THE LAZARUS HOUSE A CENTER FOR WELLNESS: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
THE LAZARUS HOUSE A CENTER FOR WELLNESS (EIN 76-0693417)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-08-30
IRS object ID
202422439349300102
Schema version
2023v5.1
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)
Return2024-08-30T02:31:10-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN460830510PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KATHY PLOCH CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 820182AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77282ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760693417EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Lazarus House A Center for WellnessBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAZABusinessNameControlTxt
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 Austin StAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDanielle SampeyPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone7135265071PhoneNum
Signature2024-08-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY PLOCH CPAPreparerPersonNm
PTINP00158545PTIN
Phone2814964275PhoneNum
Preparation2024-08-30PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDanielle SampeyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$284,313GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thelazarushouse.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionThe Lazarus House is dedicated to decreasing & limiting the effects of disease related wasting cachexia, through low cost services of wellness, nutrition & support in a nonActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$151,365PYContributionsGrantsAmt
CY Contributions Grants$145,459CYContributionsGrantsAmt
PY Program Service Revenue$53,152PYProgramServiceRevenueAmt
CY Program Service Revenue$69,893CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$50,897PYOtherRevenueAmt
CY Other Revenue$68,123CYOtherRevenueAmt
PY Total Revenue$255,414PYTotalRevenueAmt
CY Total Revenue$283,475CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$201,316PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$212,333CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$6,015CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,590CYTotalFundraisingExpenseAmt
PY Other Expenses$59,309PYOtherExpensesAmt
CY Other Expenses$63,199CYOtherExpensesAmt
PY Total Expenses$260,625PYTotalExpensesAmt
CY Total Expenses$281,547CYTotalExpensesAmt
PY Revenues Less Expenses-$5,211PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,928CYRevenuesLessExpensesAmt
Total Assets BOY$393,066TotalAssetsBOYAmt
Total Assets EOY$385,560TotalAssetsEOYAmt
Total Liabilities BOY$187,402TotalLiabilitiesBOYAmt
Total Liabilities EOY$177,968TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$205,664NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$207,592NetAssetsOrFundBalancesEOYAmt
MissionThe Lazarus House is dedicated to decreasing & limiting the effects of disease related wasting cachexia, through low cost services of wellness, nutrition & support in a nonMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$254,218ExpenseAmt
Grant$0GrantAmt
Revenue$69,893RevenueAmt
DescWellness Program: We served a daily average of 42 clients who participated in three appointments per week. Clients were able to participate in person after being released by their physician. Because the clients of Lazarus House are at a greater health risk with COVID-19, we also provided a virtual option without having no risk exposure. Lazarus House clients presented with various etiologies & degrees of cachexia. Disease related muscle loss addressed at Lazarus House involved clients who suffered from stroke, traumatic brain injury, cancer, MS, spinal cord trauma, & HIV. Certified personal health trainers provided researched & disease specific exercise training sessions. Progress was documented through a series of measurements taken before initiation, at 6 weeks, & upon completion. Measurements demonstrated that clients, on average, gained muscle & reflected a decrease in muscular wasting. The Lazarus House provided an exercise program that utilized progressive resistance training to address & attenuate disease related muscle loss, cardiopulmonary training to increase endurance & address dysmorphic issues associated with some medications, & nutritional counseling to encourage optimal muscle growth. Lazarus House restarted some of the work of the Expansion/Renovation of the builiding by completely replacing the antiquated siding with a new, quality siding. Minor repairs were made and the building was completely repainted outside. The safe haven was transformed in appearance and offers a comforting welcome to all people served here.Desc
Total Program Service Expenses$254,218TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 ActivitiesYes (true)FundraisingActivitiesInd
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 MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
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 PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDanielle SampeyPersonNm
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Stacey Batiste
President7.00Yes (X)Yes (X)$0$0$0
Michelle Zingaro
Secretary3.00Yes (X)Yes (X)$0$0$0
Omar Bell
Vice President3.00Yes (X)Yes (X)$0$0$0
Kristel Jefferson
Director3.00Yes (X)$0$0$0
Melissa Wilson
Honorary Member0.00Yes (X)$0$0$0
Loycie Williams
Treasurer5.00Yes (X)Yes (X)$0$0$0
Danielle Sampy
Executive Director40.00Yes (X)$42,500$0$0
Jasmine Hopkins
Director3.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$42,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$145,459AllOtherContributionsAmt
Total Contributions$145,459TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescClient feeDesc
Business624100BusinessCd
Total Revenue Column$69,893TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$69,893TotalProgramServiceRevenueAmt
Fundraising Gross Income$68,961FundraisingGrossIncomeAmt
Fundraising Direct Expenses$838FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,123TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$68,123ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,475TotalRevenueColumnAmt
Related Or Exempt Func Income$69,893RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$68,123ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$193,919TotalAmt
Program Services$181,169ProgramServicesAmt
Management And General$8,500ManagementAndGeneralAmt
Fundraising$4,250FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,595TotalAmt
Program Services$3,595ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,819TotalAmt
Program Services$13,844ProgramServicesAmt
Management And General$650ManagementAndGeneralAmt
Fundraising$325FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$0ProgramServicesAmt
Management And General$500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$6,015TotalAmt
Fundraising$6,015FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,660TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,460TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,460ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,803TotalAmt
Program Services$14,803ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,011TotalAmt
Program Services$11,011ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,134TotalAmt
Program Services$2,134ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,043TotalAmt
Program Services$9,474ProgramServicesAmt
Management And General$569ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Membership fees$400$0$400$0
Program expenses$18,188$18,188$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$281,547TotalAmt
Program Services$254,218ProgramServicesAmt
Management And General$16,739ManagementAndGeneralAmt
Fundraising$10,590FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$177,658BOYAmt
EOY$171,007EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,730BOYAmt
EOY$11,009EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$276,596LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$73,052LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$205,678BOYAmt
EOY$203,544EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$393,066BOYAmt
EOY$385,560EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$123,256BOYAmt
EOY$113,321EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$64,146BOYAmt
EOY$64,647EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$187,402BOYAmt
EOY$177,968EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$205,664BOYAmt
EOY$207,592EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$205,664BOYAmt
EOY$207,592EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$393,066BOYAmt
EOY$385,560EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,928ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$221,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$186,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,365CurrentTaxYearMinus1YearAmt
Current Tax Year$145,459CurrentTaxYearAmt
Total$900,820TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$221,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$186,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,365CurrentTaxYearMinus1YearAmt
Current Tax Year$145,459CurrentTaxYearAmt
Total$900,820TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$297,810SubstantialContributorsTotAmt
Public Support Total170$603,010PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,333CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$910CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$2,361TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$903,181TotalSupportAmt
Public Support CY1700.66770PublicSupportCY170Pct
Public Support PY1700.61930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$153,866OtherCostOrOtherBasisAmt
Book Value$153,866BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,305OtherCostOrOtherBasisAmt
Depreciation$40,627DepreciationAmt
Book Value$49,678BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,425OtherCostOrOtherBasisAmt
Depreciation$32,425DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$203,544TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AIDS WalkEvent1Nm
Gross Receipts Event1$37,196GrossReceiptsEvent1Amt
Gross Revenue Event1$37,196GrossRevenueEvent1Amt
Food And Beverage Event1$85FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$753OtherDirectExpensesEvent1Amt
Event2Holiday CampaignEvent2Nm
Gross Receipts Event2$18,125GrossReceiptsEvent2Amt
Gross Revenue Event2$18,125GrossRevenueEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$11,988GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$11,988GrossRevenueOtherEventsAmt
Gross Receipts Total$67,309GrossReceiptsTotalAmt
Gross Revenue Total Events$67,309GrossRevenueTotalEventsAmt
Food And Beverage Total Events$85FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$753OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$838DirectExpenseSummaryEventsAmt
Net Income Summary$66,471NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bReport is e-mailed to board members.
Pt VI, Line 15aThe United Way Compensation Survey is used.
Pt VI, Line 15bThe United Way Compensaion Survey is used.
Pt XIRounding

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