MANNA MINISTERIES INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MANNA MINISTERIES INC (EIN 20-1788094)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-07-24
IRS object ID
202432069349300428
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-07-24T12:25:01-04:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN640886275PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOLT & ASSOCIATES PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12815 HIGHWAY 15 NAddressLine1Txt
CityLAURELCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39440ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201788094EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MANNA MINISTRIES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMANNBusinessNameControlTxt
Phone6019168191PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 STREET A SUITE AAddressLine1Txt
CityPICAYUNECityNm
State AbbreviationMSStateAbbreviationCd
ZIP39466ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREV ALLEN HICKMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6019168191PhoneNum
Signature2024-07-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALLENPersonFirstNm
Person LastHICKMANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE UHERPreparerPersonNm
PTINP00001433PTIN
Phone6016493000PhoneNum
Preparation2024-07-19PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerREV ALLEN HICKMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1795 MEMORIAL BLVDAddressLine1Txt
Address Line2SUITE HAddressLine2Txt
CityPICAYUNECityNm
State AbbreviationMSStateAbbreviationCd
ZIP39466ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$917,704GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Activity Or MissionFINANCIAL ASSISTANCE FOR THE NEEDY/HEALTH AND MEDICAL SERVICES & EDUCATION FOR THE POOR/FOOD BANK FOR THE NEEDYActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$524,968PYContributionsGrantsAmt
CY Contributions Grants$819,678CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$32,072PYOtherRevenueAmt
CY Other Revenue-$30,874CYOtherRevenueAmt
PY Total Revenue$492,896PYTotalRevenueAmt
CY Total Revenue$788,804CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$196,479PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$275,953CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$12,525CYTotalFundraisingExpenseAmt
PY Other Expenses$342,342PYOtherExpensesAmt
CY Other Expenses$414,217CYOtherExpensesAmt
PY Total Expenses$538,821PYTotalExpensesAmt
CY Total Expenses$690,170CYTotalExpensesAmt
PY Revenues Less Expenses-$45,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$98,634CYRevenuesLessExpensesAmt
Total Assets BOY$1,309,125TotalAssetsBOYAmt
Total Assets EOY$1,366,857TotalAssetsEOYAmt
Total Liabilities BOY$58,855TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,421TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,250,270NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,349,436NetAssetsOrFundBalancesEOYAmt
MissionFINANCIAL ASSISTANCE FOR THE NEEDY/HEALTH AND MEDICAL SERVICES & EDUCATION FOR THE POOR/FOOD BANK FOR THE NEEDYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$493,892ExpenseAmt
DescPROVIDE HEALTH, WELFARE, AND WELLNESS SERVICES TO THE LOCAL POPULANCE UNABLE TO AFFORD SUCH BASIC SERVICES. PROVIDE FINANCIAL ASSISTANCE TO THE POOR AND NEEDY OF THE LOCAL COMMUNITY.Desc
Total Program Service Expenses$493,892TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee20EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMEYE H MARTINPersonNm
Phone6017992121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 STREET AAddressLine1Txt
CityPICAYUNECityNm
State AbbreviationMSStateAbbreviationCd
ZIP39466ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JAMEYE H MARTIN
CEO20.00Yes (X)$32,110$0$0
DAVID ALLISON
DIRECTOR1.00$0$0$0Yes (X)
D L BOLTON
DIRECTOR1.00$0$0$0Yes (X)
BARRETT BRAYSON
DIRECTOR1.00$0$0$0Yes (X)
DENNIS COLLIER
DIRECTOR1.00$0$0$0Yes (X)
AURORA KING
DIRECTOR1.00$0$0$0Yes (X)
STEPHANIE O'MEARA
DIRECTOR1.00$0$0$0Yes (X)
BILL STEGALL
DIRECTOR1.00$0$0$0Yes (X)
LYNNE STOCKSTILL
DIRECTOR1.00$0$0$0Yes (X)
MARK STOCKSTILL
DIRECTOR1.00$0$0$0Yes (X)
SUZAN WILSON
DIRECTOR1.00$0$0$0Yes (X)
DAN FINLEY
BOARD CHAIRM1.00Yes (X)$0$0$0
REV ALLEN HICKMAN
PRESIDENT2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$32,110TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonCOLLIER BUILDERS LLCPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1413 CARROLL STREETAddressLine1Txt
CityCARRIERECityNm
State AbbreviationMSStateAbbreviationCd
ZIP39466ZIPCd
FieldValueIRS element (for citing)
ServicesCONSTRUCTIONServicesDesc
Compensation$104,700CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Government Grants$310,623GovernmentGrantsAmt
All Other Contributions$509,055AllOtherContributionsAmt
Noncash Contributions$225,016NoncashContributionsAmt
Total Contributions$819,678TotalContributionsAmt
Gross Sales Of Inventory$95,085GrossSalesOfInventoryAmt
Cost Of Goods Sold$128,900CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$33,815TotalRevenueColumnAmt
Related Or Exempt Func Income-$33,815RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,941TotalRevenueColumnAmt
Exclusion$2,941ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,941OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$788,804TotalRevenueColumnAmt
Related Or Exempt Func Income-$33,815RelatedOrExemptFuncIncomeAmt
Exclusion$2,941ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$255,988TotalAmt
Program Services$127,286ProgramServicesAmt
Management And General$128,702ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,965TotalAmt
Program Services$9,899ProgramServicesAmt
Management And General$10,066ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,555TotalAmt
Management And General$7,555ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,736TotalAmt
Program Services$14,027ProgramServicesAmt
Management And General$257ManagementAndGeneralAmt
Fundraising$6,452FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,852TotalAmt
Program Services$7,439ProgramServicesAmt
Management And General$413ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$900TotalAmt
Management And General$900ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$67,460TotalAmt
Program Services$55,563ProgramServicesAmt
Management And General$11,897ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,762TotalAmt
Program Services$1,379ProgramServicesAmt
Management And General$383ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL FEES$85,960$84,659$1,301
DISASTER ASSISTANCE$45,848$45,848
MEDICATIONS$43,314$43,314
CLINIC SUPPLIES$26,646$26,646

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$106,184TotalAmt
Program Services$77,832ProgramServicesAmt
Management And General$22,279ManagementAndGeneralAmt
Fundraising$6,073FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$690,170TotalAmt
Program Services$493,892ProgramServicesAmt
Management And General$183,753ManagementAndGeneralAmt
Fundraising$12,525FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$205,524BOYAmt
EOY$142,471EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$458BOYAmt
EOY$2,676EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$27,008BOYAmt
EOY$19,156EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,840,569LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$638,015LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,074,298BOYAmt
EOY$1,202,554EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,837BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,309,125BOYAmt
EOY$1,366,857EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50,345BOYAmt
EOY$4,184EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,510BOYAmt
EOY$13,237EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,855BOYAmt
EOY$17,421EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,250,270BOYAmt
EOY$1,349,436EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,250,270BOYAmt
EOY$1,349,436EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,309,125BOYAmt
EOY$1,366,857EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$98,634ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$532OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$607,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$748,144CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$598,820CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524,968CurrentTaxYearMinus1YearAmt
Current Tax Year$819,678CurrentTaxYearAmt
Total$3,298,883TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$8,625CurrentTaxYearMinus3YearsAmt
Total$8,625TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$607,273CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$756,769CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$598,820CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$524,968CurrentTaxYearMinus1YearAmt
Current Tax Year$819,678CurrentTaxYearAmt
Total$3,307,508TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,307,508PublicSupportTotal170Amt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year$1,941CurrentTaxYearAmt
Total$1,941TotalAmt
FieldValueIRS element (for citing)
Total Support$3,309,449TotalSupportAmt
Gross Receipts Rltd Activities$295,111GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99940PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,840,569OtherCostOrOtherBasisAmt
Depreciation$638,015DepreciationAmt
Book Value$1,202,554BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,202,554TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
PAYROLL TAXES PAYABLE$11,471
CREDIT CARD PAYABLE$1,244
SALES TAX PAYABLE$522
FieldValueIRS element (for citing)
Total Liability$13,237TotalLiabilityAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLLIER CONSTRUCTION LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$118,000TransactionAmt
TransactionBUILDING CONSTRUCTIOTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$101,925NoncashContributionsRptF990Amt
Method Of Determining RevenuesACTUAL SALESMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)SERVICES1$85,959MARKET RATE FOR SKILLS
Yes (X)FACILITIES1$8,265FAIR RENTAL VALUE
Yes (X)MEDICATIONS1$28,867FAIR MARKET VALUE AT COST
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6PHYSICIANS AND NURSES PROVIDE TECHNICAL SKILLS IN THE CLINIC TO PROVIDE HEALTH CARE SERVICES.
FORM 990, PAGE 6, PART VI, LINE 2JOSHEPH HICKMAN JAMEYE H MARTIN PRESIDENT DIRECTOR SIBLINGS
FORM 990, PAGE 6, PART VI, LINE 7AONE VOTE PER MEMBER - MAJORITY RULES. ANY MEMBER MAY NOMINATE
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 PROVIDED TO BOARD MEMBERS FOR REVIEW.
FORM 990, PAGE 6, PART VI, LINE 19THE ORGANIZATION OPERATES AN OFFICE WITH REGULAR BUSINESS HOURS AND ALL DOCUMENTS ARE PROVIDED UPON REQUEST.
FORM 990, PART IX, LINE 24EFOOD 25,610 0 0 LAB FEES 24,051 0 0 UTILITIES 13,868 4,623 0 DUES AND SUBSCRIPTIONS 326 9,192 0 BENEVOLENCE 7,777 0 0 OTHER EXPENSES 845 1,652 2,224 CONTRACT LABOR 3,250 1,375 0 SANITATION 2,059 2,059 0 MAINTENANCE 3,262 407 0 PROGRAM INCENTIVES 2,079 0 0 ADVERTISING 0 0 2,039 FUNDRAISING 0 0 1,810 BANK CHARGES 0 1,633 0 POSTAGE 55 641 0 AUTO EXPENSE 0 402 0 MEALS 0 295 0 THRIFT STORE DEPRECIATION -5,350 0 0 TOTAL 77,832 22,279 6,073
FORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE 532

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