2012 TAX RETURN
Client Copy Client:
27411563
Prepared for:
VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132 408-410-4920
Prepared by:
Cuc Trinh-Nguyen E.A TAX CONSULTATION OF AMERICA 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923 (408) 971-1888
Date:
February 15, 2013
Comments:
Route to:
FDIL2001L
05/31/12
2012 Exempt Org. Return prepared for: VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132
TAX CONSULTATION OF AMERICA 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923
TAX CONSULTATION OF AMERICA 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923 (408) 971-1888
VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132 408-410-4920 FEDERAL FORMS Form 990-EZ Schedule A Schedule O Form 990-T Form 8879-EO
2012 Return of Organization Exempt from Income Tax Organization Exempt Under Section 501(c)(3) Supplemental Information 2012 Exempt Organization Bus. Income Tax Return IRS e-file Signature Authorization
CALIFORNIA FORMS Form 199 Form 109 Form 3805Q Form RRF-1
2012 California Exempt Organization Return 2012 California Exempt Org. Bus. Inc. Tax Return NOL Deduction - Corporations 2013 Registration/Renewal Fee Report
FEE SUMMARY Preparation Fee
Client 27411563 February 15, 2013
2012
Federal Exempt Organization Tax Summary (EZ) VIET DREAMS
Page 1 27-4115634
2012
2011
Diff
FORM 990-EZ REVENUE Contributions, gifts, and grants . . . . . . . . . . . . Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
97,985 46
81,495 0
16,490 46
Total revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
98,031
81,495
16,536
EXPENSES Grants and similar amounts paid. . . . . . . . . . . . . . Professional fees/pymt to contractors. . . . . Printing, publications, and postage. . . . . . . . Other expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44,175 230 158 25,801
41,271 515 657 15,681
2,904 -285 -499 10,120
Total expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70,364
58,124
12,240
NET ASSETS OR FUND BALANCES Excess or (deficit) for the year . . . . . . . . . . . . Net assets/fund bal. at beg. of year . . . . . . Net assets/fund bal. at end of year. . . . . . . .
27,667 24,898 52,565
23,371 1,527 24,898
4,296 23,371 27,667
2012
Federal Unrelated Business Income Tax Summary VIET DREAMS
Page 1 27-4115634
2012
2011
Diff
REVENUE Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
0
46
Total revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
0
46
DEDUCTIONS Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
UNRELATED BUSINESS TAXABLE INCOME Unrelated bus taxable inc (line 30). . . . . . . . Unrelated bus taxable inc (line 32). . . . . . . . Specific deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46 46 1,000
0 0 0
46 46 1,000
Unrelated business taxable income. . . . . . . . . . .
0
0
0
TAX COMPUTATION Income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
Net tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
PAYMENTS AND CREDITS Total payments and credits . . . . . . . . . . . . . . . . . . . . .
0
0
0
REFUND OR AMOUNT DUE Tax due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Overpayment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 0
0 0
0 0
2012
California 199 Tax Summary
Page 1
VIET DREAMS
27-4115634
2012
2011
Diff
REVENUE Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross contributions, gifts, & grants . . . . . .
46 97,985
0 81,495
46 16,490
Total income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
98,031
81,495
16,536
EXPENSES AND DISBURSEMENTS Contributions, gifts, grants . . . . . . . . . . . . . . . . . . Other deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44,175 26,189
41,271 16,853
2,904 9,336
Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
70,364
58,124
12,240
Excess of receipts over disbursements. . . . .
27,667
23,371
4,296
FILING FEE Filing fee . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10 10
10 10
0 0
SCHEDULE L Beginning Assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Beginning Liabilities & Net Worth. . . . . . . . . . .
24,898 24,898
1,527 1,527
23,371 23,371
Ending Assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ending Liabilities & Net Worth . . . . . . . . . . . . . . .
52,565 52,565
24,898 24,898
27,667 27,667
2012
California 109 Tax Summary
Page 1
VIET DREAMS
27-4115634
2012
2011
Diff
REVENUE Other income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
0
46
Total unrelated business income. . . . . . . . . . . . . .
46
0
46
DEDUCTIONS Total deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
UNRELATED BUSINESS TAXABLE INCOME Unrel. bus. taxable income (Line 26) . . . . . . Unrel. bus. taxable income (Line 28) . . . . . . Specific deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Unrelated business taxable income. . . . . . . . . . .
46 46 1,000 -954
0 0 0 0
46 46 1,000 -954
TAX COMPUTATION Net unrelated business taxable income. . . . . Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Less credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
-954 0 0 0
0 0 0 0
-954 0 0 0
Total tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
PAYMENTS Total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
REFUND OR AMOUNT DUE Overpayment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Penalties and interest . . . . . . . . . . . . . . . . . . . . . . . . . . .
0 0
0 0
0 0
Total due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
0
0
2012
General Information
Page 1
VIET DREAMS
27-4115634
Forms needed for this return Federal: 990-EZ, Sch A, Sch O, 990-T California: 199, 109, 3805Q, RRF-1
Tax Rates Unrelated Business Federal California
Marginal 0. % 8.8 %
Effective 0. % 0. %
Carryovers to 2013 California Carryovers Eligible Small Business Loss
954.
2012
Preparer e-file Instructions - Federal VIET DREAMS
Page 0 27-4115634
The organization's Federal tax return is NOT FINISHED until you complete the following instructions.
Prior to transmission of the return Form 990-EZ The organization should review their Federal Return along with any accompanying schedules and statements. Paperless e-file The organization should read, sign and date the Form 8879-EO, IRS e-file Signature Authorization. Even Return No payment is required.
After transmission of the return Receive acknowledgement of your e-file transmission status. Within several hours, connect with Lacerte and get your first acknowledgement (ACK) that Lacerte has received your transmission file. Connect with Lacerte again after 24 and then 48 hours to receive your Federal ACKs. Keep a signed copy of Form 8879-EO, IRS e-file Signature Authorization in your files for 3 years. Do not mail: Form 8879-EO IRS e-file Signature Authorization Additional Instructions: Form 990-T (Exempt Organization Business Income Tax Return) return cannot be filed electronically. You must file this return as a conventional paper return.
Form
IRS e-file Signature Authorization for an Exempt Organization
8879-EO
For calendar year 2012, or fiscal year beginning
, 2012, and ending
OMB No. 1545-1878
,
.
2012
G Do not send to the IRS. Keep for your records.
Department of the Treasury Internal Revenue Service Name of exempt organization
Employer identification number
27-4115634
VIET DREAMS
Name and title of officer
QUAN K NGUYEN President & CEO Part I Type of Return and Return Information (Whole Dollars Only) Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check 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, then leave 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. 1a 2a 3a 4a 5a
Form 990 check here. . . . . G b Total revenue, if any (Form 990, Part VIII, column (A), line 12). . . . . . . . . Form 990-EZ check here . . . . . G X b Total revenue, if any (Form 990-EZ, line 9). . . . . . . . . . . . . . . . . . . . . . . . Form 1120-POL check here. . . . . . G b Total tax (Form 1120-POL, line 22). . . . . . . . . . . . . . . . . . . . . . . . . . . . Form 990-PF check here . . . . . G b Tax based on investment income (Form 990-PF, Part VI, line 5). . . . Form 8868 check here. . . . G b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) . . . . . . . . . . . . .
1b 2b 3b 4b 5b
98,031.
Part II Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2012 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization'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 of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only X I authorize TAX CONSULTATION
OF AMERICA
to enter my PIN
ERO firm name
27411
as my signature
Enter five numbers, but do not enter all zeros
on the organization's tax year 2012 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 of the IRS Fed/State program, I also authorize the aforementioned ERO 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 2012 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 of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Officer's signature
Date G
G
Part III Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
77555021255 do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2012 electronically filed return for the organization indicated 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.
ERO's signature
G
Cuc Trinh-Nguyen E.A
Date G
ERO Must Retain This Form ' See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So Form 8879-EO
BAA For Paperwork Reduction Act Notice, see instructions.
TEEA7401L 11/09/12
Form
Short Form Return of Organization Exempt From Income Tax
990-EZ
OMB No. 1545-1150
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)
2012
Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions). All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form. G The organization may have to use a copy of this return to satisfy state reporting requirements.
Open to Public Inspection
G Department of the Treasury Internal Revenue Service
A B
For the 2012 calendar year, or tax year beginning Check if applicable: C Address change Name change Initial return Terminated
VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132
L
Employer identification number
E
Telephone number
27-4115634
F Group Exemption Number. . . . . . . . . . . . G
Application pending
K
D
408-410-4920
Amended return
G Accounting Method: X Cash I Website: G N/A J Tax-exempt status (check only one) '
,
, 2012, and ending
Accrual
X 501(c)(3)
Other (specify) G 501(c) (
) H(insert no.)
4947(a)(1) or
H Check G X if the organization is not required to attach Schedule B (Form 990, 990-EZ, or 990-PF). 527
Check G if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return. Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ. . . . . . . . . G $ 98,031.
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
1 2 3 4 5a b 6 R E V E N U E
Check if the organization used Schedule O to respond to any question in this Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 97,985. Program service revenue including government fees and contracts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Membership dues and assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . . Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E X P E N S E S
A S NS EE TT S
19 20 21
5c
6b 6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . 7a b Less: cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a). . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Other revenue (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 10 11 12 13 14 15 16 17 18
6d
7c 8 9 See Schedule O 10 Grants and similar amounts paid (list in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefits paid to or for members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Professional fees and other payments to independent contractors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Occupancy, rent, utilities, and maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Printing, publications, postage, and shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other expenses (describe in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .See . . . . . .Schedule .............O ........ 16 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Other changes in net assets or fund balances (explain in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Net assets or fund balances at end of year. Combine lines 18 through 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 21
BAA For Paperwork Reduction Act Notice, see the separate instructions.
TEEA0803L
12/07/12
46.
5a 5b
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gaming and fundraising events a Gross income from gaming (attach Schedule G if greater than $15,000) . . . . 6a of contributions b Gross income from fundraising events (not including $ from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000) . . . . . . . . . . . . . . . . . c Less: direct expenses from gaming and fundraising events . . . . . . . . . . . . . . . .
2 3 4
98,031. 44,175. 230. 158. 25,801. 70,364. 27,667. 24,898. 52,565. Form 990-EZ (2012)
VIET DREAMS Part II Balance Sheets. (see the instructions for Part II.)
27-4115634
Form 990-EZ (2012)
Page 2
Check if the organization used Schedule O to respond to any question in this Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Beginning of year (B) End of year 22 Cash, savings, and investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,898. 22 52,565. 23 Land and buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 24 Other assets (describe in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 25 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,898. 25 52,565. 26 Total liabilities (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 26 0. 27 Net assets or fund balances (line 27 of column (B) must agree with line 21). . . . . . . . . . 24,898. 27 52,565. Expenses Part III Statement of Program Service Accomplishments (see the instrs for Part III.) Check if the organization used Schedule O to respond to any question in this Part III. . . . . . . . . . . . . . X (Required for section 501 (c)(3) and 501(c)(4) What is the organization's primary exempt purpose? See Schedule O organizations and section Describe the organization's program service accomplishments for each of its three largest program services, as 4947(a)(1) trusts; optional measured by expenses. In a clear and concise manner, describe the services provided, the number of persons for others.) benefited, and other relevant information for each program title. 28
BUILT WATER FILTRATION SYSTEMS FOR THE ORPHANAGE. PROVIDED CLOTHING,BOOK FOR THE CHILDREN AT THE ORPHANAGE. (Grants
$
) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G
28 a
(Grants
$
) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G
29 a
29
44,175.
30
31 32
(Grants $ ) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G 30 a Other program services (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G 31 a Total program service expenses (add lines 28a through 31a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 32
Part IV
44,175. List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Name and Title
(b) Average hours per week devoted to position
QUAN K NGUYEN President & CEO VIVIAN TRUONGGIA Chairman XUAN NHUT TRAN Vice President CUC TRINH Treasurer
BAA
TEEA0812L
(c) Reportable compensation (Forms W-2/1099-MISC) (If not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
(e) Estimated amount of other compensation
5
0.
0.
0.
5
0.
0.
0.
6
0.
0.
0.
4
0.
0.
0.
12/28/12
Form 990-EZ (2012)
Page 3 VIET DREAMS 27-4115634 Part V Other Information (Note the Schedule A and personal benefit contract statement requirements inSee Schedule O the instructions for Part V) Check if the organization used Schedule O to respond to any question in this Part V . . . . . . . . . . . . . . . . . X
Form 990-EZ (2012)
Yes Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' provide a detailed description of each activity in Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 34 Were any significant changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the amended documents if they reflect 34 a change to the organization's name. Otherwise, explain the change on Schedule O (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a b If 'Yes,' to line 35a, has the organization filed a Form 990-T for the year? If 'No,' provide an explanation in Schedule O . . . 35 .. b c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If 'Yes,' complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . 35 c 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If 'Yes,' complete applicable parts of Schedule N. . . . . . . . . . . . . . . . . . . . . . . . . . . 36 37 a Enter amount of political expenditures, direct or indirect, as described in the instructions . G 37 a 0. b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 b 38 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?. . . . . . . . . . . . 38 a b If 'Yes,' complete Schedule L, Part II and enter the total amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 b N/A 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 a N/A b Gross receipts, included on line 9, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . 39 b N/A 33
No
X X X X X X X
40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 G 0. ; section 4912 G 0. ; section 4955 G 0. b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported 40 b on any of its prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958. . . . . . . . G 0. d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 0. e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If 'Yes,' complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 List the states with which a copy of this return is filed G None
42 a The organization's books are in care of G Located at G 88 W
43
CUC TRINH-NGUYEN TULLY ROAD STE 116
SAN JOSE CA
Telephone no. G ZIP + 4 G
X
40 e
408-971-1888 95111 Yes
No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . If 'Yes,' enter the name of the foreign country:G
42 b
X
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside of the U.S.?. . . . . . . . . . . . . . . . . . . . . If 'Yes,' enter the name of the foreign country:G
42 c
X
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ' Check here . . . . . . . . . . . . . . . . . . . . . . . G and enter the amount of tax-exempt interest received or accrued during the tax year. . . . . . . . . . . . . . . . . . . . . . G 43 Yes
N/A N/A No
44 a Did the organization maintain any donor advised funds during the year? If 'Yes,' Form 990 must be completed instead of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44 a
X
b Did the organization operate one or more hospital facilities during the year? If 'Yes,' Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization receive any payments for indoor tanning services during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44 b 44 c
X X
d If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 a Did the organization have a controlled entity of the organization within the meaning of section 512(b)(13)? . . . . . . . . . . . .
44 d 45 a
X
b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If 'Yes,' Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 b X TEEA0812L 12/28/12 Form 990-EZ (2012)
Form 990-EZ (2012) 46
VIET DREAMS
27-4115634
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part VI
Page 4 Yes No
X
46
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E. . . . . . . . . . . . . . . . . . . . 49 a Did the organization make any transfers to an exempt non-charitable related organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' was the related organization a section 527 organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' 47
(a) Name and title of each employee paid more than $100,000
(b) Average hours per week devoted to position
(c) Reportable compensation (Forms W-2/1099-MISC)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
47 48 49 a 49 b
No
X X X
(e) Estimated amount of other compensation
None
51
f Total number of other employees paid over $100,000. . . . . . . . G Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' (a) Name and address of each independent contractor paid more than $100,000
(b) Type of service
(c) Compensation
None
52
d Total number of other independent contractors each receiving over $100,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Did the organization complete Schedule A? Note: All section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
X Yes
No
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
A A
Signature of officer
QUAN K NGUYEN
President & CEO
Type or print name and title.
Print/Type preparer's name
Paid Preparer Use Only
Date
Preparer's signature
Date
Cuc Trinh-Nguyen E.A Cuc Trinh-Nguyen E.A Firm's name G TAX CONSULTATION OF AMERICA Firm's address G 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923
PTIN Check if self-employed
P00621255
G 77-0454243 (408) 971-1888 May the IRS discuss this return with the preparer shown above? See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X Yes No Firm's EIN Phone no.
Form 990-EZ (2012)
TEEA0812L
12/28/12
OMB No. 1545-0047
SCHEDULE A
2012
Public Charity Status and Public Support
(Form 990 or 990-EZ)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service
Open to Public Inspection
G Attach to Form 990 or Form 990-EZ. G See separate instructions.
Name of the organization
Employer identification number
VIET DREAMS 27-4115634 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 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 5 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
X An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts from activities
9
related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% 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 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.
10 11
a e f g
Type I
b
Type II
c
Type III ' Functionally integrated
Type III ' Non-functionally integrated
d
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 is a Type I, Type II or Type III supporting organization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? Yes
h
(i)
A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 g (i)
(ii)
A family member of a person described in (i) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 g (ii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
11 g (iii)
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-9 above or IRC section (see instructions))
(iv) Is the (v) Did you notify organization in the organization in column (i) listed in column (i) of your your governing support? document?
Yes
No
Yes
No
(vi) Is the organization in column (i) organized in the U.S.?
Yes
No
(vii) Amount of monetary support
No
(A) (B) (C) (D) (E) Total BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA0401L
08/09/12
Schedule A (Form 990 or 990-EZ) 2012
VIET DREAMS 27-4115634 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Page 2
Schedule A (Form 990 or 990-EZ) 2012
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) G 1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.'). . . . . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 4 Total. Add lines 1 through 3 . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f). . . 6
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
Public support. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) G 7
Amounts from line 4 . . . . . . . . . .
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . . . Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . .
9
10
11
Total support. Add lines 7 through 10. . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
12
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
G
Section C. Computation of Public Support Percentage Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . .
14 15
Public support percentage from 2011 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 15
% %
16 a 33-1/3% support test ' 2012. If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G b 33-1/3% support test ' 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 a 10%-facts-and-circumstances test ' 2012. 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 organization . . . . . . . . . . b 10%-facts-and-circumstances test ' 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . 18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . .
BAA
G
G G
Schedule A (Form 990 or 990-EZ) 2012
TEEA0402L
08/09/12
VIET DREAMS Support Schedule for Organizations Described in Section 509(a)(2)
27-4115634
Schedule A (Form 990 or 990-EZ) 2012
Part III
Page 3
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal yr beginning in) G 1 Gifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') . . . . . . . . . 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose. . . . . . . . . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 6 Total. Add lines 1 through 5 . . . 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons. . . . . . . . . . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. . . . . . . . . . . . . . . . . . . c Add lines 7a and 7b. . . . . . . . . . . 8 Public support (Subtract line 7c from line 6.) . . . . . . . . . . . . . . .
(a) 2008
(c) 2010
(b) 2009
(d) 2011
(f) Total
(e) 2012
81,487.
81,487.
0. 0. 0.
0.
0.
0.
81,487.
0.
0. 81,487.
0.
0.
0.
0.
0.
0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0. 81,487.
Section B. Total Support Calendar year (or fiscal yr beginning in) G 9 Amounts from line 6 . . . . . . . . . . 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. . . c Add lines 10a and 10b. . . . . . . . . 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . . . 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 13 Total support. (Add lns 9, 10c, 11, and 12.) 14
(a) 2008
(b) 2009
0.
(c) 2010
0.
(d) 2011
0.
(f) Total
(e) 2012
81,487.
0.
81,487.
0.
0.
0.
0.
0.
0. 0.
0.
0.
0.
0.
0.
81,487.
0.
0. 81,487.
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G X
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2011 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
% %
15 16
Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17 18 Investment income percentage from 2011 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 a 33-1/3% support tests ' 2012. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . b 33-1/3% support tests ' 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . BAA
TEEA0403L
08/09/12
% % G G G
Schedule A (Form 990 or 990-EZ) 2012
Page 4 VIET DREAMS 27-4115634 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Schedule A (Form 990 or 990-EZ) 2012
Part IV
BAA
Schedule A (Form 990 or 990-EZ) 2012 TEEA0404L
08/10/12
SCHEDULE O (Form 990 or 990-EZ)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
G Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012 Open to Public Inspection
Name of the organization
Employer identification number
VIET DREAMS
27-4115634
Form 990-EZ, Part III - Organization's Primary Exempt Purpose PROVIDING FOOD, CLOTHING, FUNDS FOR THE ORPHANAGE AND HELPING TO BUILD WATER SYSTEMS FOR BETTER LIVING. Form 990-EZ, Part V - Regarding Transfers Associated with Personal Benefit Contracts (a)
Did the organization, during the year, receive any funds, directly or
indirectly, to pay premiums on a personal benefit contract?. . . . . . . . . . . . . . . . . . . . . . . . . . . (b)
No
Did the organization, during the year, pay premiums, directly or
indirectly, on a personal benefit contract?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA4901L
12/8/12
No
Schedule O (Form 990 or 990-EZ) 2012
2012
Schedule O - Supplemental Information
Page 2
VIET DREAMS
27-4115634
Form 990-EZ, Part I, Line 10 Grants and Similar Amounts Paid In Excess of $5,000 Class of Activity: Donee's Name: Cash Amount Given:
FINANCIAL SUPPORT KOMTOM ORPHANAGE
Donee's Name: Cash Amount Given:
DA NANG ORPHANAGE
$
27,375.
$
16,800.
Form 990-EZ, Part I, Line 16 Other Expenses Advertising and Promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Dues and Subscriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Office Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $
22,782. 83. 1,220. 400. 296. 1,020. 25,801.
Form
990-T
Department of the Treasury Internal Revenue Service
A B
C
Check box if address changed Exempt under section X 501( c )( 3 ) 408(e) 220(e) 408A 530(a) 529(a) Book value of all assets at end of year
52,565.
Exempt Organization Business Income Tax Return (and
OMB No. 1545-0687
proxy tax under section 6033(e)) For calendar year 2012 or other tax year beginning and ending ,
2012
, 2012,
Open to Public Inspection for 501(c)(3) Organizations Only
G See separate instructions. (
Print or Type
Check box if name changed and see instructions.)
VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132
F Group exemption number (See instructions.)G G Check organization type . . . . . G X 501(c) corporation
D
Employer identification number (Employees' trust, see instructions.)
E
Unrelated business activity codes (see instructions.)
27-4115634
501(c) trust
401(a) trust
Other trust
H Describe the organization's primary unrelated business activity. G During the tax year, was the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group?. . . . G
I
If 'Yes,' enter the name and identifying number of the parent corporation. . . . G The books are in care of G CUC TRINH-NGUYEN (A) Income Part I Unrelated Trade or Business Income 1 a Gross receipts or sales. . . b Less returns and allowances. . . . c BalanceG 1c 2 Cost of goods sold (Schedule A, line 7). . . . . . . . . . . . . . . . . . . . . . . 2 3 Gross profit. Subtract line 2 from line 1c. . . . . . . . . . . . . . . . . . . . . . 3 4 a Capital gain net income (attach Schedule D). . . . . . . . . . . . . . . . . . 4 a b Net gain (loss) (Form 4797, Part II, line 17) (attach Form 4797). . . . . . . . . . . . . 4 b c Capital loss deduction for trusts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 c 5 Income (loss) from partnerships and S corporations (attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Rent income (Schedule C). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Unrelated debt-financed income (Schedule E). . . . . . . . . . . . . . . . . 7 8 Interest, annuities, royalties, and rents from controlled organizations (Schedule F) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Investment income of a section 501(c)(7), (9), or (17) organization (Sch G) . . . . 9 10 Exploited exempt activity income (Schedule I) . . . . . . . . . . . . . . . . 10 11 Advertising income (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12 Other income (See instructions; attach statement) . . . . . . . . . . . . See Statement 1 12 13 Total. Combine lines 3 through 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
J
Part II 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34
Telephone numberG (B) Expenses
X No
Yes
408-971-1888 (C) Net
46. 46. 0. 46. Deductions Not Taken Elsewhere (see instructions for limitations on deductions.) (except for contributions, deductions must be directly connected with the unrelated business income)
Compensation of officers, directors, and trustees (Schedule K). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Repairs and maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest (attach statement). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes and licenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Charitable contributions (See instructions for limitation rules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation (attach Form 4562) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Less depreciation claimed on Schedule A and elsewhere on return. . . . . . . . . . . . . 22 a Depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Contributions to deferred compensation plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Employee benefit programs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excess exempt expenses (Schedule I) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Excess readership costs (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other deductions (attach statement). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA For Paperwork Reduction Act Notice, see instructions. TEEA0205L 12/04/12
14 15 16 17 18 19 20 22 b 23 24 25 26 27 28 29 30 31 32 33 34
46. 46. 1,000. 0. Form 990-T (2012)
VIET DREAMS Tax Computation
27-4115634
Form 990-T (2012)
Part III
Page 2
35
Organizations Taxable as Corporations. (see instructions for tax computation) Controlled group members (sections 1561 and 1563) check here G 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). . . . . . . $ (2) Additional 3% tax (not more than $100,000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ c Income tax on the amount on line 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 36 Trusts taxable at trust rates. (see instructions for tax computation) Income tax on the amount on line 34 from: Tax rate schedule or Schedule D (Form 1041) . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 37 Proxy tax. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 38 Alternative minimum tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Total. Add lines 37 and 38 to line 35c or 36, whichever applies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
35 c
0.
36 37 38 39
0.
40 e 41
0. 0.
42 43
0.
45
0.
Tax and Payments
40 a Foreign tax credit (corporations attach Form 1118; trusts attach Form 1116) . . . 40 a b Other credits (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 b c General business credit. Attach Form 3800 (see instructions) . . . . . . . . . . . . . . . . . 40 c d Credit for prior year minimum tax (attach Form 8801 or 8827). . . . . . . . . . . . . . . . . 40 d e Total credits. Add lines 40a through 40d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Subtract line 40e from line 39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Form 4255 Form 8611 Form 8697 Form 8866 42 Other taxes. Check if from: Other (attach statement). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Total tax. Add lines 41 and 42. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 a Payments: A 2011 overpayment credited to 2012. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 a b 2012 estimated tax payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 b c Tax deposited with Form 8868 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 c d Foreign organizations: Tax paid or withheld at source (see instructions) . . . . . . . 44 d e Backup withholding (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44 e f Credit for small employer health insurance premiums (Attach Form 8941). . . . . . 44 f Form 2439 g Other credits and payments: Form 4136 Other Total. . . . G 44 g 45 Total payments. Add lines 44a through 44g. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Estimated tax penalty (see instructions). Check if Form 2220 is attached . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 47 Tax due. If line 45 is less than the total of lines 43 and 46, enter amount owed . . . . . . . . . . . . . . . . . . . . . . . . . . G
46 47 48
Overpayment. If line 45 is larger than the total of lines 43 and 46, enter amount overpaid . . . . . . . . . . . . . . . . G Enter the amount of line 48 you want: Credited to 2013 estimated tax G Refunded G 49
48 49
Part V
Statements Regarding Certain Activities and Other Information (see instructions) At any time during the 2012 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 G
1
Yes
No
X X
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. Enter the amount of tax-exempt interest received or accrued during the tax yearG $ 0.
2 3
Schedule A ' Cost of Goods Sold. Enter method of inventory valuation G 1 2 3 4a
Inventory at beginning of year . . . . . . . . . . Purchases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost of labor. . . . . . . . . . . . . . . . . . . . . . . . . . .
(att. stmt.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1 through 4b . . . . . . . . . . .
Sign Here Paid Preparer Use Only BAA
6
Inventory at end of year . . . . . .
6
7
Cost of goods sold. Subtract line 6 from line 5. Enter here and in Part I, line 2. . . . . . . . . . .
7
Additional section 263A costs (attach statement)
b Other costs 5
1 2 3
Yes
4a 4b 5
No
Do the rules of section 263A (with respect to property produced or acquired for resale) apply to the organization? . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
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. May the IRS discuss this return with the preparer shown below (see instructions)? Signature of officer Date Title
A
Print/Type preparer's name
A
Preparer's signature
X Yes
Date
Cuc Trinh-Nguyen E.A Cuc Trinh-Nguyen E.A Firm's name G TAX CONSULTATION OF AMERICA Firm's address G 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923 TEEA0202L
President & CEO
12/04/12
Check
if
No
PTIN
P00621255 G 77-0454243
self-employed Firm's EIN
Phone no.
(408) 971-1888 Form 990-T (2012)
Page 3 VIET DREAMS 27-4115634 Schedule C ' Rent Income (From Real Property and Personal Property Leased With Real Property) (see instructions) Form 990-T (2012)
Description of property
1 (1) (2) (3) (4)
2 Rent received or accrued (a) From personal property (b) From real and personal property (if the percentage of rent for personal (if the percentage of rent for personal property is more than 10% but not property exceeds 50% or if the rent is more than 50%) based on profit or income) (1) (2) (3) (4) Total
3(a) Deductions directly connected with the income in columns 2(a) and 2(b) (attach statement)
Total
(b) Total deductions. Enter here and on page 1, Part I, line 6, column (B). . . . . . G
(c) Total income. Add totals of columns 2(a) and 2(b). Enter here and on page 1, Part I, line 6, column (A). . . . . . . . . . . . . . .
G Schedule E ' Unrelated Debt-Financed Income (see instructions)
3 Deductions directly connected with or allocable to debt-financed property
2 Gross income from or allocable to debtfinanced property
1 Description of debt-financed property
(a) Straight line depreciation (attach stmt)
(b) Other deductions (attach statement)
7 Gross income reportable (column 2 x column 6)
8 Allocable deductions (column 6 x total of columns 3(a) and 3(b))
(1) (2) (3) (4) 4 Amount of average acquisition debt on or allocable to debt-financed property (attach statement)
5 Average adjusted basis of or allocable to debt-financed property (attach statement)
6 Column 4 divided by column 5
% % % %
(1) (2) (3) (4)
Enter here and on page 1, Enter here and on page 1, Part I, line 7, column (A). Part I, line 7, column (B). Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G
G Schedule F ' Interest, Annuities, Royalties, and Rents From Controlled Organizations (see instructions) Total dividends-received deductions included in column 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Exempt Controlled Organizations 1 Name of controlled organization
2 Employer identification number
3 Net unrelated income (loss) (see instructions)
4 Total of specified payments made
5 Part of column 4 that is included in the controlling organization's gross income
6 Deductions directly connected with income in column 5
(1) (2) (3) (4) Nonexempt Controlled Organizations 7 Taxable Income
8 Net unrelated income (loss) (see instructions)
9 Total of specified payments made
10 Part of column 9 that is included in the controlling organization's gross income
11 Deductions directly connected with income in column 10
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).
(1) (2) (3) (4)
Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BAA
TEEA0203L
12/04/12
Form 990-T (2012)
VIET DREAMS 27-4115634 Schedule G ' Investment Income of a Section 501(c)(7), (9), or (17) Organization (see instructions) Form 990-T (2012)
1 Description of income
3 Deductions directly connected (attach statement)
2 Amount of income
4 Set-asides (attach statement)
Page 4
5 Total deductions and set-asides (column 3 plus column 4)
(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).
G Schedule I ' Exploited Exempt Activity Income, Other Than Advertising Income (see instructions) Totals. . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Description of exploited activity
2 Gross unrelated business income from trade or business
3 Expenses directly connected with production of unrelated business income
4 Net income (loss) 5 Gross income from 6 Expenses from unrelated trade activity that is not attributable to unrelated column 5 or business (column 2 minus column 3). business income If a gain, compute columns 5 through 7.
7 Excess exempt expenses (column 6 minus column 5, but not more than column 4).
(1) (2) (3) (4) Enter here and Enter here and on page 1, on page 1, Part I, line 10, Part I, line 10, column (A) column (B).
Enter here and on page 1, Part II, line 26.
G Schedule J ' Advertising Income (See instructions.) Part I Income From Periodicals Reported on a Consolidated Basis Totals. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Name of periodical
2 Gross advertising income
3 Direct advertising costs
4 Advertising gain or (loss) (col. 2 minus col 3). If a gain, compute col 5 through 7.
5 Circulation income
6 Readership costs
7 Excess readership costs (col 6 minus col 5, but not more than col 4).
(1) (2) (3) (4)
G Part II Income From Periodicals Reported on a Separate Basis (For each periodical listed in Part II, fill in columns 2 through
Totals (carry to Part II, line (5)) . . . . . 7 on a line-by-line basis.) 1 Name of periodical
2 Gross advertising income
3 Direct advertising costs
Enter here and on page 1, Part I, line 11, column (A)
Enter here and on page 1, Part I, line 11, column (B).
4 Advertising gain or (loss) (col. 2 minus col. 3). If a gain, compute cols. 5 through 7.
5 Circulation income
6 Readership costs
7 Excess readership costs (col 6 minus col 5, but not more than col 4).
(1) (2) (3) (4) (5) Totals from Part I Enter here and on page 1, Part II, line 27.
G Schedule K ' Compensation of Officers, Directors, and Trustees (see instructions) Totals, Part II (lines 1-5). . . . . . . . . . . .
1 Name
2 Title
3 Percent of time devoted to business
4 Compensation attributable to unrelated business
% % % % Total. Enter here and on page 1, Part II, line 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G BAA
TEEA0204 L
12/05/12
Form 990-T (2012)
2012
Federal Statements VIET DREAMS
Page 1 27-4115634
Statement 1 Form 990-T, Part I, Line 12 Other Income Other Investment Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total $
46. 46.
TAXABLE YEAR
2012
FORM
California Exempt Organization Annual Information Return
Calendar Year 2012 or fiscal year beginning month
day
199
year
, and ending month
day
year
Corporation/Organization Name
California corporation number
VIET DREAMS
3332710
Address (suite, room, or PMB no.)
FEIN
1876 ANNE MARIE CT
27-4115634
City
SAN JOSE A First Return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
X
B Amended Return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
X No
Yes
X No
@
C IRC Section 4947(a)(1) trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . D Final Return
@
Dissolved
@
@
Merged/Reorganized
No
Surrendered (Withdrawn) Enter date:
@
ZIP Code
CA
95132
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. K Is the organization exempt under R&TC Section 23701g?. . . If 'Yes,' enter gross receipts from nonmember sources . . . . . . . . . . . . . . . . . . . . . $
E Check accounting method: Accrual 3 Other 1 X Cash 2 F Federal return filed? 990 (PF) 3 @ 1 @ X 990T 2 @
Sch H (990) Yes G Is this a group filing for the subordinates/affiliates?. . . . . . . . @ If 'Yes,' attach a roster. See instructions Yes H Is this organization in a group exemption?. . . . . . . . . . . . . . . . . .
X No X
No
If 'Yes,' What's the parent's name? I Did 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.
Part I
State
@
Yes
@
Yes
X No
@
Yes
X No
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. . . . . . . .
@
M Is the organization a Limited Liability Company?. . . . . . . . .
@
Yes
X No
N Did the organization file Form 100 or Form 109 to report taxable income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
@ X Yes
No
O Is the organization under audit by the IRS or has the IRS audited in a prior year?. . . . . . . . . . . . . . . . . . . . . . . . . . .
@
Yes
X No
X No CACA1112L 10/11/12
Complete Part I unless not required to file this form. See General Instructions B and C.
Receipts and Revenues
1 2 3 4 5 6 7
Expenses
Filing Fee
8 9 10 11 12 13 14 15
46.
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.
@ @ @
1 2 3
97,985.
This line must be completed. If the result is less than $50,000, see General Instruction B . . .
@
4
98,031.
Total costs. Add line 5 and line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total gross income. Subtract line 7 from line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Total expenses and disbursements. From Side 2, Part II, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . @
7
Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost or other basis, and sales expenses of assets sold . . . . . . .
@ @
5 6
Excess of receipts over expenses and disbursements. Subtract line 9 from line 8. . . . . . . . . . . .
@
98,031. 70,364. 27,667. 10.
8 9 10 11 12 13 14
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
10.
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.
Sign Here
Title
G Preparer's signature G Signature of officer
Paid Preparer's Use Only
Firm's name (or yours, if self-employed) and address
Date
PRESIDENT & CEO Date
CUC TRINH-NGUYEN E.A TAX CONSULTATION OF AMERICA G 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923
Check if selfemployed
G
May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . For Privacy Notice, get form FTB 1131.
059
3651124
@ Telephone 408-410-4920 @ PTIN P00621255 @ FEIN 77-0454243 @ Telephone (408) 971-1888 No @ X Yes
Form 199 C1 2012 Side 1
VIET DREAMS Part II Organizations with gross receipts of more than $50,000 and private foundations
27-4115634
regardless of amount of gross receipts ' complete Part II or furnish substitute information.
Receipts from Other Sources
Expenses and Disbursements
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
@ @ @ @ Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Gross amount received from sale of assets (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Other income. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SEE . . . . . .STATEMENT ...............1 .. @ Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Side 1, Part I, line 1 . . . . Contributions, gifts, grants, and similar amounts paid. Attach schedule. . . . . . . . . . . . . .SEE . . . . . .STATEMENT ...............2 .. Disbursements to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Compensation of officers, directors, and trustees. Attach schedule . . .SEE . . . . . .STATEMENT ...............3 .. Other salaries and wages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Depreciation and depletion (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other Expenses and Disbursements. Attach schedule. . . . . . . . . . . . . . . .SEE . . . . . .STATEMENT ...............4 ..
@ @ @ @ @ @ @ @ @
Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 . . . . . . . . . . . . . . .
Schedule L
Balance Sheets
Beginning of taxable year (a) (b)
Assets
5 6 7 8 9 10 11 12 13 14 15 16 17 18
46. 46. 44,175. 0.
26,189. 70,364.
End of taxable year (c)
(d)
@ @ @ @ @ @ @ @ @
52,565.
@ @ 24,898.
52,565. @ @ @ @
Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributions, gifts, or grants payable. . . . . . . . . . . . . Bonds and notes payable . . . . . . . . . . . . . . . . . . . . . . Mortgages payable. . . . . . . . . . . . . . . . . . . . . . . . . . . Other liabilities. Attach schedule. . . . . . . . . . . . . . . . . Capital stock or principle fund . . . . . . . . . . . . . . . . . . Paid-in or capital surplus. Attach reconciliation. . . . . . Retained earnings or income fund. . . . . . . . . . . . . . . . Total liabilities and net worth. . . . . . . . . . . . . . . . . . .
Schedule M-1
2 3 4
24,898.
1 Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Net accounts receivable . . . . . . . . . . . . . . . . . . . . . . . 3 Net notes receivable. . . . . . . . . . . . . . . . . . . . . . . . . . 4 Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Federal and state government obligations . . . . . . . . . . 6 Investments in other bonds. . . . . . . . . . . . . . . . . . . . . 7 Investments in stock . . . . . . . . . . . . . . . . . . . . . . . . . 8 Mortgage loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Other investments Attach schedule . . . . . . . . . . . . . . . 10 a Depreciable assets. . . . . . . . . . . . . . . . . . . . . . . . . . . b Less accumulated depreciation. . . . . . . . . . . . . . . . . . 11 Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Other assets. Attach schedule. . . . . . . . . . . . . . . . . . . 13 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Liabilities and net worth 14 15 16 17 18 19 20 21 22
1
Gross sales or receipts from all business activities. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross rents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
@ @ @
1,527. 23,371. 24,898.
52,565. 52,565.
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 $50,000
Net income per books. . . . . . . . . . . . . . . . . . . . . . . . Federal income tax. . . . . . . . . . . . . . . . . . . . . . . . . . Excess of capital losses over capital gains. . . . . . . . . Income not recorded on books this year. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Expenses recorded on books this year not deducted in this return. Attach schedule . . . . . . . . . . . . . . . . . 6 Total. Add line 1 through line 5. . . . . . . . . . . . . . . . . 1 2 3 4
Side 2 Form 199 C1 2012
@ @ @
27,667.
7 8
@ 9 10
@ 27,667.
059
3652124
Income recorded on books this year not included in this return. Attach sch. . . . . . . . . . . . . . . . Deductions in this return not charged against book income this year. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . Total. Add line 7 and line 8. . . . . . . . . . . . . . . Net income per return. Subtract line 9 from line 6. . . . . . . . . .
CACA1112L
12/26/12
@ @ 27,667.
2012
California Statements
Page 1
VIET DREAMS
27-4115634
Statement 1 Form 199, Part II, Line 7 Other Income Other Investment Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total $
46. 46.
Statement 2 Form 199, Part II, Line 9 Contributions, Gifts, Grants, and Similar Amounts Paid Class of Activity: Donee's Name: Amount Given:
FINANCIAL SUPPORT KOMTOM ORPHANAGE
Donee's Name: Amount Given:
DA NANG ORPHANAGE
$
27,375. 16,800.
Total $
44,175.
Statement 3 Form 199, Part II, Line 11 Compensation of Officers, Directors, Trustees and Key Employees Current Officers: Name and Address
Title and Average Hours Per Week Devoted
QUAN K NGUYEN 1876 ANNE MARIE CT SAN JOSE, CA 95132
President & CEO 5.00
VIVIAN TRUONGGIA 475 DELORES AVE MILPITAS, CA 95035
Compensation $
Contribution to EBP & DC
Expense Account/ Other
0. $
0. $
0.
Chairman 5.00
0.
0.
0.
XUAN NHUT TRAN 1561 DARLENE AVE SAN JOSE, CA 95125
Vice President 6.00
0.
0.
0.
CUC TRINH 3108 YAKIMA CIR SAN JOSE, CA 95121
Treasurer 4.00
0.
0.
0.
0. $
0. $
0.
Total $
2012
California Statements VIET DREAMS
Page 2 27-4115634
Statement 4 Form 199, Part II, Line 17 Other Expenses Accounting Fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Advertising and Promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dues and Subscriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Office Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other fees. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postage and Shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Printing and Publications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $
70. 22,782. 83. 1,220. 400. 160. 96. 62. 296. 1,020. 26,189.
TAXABLE YEAR
FORM
California Exempt Organization Business Income Tax Return
2012
Calendar Year 2012 or fiscal year beginning month
day
109 , and ending month
year
day
year
Corporation/Organization Name
California corporation number
VIET DREAMS
3332710
Address (suite, room, or PMB no.)
FEIN
1876 ANNE MARIE CT
27-4115634
City
State
ZIP Code
SAN JOSE
CA
95132
A
First Return Filed?. . . . . . . . . . . . . . . . . . . . . . . . . . .
B
Is this an education IRA within the Yes meaning of R&TC Section 23712? . . . . . . . . . . . . Is the organization under audit by the IRS or has the IRS audited in a prior year?. . . . . @ Yes Final Return? @ @ Dissolved Surrendered (Withdrawn) @ Merged/Reorganized (attach explanation) Enter date. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Amended Return. . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes (1) X Cash (2) Accrual (3) Accounting Method Used:
C D
E F
Yes
G Nature of trade or business Taxable Corporation
H Is the organization a non-exempt charitable trust as described in IRC Section 4947(a)(1)? . . . . . . . . . . . . .
@
Yes
X No
X No
I 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. . . . . . . . . . . . .
@
Yes
X No
J Is this organization a qualified pension, profit-sharing, or stock bonus plan as described in IRC Section 401(a)? . @
Yes
X No
Yes
X No
X
No
X No Other
K Unrelated Business Activity (UBA) Code . . . . . . . . . . .
@
L Is this a Hospital? . . . . . . . . . . . . . . . . . . . . . . . . . . . If 'Yes,' attach IRS Schedule H (Form 990)
@
Unrelated business taxable income from Side 2, Part II, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . % from the Multiply line 1 by the average apportionment percentage Schedule R, 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 the unrelated business activity is wholly in California and Schedule R was not completed, enter the amount from line 1 . . . . . . . . . . . . . .
@
1
@
2
@
3
4 5
Unrelated business taxable income from Side 2, Part II, line 30 . . . . . . . . . . . . . . . . . . . . . . . . . . Unrelated business taxable income from line 3 or line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 5
6 7 8
Enterprise zone, LAMBRA, LARZ, TTA, or Pierce's disease losses. . . . . . . . . . . . . . . . . . . . . . . . Net Operating Loss deduction. See General Information N . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Add line 6 and line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
Net unrelated business taxable income. Subtract line 8 from line 5 . . . . . . . . . . . . . . . . . . . . . . .
@ @ @ @ @ @ @ @ @
1 2 3
Taxable Trust Tax Computation
X No
% x line 9. See General Information J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b) Amount claimed. . . . . . 11 a New jobs credit, amount generated . . . . . . . . . . @ a) 10
Tax
c Tax credits from Schedule B. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Total Credits. Add line 11b and 11c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Balance. Subtract line 11d from line 10. If line 11d is greater than line 10, enter -0- . . . . . . .
Total Tax
13 14 15
Payments
Refund (Direct Deposit of Refund) or Amount Due
Alternative minimum tax. See General Information O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total tax. Add line 12 and line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
@ @ @ @
16 17 18
Overpayment from a prior year allowed as a credit . . . . . . . . . . 2012 estimated tax payments. See instructions . . . . . . . . . . . . 2012 withholding (Form 592-B and/or 593.) See instructions Amount paid with extension (form FTB 3539) . . . . . . . . . . . . . .
19 20 21
Total payments and credits. Add line 15 through line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax due. Subtract line 19 from line 14. Pay entire amount with return. See instructions. . . . . . . . . . . . . . . . . . . . . . Overpayment. Subtract line 14 from line 19. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . .
@ @ @
-954.
6 7 8 9 10 11b 11c 11d 12
0.
13 14
15 16 17 18
@ @ @ @ @ @
Enter amount of line 21 to be applied to 2013 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use tax. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Refund. If the sum of line 22 and line 23 is less than line 21, then subtract the total from line 21. . . . . . . . . . . . . . . a Fill in the account information to have the refund directly deposited. Routing number@ 24 a Savings @ b Type: Checking @ c Account Number . . . . . . . . . . . . . . . . . @ 24 c 25 Penalties and interest. See General Information M . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 22 23 24
26 27
-954.
19 20 21 22 23 24
25
@
Check if estimate penalty computed using Exception B or C and attach form FTB 5806. Total amount due. Add line 20, line 22, line 23, and line 25, then subtract line 21 from the result. . . . . . . . . . . . . . .
27 CAVA9812L
For Privacy Notice, get form FTB 1131.
059
3641124
Form 109 C1 2012 Side 1
12/19/12
VIET DREAMS
27-4115634
Unrelated Business Taxable Income Part I Unrelated Trade or Business Income @ @ @ @ @ @
b Less returns and allowances c Balance. 1 a Gross receipts or gross sales 2 Cost of goods sold and/or operations (Schedule A, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Gross profit. Subtract line 2 from line 1c. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 7 8 9 10 11 12 13
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SEE . . . . . . STATEMENT . . . . . . . . . . . . . . . .1 Total unrelated trade or business income. Add line 3 through line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
@ @ @ @ @ @ @ @ @
1c 2 3 4a 4b 4c 5 6 7 8 9 10 11 12 13
46. 46.
Part II Deductions Not Taken Elsewhere (Except for contributions, deductions must be directly connected with the unrelated business income.) 14 Compensation of officers, directors, and trustees from Schedule I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 14 15 Salaries and wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 15 16 Repairs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 16 17 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 17 18 Interest. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 18 19 Taxes. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 19 20 Contributions. See instructions and attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 20 21 a Depreciation (Corporations and Associations ' Schedule J) (Trusts ' form FTB 3885F) . . . . . . @ 21 a b Less: depreciation claimed on Schedule A. See instructions . . . . . . . . . . . . . . . . . . . 21 b 22 Depletion. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 a Contributions to deferred compensation plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Employee benefit programs. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Other deductions. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Total deductions. Add line 14 through line 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 27 28 29 30
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 . . . . . .
Sign Here
@
@ @ @ @
21 22 23 a 23 b 24 25 26 27 28 29 30
46. 46. 1,000. -954.
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.
Signature of officer
Paid Preparer's Use Only
@
Preparer's signature
Title
G G
PRESIDENT & CEO
408-410-4920 @ PTIN
Date Check if selfemployed
CUC TRINH-NGUYEN E.A
Firm's name (or yours, if self-employed) and address
G
@ Telephone
Date
G
P00621255 @ FEIN
TAX CONSULTATION OF AMERICA 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923
77-0454243 @ Telephone
May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side 2 Form 109 C1 2012
059
3642124
CAVA9812L
(408) 971-1888 @ X Yes No
12/19/12
VIET DREAMS Schedule A Cost of Goods Sold and/or Operations.
27-4115634
Method of inventory valuation (specify) 1 Inventory at beginning of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Purchases. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cost of labor. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 4 a Additional IRC Section 263A costs. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Other costs. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 5 Total. Add line 1 through line 4b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Cost 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?
Schedule B 1 2 3 4
1 2 3 4a 4b 5 6 7 Yes
X No
Tax Credits. Do not claim the New Jobs Credit on Schedule B.
@ 1 Enter credit name code no. @ 2 Enter credit name code no. @ 3 Enter credit name code no. 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
Schedule K Add-On Taxes or Recapture of Tax. See instructions. @ @ @ @ @
3
Interest computation under the look-back method for completed long-term contracts. Attach form FTB 3834. . . . . . . . . . . . . . . . . . . . Interest on tax attributable to installment: a Sales of certain timeshares or residential lots. . . . . . . . . . . . . . b Method for non-dealer installment obligations. . . . . . . . . . . . . . IRC Section 197(f)(9)(B)(ii) election to recognize gain on the disposition of intangibles . . . . . . . . . . . . . . . . .
4 5
Credit recapture. Credit name Total. Combine the amounts on line 1 through line 4. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2
1 2a 2b 3 4 5
Schedule R Apportionment Formula Worksheet. Use only for unrelated trade or business amounts. Is this organization electing the Alternate Method ' Single-Sales Factor Formula? If 'Yes,' complete Part B. If 'No,' complete Part A.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part A. Standard Method ' Three Factor Formula. Complete if the corporation uses the three-factor formula. (The three-factor formula includes the double-weighted sales factor.) 1 Property factor: See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Payroll factor: Wages and other compensation of employees . . . . . . . 3 Sales factor: Gross sales and/or receipts less returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Multiply the factor on line 3, column (c) by 2. . . . . . . . . . . . . . . . . . . . 5 Total percentage: Add the percentages in column (c), line 1, line 2, and line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Average apportionment percentage: Divide the factor on line 5 by 4 and enter the result here and on Form 109, Side 1, line 2. See instructions for exceptions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Part B. Alternate Method ' Single-Sales Factor Formula. Complete if the corporation elects the single-sales factor formula. This is an irrevocable annual election
(a) Total within and outside California
@
(b) Total within California
X No
(c) Percent within California (b) e (a)
@ @
@ @
@ @
@
@
@
(a) Total within and outside California
Yes
(b) Total within California
(c) Percent within California (b) e (a)
@ Total Sales. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Apportionment percentage. Divide total sales column (b) by total sales @ column (a) and enter the result here and on Form 109, Side 1, line 2 . . . Schedule C Rental Income from Real Property and Personal Property Leased with Real Property For rental income from debt-financed property, use Schedule D, R&TC Section 23701g, Section 23701i, and Section 23701n organizations. See instructions for exceptions. 2 Rent received 3 Percentage of rent attribut1 Description of property able to personal property or accrued % % % 4 Complete if any item in column 3 is more than 50%, or for any 5 Complete if any item in column 3 is more than 10%, but not more than 50% item if the rent is determined on the basis of profit or income 1 2
(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 (c) Net income includible, with personal property (att sch) column 5(a) less column 5(b)
Add columns 4(b) and 5(c). Enter here and on Side 2, Part I, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CAVA9834L
12/19/12
059
3643124
Form 109 C1 2012 Side 3
VIET DREAMS
27-4115634
Schedule D Unrelated Debt-Financed Income 1
4
Description of debt-financed property
Amount of average acquisition indebtedness on or allocable to debt-financed property (attach schedule)
5
2
Average adjusted basis of or allocable to debtfinanced property (attach schedule)
6
Debt basis percentage, column 4
e column 5
7
3
Gross income from or allocable to debtfinanced property
Deductions directly connected with or allocable to debt-financed property
(a) Straight-line depreciation (b) Other deductions (attach schedule) (attach schedule)
8
Gross income reportable, column 2 x column 6
Allocable deductions, total of columns 3(a) and 3(b) x column 6
9
Net income (or loss) includible, column 7 less column 8
% % % Total. Enter here and on Side 2, Part I, line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule E Investment Income of an R&TC Section 23701g, 23701i, or 23701n Organization 1 Description 2 Amount 3 Deductions directly 4 Net investment income, 5 Set-asides (attach 6 connected (attach schedule)
column 2 less column 3
schedule)
Total. Enter here and on Side 2, Part I, line 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Enter gross income from members (dues, fees, charges, or similar amounts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Schedule F Interest, Annuities, Royalties and Rents from Controlled Organizations Exempt Controlled Organizations 3 Net unrelated 4 Total of specified 5 Part of column (4) that 1 Name of controlled organizations 2 Employer income (loss)
Identification Number
payments made
is included in the controlling organization's gross income
Balance of investment income, column 4 less column 5
6
Deductions directly connected with income in column (5)
11
Deductions directly connected with income in column (10)
1 2 3 Nonexempt Controlled Organizations 7
8
Taxable Income
Net unrelated income (loss)
9
10
Total of specified payments made
Part of column (9) that is included in the controlling organization's gross income
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule G Exploited Exempt Activity Income, other than Advertising Income 1
Description of exploited activity (attach schedule if more than one unrelated activity is exploiting the same exempt activity)
2
Gross unrelated business income from trade or business
3
Expenses directly connected with production of unrelated business income
4
Net income from unrelated trade or business, column 2 less column 3
5
Gross income from activity that is not unrelated business income
6
Expenses attributable to column 5
7
Excess exempt expense, column 6 less column 5 but not more than column 4
Total. Enter here and on Side 2, Part I, line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Side 4 Form 109 C1 2012
059
3644124
CAVA9834L
12/19/12
8
Net income includible, column 4 less column 7 but not less than zero
VIET DREAMS
27-4115634
Schedule H Advertising Income and Excess Advertising Costs Part I Income from Periodicals Reported on a Consolidated Basis 1
Name of periodical
2
Gross advertising income
3
Direct advertising costs
4
Advertising income or excess advertising costs. If column 2 is greater than column 3, complete columns 5, 6, and 7. If column 3 is greater than column 2, enter the excess in Part III, column B(b). Do not complete columns 5, 6, and 7.
5
Circulation income
6
Readership costs
7
If column 5 is greater than column 6, enter the income shown in column 4, in Part III, column A(b). If column 6 is greater than column 5, subtract the sum of column 6 and column 3 from the sum of column 5 and column 2. Enter amount in Part III, column A(b). If the amount is less than zero, enter -0-.
Totals . . . . . . . . .
Part II Income from Periodicals Reported on a Separate Basis
Part III Column B ' Excess Advertising Costs
Part III Column A ' Net Advertising Income
(a) Enter 'consolidated periodical' and/or names of non-consolidated periodicals
(b) Enter total amount from Part I, column 4 or 7, and amounts listed in Part II, columns 4 and 7
Enter total here and on Side 2, Part I, line 11. . . . . . . . . . . . . . .
(a) Enter 'consolidated periodical' and/or names 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 II, line 27 . . . . . . . .
Schedule I 1
Compensation of Officers, Directors, and Trustees Name of Officer 2 SSN or ITIN 3 Title
4 Percent of time devoted to business
5
Compensation attributable to unrelated business
6
Expense account allowances
% % % % % Total. Enter here and on Side 2, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule J 1
1 2
Depreciation (Corporations and Associations only. Trusts use form FTB 3885F.) 2 Date acquired 3 Cost or 4 Depreciation 5 Method of 6 Life or Group and guideline class or description of property other basis allowed or computing rate allowable in depreciation prior years 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)
3 4 5 6
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. . . . . . . . . . . . . . . . . . . . . . . . . .
CAVA9805L
12/19/12
059
3645124
Form 109 C1 2012 Side 5
7
Depreciation for this year
TAXABLE YEAR
2012
CALIFORNIA FORM
Net Operating Loss (NOL) Computation and NOL and Disaster Loss Limitations ' Corporations
3805Q
Attach to Form 100, Form 100W, Form 100S, or Form 109. Corporation name
California corporation number
VIET DREAMS
3332710
FEIN During the taxable year the corporation incurred the NOL, the corporation was a(n): C Corporation S Corporation Limited Liability Company (electing to be taxed as a corporation) X Exempt Organization 27-4115634 If the corporation previously filed California tax returns under another corporate name, enter the corporation name and California corporation number:
If the corporation is included in a combined report of a unitary group, see instructions, General Information C, Combined Reporting. Part I Current year NOL. If the corporation does not have a current year NOL, go to Part II. Net loss from Form 100, line 19; Form 100W, line 19; Form 100S, line 16; or Form 109, line 2. 1 Enter as a positive number . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2012 disaster loss included in line 1. Enter as a positive number. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Subtract line 2 from line 1. If zero or less, enter -0- and see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4a Enter the amount of the loss incurred by a new business included in line 3 . . . . . . . . . . . 4 a b Enter the amount of the loss incurred by an eligible small business included in line 3. . 4 b 954. c Add line 4a and line 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4c 5 General NOL. Subtract line 4c from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 2012 NOL carryover. Add line 2, line 4c, and line 5. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Part II NOL carryover and disaster loss carryover limitations. See Instructions. (g) Available balance 1
954. 954. 954. 954.
1
Net income (loss) ' Enter the amount from Form 100, line 19; Form 100W, line 19; Form 100S, line 16 less line 17 (but not less than -0-); or Form 109, line 2 . . . . . . . . . . . . . . . . Prior Year NOLs (a) (b) (c) (d) (e) (f) Type of Code ' See Year Initial Loss Carryover Amount used NOL ' instructions of loss from 2011 in 2012
(h) Carryover to 2013 col (e) ' col (f)
See below*
2
Current Year NOLs col (d) ' col (f) 3
2012
DIS
4
2012
ESB
954.
954.
2012 2012 2012 *Type of NOL: General (GEN), New Business (NB), Eligible Small Business (ESB), or Disaster (DIS).
Part III 2012 NOL deduction 1
Total the amounts in Part II, line 2, column (f) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
Enter the total amount from line 1 that represents disaster loss carryover deduction here and on Form 100, line 22; Form 100W, line 22; or Form 100S, line 20. Form 109 filers enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
0
Subtract line 2 from line 1. Enter the result here and on Form 100, line 20; Form 100W, line 20; Form 100S, line 18; or Form 109, line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
0.
3
CACA3301L 07/31/2012
059
7521124
FTB 3805Q 2012
2012
California Statements VIET DREAMS
Page 1 27-4115634
Statement 1 Form 109, Part I, Line 12 Other Income Other Investment Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Total $
46. 46.
ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA
IN
MAIL TO: Registry of Charitable Trusts P.O. Box 903447 Sacramento, CA 94203-4470 Telephone: (916) 445-2021
Sections 12586 and 12587, California Government Code 11 Cal. Code Regs. sections 301-307, 311 and 312 Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties as defined in Government Code Section 12586.1. IRS extensions will be honored.
WEBSITE ADDRESS: http://ag.ca.gov/charities/
Check if: State Charity Registration Number
Change of address Amended report
VIET DREAMS Name of Organization
1876 ANNE MARIE CT
Corporate or Organization No.
3332710
Address (Number and Street)
SAN JOSE, CA 95132
Federal Employer ID No.
City or Town
State
27-4115634
ZIP Code
ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue
Fee
Less than $25,000 Between $25,000 and $100,000
0 $25
Gross Annual Revenue
Fee
Between $100,001 and $250,000 Between $250,001 and $1 million
$50 $75
Gross Annual Revenue
Fee
Between $1,000,001 and $10 million Between $10,000,001 and $50 million Greater than $50 million
$150 $225 $300
PART A ' ACTIVITIES 1/01/12
For your most recent full accounting period (beginning Gross annual revenue
$
98,031.
Total assets
ending
$
12/31/12 52,565.
) list:
PART B ' STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note:
1
If you answer 'yes' to any of the questions below, you must attach a separate sheet providing an explanation and details for each 'yes' response. Please review RRF-1 instructions for information required. Yes
During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any officer, director or trustee thereof either directly or with an entity in which any such officer, director or trustee had any financial interest?
No
X
2
During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds?
X
3
During this reporting period, did non-program expenditures exceed 50% of gross revenues?
X
4
During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 4720 with the Internal Revenue Service, attach a copy.
X
5
During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable purposes used? If 'yes,' provide an attachment listing the name, address, and telephone number of the service provider.
X
6
During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number.
X
7
During this reporting period, did the organization hold a raffle for charitable purposes? If 'yes,' provide an attachment indicating the number of raffles and the date(s) they occurred.
X
8
Does the organization conduct a vehicle donation program? If 'yes,' provide an attachment indicating whether the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes.
X
9
Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period?
X
Organization's area code and telephone number
408-410-4920
Organization's e-mail address I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete.
Signature of authorized officer
QUAN K NGUYEN
PRESIDENT & CEO
Printed Name
Title CAVA9801L
01/25/13
Date
RRF-1 (3-05)
Form
Short Form Return of Organization Exempt From Income Tax
990-EZ
OMB No. 1545-1150
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)
2012
Sponsoring organizations of donor advised funds, organizations that operate one or more hospital facilities, and certain controlling organizations as defined in section 512(b)(13) must file Form 990 (see instructions). All other organizations with gross receipts less than $200,000 and total assets less than $500,000 at the end of the year may use this form. G The organization may have to use a copy of this return to satisfy state reporting requirements.
Open to Public Inspection
G Department of the Treasury Internal Revenue Service
A B
For the 2012 calendar year, or tax year beginning Check if applicable: C Address change Name change Initial return Terminated
VIET DREAMS 1876 ANNE MARIE CT SAN JOSE, CA 95132
L
Employer identification number
E
Telephone number
27-4115634
F Group Exemption Number. . . . . . . . . . . . G
Application pending
K
D
408-410-4920
Amended return
G Accounting Method: X Cash I Website: G N/A J Tax-exempt status (check only one) '
,
, 2012, and ending
Accrual
X 501(c)(3)
Other (specify) G 501(c) (
) H(insert no.)
4947(a)(1) or
H Check G X if the organization is not required to attach Schedule B (Form 990, 990-EZ, or 990-PF). 527
Check G if the organization is not a section 509(a)(3) supporting organization or a section 527 organization and its gross receipts are normally not more than $50,000. A Form 990-EZ or Form 990 return is not required though Form 990-N (e-postcard) may be required (see instructions). But if the organization chooses to file a return, be sure to file a complete return. Add lines 5b, 6c, and 7b, to line 9 to determine gross receipts. If gross receipts are $200,000 or more, or if total assets (Part II, line 25, column (B) below) are $500,000 or more, file Form 990 instead of Form 990-EZ. . . . . . . . . G $ 98,031.
Part I
Revenue, Expenses, and Changes in Net Assets or Fund Balances (see the instructions for Part I)
1 2 3 4 5a b 6 R E V E N U E
Check if the organization used Schedule O to respond to any question in this Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X Contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 97,985. Program service revenue including government fees and contracts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Membership dues and assessments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Investment income. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gross amount from sale of assets other than inventory . . . . . . . . . . . . . . . . . . . . Less: cost or other basis and sales expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E X P E N S E S
A S NS EE TT S
19 20 21
5c
6b 6c
d Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a Gross sales of inventory, less returns and allowances . . . . . . . . . . . . . . . . . . . . . 7a b Less: cost of goods sold. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7b c Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a). . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Other revenue (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 10 11 12 13 14 15 16 17 18
6d
7c 8 9 See Schedule O 10 Grants and similar amounts paid (list in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Benefits paid to or for members. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Salaries, other compensation, and employee benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Professional fees and other payments to independent contractors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Occupancy, rent, utilities, and maintenance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Printing, publications, postage, and shipping. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Other expenses (describe in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .See . . . . . .Schedule .............O ........ 16 Total expenses. Add lines 10 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 Excess or (deficit) for the year (Subtract line 17 from line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with end-of-year figure reported on prior year's return). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Other changes in net assets or fund balances (explain in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Net assets or fund balances at end of year. Combine lines 18 through 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 21
BAA For Paperwork Reduction Act Notice, see the separate instructions.
TEEA0803L
12/07/12
46.
5a 5b
c Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gaming and fundraising events a Gross income from gaming (attach Schedule G if greater than $15,000) . . . . 6a of contributions b Gross income from fundraising events (not including $ from fundraising events reported on line 1) (attach Schedule G if the sum of such gross income and contributions exceeds $15,000) . . . . . . . . . . . . . . . . . c Less: direct expenses from gaming and fundraising events . . . . . . . . . . . . . . . .
2 3 4
98,031. 44,175. 230. 158. 25,801. 70,364. 27,667. 24,898. 52,565. Form 990-EZ (2012)
VIET DREAMS Part II Balance Sheets. (see the instructions for Part II.)
27-4115634
Form 990-EZ (2012)
Page 2
Check if the organization used Schedule O to respond to any question in this Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) Beginning of year (B) End of year 22 Cash, savings, and investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,898. 22 52,565. 23 Land and buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 24 Other assets (describe in Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 25 Total assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24,898. 25 52,565. 26 Total liabilities (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0. 26 0. 27 Net assets or fund balances (line 27 of column (B) must agree with line 21). . . . . . . . . . 24,898. 27 52,565. Expenses Part III Statement of Program Service Accomplishments (see the instrs for Part III.) Check if the organization used Schedule O to respond to any question in this Part III. . . . . . . . . . . . . . X (Required for section 501 (c)(3) and 501(c)(4) What is the organization's primary exempt purpose? See Schedule O organizations and section Describe the organization's program service accomplishments for each of its three largest program services, as 4947(a)(1) trusts; optional measured by expenses. In a clear and concise manner, describe the services provided, the number of persons for others.) benefited, and other relevant information for each program title. 28
BUILT WATER FILTRATION SYSTEMS FOR THE ORPHANAGE. PROVIDED CLOTHING,BOOK FOR THE CHILDREN AT THE ORPHANAGE. (Grants
$
) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G
28 a
(Grants
$
) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G
29 a
29
44,175.
30
31 32
(Grants $ ) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G 30 a Other program services (describe in Schedule O) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Grants $ ) If this amount includes foreign grants, check here. . . . . . . . . . . . . . . . G 31 a Total program service expenses (add lines 28a through 31a). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 32
Part IV
44,175. List of Officers, Directors, Trustees, and Key Employees. List each one even if not compensated. (see the instructions for Part IV.) Check if the organization used Schedule O to respond to any question in this Part IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (a) Name and Title
(b) Average hours per week devoted to position
QUAN K NGUYEN President & CEO VIVIAN TRUONGGIA Chairman XUAN NHUT TRAN Vice President CUC TRINH Treasurer
BAA
TEEA0812L
(c) Reportable compensation (Forms W-2/1099-MISC) (If not paid, enter -0-)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
(e) Estimated amount of other compensation
5
0.
0.
0.
5
0.
0.
0.
6
0.
0.
0.
4
0.
0.
0.
12/28/12
Form 990-EZ (2012)
Page 3 VIET DREAMS 27-4115634 Part V Other Information (Note the Schedule A and personal benefit contract statement requirements inSee Schedule O the instructions for Part V) Check if the organization used Schedule O to respond to any question in this Part V . . . . . . . . . . . . . . . . . X
Form 990-EZ (2012)
Yes Did the organization engage in any activity not previously reported to the IRS? If 'Yes,' provide a detailed description of each activity in Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 34 Were any significant changes made to the organizing or governing documents? If 'Yes,' attach a conformed copy of the amended documents if they reflect 34 a change to the organization's name. Otherwise, explain the change on Schedule O (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a Did the organization have unrelated business gross income of $1,000 or more during the year from business activities (such as those reported on lines 2, 6a, and 7a, among others)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a b If 'Yes,' to line 35a, has the organization filed a Form 990-T for the year? If 'No,' provide an explanation in Schedule O . . . 35 .. b c Was the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization subject to section 6033(e) notice, reporting, and proxy tax requirements during the year? If 'Yes,' complete Schedule C, Part III . . . . . . . . . . . . . . . . . . . . . . . . 35 c 36 Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? If 'Yes,' complete applicable parts of Schedule N. . . . . . . . . . . . . . . . . . . . . . . . . . . 36 37 a Enter amount of political expenditures, direct or indirect, as described in the instructions . G 37 a 0. b Did the organization file Form 1120-POL for this year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 b 38 a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return?. . . . . . . . . . . . 38 a b If 'Yes,' complete Schedule L, Part II and enter the total amount involved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 b N/A 39 Section 501(c)(7) organizations. Enter: a Initiation fees and capital contributions included on line 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 a N/A b Gross receipts, included on line 9, for public use of club facilities . . . . . . . . . . . . . . . . . . . . . . . . 39 b N/A 33
No
X X X X X X X
40 a Section 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under: section 4911 G 0. ; section 4912 G 0. ; section 4955 G 0. b Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in any section 4958 excess benefit transaction during the year or did it engage in an excess benefit transaction in a prior year that has not been reported 40 b on any of its prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax imposed on organization managers or disqualified persons during the year under sections 4912, 4955, and 4958. . . . . . . . G 0. d Section 501(c)(3) and 501(c)(4) organizations. Enter amount of tax on line 40c reimbursed by the organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 0. e All organizations. At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? If 'Yes,' complete Form 8886-T . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 List the states with which a copy of this return is filed G None
42 a The organization's books are in care of G Located at G 88 W
43
CUC TRINH-NGUYEN TULLY ROAD STE 116
SAN JOSE CA
Telephone no. G ZIP + 4 G
X
40 e
408-971-1888 95111 Yes
No
b At any time during the calendar year, did the organization have an interest in or a signature or other authority over a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . If 'Yes,' enter the name of the foreign country:G
42 b
X
See the instructions for exceptions and filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. c At any time during the calendar year, did the organization maintain an office outside of the U.S.?. . . . . . . . . . . . . . . . . . . . . If 'Yes,' enter the name of the foreign country:G
42 c
X
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041 ' Check here . . . . . . . . . . . . . . . . . . . . . . . G and enter the amount of tax-exempt interest received or accrued during the tax year. . . . . . . . . . . . . . . . . . . . . . G 43 Yes
N/A N/A No
44 a Did the organization maintain any donor advised funds during the year? If 'Yes,' Form 990 must be completed instead of Form 990-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44 a
X
b Did the organization operate one or more hospital facilities during the year? If 'Yes,' Form 990 must be completed instead of Form 990-EZ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Did the organization receive any payments for indoor tanning services during the year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
44 b 44 c
X X
d If 'Yes' to line 44c, has the organization filed a Form 720 to report these payments? If 'No,' provide an explanation in Schedule O . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 a Did the organization have a controlled entity of the organization within the meaning of section 512(b)(13)? . . . . . . . . . . . .
44 d 45 a
X
b Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If 'Yes,' Form 990 and Schedule R may need to be completed instead of Form 990-EZ (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45 b X TEEA0812L 12/28/12 Form 990-EZ (2012)
Form 990-EZ (2012) 46
VIET DREAMS
27-4115634
Did the organization engage, directly or indirectly, in political campaign activities on behalf of or in opposition to candidates for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part VI
Page 4 Yes No
X
46
Section 501(c)(3) organizations only All section 501(c)(3) organizations must answer questions 47-49b and 52, and complete the tables for lines 50 and 51. Check if the organization used Schedule O to respond to any question in this Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes
Did the organization engage in lobbying activities or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Is the organization a school as described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E. . . . . . . . . . . . . . . . . . . . 49 a Did the organization make any transfers to an exempt non-charitable related organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . b If 'Yes,' was the related organization a section 527 organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 Complete this table for the organization's five highest compensated employees (other than officers, directors, trustees and key employees) who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' 47
(a) Name and title of each employee paid more than $100,000
(b) Average hours per week devoted to position
(c) Reportable compensation (Forms W-2/1099-MISC)
(d) Health benefits, contributions to employee benefit plans, and deferred compensation
47 48 49 a 49 b
No
X X X
(e) Estimated amount of other compensation
None
51
f Total number of other employees paid over $100,000. . . . . . . . G Complete this table for the organization's five highest compensated independent contractors who each received more than $100,000 of compensation from the organization. If there is none, enter 'None.' (a) Name and address of each independent contractor paid more than $100,000
(b) Type of service
(c) Compensation
None
52
d Total number of other independent contractors each receiving over $100,000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G Did the organization complete Schedule A? Note: All section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach a completed Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G
X Yes
No
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
A A
Signature of officer
QUAN K NGUYEN
President & CEO
Type or print name and title.
Print/Type preparer's name
Paid Preparer Use Only
Date
Preparer's signature
Date
Cuc Trinh-Nguyen E.A Cuc Trinh-Nguyen E.A Firm's name G TAX CONSULTATION OF AMERICA Firm's address G 88 TULLY RD STE 106 SAN JOSE, CA 95111-1923
PTIN Check if self-employed
P00621255
G 77-0454243 (408) 971-1888 May the IRS discuss this return with the preparer shown above? See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G X Yes No Firm's EIN Phone no.
Form 990-EZ (2012)
TEEA0812L
12/28/12
OMB No. 1545-0047
SCHEDULE A
2012
Public Charity Status and Public Support
(Form 990 or 990-EZ)
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Department of the Treasury Internal Revenue Service
Open to Public Inspection
G Attach to Form 990 or Form 990-EZ. G See separate instructions.
Name of the organization
Employer identification number
VIET DREAMS 27-4115634 Part I Reason for Public Charity Status (All organizations must complete this part.) See instructions. The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 A church, convention of churches or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 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 5 170(b)(1)(A)(iv). (Complete Part II.) 6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)
X An organization that normally receives: (1) more than 33-1/3% of its support from contributions, membership fees, and gross receipts from activities
9
related to its exempt functions ' subject to certain exceptions, and (2) no more than 33-1/3% 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 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.
10 11
a e f g
Type I
b
Type II
c
Type III ' Functionally integrated
Type III ' Non-functionally integrated
d
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 is a Type I, Type II or Type III supporting organization, check this box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? Yes
h
(i)
A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, the governing body of the supported organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 g (i)
(ii)
A family member of a person described in (i) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11 g (ii)
(iii) A 35% controlled entity of a person described in (i) or (ii) above?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Provide the following information about the supported organization(s).
11 g (iii)
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1-9 above or IRC section (see instructions))
(iv) Is the (v) Did you notify organization in the organization in column (i) listed in column (i) of your your governing support? document?
Yes
No
Yes
No
(vi) Is the organization in column (i) organized in the U.S.?
Yes
No
(vii) Amount of monetary support
No
(A) (B) (C) (D) (E) Total BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA0401L
08/09/12
Schedule A (Form 990 or 990-EZ) 2012
VIET DREAMS 27-4115634 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
Page 2
Schedule A (Form 990 or 990-EZ) 2012
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support Calendar year (or fiscal year beginning in) G 1 Gifts, grants, contributions, and membership fees received. (Do not include any 'unusual grants.'). . . . . . . . 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . 3 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 4 Total. Add lines 1 through 3 . . . 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f). . . 6
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
Public support. Subtract line 5 from line 4 . . . . . . . . . . . . . . . . . . .
Section B. Total Support Calendar year (or fiscal year beginning in) G 7
Amounts from line 4 . . . . . . . . . .
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . Net income from unrelated business activities, whether or not the business is regularly carried on . . . . . . . . . . . . . . . . . . . . Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . .
9
10
11
Total support. Add lines 7 through 10. . . . . . . . . . . . . . . . . . . . Gross receipts from related activities, etc (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
12
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
G
Section C. Computation of Public Support Percentage Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . .
14 15
Public support percentage from 2011 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14 15
% %
16 a 33-1/3% support test ' 2012. If the organization did not check the box on line 13, and the line 14 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G b 33-1/3% support test ' 2011. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . G 17 a 10%-facts-and-circumstances test ' 2012. 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 organization . . . . . . . . . . b 10%-facts-and-circumstances test ' 2011. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part IV how the organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . 18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . .
BAA
G
G G
Schedule A (Form 990 or 990-EZ) 2012
TEEA0402L
08/09/12
VIET DREAMS Support Schedule for Organizations Described in Section 509(a)(2)
27-4115634
Schedule A (Form 990 or 990-EZ) 2012
Part III
Page 3
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support Calendar year (or fiscal yr beginning in) G 1 Gifts, grants, contributions and membership fees received. (Do not include any 'unusual grants.') . . . . . . . . . 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose. . . . . . . . . . . 3 Gross receipts from activities that are not an unrelated trade or business under section 513 . 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf. . . . . . . . . . . . . . . . . . . . . 5 The value of services or facilities furnished by a governmental unit to the organization without charge. . . . 6 Total. Add lines 1 through 5 . . . 7 a Amounts included on lines 1, 2, and 3 received from disqualified persons. . . . . . . . . . . b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. . . . . . . . . . . . . . . . . . . c Add lines 7a and 7b. . . . . . . . . . . 8 Public support (Subtract line 7c from line 6.) . . . . . . . . . . . . . . .
(a) 2008
(c) 2010
(b) 2009
(d) 2011
(f) Total
(e) 2012
81,487.
81,487.
0. 0. 0.
0.
0.
0.
81,487.
0.
0. 81,487.
0.
0.
0.
0.
0.
0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0.
0. 0. 81,487.
Section B. Total Support Calendar year (or fiscal yr beginning in) G 9 Amounts from line 6 . . . . . . . . . . 10 a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources . . . . . . . . . . . . . . . b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. . . c Add lines 10a and 10b. . . . . . . . . 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on . . . . . . . . . . . . . . . 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.). . . . . . . . . . . . . . . . . . . . . . 13 Total support. (Add lns 9, 10c, 11, and 12.) 14
(a) 2008
(b) 2009
0.
(c) 2010
0.
(d) 2011
0.
(f) Total
(e) 2012
81,487.
0.
81,487.
0.
0.
0.
0.
0.
0. 0.
0.
0.
0.
0.
0.
81,487.
0.
0. 81,487.
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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G X
Section C. Computation of Public Support Percentage 15 16
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . Public support percentage from 2011 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
% %
15 16
Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . 17 18 Investment income percentage from 2011 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19 a 33-1/3% support tests ' 2012. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . b 33-1/3% support tests ' 2011. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and line 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . 20 Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . . BAA
TEEA0403L
08/09/12
% % G G G
Schedule A (Form 990 or 990-EZ) 2012
Page 4 VIET DREAMS 27-4115634 Supplemental Information. Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Schedule A (Form 990 or 990-EZ) 2012
Part IV
BAA
Schedule A (Form 990 or 990-EZ) 2012 TEEA0404L
08/10/12
SCHEDULE O (Form 990 or 990-EZ)
Supplemental Information to Form 990 or 990-EZ Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information.
Department of the Treasury Internal Revenue Service
G Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012 Open to Public Inspection
Name of the organization
Employer identification number
VIET DREAMS
27-4115634
Form 990-EZ, Part III - Organization's Primary Exempt Purpose PROVIDING FOOD, CLOTHING, FUNDS FOR THE ORPHANAGE AND HELPING TO BUILD WATER SYSTEMS FOR BETTER LIVING. Form 990-EZ, Part V - Regarding Transfers Associated with Personal Benefit Contracts (a)
Did the organization, during the year, receive any funds, directly or
indirectly, to pay premiums on a personal benefit contract?. . . . . . . . . . . . . . . . . . . . . . . . . . . (b)
No
Did the organization, during the year, pay premiums, directly or
indirectly, on a personal benefit contract?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
TEEA4901L
12/8/12
No
Schedule O (Form 990 or 990-EZ) 2012
2012
Schedule O - Supplemental Information
Page 2
VIET DREAMS
27-4115634
Form 990-EZ, Part I, Line 10 Grants and Similar Amounts Paid In Excess of $5,000 Class of Activity: Donee's Name: Cash Amount Given:
FINANCIAL SUPPORT KOMTOM ORPHANAGE
Donee's Name: Cash Amount Given:
DA NANG ORPHANAGE
$
27,375.
$
16,800.
Form 990-EZ, Part I, Line 16 Other Expenses Advertising and Promotion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Dues and Subscriptions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Office Expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Supplies. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total $
22,782. 83. 1,220. 400. 296. 1,020. 25,801.