PHILOMENA HOUSE CORP: Form 990EZ, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PHILOMENA HOUSE CORP (EIN 27-4642602)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-05-12
IRS object ID
202311329349201136
Schema version
2022v5.0
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)
Return2023-05-12T09:14:17-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN900706462PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Evanoff Accounting Services LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11777 DELLWOOD AVEAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationMNStateAbbreviationCd
ZIP55113ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274642602EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Philomena House CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHILBusinessNameControlTxt
Phone6513575295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 130141AddressLine1Txt
CityRosevilleCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55113ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNANCY J KIOLBASAPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone6513575295PhoneNum
Signature2023-04-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNANCYPersonFirstNm
Person LastKIOLBASAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSusan EvanoffPreparerPersonNm
PTINP00195728PTIN
Phone6516459163PhoneNum
Preparation2023-05-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressPHILOMENAHOUSE.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$170,935GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$149,101ContributionsGiftsGrantsEtcAmt
Program Service Revenue$0ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$34InvestmentIncomeAmt
Sale Of Assets Gross$21,800SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$21,800GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$170,935TotalRevenueAmt
Salaries Other Comp Empl Bnft$65,510SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,024FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$28,617OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$7,753PrintingPublicationsPostageAmt
Other Expenses Total$20,845OtherExpensesTotalAmt
Total Expenses$124,749TotalExpensesAmt
Excess Or Deficit For Year$46,186ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$81,382NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$127,568NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$82,933BOYAmt
EOY$131,330EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$82,933BOYAmt
EOY$131,330EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,551BOYAmt
EOY$3,762EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$81,382BOYAmt
EOY$127,568EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTHE PHILOMENA HOUSE PROVIDES WITHOUT PROVIDE FOOD, SHELTER & MEDICAL CARE FOR HOMELESS PREGNANT WOMENPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPHILOMENA HOUSE PROVIDES WITHOUT CHARGE FOOD, SHELTER AND MEDICAL CARE FORABOUT 16 HOMELESS PREGNANT WOMEN THROUGHOUT THEIR ENTIRE PREGNANCY. AFTER THEBIRTH OF THEIR CHILD MOTHER AND BABY CAN STAY AN ADDITIONAL 12 MONTHS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$75,871GrantsAndAllocationsAmt
Program Service Expenses$104,293ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$104,293TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
NANCY KIOLBASA
EXCUTIVE DIRECTOR30.00$19,815$0$0
RENEE KUETTLE
PRESIDENT5.00$0$0$0
MARY DOURGARIAN
SECRETARY5.00$0$0$0
CHRISTIE TURNER
TREASURER5.00$0$0$0
JOYCE NEVINS
EMERITUS DIRECTOR5.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
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
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNANCY KIOLBASAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11920 OAK GLEN TRAILAddressLine1Txt
CitySTILLWATERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55082ZIPCd
FieldValueIRS element (for citing)
Phone6513731205PhoneNum
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)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$86,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$119,512CurrentTaxYearMinus1YearAmt
Current Tax Year$149,102CurrentTaxYearAmt
Total$582,748TotalAmt

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$104,466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$86,885CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$119,512CurrentTaxYearMinus1YearAmt
Current Tax Year$149,102CurrentTaxYearAmt
Total$582,748TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$582,748PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$31CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6CurrentTaxYearMinus1YearAmt
Total$71TotalAmt

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$582,819TotalSupportAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
OtherFORM 990-EZ, PART 1, LINE 16: SEE SCHEDULE
OtherFORM 990-EZ, PART III, LINE 28a 90,611: PROVIDE PREGNANT HOMELESS MOTHERS AND THEIR BABIES WITH FOOD, SHELTER, HEALTH CARE AND TRANSPORTATION FOR MEDICAL APPOINTMENTS AND CONTINUING EDUCATION. THE PHILOMENA HOUSE PROVIDES FREE FOOD, SHELTER AND MEDICAL CARE FOR THE MOTHER DURING HER PREGNANCY AND THEN FREE CARE UPTO ONE YEAR AFTER THE BABY IS BORN.
OtherFORM 990-EZ, PART II, LINE 24: SEE L-24 STATEMENT
Pt V, PBCFORM 990-EZ, PART IV, SECTION 4, LINE 33: THE EXECUTIVE DIRECTOR AND OTHER KEY OFFICERS VOLUNTEER 100% OF THEIR TIME, WITHOUT PAY TO THE PHILOMENA HOUSE.
Form 990EZ, Part I, Line 16DIRECT PAYMENTS TO SUPPORT HOMELESS MOTHERS 17078.
Form 990EZ, Part I, Line 16MN ATTORNEY GENERAL FEE 25.
Form 990EZ, Part I, Line 16OFFICE EXPENSE 3742.
Form 990EZ, Part I, Line 16Depreciation 0.
Form 990EZ, Part II, Line 24OFFICE EQUIPMENT NET BOOK VALUE 0. 0.
Form 990EZ, Part II, Line 26PAYROLL TAXES 1551. 1165.
Form 990EZ, Part II, Line 26CREDIT CARD PAYABLE 0. 2597.

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