SUNSHINE CLUBHOUSE INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SUNSHINE CLUBHOUSE INC (EIN 46-4865039)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-11
IRS object ID
202443169349301924
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)
Return2024-11-11T10:09:58-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351307701PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KRUGGEL LAWTON & COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1210 S MICHIGAN ST SUITE 200AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN464865039EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLUBHOUSE OF ST JOSEPH COUNTY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLUBBusinessNameControlTxt
Phone5743608409PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11153 NORTHSIDE BOULEVARDAddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46615ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHERESA OLSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5743608409PhoneNum
Signature2024-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARGENE ZINKPreparerPersonNm
PTINP01222961PTIN
Phone5742894011PhoneNum
Preparation2024-11-09PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHERESA OLSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11153 NORTHSIDE BOULEVARDAddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46615ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$358,237GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLUBHOUSESJC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PROVIDE A COMMUNITY OF SUPPORT TO PEOPLE LIVING WITH A SERIOUS MENTAL ILLNESS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$181,509PYContributionsGrantsAmt
CY Contributions Grants$133,914CYContributionsGrantsAmt
PY Program Service Revenue$276,193PYProgramServiceRevenueAmt
CY Program Service Revenue$219,070CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$1,892PYOtherRevenueAmt
CY Other Revenue$5,253CYOtherRevenueAmt
PY Total Revenue$459,594PYTotalRevenueAmt
CY Total Revenue$358,237CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$173,289CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,114CYTotalFundraisingExpenseAmt
PY Other Expenses$309,731PYOtherExpensesAmt
CY Other Expenses$149,130CYOtherExpensesAmt
PY Total Expenses$309,731PYTotalExpensesAmt
CY Total Expenses$322,419CYTotalExpensesAmt
PY Revenues Less Expenses$149,863PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$35,818CYRevenuesLessExpensesAmt
Total Assets BOY$995,445TotalAssetsBOYAmt
Total Assets EOY$1,041,096TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,833TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$995,445NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,031,263NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE A COMMUNITY OF SUPPORT TO PEOPLE LIVING WITH A SERIOUS MENTAL ILLNESS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$266,034ExpenseAmt
Revenue$219,070RevenueAmt
DescIN 2023, WE SERVED PEOPLE WITH CHRONIC MENTAL ILLNESS. WE PLACED PEOPLE INTO COMMUNITY-BASED JOBS (EMPLOYMENT) AND SERVED MEALS TO MEMBERS UTILIZING A STAFF OF THREE. WE CONTINUE TO GROW AND GET OUR NAME AND PURPOSE OUT INTO THE COMMUNITY.Desc
Total Program Service Expenses$266,034TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THERESA OLSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5743608409PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11153 NORTHSIDE BLVDAddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP46615ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAN BANICKI
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER MARTIN
DIRECTOR1.00Yes (X)$0$0$0
THERESA OLSON
EXECUTIVE DIRECTOR40.00$61,616$0$0Yes (X)
LISA ANDERSON
DIRECTOR1.00Yes (X)$0$0$0
SOLEDAD GARCIA
DIRECTOR1.00Yes (X)$0$0$0
SUE TAYLOR
DIRECTOR1.00Yes (X)$0$0$0
LYNN RHODY
SECRETARY1.00Yes (X)$0$0$0Yes (X)
SHANE MARTENS
TREASURER1.00Yes (X)$0$0$0Yes (X)
JOHN LLOYD
VICE PRESIDENT, CHAIR OF GOVERNANCE COMMITTEE1.00Yes (X)$0$0$0Yes (X)
ELIZABETH GARCIA
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
ROBERT RASTER MD
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
LEO J PRIEMER
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$61,616TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$133,914AllOtherContributionsAmt
Total Contributions$133,914TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMENTAL HEALTH SERVICESDesc
Business624100BusinessCd
Total Revenue Column$219,070TotalRevenueColumnAmt
Related Or Exempt Func Income$219,070RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$219,070TotalProgramServiceRevenueAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,253TotalRevenueColumnAmt
Exclusion$5,253ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$358,237TotalRevenueColumnAmt
Related Or Exempt Func Income$219,070RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,253ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$61,616TotalAmt
Program Services$52,374ProgramServicesAmt
Management And General$6,162ManagementAndGeneralAmt
Fundraising$3,080FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$65,508TotalAmt
Program Services$55,682ProgramServicesAmt
Management And General$6,550ManagementAndGeneralAmt
Fundraising$3,276FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$425TotalAmt
Program Services$361ProgramServicesAmt
Management And General$43ManagementAndGeneralAmt
Fundraising$21FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,358TotalAmt
Program Services$11,354ProgramServicesAmt
Management And General$1,336ManagementAndGeneralAmt
Fundraising$668FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$32,382TotalAmt
Program Services$27,525ProgramServicesAmt
Management And General$3,238ManagementAndGeneralAmt
Fundraising$1,619FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,440TotalAmt
Management And General$5,440ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$519TotalAmt
Management And General$519ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$881TotalAmt
Management And General$881ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,480TotalAmt
Program Services$13,962ProgramServicesAmt
Management And General$4,518ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,164TotalAmt
Management And General$3,164ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,038TotalAmt
Program Services$17,949ProgramServicesAmt
Management And General$1,089ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,419TotalAmt
Program Services$3,407ProgramServicesAmt
Management And General$8ManagementAndGeneralAmt
Fundraising$4FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,812TotalAmt
Program Services$34,706ProgramServicesAmt
Management And General$2,106ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,194TotalAmt
Program Services$6,881ProgramServicesAmt
Management And General$1,313ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CAFE PROGRAM$24,529$24,529
MISCELLANEOUS$10,987$10,590$397
ADMINISTRATION FEES$10,208$10,208
DUES AND SUBSCRIPTIONS$7,265$6,666$599

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$194TotalAmt
Program Services$48ProgramServicesAmt
Management And General$97ManagementAndGeneralAmt
Fundraising$49FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$322,419TotalAmt
Program Services$266,034ProgramServicesAmt
Management And General$47,271ManagementAndGeneralAmt
Fundraising$9,114FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$121,549BOYAmt
EOY$159,236EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,113BOYAmt
EOY$18,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,065,681LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$202,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$864,783BOYAmt
EOY$863,409EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$995,445BOYAmt
EOY$1,041,096EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,833EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,833EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$995,445BOYAmt
EOY$1,031,263EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$995,445BOYAmt
EOY$1,031,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$995,445BOYAmt
EOY$1,041,096EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$35,818ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$109,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$234,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$119,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181,509CurrentTaxYearMinus1YearAmt
Current Tax Year$133,914CurrentTaxYearAmt
Total$778,360TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$109,371CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$234,060CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$119,506CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$181,509CurrentTaxYearMinus1YearAmt
Current Tax Year$133,914CurrentTaxYearAmt
Total$778,360TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$105,942SubstantialContributorsTotAmt
Public Support Total170$672,418PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$95CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$1,892CurrentTaxYearMinus1YearAmt
Current Tax Year$5,253CurrentTaxYearAmt
Total$7,240TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$204CurrentTaxYearMinus3YearsAmt
Total$204TotalAmt
FieldValueIRS element (for citing)
Total Support$785,804TotalSupportAmt
Gross Receipts Rltd Activities$1,307,319GrossReceiptsRltdActivitiesAmt
Public Support CY1700.85570PublicSupportCY170Pct
Public Support PY1700.85310PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,000OtherCostOrOtherBasisAmt
Book Value$25,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$977,859OtherCostOrOtherBasisAmt
Depreciation$168,085DepreciationAmt
Book Value$809,774BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,020OtherCostOrOtherBasisAmt
Depreciation$27,221DepreciationAmt
Book Value$15,799BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,802OtherCostOrOtherBasisAmt
Depreciation$6,966DepreciationAmt
Book Value$12,836BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$863,409TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN IS PREPARED BY THE ORGANIZATION'S ACCOUNTING FIRM, REVIEWED BY THE EXECUTIVE DIRECTOR AND PRESENTED TO THE BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO SELF-REPORT ANY CONFLICTS OF INTEREST AND TO REFRAIN FROM VOTING ON THE RELATED MATTER.
FORM 990, PART VI, SECTION C, LINE 19WE MAKE OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE TO THE PUBLIC UPON REQUEST.

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