CLIVE COMMUNITY SERVICES: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CLIVE COMMUNITY SERVICES (EIN 47-3206742)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-01-30
IRS object ID
202320339349200507
Schema version
2022v4.1
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)
Return2023-01-30T16:42:28-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200527398PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Ann M Hartz CPA & AssociatesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17109 Hickman RoadAddressLine1Txt
CityUrbandaleCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50322ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473206742EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIVE COMMUNITY SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLIVBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12190 NW 82ND ST STE AAddressLine1Txt
CityCLIVECityNm
State AbbreviationIAStateAbbreviationCd
ZIP50325ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE HORAKPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone5159871895PhoneNum
Signature2023-01-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEPHANIEPersonFirstNm
Person LastHORAKPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael Gorden CPAPreparerPersonNm
PTINP00858803PTIN
Phone5152597779PhoneNum
Preparation2023-01-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Type Of Organization OtherCHARITYTypeOfOrganizationOtherDesc
Gross Receipts$144,508GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$143,704ContributionsGiftsGrantsEtcAmt
Investment Income$804InvestmentIncomeAmt
Total Revenue$144,508TotalRevenueAmt
Salaries Other Comp Empl Bnft$22,996SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$942FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$35,788OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$687PrintingPublicationsPostageAmt
Other Expenses Total$43,741OtherExpensesTotalAmt
Total Expenses$104,154TotalExpensesAmt
Excess Or Deficit For Year$40,354ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$277,694NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$318,048NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$267,412BOYAmt
EOY$308,331EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
BOY$421BOYAmt
EOY$0EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$11,165BOYAmt
EOY$11,165EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$278,998BOYAmt
EOY$319,496EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,304BOYAmt
EOY$1,448EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$277,694BOYAmt
EOY$318,048EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposePROVIDE FOOD AND CLOTHING TO THE NEEDYPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PROVIDING ASSISTANCE AND LINKING THEM WITH RESOURCES THAT ENABLE THEM TO BECOME HEALTHIER IN MIND, BODY AND SPIRIT.DescriptionProgramSrvcAccomTxt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
STEPHANIE HORAK
PRESIDENT20.00$0$0$0
CHAD WHITMORE
BOARD MEMBER0.00$0$0$0
LESLIE SHEFFIELD
BOARD MEMBER0.00$0$0$0
LUANNE GAFFORD
TREASURER2.00$0$0$0
DOUG HOYNG
BOARD MEMBER0.00$0$0$0
MIKE SCHMIDT
BOARD MEMBER0.00$0$0$0
JENNIFER EASLER
SECRETARY10.00$0$0$0
JULIE CIRKSENA
BOARD MEMBER0.00$0$0$0
DEE MANKLE
VICE PRESIDENT2.00$0$0$0
LISA EARLS
DIRECTOR10.00$0$0$0
KRISTINE STONE
BOARD MEMBER0.00$0$0$0
LINDA SHANKS MCNEAL
IMMEDIATTE PAST PRESIDENT0.00$0$0$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldIAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMELISSA JANSSENPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1301 SW KENNYBROOK DRAddressLine1Txt
CityGRIMESCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50111ZIPCd
FieldValueIRS element (for citing)
Phone5153719246PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,461CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,766CurrentTaxYearMinus1YearAmt
Current Tax Year$47,500CurrentTaxYearAmt
Total$184,589TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,461CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,766CurrentTaxYearMinus1YearAmt
Current Tax Year$47,500CurrentTaxYearAmt
Total$184,589TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,000CurrentTaxYearMinus1YearAmt
Current Tax Year$31,000CurrentTaxYearAmt
Total$154,300TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,300CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,000CurrentTaxYearMinus1YearAmt
Current Tax Year$31,000CurrentTaxYearAmt
Total$154,300TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$30,289PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59CurrentTaxYearMinus1YearAmt
Current Tax Year$446CurrentTaxYearAmt
Total$1,183TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59CurrentTaxYearMinus1YearAmt
Current Tax Year$446CurrentTaxYearAmt
Total$1,183TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,815CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$42,263CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$50,825CurrentTaxYearMinus1YearAmt
Current Tax Year$47,946CurrentTaxYearAmt
Total$185,772TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.16300PublicSupportCY509Pct
Public Support PY5090.10000PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.01000InvestmentIncomePYPct
Private Foundation509Yes (X)PrivateFoundation509Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Description of other expenses Part I line 16DESCRIPTION AMOUNTDEPRECIATION FROM 4562 281FEES FOR SERVICE 536FUNDRAISERS 10,949CLINIC EXPENSE 2,905TECHNOLOGY 1,854CLOTHING CLOSET 3,665PANTRY EXPENSE 18,952OFFICE SUPPLIES 1,841INSURANCE 2,314VOLUNTEER APPRECIATION 444
Description of other assets Part II line 24CATEGORY BEGINNING OF YEAR END OF YEARIN-KIND ASSETS 11,165 11,165
Description of total liabilities Part II line 26CATEGORY BEGINNING OF YEAR END OF YEARPAYROLL TAX PAYABLE 462 1,084ACCRUAL ADJUSTMENT 842 364

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.