ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC (EIN 39-1802875)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-01-12
- IRS object ID
- 202300129349301455
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-01-12T09:56:27-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 262064862 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOLLATH & ASSOCIATES CPA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 WATER ST STE 111 | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391802875 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST VINCENT DE PAUL SOCIETY OF SAUK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STVI | BusinessNameControlTxt |
| Phone | 6086438905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE MURPHY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6086438905 | PhoneNum |
| Signature | 2022-12-06 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JACKIE | PersonFirstNm |
| Person Last | MURPHY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE MILLER | PreparerPersonNm |
| PTIN | P00388780 | PTIN |
| Phone | 6088243002 | PhoneNum |
| Preparation | 2022-12-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JACKIE MURPHY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,956,590 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STVDPSAUKPRAIRIE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 40 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $112,388 | PYContributionsGrantsAmt |
| CY Contributions Grants | $285,350 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $76,872 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $97,254 | CYProgramServiceRevenueAmt |
| PY Investment Income | $59,969 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,241 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,279,147 | PYOtherRevenueAmt |
| CY Other Revenue | $1,472,261 | CYOtherRevenueAmt |
| PY Total Revenue | $1,528,376 | PYTotalRevenueAmt |
| CY Total Revenue | $1,877,106 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $103,494 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $123,620 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $791,604 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,027,660 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $378,623 | PYOtherExpensesAmt |
| CY Other Expenses | $392,514 | CYOtherExpensesAmt |
| PY Total Expenses | $1,273,721 | PYTotalExpensesAmt |
| CY Total Expenses | $1,543,794 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $254,655 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $333,312 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,701,232 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,743,338 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $230,020 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $63,222 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,471,212 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,680,116 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,058,012 | ExpenseAmt |
| Grant | $123,620 | GrantAmt |
| Revenue | $1,595,499 | RevenueAmt |
| Desc | TO PROVIDE ASSISTANCE TO THE NEEDY OF THE SAUK-PRAIRIE/ROXBURY AREA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $154,595 | ExpenseAmt |
| Revenue | $10,580 | RevenueAmt |
| Desc | MANAGEMENT OF THE ST VINCENT RESOURCE CENTER WHICH IS OCCUPIED BY GOVERNMENT AND NON-PROFIT AGENCIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $233,023 | ExpenseAmt |
| Revenue | $97,254 | RevenueAmt |
| Desc | OPERATION OF A LOW INCOME DENTAL CLINIC | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,609 | ExpenseAmt |
| Desc | FOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $77,609 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,523,239 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 40 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JARROD VANDE HEY | PersonNm |
| Phone | 6086438905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JEROME KELLER | ||||||
| DIRECTOR | 7.00 | Yes (X) | $0 | $0 | $0 | |
| ROMAN MAIER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT PFAFF | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BILL CAMPBELL | ||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| HELEN CAMPBELL | ||||||
| VICE PRESIDE | 2.00 | $0 | $0 | $0 | Yes (X) | |
| JACKIE MURPHY | ||||||
| PRESIDENT | 7.00 | $0 | $0 | $0 | Yes (X) | |
| TAMMY VANDEHEY | ||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $176,443 | GovernmentGrantsAmt |
| All Other Contributions | $108,907 | AllOtherContributionsAmt |
| Noncash Contributions | $49,341 | NoncashContributionsAmt |
| Total Contributions | $285,350 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DENTAL CLINIC FEES | Desc |
| Total Revenue Column | $97,254 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $97,254 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $97,254 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,721 | TotalRevenueColumnAmt |
| Exclusion | $8,721 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $16,192 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $2,672 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,520 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,520 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$2,672 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $16,192 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,548,682 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $76,812 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,471,870 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,471,870 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DISCOUNTS TAKEN | Desc |
| Total Revenue Column | $391 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $391 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $391 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,877,106 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,566,843 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $24,913 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,620 | TotalAmt |
| Program Services | $123,620 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,904 | TotalAmt |
| Program Services | $75,514 | ProgramServicesAmt |
| Management And General | $8,390 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $858,320 | TotalAmt |
| Program Services | $858,320 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,727 | TotalAmt |
| Program Services | $13,559 | ProgramServicesAmt |
| Management And General | $168 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,709 | TotalAmt |
| Program Services | $71,067 | ProgramServicesAmt |
| Management And General | $642 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,355 | TotalAmt |
| Management And General | $11,355 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,321 | TotalAmt |
| Program Services | $69,321 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,871 | TotalAmt |
| Program Services | $4,871 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,402 | TotalAmt |
| Program Services | $11,402 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,161 | TotalAmt |
| Program Services | $54,161 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,908 | TotalAmt |
| Program Services | $50,908 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,865 | TotalAmt |
| Program Services | $51,865 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $59,548 | $59,548 |
| BANK CHARGES | $45,618 | $45,618 |
| FREIGHT EXPENSE | $9,071 | $9,071 |
| TELEPHONE | $8,757 | $8,757 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,637 | TotalAmt |
| Program Services | $15,637 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,543,794 | TotalAmt |
| Program Services | $1,523,239 | ProgramServicesAmt |
| Management And General | $20,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $197,934 | BOYAmt |
| EOY | $151,587 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $428,614 | BOYAmt |
| EOY | $401,675 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,270 | BOYAmt |
| EOY | $38,941 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,014,067 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,278,901 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $771,563 | BOYAmt |
| EOY | $735,166 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,963 | BOYAmt |
| EOY | $395,460 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,888 | BOYAmt |
| EOY | $20,509 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,232 | BOYAmt |
| EOY | $1,743,338 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,020 | BOYAmt |
| EOY | $63,222 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,020 | BOYAmt |
| EOY | $63,222 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,398,349 | BOYAmt |
| EOY | $1,610,830 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,863 | BOYAmt |
| EOY | $69,286 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,471,212 | BOYAmt |
| EOY | $1,680,116 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,701,232 | BOYAmt |
| EOY | $1,743,338 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $333,312 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$124,408 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $140,972 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161,570 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $278,556 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $112,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $285,350 | CurrentTaxYearAmt |
| Total | $978,836 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,335,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,338,458 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,124,740 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,412,329 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,646,327 | CurrentTaxYearAmt |
| Total | $6,857,076 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,476,194 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,500,028 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,403,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,524,717 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,931,677 | CurrentTaxYearAmt |
| Total | $7,835,912 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,000 | CurrentTaxYearMinus2YearsAmt |
| Total | $51,000 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,000 | CurrentTaxYearMinus2YearsAmt |
| Total | $51,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,784,912 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,721 | CurrentTaxYearAmt |
| Total | $13,066 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $428 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,721 | CurrentTaxYearAmt |
| Total | $13,066 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $323 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $286 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $667 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,276 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,476,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,501,416 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,404,348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,527,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,940,398 | CurrentTaxYearAmt |
| Total | $7,850,254 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99170 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98900 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 1,276 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,180 | OtherCostOrOtherBasisAmt |
| Book Value | $39,180 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,974,887 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,278,901 | DepreciationAmt |
| Book Value | $695,986 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $735,166 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PROVIDE DIRECT FUNDING | GrantTypeTxt |
| Cash Grant | $74,279 | CashGrantAmt |
| Non Cash Assistance | $49,341 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $49,341 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. |
| FORM 990, PAGE 2, PART III, LINE 4D | FOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 2 | BILL CAMPBELL HELEN CAMPBELL TREASURER V.P. HUSBAND/WIFE |
| FORM 990, PAGE 6, PART VI, LINE 11B | 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE REQUIRED TO REPORT ON A REGULAR BASIS ANY CONFLICTS |
| FORM 990, PAGE 6, PART VI, LINE 15A | GENERAL MANAGERS SALARY IS APPROVED BY THE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST - DOCUMENTS ARE MAINTAINED AT ORGANIZATIONS OFFICES |
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