See instructions on back.Department of the Treasury

Internal Revenue Service I À¾µµName of exempt organization

Name and title of officer

Employer identification number

Type of Return and Return Information (Whole Dollars Only) Part I

Check the box for the return for which you are using this Form 8879-E0 and enter the applicable amount, if any, from the return. If youcheck the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, thenleave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0-on the applicable line below. Do not complete more than 1 line in Part I.

I1a

2a

3a

4a

5a

Form 990 check here

Form 990-EZ check here

Form 1120-POL check here

Form 990-PF check here

Form 8868 check here

b Total revenue, if any (Form 990, Part VIII, column (A), line 12) 1b

2b

3b

4b

5b

mmmI b Total revenue, if any (Form 990-EZ, line 9) mmmmmmmmmmmI b Total tax (Form 1120-POL, line 22)mmmmmmmmmmmmmI b Tax based on investment income (Form 990-PF, Part VI, line 5) mI b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) mmmmm

Declaration and Signature Authorization of Officer Part II

Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of theorganization's 2011 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, theyare true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of theorganization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO)to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection ofthe transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, Iauthorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to thefinancial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on thisreturn, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury FinancialAgent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutionsinvolved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries andresolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization'selectronic return and, if applicable, the organization's consent to electronic funds withdrawal.

Officer's PIN: check one box only

to enter my PIN as my signatureI authorizeERO firm name Enter five numbers, but

do not enter all zeros

on the organization's tax year 2011 electronically filed return. If I have indicated within this return that a copy of the return isbeing filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementionedERO to enter my PIN on the return's disclosure consent screen.

As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 2011 electronically filed return.If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part ofthe IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen.

I IOfficer's signature Date

Certification and Authentication Part III

ERO's EFIN/PIN. Enter your six-digit electronic filing identification

number (EFIN) followed by your five-digit self-selected PIN.do not enter all zeros

I certify that the above numeric entry is my PIN, which is my signature on the 2011 electronically filed return for the organizationindicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF)Information for Authorized IRS e-file Providers for Business Returns.

I IERO's signature Date

ERO Must Retain This Form - See InstructionsDo Not Submit This Form To the IRS Unless Requested To Do So

For Paperwork Reduction Act Notice, see back of form. Form 8879-EO (2011)

JSA

1E1676 1.000

07/01 06/30 12

PALISADES CHARTER HIGH SCHOOL 92-0184898

DR. PAMELA MAGEE, EXECUTIVE DIRECTOR

X 24178365.

9 9 0 1 1X WILKINSON HADLEY KING & C

04/15/2013

3 3 9 5 9 6 1 3 1 0 2

04/15/2013

9139BJ 577A V 11-6.5

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OMB No. 1545-0047

Return of Organization Exempt From Income TaxForm ½½́

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lungbenefit trust or private foundation)

À¾µµ Open to Public

Department of the Treasury

Internal Revenue Service IThe organization may have to use a copy of this return to satisfy state reporting requirements. Inspection

, 2011, and ending , 20A For the 2011 calendar year, or tax year beginningD Employer identification numberC Name of organization

B Check if applicable:

Addresschange Doing Business As

E Telephone numberNumber and street (or P.O. box if mail is not delivered to street address) Room/suiteName change

Initial return

Terminated City or town, state or country, and ZIP + 4

Amendedreturn

G Gross receipts $

Applicationpending

H(a) Is this a group return foraffiliates?

F Name and address of principal officer: Yes No

Are all affiliates included? Yes NoH(b)

If "No," attach a list. (see instructions)Tax-exempt status:I J501(c) ( ) (insert no.) 4947(a)(1) or 527501(c)(3)

I IWebsite:J H(c) Group exemption number

IK Form of organization: Corporation Trust Association Other L Year of formation: M State of legal domicile:

SummaryPart I

1 Briefly describe the organization's mission or most significant activities:

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3

4

5

6

7

Check this box

Number of voting members of the governing body (Part VI, line 1a)

Number of independent voting members of the governing body (Part VI, line 1b)

Total number of individuals employed in calendar year 2011 (Part V, line 2a)

Total number of volunteers (estimate if necessary)

Total unrelated business revenue from Part VIII, column (C), line 12

Net unrelated business taxable income from Form 990-T, line 34

if the organization discontinued its operations or disposed of more than 25% of its net assets.

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5

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7b

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Prior Year Current Year

8

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11

12

13

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15

16

17

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20

21

22

Contributions and grants (Part VIII, line 1h)

Program service revenue (Part VIII, line 2g)

Investment income (Part VIII, column (A), lines 3, 4, and 7d)

Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)

Total revenue - add lines 8 through 11 (must equal Part VIII, column (A), line 12)

Grants and similar amounts paid (Part IX, column (A), lines 1-3)

Benefits paid to or for members (Part IX, column (A), line 4)

Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10)

Professional fundraising fees (Part IX, column (A), line 11e)

Total fundraising expenses (Part IX, column (D), line 25)

Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e)

Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 18 from line 12

Total assets (Part X, line 16)

Total liabilities (Part X, line 26)

Net assets or fund balances. Subtract line 21 from line 20

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

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a mmmmmmmmmmmmmmmmmb

Exp

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Beginning of Current Year End of Year

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Signature BlockPart II Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

SignHere

MSignature of officer Date

MType or print name and title

Print/Type preparer's name Preparer's signature Date PTINCheck ifPaid

Preparer

Use Only

self-employed

II

IFirm's name

Firm's address

Firm's EIN

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) Yes NommmmmmmmmmmmmmmmmmmmmmmmmFor Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2011)JSA

1E1010 1.000

1207/01 06/30


15777 BOWDOIN STREET (310) 459-0310

PACIFIC PALISADES, CA 90272 24,178,365.X

XWWW.PALIHIGH.ORG

X 2003 CA

PALISADES CHARTER HIGH SCHOOL WILL EMPOWER OUR DIVERSE STUDENTPOPULATION TO MAKE POSITIVE CONTRIBUTIONS TO THE GLOBAL COMMUNITY BYDEDICATING OUR RESOURCES TO ENSURE EDUCATIONAL EXCELLENCE AND GROWTH.

11.6.

351.32.

-2,840.-2,840.

23,112,894. 23,556,532.184,388. 588,282.63,374. 36,391.

-210,289. -2,840.23,150,367. 24,178,365.

9,000. 22,000.0 0

17,304,786. 17,487,479.0 0

05,351,487. 5,296,388.

22,665,273. 22,805,867.485,094. 1,372,498.

15,070,045. 16,577,146.5,886,503. 6,024,845.9,183,542. 10,552,301.

P00067183WILKINSON HADLEY KING & CO., LLP 52-2354566218 W. DOUGLAS AVENUE EL CAJON, CA 92020 619-447-6700

X

9139BJ 577A V 11-6.5

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Form 990 (2011) Page 2Statement of Program Service Accomplishments Part III Check if Schedule O contains a response to any question in this Part III mmmmmmmmmmmmmmmmmmmmmmmm

1 Briefly describe the organization's mission:

2 Did the organization undertake any significant program services during the year which were not listed on theprior Form 990 or 990-EZ? Yes NommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," describe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any programservices? Yes NommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," describe these changes on Schedule O.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by

expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of

grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )

I4e Total program service expenses JSA Form 990 (2011)1E1020 1.000


PALISADES CHARTER HIGH SCHOOL WILL EMPOWER OUR DIVERSE STUDENTPOPULATION TO MAKE POSITIVE CONTRIBUTIONS TO THE GLOBAL COMMUNITY BYDEDICATING OUR RESOURCES TO ENSURE EDUCATIONAL EXCELLENCE, CIVICRESPONSABILITY, AND PERSONAL GROWTH.

X

X

16,886,220. 22,000. 588,282.

A CHARTER SCHOOL PROVIDING EDUCATIONAL OPPORTUNITIES TO THESURROUNDING COMMUNITY.

16,886,220.

9139BJ 577A V 11-6.5

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Form 990 (2011) Page 3

Checklist of Required Schedules Part IV Yes No

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"

complete Schedule A 1

2

3

4

5

6

7

8

9

10

11a

11b

11c

11d

11e

11f

12a

12b

13

14a

14b

15

16

17

18

19

20a

20b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIs the organization required to complete Schedule B, Schedule of Contributors (see instructions)? mmmmmmmmmDid the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part ImmmmmmmmmmmmmmmmmmmmmmmmmmmSection 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)

election in effect during the tax year? If "Yes," complete Schedule C, Part IImmmmmmmmmmmmmmmmmmmmmmIs the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,

Part III mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization maintain any donor advised funds or any similar funds or accounts for which donors

have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If

"Yes," complete Schedule D, Part I mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IImmmmmmmmmmDid the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part

X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes,"

complete Schedule D, Part IV mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization, directly or through a related organization, hold assets in temporarily restricted

endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V mmmmmmmIf the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable.

a

b

c

d

e

f

a

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete

Schedule D, Part VI mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIImmmmmmmmmmmmmmmmmDid the organization report an amount for investments-program related in Part X, line 13 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIImmmmmmmmmmmmmmmmmDid the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX mmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X mmmmmmDid the organization obtain separate, independent audited financial statements for the tax year? If "Yes,"

complete Schedule D, Parts XI, XII, and XIIImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmb

a

b

a

b

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if

the organization answered "No" to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optionalmmmmmmmmmmmmIs the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E mmmmmmmmmmDid the organization maintain an office, employees, or agents outside of the United States?mmmmmmmmmmmmmDid the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,

fundraising, business, investment, and program service activities outside the United States, or aggregate

foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IVmmmmmmmmmmmDid the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any

organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV mmmmmmmDid the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance

to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV mmmmmmmmmmmDid the organization report a total of more than $15,000 of expenses for professional fundraising services

on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions)mmmmmmmmmmmDid the organization report more than $15,000 total of fundraising event gross income and contributions on

Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II mmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

If "Yes," complete Schedule G, Part IIImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization operate one or more hospital facilities? If "Yes," complete Schedule H

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

mmmmmmmmmmmmmmmmmmm

Form 990 (2011)JSA

1E1021 1.000


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9139BJ 577A V 11-6.5

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Form 990 (2011) Page 4

Checklist of Required Schedules (continued) Part IV Yes No

21

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23

24

25

26

27

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29

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32

33

34

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38

Did the organization report more than $5,000 of grants and other assistance to any government or organization

in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II 21

22

23

24a

24b

24c

24d

25a

25b

26

27

28a

28b

28c

29

30

31

32

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34

35a

35b

36

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mmmmmmmmmmmmDid the organization report more than $5,000 of grants and other assistance to individuals in the United States

on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III mmmmmmmmmmmmmmmmmmmmmmDid the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the

organization's current and former officers, directors, trustees, key employees, and highest compensated

employees? If "Yes," complete Schedule J mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmma

b

c

d

a

b

a

b

c

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b

through 24d and complete Schedule K. If “No,” go to line 25mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?mmmmmmmDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?mmmmmmmSection 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction

with a disqualified person during the year? If "Yes," complete Schedule L, Part I mmmmmmmmmmmmmmmmmmmIs the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior

year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

If "Yes," complete Schedule L, Part ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmWas a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or

disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part IImDid the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity or family member of any of these persons? If "Yes," complete Schedule L, Part III mmmmmmmmmmmmmmmWas the organization a party to a business transaction with one of the following parties (see Schedule L,

Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IVmmmmmmmmA family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IVmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmAn entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV mmmmmmmmmDid the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"

complete Schedule N, Part IImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part ImmmmmmmmmmmmmmmmmmmmmWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts II, III,

IV, and V, line 1 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmma

b

Did the organization have a controlled entity within the meaning of section 512(b)(13)? mmmmmmmmmmmmmmDid the organization receive any payment from or engage in any transaction with a controlled entity within the

meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2mmmmmmmmmmmmmmmmmmmmmSection 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable

related organization? If "Yes," complete Schedule R, Part V, line 2mmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,

Part VI mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and

19? Note. All Form 990 filers are required to complete Schedule O.mmmmmmmmmmmmmmmmmmmmmmmmmForm 990 (2011)

JSA

1E1030 1.000


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9139BJ 577A V 11-6.5

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Form 990 (2011) Page 5

Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule O contains a response to any question in this Part V

Part V mmmmmmmmmmmmmmmmmmmmmmmYes No

1a

1b

2a

7d

1

2

3

4

5

6

7

8

9

10

11

12

13

14

a

b

c

a

b

a

b

a

b

a

b

c

a

b

a

b

c

d

e

f

g

h

a

b

a

b

a

b

a

b

a

b

c

a

b

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicablemmmmmmmmmmEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicablemmmmmmmmmDid the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? 1c

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

12a

13a

14a

14b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmEnter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return mIf at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)mmmmmmmDid the organization have unrelated business gross income of $1,000 or more during the year? mmmmmmmmmmIf "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule OmmmmmmmmmmmmmAt any time during the calendar year, did the organization have an interest in, or a signature or other authority

over, a financial account in a foreign country (such as a bank account, securities account, or other financial

account)? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIIf “Yes,” enter the name of the foreign country:

See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? mmmmmmmmDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes" to line 5a or 5b, did the organization file Form 8886-T? mmmmmmmmmmmmmmmmmmmmmmmmmmmmDoes the organization have annual gross receipts that are normally greater than $100,000, and did the

organization solicit any contributions that were not tax deductible?mmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmOrganizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods

and services provided to the payor?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization notify the donor of the value of the goods or services provided? mmmmmmmmmmmmDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," indicate the number of Forms 8282 filed during the yearmmmmmmmmmmmmmmmmDid the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?mmmDid the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?mmmIf the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?

Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting

organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring

organization, have excess business holdings at any time during the year?mmmmmmmmmmmmmmmmmmmmmmmSponsoring organizations maintaining donor advised funds.

Did the organization make any taxable distributions under section 4966?

Did the organization make a distribution to a donor, donor advisor, or related person?

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

10a

10b

11a

11b

12b

13b

13c

mmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmGross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.)mmmmmmmmmmmmmmmmmmmmmmmmmmmSection 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year mmmmmSection 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state?mmmmmmmmmmmmmmmmmmNote. See the instructions for additional information the organization must report on Schedule O.

Enter the amount of reserves the organization is required to maintain by the states in which

the organization is licensed to issue qualified health plansmmmmmmmmmmmmmmmmmmmmEnter the amount of reserves on handmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization receive any payments for indoor tanning services during the tax year? mmmmmmmmmmmmmIf "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O mmmmmm

JSAForm 990 (2011)1E1040 1.000


X

00

X

351X

XX

X

X X

X

X

X

X X X X

X

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 6

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a"No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in ScheduleO. See instructions.

Part VI

mmmmmmmmmmmmmmmmmmmmmmmmmmCheck if Schedule O contains a response to any question in this Part VI

Section A. Governing Body and ManagementYes No

1a

1b

mmmmmm1

2

3

4

5

6

7

8

a

b

a

b

a

b

Enter the number of voting members of the governing body at the end of the tax year. If there are

material differences in voting rights among members of the governing body, or if the governing body

delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independentmmmmmm2

3

4

5

6

7a

7b

8a

8b

9

10a

10b

11a

12a

12b

12c

13

14

15a

15b

16a

16b

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization delegate control over management duties customarily performed by or under the direct

supervision of officers, directors, or trustees, or key employees to a management company or other person? mmmDid the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

mmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmAre any governance decisions of the organization reserved to (or subject to approval by) members,

stockholders, or persons other than the governing body?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization contemporaneously document the meetings held or written actions undertaken during

the year by the following:

The governing body?

Each committee with authority to act on behalf of the governing body?

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address? If "Yes," provide the names and addresses in Schedule O mmmmmmmmmmmm

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No

10

11

12

13

14

15

16

a

b

a

b

a

b

c

a

b

a

b

Did the organization have local chapters, branches, or affiliates? mmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?mmmmHas the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?mmDescribe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? If "No," go to line 13 mmmmmmmmmmmmmmmmmWere officers, directors, or trustees, and key employees required to disclose annually interests that could give

rise to conflicts? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule O how this was done mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmDid the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions.)


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year?mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIf "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements? mmmmmmmmmmmmmmmmmmmmmmmmmm

Section C. Disclosure

I17

18

19

20

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request

Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy,

and financial statements available to the public during the tax year.

State the name, physical address, and telephone number of the person who possesses the books and records of the

Iorganization:JSA Form 990 (2011)

1E1042 1.000


X

11

6

X

X X X X

X

X

X X

X

X

X

X

X

XXX

XX

X

CA,

X

GREGORY WOOD 15777 BOWDOIN STREET PACIFIC PALISADES, CA 90272 310-230-6650

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 7

Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent Contractors

Part VII

Check if Schedule O contains a response to any question in this Part VII mmmmmmmmmmmmmmmmmmmmSection A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

%%%

%%

List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amountof compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization's current key employees, if any. See instructions for definition of "key employee."

List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

List all of the organization's former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) (B) (C) (D) (E) (F)

Name and Title Averagehours per

week

Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensation from

relatedorganizations

(W-2/1099-MISC)

Estimatedamount of

othercompensation

from theorganizationand related

organizations

(describe

hours for

related

organizations

in Schedule

O)

Ind

ividu

al tru

stee

or d

irecto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

Form 990 (2011)JSA

1E1041 1.000


MARIKE ANDERSON-DAMTEACHER REPRESENTATIVE 30.00 X 55,911. 0 15,599.JUDI FIRTHCLASSIFIED REPRESENTATIVE 40.00 X 46,996. 0 16,000.WENDY HAGENTEACHER 30.00 X 60,437. 0 15,885.MONICA IANNESSAADMINISTRATIVE REPRESENTATIVE 40.00 X 102,545. 0 19,564.CHRIS LEETEACHER 30.00 X 72,705. 0 17,649.LISA KAAS-BOYLECOMMUNITY REPRESENTATIVE 0 X 0 0 0MARK EPSTEINPARENT REPRESENTATIVE 0 X 0 0 0ALLISON HOLDORFF-POHILLPARENT REPRESENTATIVE 0 X 0 0 0STEPHANIE INYAMAPARENT REPRESENTATIVE 0 X 0 0 0JASON CUTLERCOMMUNITY REPRESENTATIVE 0 X 0 0 0MATTHEW WUNDERCOMMUNITY REPRESENTATIVE 0 X 0 0 0EEMAN KHORRAMIANSTUDENT REPRESENTATIVE 0 X 0 0 0GREGORY WOODCHIEF BUSINESS OFFICER 40.00 X 116,931. 0 24,943.PAMELA MAGEEEXECUTIVE DIRECTOR/PRINCIPAL 40.00 X 67,438. 0 10,815.

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII

(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations

Name and title Average

hours per

week

(describe

hours for

related

organizations

in Schedule

O)

Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensation from

relatedorganizations

(W-2/1099-MISC)

Ind

ividu

al tru

stee

or d

irecto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI1b Sub-total

mmmmmmmmmmmmmIc Total from continuation sheets to Part VII, Section AmmmmmmmmmmmmmmmmmmmmmmmmmmmmId Total (add lines 1b and 1c)

2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 ofreportable compensation from the organization I

Yes No

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1a? If "Yes," complete Schedule J for such individual 3mmmmmmmmmmmmmmmmmmmmmmmmmm

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If “Yes,” complete Schedule J for suchindividual 4mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If “Yes,” complete Schedule J for such person 5mmmmmmmmmmmmmmmm

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(C)Compensation

2 Total number of independent contractors (including but not limited to those listed above) who receivedmore than $100,000 in compensation from the organizationI

JSA Form 990 (2011)1E1055 2.000


( 15) RUSSELL HOWARDASSISTANT PRINCIPAL 40.00 X 108,509. 0 19,939.

( 16) ALEXANDER SHUHGALTERTEACHER 30.00 X 112,297. 0 20,251.

( 17) JAMES PALENOTEACHER 30.00 X 112,020. 0 19,046.

( 18) MARY BUSHASSISTANT PRINCIPAL 40.00 X 109,178. 0 20,005.

( 19) JOHN RAUSCHUBERTEACHER 30.00 X 107,766. 0 19,878.

522,963. 0 120,455.549,770. 0 99,119.

1,072,733. 0 219,574.

15

X

X

X

ATTACHMENT 1

5

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 9

Statement of Revenue(C)

Unrelatedbusinessrevenue

Part VIII (B)

Related orexemptfunctionrevenue

(D)Revenue

excluded from taxunder sections

512, 513, or 514

(A)

Total revenue

1a

1b

1c

1d

1e

1f

1a

b

c

d

e

f

g

2a

b

c

d

e

f

6a

b

c

b

c

8a

b

9a

b

10a

b

11a

b

c

d

e

Federated campaigns

Membership dues

Fundraising events

Related organizations

Government grants (contributions)

All other contributions, gifts, grants,

and similar amounts not included above

Noncash contributions included in lines 1a-1f:

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmm

$

Co

ntr

ibu

tio

ns,

Gif

ts,

Gra

nts

an

d O

the

r S

imil

ar

Am

ou

nts

Ih Total. Add lines 1a-1fmmmmmmmmmmmmmmmmmmmBusiness Code

All other program service revenuemmmmmIg Total. Add lines 2a-2fP

rog

ram

Serv

ice R

even

ue

mmmmmmmmmmmmmmmmmmm3

4

5

Investment income (including dividends, interest, and

other similar amounts)

Income from investment of tax-exempt bond proceeds

Royalties

III

I

I

I

I

I

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

mmmmmmmmmmmmm

d Net rental income or (loss)mmmmmmmmmmmmmmmmm(i) Securities (ii) Other

7a Gross amount from sales ofassets other than inventory

Less: cost or other basis

and sales expenses

Gain or (loss)

mmmmmmmmmmm

d Net gain or (loss) mmmmmmmmmmmmmmmmmmmmmGross income from fundraising

events (not including $

of contributions reported on line 1c).

See Part IV, line 18

Less: direct expenses

mmmmmmmmmmma

b

a

b

a

b

mmmmmmmmmmc Net income or (loss) from fundraising eventsmmmmmmmmO

the

r R

even

ue

Gross income from gaming activities.

See Part IV, line 19 mmmmmmmmmmmLess: direct expenses mmmmmmmmmm

c Net income or (loss) from gaming activitiesmmmmmmmmmGross sales of inventory, less

returns and allowances mmmmmmmmmLess: cost of goods soldmmmmmmmmm

c Net income or (loss) from sales of inventorymmmmmmmmmMiscellaneous Revenue Business Code

All other revenue

Total. Add lines 11a-11d

mmmmmmmmmmmmmImmmmmmmmmmmmmmmmmI12 mmmmmmmmmmmmmmTotal revenue. See instructions

Form 990 (2011)

JSA

1E1051 1.000


1,747.

153,691.

22,170,488.

1,230,606.

23,556,532.

FOOD SERVICE SALES 224,491. 224,491.

ASSOCIATED STUDENT BODY REVENUE 363,791. 363,791.

588,282.

ATTACHMENT 2 36,391. 36,391.

0

0

0

0

0

0

0

FACILITY PERMITS, NET 713990 -2,840. -2,840.

-2,840.

24,178,365. 588,282. -2,840. 36,391.

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 10

Statement of Functional Expenses Part IX

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).

Check if Schedule O contains a response to any question in this Part IXmmmmmmmmmmmmmmmmmmmmmmmmmm(A) (B) (C) (D)Do not include amounts reported on lines 6b,

7b, 8b, 9b, and 10b of Part VIII.Total expenses Program service

expensesManagement andgeneral expenses

Fundraisingexpenses

Grants and other assistance to governments and

organizations in the United States. See Part IV, line 2 1

1 mGrants and other assistance to individuals in

the United States. See Part IV, line 22

2 mmmmmm3 Grants and other assistance to governments,

organizations, and individuals outside the

United States. See Part IV, lines 15 and 16mmmmBenefits paid to or for members4 mmmmmmmmm

5 Compensation of current officers, directors,

trustees, and key employees mmmmmmmmmm6 Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B)mmmmmmOther salaries and wages7 mmmmmmmmmmmm

8 Pension plan accruals and contributions (include section

401(k) and 403(b) employer contributions)mmmmmm9 Other employee benefits

Payroll taxes

Fees for services (non-employees):

Management

Legal

Accounting

Lobbying

mmmmmmmmmmmm10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

mmmmmmmmmmmmmmmmmma

b

c

d

e

f

g

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Professional fundraising services. See Part IV, line 1 7

Investment management fees mmmmmmmmmOther

Advertising and promotion

Office expenses

Information technology

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Royalties

Occupancy

Travel

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Payments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings

Interest

Payments to affiliates

Depreciation, depletion, and amortization

Insurance

mmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmOther expenses. Itemize expenses not covered

above (List miscellaneous expenses in line 24e. If

line 24e amount exceeds 10% of line 25, column

(A) amount, list line 24e expenses on Schedule O.)

a

b

c

d

e All other expenses

25 Total functional expenses. Add lines 1 through 24e

26 Joint costs. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign and

Ifundraising solicitation. Check here iffollowing SOP 98-2 (ASC 958-720) mmmmmmm

JSA Form 990 (2011)1E1052 1.000


0

22,000. 22,000.

00

283,494. 161,994. 121,500.

012,739,227. 10,933,283. 1,805,944.

1,082,702. 854,571. 228,131.3,023,869. 2,130,451. 893,418.

358,187. 172,730. 185,457.

0179,574. 179,574.

5,490. 5,490.000

2,745,612. 684,434. 2,061,178.10,238. 10,238.68,093. 68,093.30,943. 30,943.

00

1,079. 1,079.

023,644. 18,915. 4,729.37,307. 37,307.

0215,581. 201,618. 13,963.129,547. 23,611. 105,936.

ASSOCIATED STUDENT BODY 359,439. 359,439.TEXTBOOKS, MATERIALS, SUPPLI 258,013. 224,225. 33,788.NONCAPITALIZED EQUIPMENT 124,077. 99,262. 24,815.FOOD 359,985. 359,985.

747,766. 571,452. 176,314.22,805,867. 16,886,220. 5,919,647.

0

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 11

Balance SheetPart X (A)

Beginning of year(B)

End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

1

2

3

4

5

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Receivables from current and former officers, directors, trustees, key

employees, and highest compensated employees. Complete Part II of

Schedule LmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReceivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributingemployers and sponsoring organizations of section 501(c)(9) voluntaryemployees' beneficiary organizations (see instructions)

6

mmmmmmmmmmmmNotes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

7

8

9

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmm10a

10b

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciationb

Investments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

Total assets. Add lines 1 through 15 (must equal line 34)

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

As

se

ts

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Escrow or custodial account liability. Complete Part IV of Schedule D

Payables to current and former officers, directors, trustees, key

employees, highest compensated employees, and disqualified persons.

Complete Part II of Schedule LLia

bil

itie

s

mmmmmmmmmmmmmmmmmmmmmmmmmSecured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third partiesmmmmmmmmmmmmmmmm

Other liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X

of Schedule D mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI

Total liabilities. Add lines 17 through 25mmmmmmmmmmmmmmmmmmmmand completeOrganizations that follow SFAS 117, check here

lines 27 through 29, and lines 33 and 34.

27

28

29

30

31

32

33

34

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

27

28

29

30

31

32

33

34

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Immmmmmmmmmmmmmmmmmmmmmmm

andOrganizations that do not follow SFAS 117, check herecomplete lines 30 through 34.

mmmmmmmmmmmmmmmmmmmmmmmmmmmm

Ne

t A

ss

ets

or

Fu

nd

Bala

nces

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmForm 990 (2011)

JSA

1E1053 1.000


2,983,772. 1,871,183.809,791. 3,080,876.

0 05,088,780. 5,860,286.

0 0

0 00 00 8,246.

ATCH 3 45,645. 69,609.

9,045,145.3,358,199. 6,113,628. 5,686,946.

0 00 00 00 0

28,429. 015,070,045. 16,577,146.3,110,586. 4,185,124.

0 0

ATCH 4ATCH 7,381. 2,700.0 00 0

0 0

ATCH 5 1,930,509. 1,586,783.0 0

838,027. 250,238.5,886,503. 6,024,845.

X

8,681,792. 8,764,747.281,750. 1,401,579.220,000. 385,975.

9,183,542. 10,552,301.15,070,045. 16,577,146.

9139BJ 577A V 11-6.5

DRAFT

Form 990 (2011) Page 12Reconciliation of Net Assets Part XI Check if Schedule O contains a response to any question in this Part XI mmmmmmmmmmmmmmmmmmmmmmm

1

2

3

4

5

1

2

3

4

5

6

Total revenue (must equal Part VIII, column (A), line 12) mmmmmmmmmmmmmmmmmmmmmmmmmmTotal expenses (must equal Part IX, column (A), line 25) mmmmmmmmmmmmmmmmmmmmmmmmmmRevenue less expenses. Subtract line 2 from line 1 mmmmmmmmmmmmmmmmmmmmmmmmmmmmNet assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) mmmmmmmmOther changes in net assets or fund balances (explain in Schedule O) mmmmmmmmmmmmmmmmmmNet assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33,

column (B)) mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm6

Financial Statements and Reporting Part XII Check if Schedule O contains a response to any question in this Part XII mmmmmmmmmmmmmmmmmmmmmm

Yes No

1

2

3

Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in

Schedule O.


mmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

2a

2b

2c

3a

3b

a

b

c

d

a

b

Were the organization's financial statements compiled or reviewed by an independent accountant?

Were the organization's financial statements audited by an independent accountant?

If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight

of the audit, review, or compilation of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.

If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were

issued on a separate basis, consolidated basis, or both:Both consolidated and separate basisSeparate basis Consolidated basis

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in

the Single Audit Act and OMB Circular A-133?

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the

required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits

Form 990 (2011)

JSA

1E1054 1.000


X

24,178,365.22,805,867.1,372,498.9,183,542.

-3,739.

10,552,301.

X

XX

X

X

X

X

9139BJ 577A V 11-6.5

DRAFT

OMB No. 1545-0047SCHEDULE A Public Charity Status and Public Support(Form 990 or 990-EZ)

Complete if the organization is a section 501(c)(3) organization or a section4947(a)(1) nonexempt charitable trust.

À¾µµDepartment of the Treasury

Open to Public Inspection I IAttach to Form 990 or Form 990-EZ. See separate instructions.Internal Revenue Service

Name of the organization Employer identification number

Reason for Public Charity Status (All organizations must complete this part.) See instructions. Part I The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

1

2

3

4

5

6

7

8

9

10

11

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3 % of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3% of its

support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the

purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section

509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

a Type I b Type II c Type III - Functionally integrated d Type III - Other

e

f

g

h

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified

persons other than foundation managers and other than one or more publicly supported organizations described in section

509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting

organization, check this boxmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSince August 17, 2006, has the organization accepted any gift or contribution from any of the

following persons?Yes No(i)

(ii)

(iii)

A person who directly or indirectly controls, either alone or together with persons described in (ii)

and (iii) below, the governing body of the supported organization? 11g(i)

11g(ii)

11g(iii)

mmmmmmmmmmmmmmmmmmmmmA family member of a person described in (i) above?

A 35% controlled entity of a person described in (i) or (ii) above?mmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmProvide the following information about the supported organization(s).

(i) Name of supportedorganization

(ii) EIN (iii) Type of organization(described on lines 1-9above or IRC section(see instructions))

(iv) Is theorganization incol. (i) listed inyour governing

document?

(v) Did you notifythe organization

in col. (i) ofyour support?

(vi) Is theorganization in

col. (i) organizedin the U.S.?

(vii) Amount of support

Yes No Yes No Yes No

(A)

(B)

(C)

(D)

(E)

Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Schedule A (Form 990 or 990-EZ) 2011

JSA

1E1210 1.000


X

9139BJ 577A V 11-6.5

DRAFT

Schedule A (Form 990 or 990-EZ) 2011 Page 2

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Part II

Section A. Public Support(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, andmembership fees received. (Do notinclude any "unusual grants.")mmmmmm

2 Tax revenues levied for theorganization's benefit and either paidto or expended on its behalfmmmmmmm

3 The value of services or facilitiesfurnished by a governmental unit to theorganization without chargemmmmmmm

4 Total. Add lines 1 through 3mmmmmmm5 The portion of total contributions by

each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amountshown on line 11, column (f)mmmmmmm

6 Public support. Subtract line 5 from line 4.

Section B. Total Support(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) TotalICalendar year (or fiscal year beginning in)

7 Amounts from line 4 mmmmmmmmmm8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsourcesmmmmmmmmmmmmmmmmm

9 Net income from unrelated businessactivities, whether or not the businessis regularly carried onmmmmmmmmmm

10 Other income. Do not include gain orloss from the sale of capital assets(Explain in Part IV.) mmmmmmmmmmm

11 Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions)

mm12

14

15

12 mmmmmmmmmmmmmmmmmmmmmmmmmm13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

I

II

I

II

organization, check this box and stop here mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection C. Computation of Public Support Percentage

%

%

14 Public support percentage for 2011 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2010 Schedule A, Part II, line 14

mmmmmmmm15 mmmmmmmmmmmmmmmmmmm16a 331/3 % support test - 2011. If the organization did not check the box on line 13, and line 14 is 331/3 % or more, check

this box and stop here. The organization qualifies as a publicly supported organization mmmmmmmmmmmmmmmmmmmmb 331/3 % support test - 2010. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3 % or more,

check this box and stop here. The organization qualifies as a publicly supported organizationmmmmmmmmmmmmmmmmm17a 10%-facts-and-circumstances test - 2011. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is

10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in

Part IV how the organization meets the "facts-and-circumstances” test. The organization qualifies as a publicly supported

organizationmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmb 10%-facts-and-circumstances test - 2010. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line

15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.

Explain in Part IV how the organzation meets the "facts-and-circumstances" test. The organization qualifies as a publicly

supported organizationmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see

instructionsmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSchedule A (Form 990 or 990-EZ) 2011

JSA

1E1220 1.000


9139BJ 577A V 11-6.5

DRAFT


Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II.If the organization fails to qualify under the tests listed below, please complete Part II.)

Part III

Section A. Public Support(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, and membership fees

received. (Do not include any "unusual grants.")

2 Gross receipts from admissions, merchandise

sold or services performed, or facilities

furnished in any activity that is related to the

organization's tax-exempt purposemmmmmm3 Gross receipts from activities that are not an

unrelated trade or business under section 513m4 Tax revenues levied for the

organization's benefit and either paid

to or expended on its behalfmmmmmmm5 The value of services or facilities

furnished by a governmental unit to the

organization without chargemmmmmmm6 Total. Add lines 1 through 5mmmmmmm7a Amounts included on lines 1, 2, and 3

received from disqualified personsmmmmb Amounts included on lines 2 and 3

received from other than disqualified

persons that exceed the greater of $5,000

or 1% of the amount on line 13 for the year

c Add lines 7a and 7bmmmmmmmmmmm8 Public support (Subtract line 7c from

line 6.) mmmmmmmmmmmmmmmmmSection B. Total Support

(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) 2011 (f) TotalICalendar year (or fiscal year beginning in)

9 Amounts from line 6mmmmmmmmmmm10a Gross income from interest, dividends,

payments received on securities loans,rents, royalties and income from similarsourcesmmmmmmmmmmmmmmmmm

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after June 30, 1975 mmmmmmc Add lines 10a and 10b mmmmmmmmm

11 Net income from unrelated businessactivities not included in line 10b,whether or not the business is regularlycarried on mmmmmmmmmmmmmmm

12 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part IV.) mmmmmmmmmmm13 Total support. (Add lines 9, 10c, 11,

and 12.) mmmmmmmmmmmmmmmm14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection C. Computation of Public Support Percentage15

16

Public support percentage for 2011 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2010 Schedule A, Part III, line 15

15

16

17

18

%

%

%

%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSection D. Computation of Investment Income Percentage17

18

19

20

Investment income percentage for 2011 (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from 2010 Schedule A, Part III, line 17

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

a

b

331/3 % support tests - 2011. If the organization did not check the box on line 14, and line 15 is more than 331/3 %, and line

I17 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

331/3 % support tests - 2010. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3 %, and

Iline 18 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization

IPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructionsJSA Schedule A (Form 990 or 990-EZ) 20111E1221 1.000


9139BJ 577A V 11-6.5

DRAFT


Supplemental Information. Complete this part to provide the explanations required by Part II, line 10;Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (Seeinstructions).

Part IV

Schedule A (Form 990 or 990-EZ) 2011JSA

1E1225 2.000


9139BJ 577A V 11-6.5

DRAFT

OMB No. 1545-0047Schedule B Schedule of Contributors

À¾µµ(Form 990, 990-EZ,or 990-PF) IDepartment of the TreasuryInternal Revenue Service

Attach to Form 990, Form 990-EZ, or Form 990-PF.


Organization type (check one):

Filers of:

Form 990 or 990-EZ

Section:

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Form 990-PF

Check if your organization is covered by the General Rule or a Special Rule.

Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See

instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations

under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of

the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1.

Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,

during the year, total contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary,

or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,

during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did

not total to more than $1,000. If this box is checked, enter here the total contributions that were received during the

year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule

applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or

more during the year I$mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmCaution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,

990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on

Part I, line 2, of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2011)

JSA

1E1251 1.000

PALISADES CHARTER HIGH SCHOOL92-0184898

X 3

X

9139BJ 577A V 11-6.5

DRAFT

Schedule B (Form 990, 990-EZ, or 990-PF) (2011) Page 2

Name of organization Employer identification number

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. Part I

(a)No.

(b)Name, address, and ZIP + 4

(c)Total contributions

(d)Type of contribution

Person

Payroll

Noncash$

(Complete Part II if there isa noncash contribution.)

(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


Schedule B (Form 990, 990-EZ, or 990-PF) (2011)JSA

1E1253 1.000


1 CALIFORNIA DEPT OF EDUCATION X

17,227,472.

2 US DEPT OF EDUCATION X

796,318.

3 COUNTY OF LOS ANGELES-TAXES X

3,708,184.

4 PACIFIC PALISADES BOOSTER CLUB X

107,000.

5 THE SAM AND ROSE GILBERT TRUST A X

1,170,000.

6 US DEPARTMENT OF AGRICULTURE X

438,514.

9139BJ 577A V 11-6.5

DRAFT

Schedule B (Form 990, 990-EZ, or 990-PF) (2011) Page 2

Name of organization Employer identification number

Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. Part I

(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$


(a)No.




Person

Payroll

Noncash$



1E1253 1.000


7 PCHS - ASB X

46,691.

8 KATHLEEN KENNEDY & FRANK MARSHALL X

5,000.

9 TITLE FOUNDATION X

5,000.

10 OTHER CONTRIBUTORS <$5000 X

50,606.

9139BJ 577A V 11-6.5

DRAFT

Schedule B (Form 990, 990-EZ, or 990-PF) (2011) Page 3Name of organization Employer identification number

Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. Part II

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)

Description of noncash property given

(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)


(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)


(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)


(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)


(d)

Date received

$

(a) No.

from

Part I

(c)

FMV (or estimate)

(see instructions)

(b)


(d)

Date received

$


1E1254 1.000


9139BJ 577A V 11-6.5

DRAFT

Schedule B (Form 990, 990-EZ, or 990-PF) (2011) Page 4Name of organization Employer identification number

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizationsthat total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.

Part III

For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,contributions of $1,000 or less for the year. (Enter this information once. See instructions.) I$Use duplicate copies of Part III if additional space is needed.

(a) No.fromPart I

(b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I




(a) No.fromPart I




(a) No.fromPart I





1E1255 1.000


9139BJ 577A V 11-6.5

DRAFT

OMB No. 1545-0047SCHEDULE DSupplemental Financial Statements

(Form 990)

IComplete if the organization answered "Yes," to Form 990,Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.

À¾µµ Open to Public Department of the Treasury I IAttach to Form 990. See separate instructions.Internal Revenue Service Inspection


Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if theorganization answered "Yes" to Form 990, Part IV, line 6.

Part I

(a) Donor advised funds (b) Funds and other accounts

1

2

3

4

5

6

Total number at end of year

Aggregate contributions to (during year)

Aggregate grants from (during year)

Aggregate value at end of year

mmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmm

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised

funds are the organization’s property, subject to the organization's exclusive legal control? mmmmmmmmmmm Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used

only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose

conferring impermissible private benefit? mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. Part II 1 Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education)

Protection of natural habitat

Preservation of open space

Preservation of an historically important land area

Preservation of a certified historic structure

2

3

4

5

6

7

8

9

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservationeasement on the last day of the tax year.

Held at the End of the Tax Year

2a

2b

2c

2d

a

b

c

d

Total number of conservation easements

Total acreage restricted by conservation easements

Number of conservation easements on a certified historic structure included in (a)

Number of conservation easements included in (c) acquired after 8/17/06, and not on a

historic structure listed in the National Register

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the

tax year

Number of states where property subject to conservation easement is located

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of

violations, and enforcement of the conservation easements it holds?

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)

(i) and section 170(h)(4)(B)(ii)?


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

II

mmmmmmmmmmmmmmmmmmmmmmm Yes No

II$

Yes NommmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmIn Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and

balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes theorganization’s accounting for conservation easements.

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

Part III

1a If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheetworks of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance ofpublic service, provide the following amounts relating to these items:

I(i)

(ii)

Revenues included in Form 990, Part VIII, line 1

Assets included in Form 990, Part X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm $

$Immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the

following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Ia Revenues included in Form 990, Part VIII, line 1Assets included in Form 990, Part X

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm $$b mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2011JSA

1E1268 1.000


9139BJ 577A V 11-6.5

DRAFT

Schedule D (Form 990) 2011 Page 2

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) Part III

Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its

Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part

XIV.

3

4

5

collection items (check all that apply):

Public exhibition

Scholarly research

Preservation for future generations

Loan or exchange programs

Other

a

b

c

d

e

During the year, did the organization solicit or receive donations of art, historical treasures, or other similar

assets to be sold to raise funds rather than to be maintained as part of the organization's collection?mmmmmm Yes No

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV,line 9, or reported an amount on Form 990, Part X, line 21.

Part IV

1a

b

c

d

e

f

2a

b

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not

included on Form 990, Part X?

If "Yes," explain the arrangement in Part XIV and complete the following table:

Beginning balance

Additions during the year

Distributions during the year

Ending balance

Did the organization include an amount on Form 990, Part X, line 21?

If "Yes," explain the arrangement in Part XIV.

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Amount

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

1c

1d

1e

1f

Yes NommmmmmmmmmmmmmmmmmmmmmEndowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. Part V

(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back


mmmmmmm

mmmmmmmmmmmmmmmm

mmmmmmmm

1a

b

c

d

e

f

g

a

b

c

3a

b

Beginning of year balance

Contributions

Net investment earnings, gains,

and losses

Grants or scholarships

Other expenditures for facilities

and programs

Administrative expenses

End of year balance

I2

4

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment %

Permanent endowment %

Temporarily restricted endowment %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the

organization by:

(i) unrelated organizations

(ii) related organizations

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R?

Describe in Part XIV the intended uses of the organization's endowment funds.

II

Yes No

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm3a(i)

3a(ii)

3b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Land, Buildings, and Equipment. See Form 990, Part X, line 10. Part VI Description of property (a) Cost or other basis

(investment)(b) Cost or other basis

(other)(c) Accumulated

depreciation(d) Book value

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm

1a

b

c

d

e

Land

Buildings

Leasehold improvements

Equipment

Other

mmmmmmITotal. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)

Schedule D (Form 990) 2011

JSA

1E1269 1.000


220,000. 170,000. 170,000. 170,000.187,975. 59,000.

22,000. 9,000.

385,975. 220,000. 170,000. 170,000.

100.0000

XX

8,345,686. 2,726,967. 5,618,719.

699,459. 631,232. 68,227.1,504,964. 703,484. 801,480.

6,488,426.

9139BJ 577A V 11-6.5

DRAFT


Investments - Other Securities. See Form 990, Part X, line 12. Part VII (a) Description of security or category

(including name of security)(b) Book value (c) Method of valuation:

Cost or end-of-year market value

(1) Financial derivatives

(2) Closely-held equity interests

(3) Other

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

(A)

(B)

(C)

(D)

(E)

(F)

(G)

(H)

(I)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Investments - Program Related. See Form 990, Part X, line 13. Part VIII (a) Description of investment type (b) Book value (c) Method of valuation:

Cost or end-of-year market value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)


Other Assets. See Form 990, Part X, line 15. Part IX (a) Description (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

ITotal. (Column (b) must equal Form 990, Part X, col. (B) line 15.)mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmOther Liabilities. See Form 990, Part X, line 25. Part X

1. (a) Description of liability (b) Book value

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

Federal income taxes


2. FIN 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports theorganization's liability for uncertain tax positions under FIN 48 (ASC 740).JSA Schedule D (Form 990) 20111E1270 1.000


DUE TO SPONSORING DISTRICT 250,238.

250,238.

9139BJ 577A V 11-6.5

DRAFT


Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Part XI 1

2

3

4

5

6

7

8

9

10

Total revenue (Form 990, Part VIII, column (A), line 12)

Total expenses (Form 990, Part IX, column (A), line 25)

Excess or (deficit) for the year. Subtract line 2 from line 1

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

Other (Describe in Part XIV.)

Total adjustments (net). Add lines 4 through 8

Excess or (deficit) for the year per audited financial statements. Combine lines 3 and 9

1

2

3

4

5

6

7

8

9

10

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReconciliation of Revenue per Audited Financial Statements With Revenue per Return Part XII

1

2

3

4

5

Total revenue, gains, and other support per audited financial statements

Amounts included on line 1 but not on Form 990, Part VIII, line 12:

Net unrealized gains on investments


Recoveries of prior year grants


Add lines 2a through 2d

Subtract line 2e from line 1

Amounts included on Form 990, Part VIII, line 12, but not on line 1 :

Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4b

Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.)

1

2e

3

4c

5

mmmmmmmmmmmmmmmmma

b

c

d

e

a

b

c

2a

2b

2c

2d

4a

4b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReconciliation of Expenses per Audited Financial Statements With Expenses per Return Part XIII

1

2

3

4

5

1

2

3

4

5

Total expenses and losses per audited financial statements

Amounts included on line 1 but not on Form 990, Part IX, line 25:


Prior year adjustments

Other losses


Add lines 2a through 2d

Subtract line 2e from line 1

Amounts included on Form 990, Part IX, line 25, but not on line 1:

Investment expenses not included on Form 990, Part VIII, line 7b


Add lines 4a and 4b

Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.)

1

2e

3

4c

5

mmmmmmmmmmmmmmmmmmmmmmmma

b

c

d

e

a

b

c

2a

2b

2c

2d

4a

4b

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSupplemental Information Part XIV

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, lines 1b and 2b;Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provideany additional information.


JSA

1E1271 1.000


24,178,365.22,805,867.1,372,498.

1,372,498.

24,821,706.

643,341.643,341.

24,178,365.

24,178,365.

23,449,208.

643,341.643,341.

22,805,867.

22,805,867.

OTHER REVENUE & EXPENSES

SCHEDULE D XII & XIII

AMOUNTS REPORTED ON THE STATEMENT OF REVENUE ON THE TAX RETURN (FORM 990

PART VIII)REPORT FACILITY PERMITS NET OF DIRECTLY RELATED EXPENSES. AS A

RESULT $643,341 OF DIRECTLY RELATED EXPENDITURES ARE REPORTED ON FORM 990

PART VIII RATHER THAN PART IX.

9139BJ 577A V 11-6.5

DRAFT


Supplemental Information (continued) Part XIV


JSA

1E1226 2.000


9139BJ 577A V 11-6.5

DRAFT

OMB No. 1545-0047SCHEDULE I(Form 990)

Grants and Other Assistance to Organizations,

Governments, and Individuals in the United States À¾µµComplete if the organization answered "Yes" to Form 990, Part IV, line 21 or 22.

Attach to Form 990.

Open to Public Department of the Treasury

Internal Revenue Service I Inspection


General Information on Grants and Assistance Part I

1

2

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and

the selection criteria used to award the grants or assistance?

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm Yes No

Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes"to Form 990, Part IV, line 21, for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000.Part II can be duplicated if additional space is needed

Part II

Immmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm(a) Name and address of organization

or government

(f) Method of valuation(book, FMV, appraisal,

other)

(c) IRC section

if applicable

(d) Amount of cashgrant

(e) Amount of non-cash assistance

(g) Description of non-cash assistance

(h) Purpose of grantor assistance

(b) EIN1

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

II

2

3

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table

Enter total number of other organizations listed in the line 1 tablemmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule I (Form 990) (2011)

JSA

1E1288 1.000


X

9139BJ 577A V 11-6.5

DRAFT

Schedule I (Form 990) (2011) Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

Part III

(f) Description of non-cash assistance(a) Type of grant or assistance (e) Method of valuation (book,

FMV, appraisal, other)

(b) Number ofrecipients

(d) Amount of

non-cash assistance

(c) Amount of cash grant

1

2

3

4

5

6

7

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) (2011)

JSA

1E1504 2.000


GABRIEL KAUFMAN - COLLEGE SCHOLARSHIP 2,000.

HEEJAE YANG - COLLEGE SCHOLARSHIP 4,000.

ERNST SCHMID - COLLEGE SCHOLARSHIP 1,000.

ALANA CORRE - COLLEGE SCHOLARSHIP 3,000.

SOHEILA KAMJOU - COLLEGE SCHOLARSHIP 2,000.

MIRAE DONG - COLLEGE SCHOLARSHIP 2,000.

MARITZA SANCHEZ - COLLEGE SCHOLARSHIP 2,000.

9139BJ 577A V 11-6.5

DRAFT

Schedule I (Form 990) (2011) Page 2

Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.Part III can be duplicated if additional space is needed.

Part III

(f) Description of non-cash assistance(a) Type of grant or assistance (e) Method of valuation (book,

FMV, appraisal, other)

(b) Number ofrecipients

(d) Amount of

non-cash assistance

(c) Amount of cash grant

1

2

3

4

5

6

7

Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information. Part IV

Schedule I (Form 990) (2011)

JSA

1E1504 2.000


ETHAN GARBER - COLLEGE SCHOLARSHIP 2,000.

LUA MACHADO - COLLEGE SCHOLARSHIP 2,000.

JESSICA CONTRERAS - COLLEGE SCHOLARSHIP 2,000.

9139BJ 577A V 11-6.5

DRAFT

Supplemental Information to Form 990 or 990-EZOMB No. 1545-0047SCHEDULE O

(Form 990 or 990-EZ)

Complete to provide information for responses to specific questions onForm 990 or 990-EZ or to provide any additional information.

Attach to Form 990 or 990-EZ.

À¾µµ Open to Public Inspection

Department of the TreasuryInternal Revenue Service IName of the organization Employer identification number

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule O (Form 990 or 990-EZ) (2011)

JSA1E1227 2.000


HOW DOES THE ORGANIZATION MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY?

FORM 990 PART VI GOVERNANCE, MANAGEMENT, DISCLOSURE

PALISADES CHARTER HIGH SCHOOL REQUIRES ALL KEY EMPLOYEES AND MEMBERS OF

THE BOARD OF TRUSTEES TO COMPLETE A CALIFORNIA FORM 700 "ANNUAL STATEMENT

OF ECONOMIC INTEREST".

PALISADES POLICY'S AND FINANCIAL STATEMENTS

THE ORGANIZATIONS DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL

STATEMENTS CAN BE FOUND EITHER ON THE SCHOOLS WEBSITE, IN THE GOVERNING

MINUTES, OR UPON REQUEST AT THE OFFICE OF THE EXECUTIVE DIRECTOR OR CHIEF

BUSINESS OFFICER.

DETERMINATION OF COMPENSATION

FORM 990 PART VI GOVERNANCE, MANAGEMENT, DISCLOSURE

BOARD OF TRUSTEES REVIEW/APPROVE COMPENSATION LEVELS BY ALL

EXECUTIVE/MANAGEMENT-LEVEL EMPLOYEES.

HOW IS FORM 990 MADE AVAILABLE TO THE PUBLIC

IN BOARD MEETING MINUTES AND ON WEBSITE (WWW.PALIHIGH.ORG)

OTHER CHANGES IN NET ASSETS OR FUND BALANCE

FORM 990 PART XI LINE 5

INCLUSION OF ASSOCIATED STUDENT BODY ACCOUNTS FOR THE FIRST TIME IN THE

AUDIT AND TAX RETURN RESULTED IN A CHANGE IN BEGINNING NET ASSETS OF

9139BJ 577A V 11-6.5

DRAFT

Schedule O (Form 990 or 990-EZ) 2011 Page 2


Schedule O (Form 990 or 990-EZ) 2011JSA

1E1228 2.000


$(3,739).ATTACHMENT 1

990, PART VII- COMPENSATION OF THE FIVE HIGHEST PAID IND. CONTRACTORS

NAME AND ADDRESS DESCRIPTION OF SERVICES COMPENSATION

GLOBAL TRANSPORTATION SERVICES PUPIL TRANSPORTATION 484,383.200 E GARDENA BLVDGARDENA, CA 90248

TUMBLEWEED TRANSPORTATION PUPIL TRANSPORTATION 289,683.1024 HANLEY AVELOS ANGELES, CA 90049

SODEXO, INC FOOD MANAGEMENT 198,702.DEPT 43283LOS ANGELES, CA 90011

MIDDLETON YOUNG & MINNEY LEGAL SERVICES 144,552.701 UNIVERSITY AVE STE 150SACRAMENTO, CA 95825

SARLAN BUILDERS INC CONSTRUCTION 411,697.9903 SANTA MONICA BLVDBEVERLY HILLS, CA 90212

TOTAL COMPENSATION 1,529,017.

ATTACHMENT 2FORM 990, PART VIII - INVESTMENT INCOME

(A) (B) (C) (D) TOTAL RELATED OR UNRELATED EXCLUDED

DESCRIPTION REVENUE EXEMPT REVENUE BUSINESS REV. REVENUE

INTEREST INCOME 36,391. 36,391.

TOTALS 36,391. 36,391.

9139BJ 577A V 11-6.5

DRAFT




1E1228 2.000

PALISADES CHARTER HIGH SCHOOL 92-0184898ATTACHMENT 3

FORM 990, PART X - PREPAID EXPENSES AND DEFERRED CHARGES

ENDINGDESCRIPTION BOOK VALUE

PREPAID EXPENSE 69,609.

TOTALS 69,609.

ATTACHMENT 4FORM 990, PART X - DEFERRED REVENUE


DEFERRED REVENUE 2,700.

TOTALS 2,700.

ATTACHMENT 5FORM 990, PART X - SECURED MORTGAGES AND NOTES PAYABLE

LENDER: GILBERT LOANORIGINAL AMOUNT: 783,835.INTEREST RATE: 5.600000DATE OF NOTE: 02/01/2010MATURITY DATE: 10/31/2018REPAYMENT TERMS: QUARTERLY PAYMENTS THROUGH OCTOBER 2018SECURITY PROVIDED: POOLPURPOSE OF LOAN: POOL PROJECT

BEGINNING BALANCE DUE ........................................ 714,890.ENDING BALANCE DUE ........................................... 566,015.

LENDER: BANK OF THE WESTORIGINAL AMOUNT: 354,580.INTEREST RATE: 5.690000DATE OF NOTE: 08/31/2010MATURITY DATE: 08/31/2013REPAYMENT TERMS: 3 YEAR FULLY AMORTIZING TERM LOANSECURITY PROVIDED: TRACK & FIELDPURPOSE OF LOAN: PAY BALOON PAYMENT FOR TRACK & FIELD LOAN

9139BJ 577A V 11-6.5

DRAFT




1E1228 2.000

PALISADES CHARTER HIGH SCHOOL 92-0184898ATTACHMENT 5 (CONT'D)


LENDER: BANK OF THE WESTORIGINAL AMOUNT: 1,000,000.INTEREST RATE: 5.690000DATE OF NOTE: 09/30/2010MATURITY DATE: 03/31/2016REPAYMENT TERMS: 60 MONTH REPAYMENT PLUS BALOON PAYMENT AT MATURITYSECURITY PROVIDED: TRACK & FIELDPURPOSE OF LOAN: REPAYMENT OF LOAN FOR TRACK & FIELD PROJECT


TOTAL BEGINNING MORTGAGES AND OTHER NOTES PAYABLE 1,930,509.

TOTAL ENDING MORTGAGES AND OTHER NOTES PAYABLE 1,586,783.

9139BJ 577A V 11-6.5

DRAFT

OMB No. 1545-0687Exempt Organization Business Income Tax Return (and proxy tax under section 6033(e))

Form 990-TFor calendar year 2011 or other tax year beginning , 2011, and

Department of the TreasuryÀ¾µµ

Open to Public Inspection for501(c)(3) Organizations OnlyIending , 20 . See separate instructions.Internal Revenue Service

D Employer identification number(Employees' trust, see instructions.)

Name of organization ( Check box if name changed and see instructions.)Check box ifA

address changed

B Exempt under section

Printor

Type

Number, street, and room or suite no. If a P.O. box, see instructions.501( )( )

E Unrelated business activity codes(See instructions.)

408(e) 220(e)

408A 530(a)

City or town, state, and ZIP code529(a)

C Book value of all assetsat end of year IF Group exemption number (See instructions.)

IG Check organization type 501(c) corporation 501(c) trust 401(a) trust Other trust

IH Describe the organization's primary unrelated business activity.

II During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? Yes NommmmmmmIIf "Yes," enter the name and identifying number of the parent corporation.

I IJ The books are in care of Telephone number

(A) Income (B) Expenses (C) NetUnrelated Trade or Business Income Part I 1

2

3

4

5

6

7

8

9

10

11

12

13

a

b

a

b

c

Gross receipts or sales

Less returns and allowances

Cost of goods sold (Schedule A, line 7)

Gross profit. Subtract line 2 from line 1c

Capital gain net income (attach Schedule D)

Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797)

Capital loss deduction for trusts

Income (loss) from partnerships and S corporations (attach statement)

Rent income (Schedule C)

Unrelated debt-financed income (Schedule E)

Interest, annuities, royalties, and rents from controlled

organizations (Schedule F)

Investment income of a section 501(c)(7), (9), or (17)

organization (Schedule G)

Exploited exempt activity income (Schedule I)

Advertising income (Schedule J)

Other income (See instructions; attach schedule.)

Total. Combine lines 3 through 12

Ic Balance 1c

2

3

4a

4b

4c

5

6

7

8

9

10

11

12

13

mmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmm



mmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmDeductions Not Taken Elsewhere (See instructions for limitations on deductions.) (Except for contributions, Part II deductions must be directly connected with the unrelated business income.)

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

Compensation of officers, directors, and trustees (Schedule K)

Salaries and wages

Repairs and maintenance

Bad debts

Interest (attach schedule)

Taxes and licenses

Charitable contributions (See instructions for limitation rules.)

Depreciation (attach Form 4562)

Less depreciation claimed on Schedule A and elsewhere on return

Depletion

Contributions to deferred compensation plans

Employee benefit programs

Excess exempt expenses (Schedule I)

Excess readership costs (Schedule J)

Other deductions (attach schedule)

Total deductions. Add lines 14 through 28

Unrelated business taxable income before net operating loss deduction. Subtract line 29 from line 13

Net operating loss deduction (limited to the amount on line 30)

Unrelated business taxable income before specific deduction. Subtract line 31 from line 30

Specific deduction (Generally $1,000, but see line 33 instructions for exceptions.)

Unrelated business taxable income. Subtract line 33 from line 32. If line 33 is greater than line 32,

enter the smaller of zero or line 32

14

15

16

17

18

19

20

22b

23

24

25

26

27

28

29

30

31

32

33

34

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm21

22a


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


mmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmJSA For Paperwork Reduction Act Notice, see instructions. Form 990-T (2011)1E1610 2.000

07/011206/30

PALISADES CHARTER HIGH SCHOOLX C 03 92-0184898

15777 BOWDOIN STREET

PACIFIC PALISADES, CA 90272 713990

16,577,146. XFACILITY PERMITS FOR USE OF SCHOOL FACILITIES.

X

GREGORY WOOD 310-230-6650

640,501.640,501.

640,501. 640,501.

640,501. 640,501.

190,288.

ATTACHMENT 1 63,523.

248,197.248,197.

37,223.

ATTACHMENT 2 104,110.643,341.-2,840.

-2,840.1,000.

-2,840.

9139BJ 577A V 11-6.5

DRAFT

Form 990-T (2011) Page 2

Tax Computation Part III

35 Organizations Taxable as Corporations. See instructions for tax computation. Controlled group

Imembers (sections 1561 and 1563) check here See instructions and:

a Enter your share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order):

$ $ $(1) (2) (3)

$b Enter organization's share of: (1) Additional 5% tax (not more than $11,750)mmmmmmm$(2) Additional 3% tax (not more than $100,000) mmmmmmmmmmmmmmmmmmmm

Ic Income tax on the amount on line 34 35cmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm36 Trusts Taxable at Trust Rates. See instructions for tax computation. Income tax on

ITax rate schedule or Schedule D (Form 1041) 36the amount on line 34 from: mmmmmmmmmmmmI3737 Proxy tax. See instructions mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Alternative minimum tax38 38

39

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm39 Total. Add lines 37 and 38 to line 35c or 36, whichever appliesmmmmmmmmmmmmmmmmmmmmmmmmmm

Tax and Payments Part IV a40 Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) 40ammmmb Other credits (see instructions) 40bmmmmmmmmmmmmmmmmmmmmmmmmmmmc General business credit. Attach Form 3800 (see instructions) 40cmmmmmmmmmmmmd Credit for prior year minimum tax (attach Form 8801 or 8827) 40dmmmmmmmmmmmme Total credits. Add lines 40a through 40d 40emmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

41 Subtract line 40e from line 39mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm41

Other taxes. Check if from: Form 4255 Form 8611 Form 8697 Form 8866 Other (attach schedule)42 42mTotal tax. Add lines 41 and 42 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm4343

a Payments: A 2010 overpayment credited to 2011 44a44 mmmmmmmmmmmmmmmmmb 2011 estimated tax payments 44bmmmmmmmmmmmmmmmmmmmmmmmmmmmc Tax deposited with Form 8868 44cmmmmmmmmmmmmmmmmmmmmmmmmmmd Foreign organizations: Tax paid or withheld at source (see instructions) 44dmmmmmmmmmmmmmmmmmmmmmmmmmmmmmme Backup withholding (see instructions) 44e

Credit for small employer health insurance premiums (Attach Form 8941)f 44fmmmmmmg Other credits and payments: Form 2439

Other 44gITotalForm 4136

4545 Total payments. Add lines 44a through 44gmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmI 4646 Estimated tax penalty (see instructions). Check if Form 2220 is attachedmmmmmmmmmmmmmmmmmmI4747 Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed mmmmmmmmmmmmmmmmmI4848 Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaidmmmmmmmmmmmmI IEnter the amount of line 48 you want: Credited to 2012 estimated tax Refunded49 49

Statements Regarding Certain Activities and Other Information (see instructions) Part V 1 At any time during the 2011 calendar year, did the organization have an interest in or a signature or other authority over a financial

account (bank, securities, or other) in a foreign country? If YES, the organization may have to file Form TD F 90-22.1, Report of Foreign

Bank and Financial Accounts. If YES, enter the name of the foreign country here

Yes No

I2 During the tax year, did the organization receive a distribution from, or was it the grantor of, or transferor to, a foreign trust?

If YES, see instructions for other forms the organization may have to file.

mmmmIEnter the amount of tax-exempt interest received or accrued during the tax year $3

ISchedule A - Cost of Goods Sold. Enter method of inventory valuation

1 Inventory at beginning of year 1 6 Inventory at end of year 6m mmmmmmmmm2 Purchases 2 7 Cost of goods sold. Subtract linemmmmmmmmmm3 Cost of labor 3 6 from line 5. Enter here and inmmmmmmmmm4 a Additional section 263A costs Part I, line 2 7mmmmmmmmmmmmmmm

(attach schedule) 4a 8 Do the rules of section 263A (with respect to Yes Nommmmmmm4b property produced or acquired for resale) applyb Other costs (attach schedule) mm5 Total. Add lines 1 through 4b to the organization?5 mmmmmmmmmmmmmmmmmmmm

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,

correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

SignMay the IRS discuss this return

with the preparer shown belowMMHere(see instructions)?Signature of officer Date Title Yes No

Print/Type preparer's name Preparer's signature Date PTINCheck if

Paidself-employed

PreparerFirm's name

Firm's addressII

IFirm's EINUse Only

Phone no.

Form 990-T (2011)

JSA

1E1620 2.000


X X

X

X

P00067183WILKINSON HADLEY KING & CO., LLP 52-2354566218 W. DOUGLAS AVENUE 619-447-6700EL CAJON, CA 92020

9139BJ 577A V 11-6.5

DRAFT

Form 990-T (2011) Page 3

Schedule C - Rent Income (From Real Property and Personal Property Leased With Real Property)(see instructions)

1. Description of property

(1)

(2)

(3)

(4)

2. Rent received or accrued

(a) From personal property (if the percentage of rentfor personal property is more than 10% but not

more than 50%)

(b) From real and personal property (if thepercentage of rent for personal property exceeds50% or if the rent is based on profit or income)

3(a) Deductions directly connected with the incomein columns 2(a) and 2(b) (attach schedule)

(1)

(2)

(3)

(4)

TotalTotal(b) Total deductions.Enter here and on page 1,Part I, line 6, column (B)

(c) Total income. Add totals of columns 2(a) and 2(b). Enter

here and on page 1, Part I, line 6, column (A) I ImmmmmSchedule E - Unrelated Debt-Financed Income (see instructions)

3. Deductions directly connected with or allocable todebt-financed property2. Gross income from or

allocable to debt-financedproperty

1. Description of debt-financed property(a) Straight line depreciation

(attach schedule)(b) Other deductions

(attach schedule)

(1)

(2)

(3)

(4)

4. Amount of averageacquisition debt on or

allocable to debt-financedproperty (attach schedule)

5. Average adjusted basisof or allocable to

debt-financed property(attach schedule)

6. Column4 divided

by column 5

8. Allocable deductions(column 6 x total of columns

3(a) and 3(b))

7. Gross income reportable(column 2 x column 6)

(1) %

(2) %

(3) %

(4) %

Enter here and on page 1,Part I, line 7, column (A).

Enter here and on page 1,Part I, line 7, column (B).

Totals ImmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmITotal dividends-received deductions included in column 8mmmmmmmmmmmmmmmmmmmmmmmmmmmm

Schedule F - Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions)

Exempt Controlled Organizations

1. Name of controlledorganization

2. Employer identification number

5. Part of column 4 that is included in the controlling

organization's gross income

6. Deductions directlyconnected with income

in column 5

3. Net unrelated income

(loss) (see instructions)

4. Total of specified

payments made

(1)

(2)

(3)

(4)

Nonexempt Controlled Organizations11. Deductions directly

connected with income incolumn 10

10. Part of column 9 that isincluded in the controlling

organization's gross income

8. Net unrelated income(loss) (see instructions)

9. Total of specifiedpayments made

7. Taxable Income

(1)

(2)

(3)

(4)

Add columns 5 and 10. Enter here and on page 1, Part I, line 8, column (A).

Add columns 6 and 11. Enter here and on page 1, Part I, line 8, column (B).

ITotals mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmForm 990-T (2011)JSA

1E1630 2.000


9139BJ 577A V 11-6.5

DRAFT

Form 990-T (2011) Page 4

Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions)Schedule G - 3. Deductions

directly connected(attach schedule)

5. Total deductionsand set-asides (col. 3

plus col. 4)

4. Set-asides(attach schedule)1. Description of income 2. Amount of income

(1)

(2)

(3)

(4)

Enter here and on page 1,Part I, line 9, column (A).

Enter here and on page 1,Part I, line 9, column (B).

ITotalsmmmmmmmmmmmmSchedule I - Exploited Exempt Activity Income, Other Than Advertising Income (see instructions)

4. Net income(loss) from

unrelated trade orbusiness (column2 minus column

3). If a gain,compute cols. 5

through 7.

3. Expensesdirectly

connected withproduction of

unrelatedbusiness income

7. Excess exemptexpenses

(column 6 minuscolumn 5, but not

more thancolumn 4).

2. Grossunrelated

business incomefrom trade or

business

5. Gross incomefrom activity thatis not unrelatedbusiness income

6. Expensesattributable to

column 51. Description of exploited activity

(1)

(2)

(3)

(4)

Enter here and onpage 1, Part I,

line 10, col. (A).

Enter here and onpage 1, Part I,

line 10, col. (B).

Enter here andon page 1,

Part II, line 26.

ITotals mmmmmmmmmmmmSchedule J - Advertising Income (see instructions)

Income From Periodicals Reported on a Consolidated Basis Part I

4. Advertisinggain or (loss) (col.2 minus col. 3). Ifa gain, compute

cols. 5 through 7.

7. Excess readershipcosts (column 6

minus column 5, butnot more than

column 4).

2. Grossadvertising

income

3. Directadvertising costs

5. Circulationincome

6. Readershipcosts

1. Name of periodical

(1)

(2)

(3)

(4)

ITotals (carry to Part II, line (5)) mmIncome From Periodicals Reported on a Separate Basis (For each periodical listed in Part II, fill in columns Part II 2 through 7 on a line-by-line basis.)

4. Advertisinggain or (loss) (col.2 minus col. 3). Ifa gain, compute

cols. 5 through 7.

7. Excess readershipcosts (column 6

minus column 5, butnot more than

column 4).

2. Grossadvertising

income

3. Directadvertising costs

5. Circulationincome

6. Readershipcosts

1. Name of periodical

(1)

(2)

(3)

(4)

Totals from Part I(5)Enter here and on

page 1, Part I,line 11, col. (A).

Enter here and onpage 1, Part I

line 11, col. (B).

Enter here andon page 1,

Part II, line 27.

ITotals, Part II (lines 1-5)mmmmSchedule K - Compensation of Officers, Directors, and Trustees (see instructions)

3. Percent oftime devoted to

business

4. Compensation attributable tounrelated business

1. Name 2. Title

(1) %

(2) %

(3) %

(4) %

ITotal. Enter here and on page 1, Part II, line 14mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmForm 990-T (2011)JSA

1E1640 2.000


ATCH 3

9139BJ 577A V 11-6.5

DRAFT


ATTACHMENT 1

FORM 990T - PART II - LINE 18 - INTEREST

LONG TERM DEBT INTEREST EXPENSE 63,523.

PART II - LINE 18 - INTEREST 63,523.

9139BJ 577A V 11-6.5

DRAFT


ATTACHMENT 2

FORM 990T - PART II - LINE 28 - TOTAL OTHER DEDUCTIONS

CUSTODIAL SUPPORT - CONSULTING 6,000.UTILITIES 40,000.INSURANCE 3,000.SUPPLIES 55,110.

PART II - LINE 28 - OTHER DEDUCTIONS 104,110.

9139BJ 577A V 11-6.5

DRAFT


ATTACHMENT 3

SCHD. K, FORM 990-T, COMPENSATION OF OFFICERS, DIRECTORS, & TRUSTEES

BUSINESSNAME AND ADDRESS TITLE PERCENT COMPENSATION

GREGORY WOOD CHIEF BUSINESS OFFICER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

PAMELA MAGEE EXECUTIVE DIRECTOR/PRINCIPAL 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

MARIKE ANDERSON-DAM TEACHER REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

JUDI FIRTH CLASSIFIED REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

WENDY HAGEN TEACHER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

MONICA IANNESSA ADMINISTRATIVE REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

CHRIS LEE TEACHER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

LISA KAAS-BOYLE COMMUNITY REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

MARK EPSTEIN PARENT REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

ALLISON HOLDORFF-POHILL PARENT REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

9139BJ 577A V 11-6.5

DRAFT


ATTACHMENT 3 (CONT'D)

SCHD. K, FORM 990-T, COMPENSATION OF OFFICERS, DIRECTORS, & TRUSTEES

BUSINESSNAME AND ADDRESS TITLE PERCENT COMPENSATION

STEPHANIE INYAMA PARENT REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

JASON CUTLER COMMUNITY REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

MATTHEW WUNDER COMMUNITY REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

EEMAN KHORRAMIAN STUDENT REPRESENTATIVE 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

RUSSELL HOWARD ASSISTANT PRINCIPAL 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

ALEXANDER SHUHGALTER TEACHER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

JAMES PALENO TEACHER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

MARY BUSH ASSISTANT PRINCIPAL 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

JOHN RAUSCHUBER TEACHER 0 015777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

TOTAL COMPENSATION 0

9139BJ 577A V 11-6.5

DRAFT

2011Description of Property

DEPRECIATIONDate Unadjusted 179 exp. M A Current-yearBeginning Ending

Bus. Basis for Current-yearplaced in Cost reduction Basis Accumulated ACRS CRS 179Accumulated Me-Asset description service or basis % in basis Reduction depreciation depreciation depreciation Life class class expense depreciationConv.thod

Less: Retired AssetsmmmmmmmmmmmmSubtotalsmmmmmmmmmmmmmmmmmListed Property

Less: Retired Assets mmmmmmmmmmmmSubtotalsmmmmmmmmmmmmmmmmmTOTALSmmmmmmmmmmmmmmmmmmAMORTIZATION

Date Cost EndingCurrent-yearplaced in or Accumulated Accumulated

amortizationAsset description service basis amortization Code Life amortization

TOTALSmmmmmmmmmmmmmmmmmm*Assets RetiredJSA1X9024 1.000


POOL VARIOUS 5,494,540. 63.000 3,461,560. 94,406. 220,281. SL 27.500 125,875.

TRACK & FIELD VARIOUS 1,504,964. 63.000 948,127. 581,162. 703,484. SL 7.000 122,322.

4,409,687. 675,568. 923,765. 248,197.

6,999,504. 4,409,687. 675,568. 923,765. 248,197.

9139BJ 577A V 11-6.5

6,999,504.

DRAFT

TAXABLE YEAR California Exempt Organization FORM

Annual Information Return2011 199.Calendar Year 2011 or fiscal year beginning month day year , and ending month day year

Corporation/Organization Name California corporation number

FEINAddress (suite, room, or PMB no.)

City State ZIP Code

%No

No

No

No

Yes

Yes

Yes

Yes

J If exempt under R&TC Section 23701d, has the organization

during the year: (1) participated in any political campaign,

or (2) attempted to influence legislation or any ballot measure,

or (3) made an election under R&TC Section 23704.5

(relating to lobbying by public charities)?

If "Yes," complete and attach form FTB 3509.

A First Return mmmmmmmmmmmmmmmmmmmmmmmmmB Amended Return mmmmmmmmmmmmmmmmmmmmmC IRC Section 4947(a)(1) trust mmmmmmmmmmmmmmmmmmD Final Returnmmmmmmmmmmmmmmmmmmmmmmmmm

%% % Yes NoDissolved Surrendered (Withdrawn) mmmmmm%Enter date:% Merged/Reorganized

K Is the organization exempt under R&TC Section 23701g?%E Check accounting method: Yes No

If "Yes," enter the gross receipts from nonmember

sources

(1) Cash (2) Accrual (3) Other

% % %Federal return filed?F mmmmmmmmmmmmmmmmmmmmm$

%L If organization is exempt under R&TC Section 23701d and is

exclusively religious, educational, or charitable, and is

supported primarily (50% or more) by public contributions,

check box. No filing fee is required

(1) 990T (2) 990(PF) (3) Sch H (990)

NoYesG Is this a group filing for the subordinates/affiliates?

If "Yes," attach a roster, See instructions

Is this organization in a group exemption?

If "Yes," what is the parent's name?

mmmmmmm%mmmmmmmmm

H M Is the organization a Limited Liability Company? %Yes No Yes Nommmmmmmmmmmmm mmmN Did the organization file Form 100 or Form 109 to report

taxable income? % Yes NommmmmmmmmmmmmmmmmI ODid the organization have any changes in its activities,

governing instrument, articles of incorporation, or bylaws

that have not been reported to the Franchise Tax Board?

If "Yes," explain, and attach copies of revised documents.

Is the organization under audit by the IRS or has the

IRS audited in a prior year?

%% Yes Nommmmmmmmmmmm

Yes NommmmmComplete Part I unless not required to file this form. See General Instructions B and C.Part I

1 Gross sales or receipts from other sources. From Side 2, Part II, line 8

Gross dues and assessments from members and affiliates

Gross contributions, gifts, grants, and similar amounts received.

Total gross receipts for filing requirement test. Add line 1 through line 3.

This line must be completed. If the result is less than $25,000, see General Instruction B

%%%%

1 000000

00

000000000000000000

mmmmmmmmmmmmm2 2mmmmmmmmmmmmmmmmmmm

Receiptsand

Revenues

3 3mmmmmmmmmmmmmmmm4

mmm 4

%5 Cost of goods sold

Cost or other basis, and sales expenses of assets sold

Total costs. Add line 5 and line 6

Total gross income. Subtract line 7 from line 4

0000

5mmmmmmmmmmmmmmmm6 %6

%%%

%

7 7mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm8 8

9 Total expenses and disbursements. From Side 2, Part II, line 18

Excess of receipts over expenses and disbursements. Subtract line 9 from line 8

9mmmmmmmmmmmmmmmmExpenses10 mmmmmmmm10

11

12

13

14

15

11

12

13

14

15

Filing fee $10 or $25. See General Instruction F

Total payments

Penalties and Interest. See General Instruction J

Use tax. See General Instruction K

Balance due. Add line 11, line 13, and line 14. Then subtract line 12 from the result

mmmmmmmmmmmmmmmmmmmmmmmmFilingFee

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it istrue, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

Sign %TelephoneTitle DateSignature

of officerHere I

%Date PTINCheck if self-Preparer's

signaturePaid II employedPreparer's %FEIN

Firm's name (or yours,Use Onlyif self-employed)I %and address Telephone

%May the FTB discuss this return with the preparer shown above? See instructionsmmmmmmmmmmmmmmmmmmmmm Yes No

027 3651114 Form 199 C1 2011 Side 1For Privacy Notice, get form FTB 1131.

1Y0527 1.000

07 01 11 06 30 2012

PALISADES CHARTER HIGH SCHOOL

15777 BOWDOIN STREET 92-0184898

PACIFIC PALISADES CA 90272XXXX

X

XX

XX

XX X

X

XX

621,833.

ATCH 1 23,556,532.

24,178,365.

24,178,365.22,805,867.1,372,498.

P00067183WILKINSON HADLEY KING & CO., LLP218 W. DOUGLAS AVENUE 52-2354566

EL CAJON, CA 92020619-447-6700

X

9139BJ 577A V 11-6.5

DRAFT

Organizations with gross receipts of more than $25,000 and private foundations regardless of amount of gross receipts -complete Part II or furnish substitute information. See Specific Line Instructions.

Part II

%%%%%%%

1 Gross sales or receipts from all business activities. See instructions 1 00000000000000

0000000000000000000000

mmmmmmmmmmmmmmmmm2 Interest 2mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm3 Dividends 3mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmReceipts

from

Other

Sources

4 Gross rents 4mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm5 Gross royalties 5mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm6 Gross amount received from sale of assets (See Instructions) 6mmmmmmmmmmmmmmmmmmmm7 Other income. Attach schedule 7mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm8 Total gross sales or receipts from other sources. Add line 1 through line 7.

%%%%%%%%%

Enter here and on Side 1, Part I, line 1 8mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm9 Contributions, gifts, grants, and similar amounts paid. Attach schedule 9mmmmmmmmmmmmmmm

10 Disbursements to or for members 10mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm11 Compensation of officers, directors, and trustees. Attach schedule 11mmmmmmmmmmmmmmmmm

Expenses

and

Disburse-

ments

12 Other salaries and wages 12mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm13 Interest 13mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm14 Taxes 14mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm15 Rents 15mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm16 Depreciation and depletion (See instructions) 16mmmmmmmmmmmmmmmmmmmmmmmmmmmm17 Other Expenses and Disbursements. Attach schedule. 17mmmmmmmmmmmmmmmmmmmmmmm18 Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 m18

Schedule L Balance Sheets Beginning of taxable year End of taxable year

%%%%%%%%%

%%

%%%%%%%

(a) (b) (c) (d)Assets

1 Cashmmmmmmmmmmmmmmmmmmmmm2 Net accounts receivablemmmmmmmmmmmm3 Net notes receivable. mmmmmmmmmmmmm4 Inventories mmmmmmmmmmmmmmmmmm5 Federal and state government obligations mmm6 Investments in other bonds.mmmmmmmmmm7 Investments in stock. mmmmmmmmmmmmm8 Mortgage loansmmmmmmmmmmmmmmmm9 Other investments. Attach schedulemmmmmm

a10 Depreciable assets mmmmmmmmmmmmm( ) ( )b Less accumulated depreciation mmmmmmm

11 Landmmmmmmmmmmmmmmmmmmmmm12 Other assets. Attach schedulemmmmmmmmm13 Total assetsmmmmmmmmmmmmmmmmmmLiabilities and net worth

Accounts payable14 mmmmmmmmmmmmmmmContributions, gifts, or grants payable15 mmmmmBonds and notes payable16 mmmmmmmmmmmMortgages payable17 mmmmmmmmmmmmmmOther liabilities. Attach schedule18 mmmmmmmmCapital stock or principle fund19 mmmmmmmmmPaid-in or capital surplus. Attach reconciliation20 mRetained earnings or income fund21 mmmmmmmTotal liabilities and net worth22 mmmmmmmmm

Schedule M-1 Reconciliation of income per books with income per return

%Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $25,000

%1 Net income per books 7 Income recorded on books this yearmmmmmmmmmmmmmmmmmm

% %2 Federal income tax not included in this return.mmmmmmmmmmmmmmmmmmm3 Excess of capital losses over capital gains Attach schedulemmmmmmmmmmmmmmmmmm

%4 Income not recorded on books this 8 Deductions in this return not charged

%year. Attach schedule against book income this year.mmmmmmmmmmmmmmmmmm

%5 Expenses recorded on books this year not Attach schedulemmmmmmmmmm

deducted in this return. Attach schedule 9 Total. Add line 7 and line 8mmmmmmmmmmmmmm6 Total. 10 Net income per return.mmmmmmmmmmmmmmmm mmmmmAdd line 1 through line 5 Subtract line 9 from line 6

027 3652114Form 199 C1 2011Side 2

1Y0528 1.000

588,282.36,391.

-2,840.

621,833.ATCH 2 22,000.

ATCH 3 283,494.12,739,227.

37,307.358,187.

215,581.ATCH 4 9,150,071.

22,805,867.

3,793,563. 4,952,059.5,088,780. 5,860,286.

8,246.

9,008,049. 9,045,145.2,894,421. 6,113,628. 3,358,199. 5,686,946.

ATCH 5 74,074. 69,609.15,070,045. 16,577,146.

3,110,586. 4,185,124.

1,930,509. 1,586,783.ATCH 6ATCH 845,408. 252,938.

9,183,542. 10,552,301.15,070,045. 16,577,146.

9139BJ 577A V 11-6.5

DRAFT


FORM 199, PART I, LINE 3 - LIST OF CONTRIBUTORS ATTACHMENT 1

DIRECTPUBLIC GOVERNMENT

NAME AND ADDRESS DATE SUPPORT GRANTS

CALIFORNIA DEPT OF EDUCATION 06/30/2012 17,227,472.1430 N STREETSACRAMENTO, CA 95814

US DEPT OF EDUCATION 06/30/2012 796,318.400 MARYLAND AVEWASHINGTON DC, WA 20202

COUNTY OF LOS ANGELES-TAXES 06/30/2012 3,708,184.500 W TEMPLE STLOS ANGELES, CA 90012

PACIFIC PALISADES BOOSTER CLUB 06/30/2012 107,000.15777 BOWDOIN STREETPACIFIC PALISADES, CA 90272

THE SAM AND ROSE GILBERT TRUST A 06/30/2012 1,170,000.17965 SEABREEZE DRIVEPACIFIC PALISADES, CA 90272

US DEPARTMENT OF AGRICULTURE 06/30/2012 438,514.1400 INDEPENDENCE AVE SWWASHINGTON, DC 20250

PCHS - ASB 06/30/2012 46,691.15777 BOWDOIN STPACIFIC PALISADES, CA 90272

KATHLEEN KENNEDY & FRANK MARSHALL 06/30/2012 5,000.16055 VENTURA BLVD #535ENCINO, CA 91436

ATTACHMENT 19139BJ 577A V 11-6.5

DRAFT


FORM 199, PART I, LINE 3 - LIST OF CONTRIBUTORS ATTACHMENT 1 (CONT'D)

DIRECTPUBLIC GOVERNMENT

NAME AND ADDRESS DATE SUPPORT GRANTS

TITLE FOUNDATION 06/30/2012 5,000.577 CHAPALA DRPACIFIC PALISADES, CA 90272

OTHER CONTRIBUTORS <$5000 06/30/2012 50,606.15777 BOWDOIN STPACIFIC PALISADES, CA 90272

FUNDRAISING CONTRIBUTIONS 06/30/2012 1,747.15777 BOWDOIN STPACIFIC PALISADES, CA 90272

TOTAL CONTRIBUTION AMOUNTS 1,386,044. 22,170,488.


DRAFT


FORM 990, PART II - GRANTS AND ALLOCATIONS PAID DURING THE YEAR ATTACHMENT 2

RELATIONSHIP TO SUBSTANTIAL CONTRIBUTOR

AND

RECIPIENT NAME AND ADDRESS FOUNDATION STATUS OF RECIPIENT PURPOSE OF GRANT OR CONTRIBUTION AMOUNT

GRANTS PAID

GABRIEL KAUFMAN - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

HEEJAE YANG - COLLEGE SCHOLARSHIP STUDENT 4,000.COLLEGE SCHOLARSHIP

ERNST SCHMID - COLLEGE SCHOLARSHIP STUDENT 1,000.COLLEGE SCHOLARSHIP

ALANA CORRE - COLLEGE SCHOLARSHIP STUDENT 3,000.COLLEGE SCHOLARSHIP

SOHEILA KAMJOU - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

MIRAE DONG - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

MARITZA SANCHEZ - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

ETHAN GARBER - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLAGE SCHOLARSHIP

LUA MACHADO - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

JESSICA CONTRERAS - COLLEGE SCHOLARSHIP STUDENT 2,000.COLLEGE SCHOLARSHIP

TOTAL CONTRIBUTIONS PAID 22,000.

ATTACHMENT 2

9139BJ 577A V 11-6.5

DRAFT


ATTACHMENT 3

COMPENSATION OF OFFICERS, DIRECTORS, AND TRUSTEES

NAME TITLE COMPENSATION

PAMELA MAGEE EXECUTIVE DIRECTOR/PRINCIPAL 161,994.GREGORY WOOD CHIEF BUSINESS OFFICIAL 121,500.

TOTAL COMPENSATION OF OFFICERS, DIRECTORS, AND TRUSTEES 283,494.


DRAFT


ATTACHMENT 4

PART II - OTHER EXPENSES

ASSOCIATED STUDENT BODY 359,439.TEXTBOOKS, MATERIALS, SUPPLIES 258,013.NONCAPITALIZED EQUIPMENT 124,077.FOOD 359,985.DUES AND MEMBERSHIPS 33,453.NATURAL GAS SERVICES 347,007.RENTALS, LEASES AND REPAIRS 138,737.COMMUNICATIONS 44,363.OTHER EXPENDITURES 184,206.PENSION EXPENSE 1,082,702.EMPLOYEE BENEFITS 3,023,869.LEGAL EXPENSES 179,574.ACCOUNTING EXPENSE 5,490.OTHER FEES FOR SVCS 2,745,612.ADVERTISING 10,238.OFFICE EXPENSES 68,093.INFO. TECHNOLOGY 30,943.TRAVEL EXPENSES 1,079.CONFERENCES 23,644.INSURANCE 129,547.

TOTAL OTHER EXPENSES 9,150,071.


DRAFT


ATTACHMENT 5

SCHEDULE L - OTHER ASSETS

DESCRIPTION BEG. OF YEAR END OF YEAR

PREPAID EXPENSES 45,645. 69,609.OTHER ASSETS 28,429.

TOTAL OTHER ASSETS 74,074. 69,609.


DRAFT


CA 199 SCHEDULE L - OTHER LIABILITIESATTACHMENT 6


DUE TO SPONSORING DISTRICT 250,238.

TOTALS 250,238.


DRAFT

FORMTAXABLE YEAR California Exempt Organization2011 109Business Income Tax Return

Calendar Year 2011 or fiscal year beginning month day year , and ending month day year .CORP #

FEIN

A BFirst Return Filed? Is this an education IRA within the meaning ofR&TC Section 23712?Yes No Yes No

Corporation/Organization Name

Address

City State ZIP Code

C

D

Is the organization under audit by the IRS or has the IRS audited

in a prior year?.

H

I

J

K

Is the organization a non-exempt charitable trust as described

in IRC Section 4947(a)(1)?.%mmmmmmmmmmmmmmmm Yes No mmmmmmmmmmmmm Yes No

Final Return? Is this organization claiming any Enterprise Zone (EZ), Los Angeles

Revitalization Zone (LARZ), Local Agency Military Base Recovery Area

(LAMBRA), Targeted Tax Area (TTA), or Manufacturing Enhancement

Area (MEA) tax benefits?

Is this organization a qualified pension, profit-sharing, or stock

bonus plan as described in IRC Section 401(a)?

Unrelated Business Activity (UBA) Code

% %Dissolved

Merged/Reorganized (attach explanation)

Surrendered (Withdrawn)

%%%If a box is checked, enter date

Accounting Method Used:

Nature of trade or business

mmmmmmmmmmmmmmm Yes No

%mmmmmmmmmmmmmmmm Yes NoE Amended Return

F

G

(1) Cash (2) Accrual (3) Other Yes Nommmmmm%

00

0000000000000000000000

%%%%%%%%%%%%

1

2

3

4

5

6

7

8

9

1

2

3

4

5

6

7

8

9

Unrelated business taxable income from Side 2, Part II, line 30

Multiply line 1 by the average apportionment percentage

Apportionment Formula Worksheet, Part A, line 6 or Part B, line 2. See instructions

Enter the lesser amount from line 1 or line 2. If line 2 is zero, enter the amount from line 1

mmmmmmmmmmmmmmmmmmmmTaxableCorpora-tion

% from the Schedule R,

mmmmmmmmmmmmmmmmTaxableTrust mmmmmmmmmmmmmmmmmmmUnrelated business taxable income from Side 2, Part II, line 30

Unrelated business taxable income from line 3 or line 4

Enterprise zone, LAMBRA, LARZ, TTA, or Pierce’s disease losses

Net Operating Loss deduction. See General Information N

Add line 6 and line 7

Net unrelated business taxable income. Subtract line 8 from line 5

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmTaxCompu-tation

mmmmmmmmmmmmmmmmmm10

11b

11c

10

11

12

13

Tax % x line 9. See General Information J mmmmmmmmmmmmmmmmmmmmmmmma New jobs credit, amount generated.

c Tax credits from Schedule B. See instructions%a) 11 b) Amount claimedmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

d Total Credits. Add line 11b and 11cmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm%%%

%%%%%%

11d

12

13

14

19

20

21

22

23

24

25

27

00000000

000000000000

00

00

Balance. Subtract line 11d from line 10. If line 11d is greater than line 10, enter -0-

Alternative minimum tax. See General Information O

mmmmmmmmmmTotalTax mmmmmmmmmmmmmmmmmmmmmmmmm

14 Total tax. Add line 12 and line 13mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm00000000

%%%%

15

16

17

18

19

Overpayment from a prior year allowed as a credit

2011 estimated tax payments. See instructions

2011 withholding (Form 592-B and/or 593.) See instructions

Amount paid with extension (form FTB 3539)

Total payments and credits. Add line 15 through line 18

15

16

17

18

mmmmmmmmmmmmmmmmmmmPayments mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

20

21

22

Tax due. Subtract line 19 from line 14. Pay entire amount with return. See instructions

Overpayment. Subtract line 14 from line 19. See instructions

Enter amount of line 21 to be applied to 2012 estimate tax


Refund(DirectDeposit ofRefund) orAmountDue

23 Use tax. See instructionsmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm24 Refund. If the sum of line 22 and line 23 is less than line 21, then subtract the total from line 2124a

24c%a Fill in the account information to have the refund directly deposited. Routing numbermmmm%b Type: Checking% Savings% c Account Number mmmmmmmmmmmmm

25 Penalties and interest. See General Information M %mmmmmmmmmmmmmmmmmmmmmmmmmm%26 Check if estimate penalty computed using Exception B or C and attach form FTB 5806.

27 Total amount due. Add line 20, line 22, line 23, and line 25, then subtract line 21 from the resultmmmm

027 3641114For Privacy Notice, get form FTB 1131. Form 109 C1 2011 Side 1

1J0514 1.000

11 127 1 6 30X X


15777 BOWDOIN STREET

PACIFIC PALISADES CA 90272

X X

XX

X XSALE OF PERMITS 713990

-2,840.

8.84

9139BJ 577A V 11-6.5

DRAFT

Unrelated Business Taxable IncomePart I Unrelated Trade or Business Income

%%%%%%%%%%%%%%%%%%%%%%

%

%%%%%

1c

2

3

4a

4b

4c

5

6

7

8

9

1

2

3

4

5

6

7

8

9

a Gross receipts or gross sales

Cost of goods sold and/or operations (Schedule A, line 7)

Gross profit. Subtract line 2 from line 1c

a Capital gain net income. See Specific Line Instructions - Trusts attach Schedule D (541)

b Net gain (loss) from Part II, Schedule D-1

c Capital loss deduction for trusts

Income (or loss) from partnerships, limited liability companies, or S corporations. See specific line instructions.

Attach Schedule K-1 (565, 568, or 100S) or similar schedule

Rental income (Schedule C)

Unrelated debt-financed income (Schedule D)

Investment income of an R&TC Section 23701g, 23701i, or 23701n organization (Schedule E)

Interest, Annuities, Royalties, and Rents from controlled organizations (Schedule F)

Exploited exempt activity income (Schedule G)

Advertising income (Schedule H, Part III, Column A)

Other income. Attach schedule

Total unrelated trade or business income. Add line 3 through line 12

b Less returns and allowances 000000000000

000000000000000000

00000000000000

0000000000000000000000

Balance

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmm

10

11

12

13

10

11

12

13

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmPart II Deductions Not Taken Elsewhere (Except for contributions, deductions must be directly connected with the unrelated business income.)

14

15

16

17

18

19

20

14

15

16

17

18

19

20

21

Compensation of officers, directors, and trustees from Schedule I

Salaries and wages

Repairs

Bad debts

Interest. Attach schedule

Taxes. Attach schedule

Contributions. See instructions and attach schedule

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

%mmmmmmmmmmmmmmmmmmmmmmmmmmmm

a Depreciation (Corporations and Associations - Schedule J) (Trusts - form FTB 3885F) 21a 0000

m21

22

23a

23b

24

25

26

27

28

29

30

b Less: depreciation claimed on Schedule A. See instructions 21bmmmmmmm22

23

24

25

26

27

28

29

30

Depletion. Attach schedule mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmma Contributions to deferred compensation plansmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmb Employee benefit programs. See instructions mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmOther deductions. Attach schedule

Total deductions. Add line 14 through line 24

Unrelated business taxable income before allowable excess advertising costs. Subtract line 25 from line 13

Excess advertising costs (Schedule H, Part III, Column B)

Unrelated business taxable income before specific deduction. Subtract line 27 from line 26

Specific deduction. See instructions

Unrelated business taxable income. Subtract line 29 from line 28. If line 28 is a loss, enter line 28

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge andbelief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.Sign

Here %Date Telephone

PTIN

FEIN

Telephone

TitleSignatureof officer

%IDate Check if self-

employedPreparer'ssignature

%Paid

Preparer's

Use Only

I IFirm's name (or yours,if self-employed)and address %I

% Yes NoMay the FTB discuss this return with the preparer shown above? See instructionsmmmmmmmmmmmm

027 3642114Side 2 Form 109 C1 2011

1J0515 1.000

640,501. 640,501.

640,501.

640,501.

190,288.

ATCH 7 63,523.

248,197.248,197.

37,223.ATCH 8 104,110.

643,341.-2,840.

-2,840.1,000.-2,840.

P00067183

WILKINSON HADLEY KING & CO., LLP 52-2354566

218 W. DOUGLAS AVENUE 619-447-6700EL CAJON, CA 92020

X

9139BJ 577A V 11-6.5

DRAFT

Schedule A Cost of Goods Sold and/or Operations. Method of inventory valuation (specify)

1

2

3

4a

4b

5

6

7

1

2

3

4

5

6

7

Inventory at beginning of year

Purchases

Cost of labor

a Additional IRC Section 263A costs. Attach schedule

b Other costs. Attach schedule.

Total. Add line 1 through line 4b.

Inventory at end of year

0000000000000000

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm%%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmCost of goods sold and/or operations. Subtract line 6 from line 5. Enter here and on Side 2, Part I, line 2

Do the rules of IRC Section 263A (with respect to property produced or acquired for resale) apply to this organization?

mmmmNoYes

00

Schedule B Tax Credits. Do not claim the New Jobs Credit on Schedule B.

%%%

1

2

3

000000

1

2

3

Enter credit name code no. mEnter credit name code no. mEnter credit name code no. m

4 Total. Add line 1 through line 3. If claiming more than 3 credits, enter the total of all claimed credits,

except New Jobs Credit, on line 4. Enter here and on Side 1, line 11c 4mmmmmmmmmmmmmmmmmmmmmSchedule K Add-On Taxes or Recapture of Tax. See instructions.

1

2

3

4

5

Interest computation under the look-back method for completed long-term contracts. Attach form FTB 3834

Interest on tax attributable to installment:

IRC Section 197(f)(9)(B)(ii) election to recognize gain on the disposition of intangibles

Credit recapture. Credit name

Total. Combine the amounts on line 1 through line 4. See instructions

000000000000

%%%%%

1

2a

2b

3

4

5

ma Sales of certain timeshares or residential lots

b Method for non-dealer installment obligations

mmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

Schedule R Apportionment Formula Worksheet

Is this organization electing the Alternate Method - Single-Sales Factor Formula?

If "Yes," skip Part A and complete Part B. If "No," complete Part A and skip Part B.% Yes Nommmmmmmmmmmmmmmmmmmmmmmmmm

Part A. Standard Method - Three Factor Formula. Complete this part only if the corporation uses the three-factor formula. (The three-factor formula

includes the double-weighted sales factor.)

Use only for unrelated trade or business amounts (a) Total within and

outside California

(b) Total within California (c) Percent within

California (b) (a)(Property factor: See instructions

Payroll factor: Wages and other compensation of employees

Sales factor: Gross sales and/or receipts less returns and allowances

Multiply the factor on line 3, column (c) by 2.

Total percentage: Add the percentages in column (c), line 1, line 2, and line 4

Average apportionment percentage: Divide the factor on line 5 by 4 and enter the

1

2

3

4

5

6

%%%

%%%

%%%

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmm

result here and on Form 109, Side 1, line 2. See instructions for exceptionsmmmmPart B. Alternate Method - Single-Sales Factor Formula. Complete this part only if the corporation elects the single-sales factor formula.

(c) Percent within

California (b) (a)

(b) Total within California

This is an irrevocable annual election.

(a) Total within and

outside California

Use only for unrelated trade or business amounts (% %1 Total Sales mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

2 Apportionment percentage. Divide total sales column (b) by total sales column (a)

and enter result here and on Form 109, Side 1, line 2. %mmmmmmmmmmmmmmRental Income from Real Property and Personal Property Leased with Real PropertySchedule C

For rental income from debt-financed property, use Schedule D, R&TC Section 23701g, Section 23701i, and Section 23701n organizations. See instructions for exceptions.1 Description of property 2 Rent received

or accrued3 Percentage of rent attributable

to personal property

%

%%

4 Complete if any item in column 3 is more than 50%, or for any itemif the rent is determined on the basis of profit or income

5 Complete if any item in column 3 is more than 10%, but not more than 50%

(a) Deductions directly connected (attach schedule)

(b) Income includible, column 2 less column 4(a)

(a) Gross income reportable, column 2 x column 3

(b) Deductions directly connected with personal property (attach schedule)

(c) Net income includible, column 5(a) less column 5(b)

Add columns 4(b) and column 5(c). Enter here and on Side 2, Part I, line 6mmmmmmmmmmmmmmmmmmmmmmmm

027 3643114 Form 109 C1 2011 Side 3

1J0516 1.000

X

9139BJ 577A V 11-6.5

DRAFT

Schedule D Unrelated Debt-Financed Income1 Description of debt-financed property 3 Deductions directly connected with or allocable to debt-financed property2 Gross income from or

allocable to debt-financedproperty

(b) Other deductions (attachschedule)

(a) Straight-line depreciation(attach schedule)

Amount of average acquisitionindebtedness on or allocableto debt-financed property(attach schedule)

8 Allocable deductions,total of columns 3(a) and3(b) x column 6

4 5 Average adjusted basis of orallocable to debt-financedproperty (attach schedule)

6 Debt basis percentage, column 4 column 5

7 Gross income reportable,column 2 x column 6

9 Net income (or loss) includible, column 7 less column 8(

%

%

%

Total. Enter here and on Side 2, Part I, line 7mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSchedule E Investment Income of an R&TC Section 23701g, Section 23701i, or Section 23701n Organization

Set-asides

(attach schedule)

51 Description Deductions directly connected

(attach schedule)

Net investment income,

column 2 less column 3

Balance of investment income,

column 4 less column 5

2 Amount 3 4 6

Total. Enter here and on Side 2, Part I, line 8mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmEnter gross income from members (dues, fees, charges, or similar amounts) mmmmmmmmmmmmmmmmmmmmmmmmSchedule F Interest, Annuities, Royalties and Rents from Controlled Organizations

Exempt Controlled Organizations

EmployerIdentificationNumber

21 Name of controlled organizations 3 Net unrelatedincome (loss)

Deductions directlyconnected with incomein column (5)

64 Total of specifiedpayments made

5 Part of column (4) that isincluded in the controllingorganization's grossincome

1

2

3

Nonexempt Controlled Organizations

7 Taxable Income 8 Net unrelatedincome (loss)

Deductions directlyconnected with incomein column (10)

1 19 Total of specifiedpayments made

1 0 Part of column (9) that isincluded in the controllingorganization's grossincome

1

2

3

4

5

6

Add columns 5 and 10

Add columns 6 and 11

Subtract line 5 from line 4. Enter here and on Side 2, Part 1, line 9

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmSchedule G Exploited Exempt Activity Income, other than Advertising Income1 Description of exploited activity (attach schedule

if more than one unrelated activity is exploiting the same exempt activity)

2 Gross unrelatedbusiness incomefrom trade orbusiness

3 Expenses directlyconnected withproduction ofunrelatedbusiness income

4 Net income fromunrelated tradeor business,column 2 lesscolumn 3

5 Gross incomefrom activity that isnot unrelatedbusiness income

6 Expensesattributableto column 5

7 Excess exemptexpense,column 6 lesscolumn 5 but notmore thancolumn 4

8 Net incomeincludible,column 4 lesscolumn 7 butnot less thanzero

Total. Enter here and on Side 2, Part I, line 10 mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

027 3644114Side 4 Form 109 C1 2011

1J0517 1.000

9139BJ 577A V 11-6.5

DRAFT

Schedule H Advertising Income and Excess Advertising Costs

Part I Income from Periodicals Reported on a Consolidated Basis1 2 3 5 6Name of periodical Gross

advertisingincome

Directadvertisingcosts

Circulationincome

Readershipcosts

If column 5 is greater thancolumn 6, enter the incomeshown in column 4, inPart III, column A(b). Ifcolumn 6 is greater thancolumn 5, subtract the sumof column 6 and column 3from the sum of column 5and column 2. Enter amountin Part III, column A(b). If theamount is less than zero,enter -0-.

74 Advertising incomeor excess advertisingcosts. If column 2 isgreater than column 3,complete columns 5,6, and 7. If column 3is greater thancolumn 2, enter theexcess in Part III,column B(b). Do notcomplete columns 5,6, and 7.

TotalsmmmmmmmmmmmmmPart II Income from Periodicals Reported on a Separate Basis

Part III Column A - Net Advertising Income Part III Column B - Excess Advertising Costs

(a) Enter "consolidated periodical" and/ornames of non-consolidated periodicals

(b) Enter total amount from Part I, column 4 or7, and amounts listed in Part II, cols. 4 and 7

(a) Enter "consolidated periodical" and/ornames of non-consolidated periodicals

(b) Enter total amount from Part I, column 4,and amounts listed in Part II, column 4

Enter total here and on Side 2, Part I, line 11 Enter total here and on Side 2, Part II, line 27

Schedule I Compensation of Officers, Directors, and Trustees

1 Name of Officer 2 SSN or ITIN 3 Title 4 Percent of time devotedto business

5 Compensation attributableto unrelated business

6 Expense account allowances

%

%

%

%

%

Total. Enter here and on Side 2, Part II, line 14mmmmmmmmmmmmmmmmmmmmmmmmmmmmSchedule J Depreciation (Corporations and Associations only. Trusts use form FTB 3885F.)

1 Group and guideline class or descriptionof property

2 Date acquired 3 Cost or other basis 4 Depreciation allowedor allowable in prioryears

5 Method of computingdepreciation

6 Life or rate 7 Depreciation forthis year

1

2

3

4

5

6

Total additional first-year depreciation (do not include in items below)

Other depreciation:

Buildings

Furniture and fixtures

Transportation equipment

Machinery and other equipment

Other (specify)

Other depreciation

Total

Amount of depreciation claimed elsewhere on return

Balance. Subtract line 5 from line 4. Enter here and on Side 2, Part II, line 21a

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm

mmmmmmmmmmmmmm

mmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmmm


027 3645114 Form 109 C1 2011 Side 5

1J0518 1.000

ATTACHMENT 9

1,072,733.

248,197.248,197.

248,197.

9139BJ 577A V 11-6.5

DRAFT

2011Description of Property

DEPRECIATIONDate Unadjusted 179 exp. M A Current-yearBeginning Ending

Bus. Basis for Current-yearplaced in Cost reduction Basis Accumulated ACRS CRS 179Accumulated Me-Asset description service or basis % in basis Reduction depreciation depreciation depreciation Life class class expense depreciationConv.thod

Less: Retired AssetsmmmmmmmmmmmmSubtotalsmmmmmmmmmmmmmmmmmListed Property

Less: Retired Assets mmmmmmmmmmmmSubtotalsmmmmmmmmmmmmmmmmmTOTALSmmmmmmmmmmmmmmmmmmAMORTIZATION

Date Cost EndingCurrent-yearplaced in or Accumulated Accumulated

amortizationAsset description service basis amortization Code Life amortization

TOTALSmmmmmmmmmmmmmmmmmm*Assets RetiredJSA1X9024 1.000


POOL VARIOUS 5,494,540. 63.000 3,461,560. 94,406. 220,281. SL 27.500 125,875.

TRACK & FIELD VARIOUS 1,504,964. 63.000 948,127. 581,162. 703,484. SL 7.000 122,322.

4,409,687. 675,568. 923,765. 248,197.

6,999,504. 4,409,687. 675,568. 923,765. 248,197.

9139BJ 577A V 11-6.5

6,999,504.

DRAFT


ATTACHMENT 7

FORM 109, PART II, LINE 18 - INTEREST

LONG TERM DEBT INTEREST EXPENSE 63,523.

FORM 109, PART II, LINE 18 - INTEREST 63,523.


DRAFT


ATTACHMENT 8

FORM 109, PART II, LINE 24 - TOTAL OTHER DEDUCTIONS

CUSTODIAL SUPPORT - CONSULTING 6,000.UTILITIES 40,000.INSURANCE 3,000.SUPPLIES 55,110.

FORM 109, PART II, LINE 24 - OTHER DEDUCTIONS 104,110.


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