PREGNANCY AID-SOUTH SUBURBS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY AID-SOUTH SUBURBS INC (EIN 36-3345840)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-06-05
IRS object ID
202301569349301115
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)
Return2023-06-05T12:26:54-07:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN921058244PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HMK Accounting LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110741 Winterset DrAddressLine1Txt
CityOrland ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363345840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY AID SOUTH SUBURBSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVENUEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN JELLEMAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7086149777PhoneNum
Signature2023-05-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVENPersonFirstNm
Person LastJELLEMAPersonLastNm
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 PersonElizabeth HoogstraPreparerPersonNm
PTINP01698247PTIN
Phone7083499494PhoneNum
Preparation2023-06-05PreparationDt
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 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN JELLEMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$598,059GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPASSNETWORKFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$545,971PYContributionsGrantsAmt
CY Contributions Grants$566,884CYContributionsGrantsAmt
PY Program Service Revenue$8,125PYProgramServiceRevenueAmt
CY Program Service Revenue$4,510CYProgramServiceRevenueAmt
PY Investment Income$66PYInvestmentIncomeAmt
CY Investment Income$118CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$554,162PYTotalRevenueAmt
CY Total Revenue$571,512CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$294,050PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$358,726CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$69,252CYTotalFundraisingExpenseAmt
PY Other Expenses$141,642PYOtherExpensesAmt
CY Other Expenses$160,067CYOtherExpensesAmt
PY Total Expenses$435,692PYTotalExpensesAmt
CY Total Expenses$518,793CYTotalExpensesAmt
PY Revenues Less Expenses$118,470PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$52,719CYRevenuesLessExpensesAmt
Total Assets BOY$639,630TotalAssetsBOYAmt
Total Assets EOY$692,582TotalAssetsEOYAmt
Total Liabilities BOY$7,796TotalLiabilitiesBOYAmt
Total Liabilities EOY$8,029TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$631,834NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$684,553NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$406,171ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.Desc
Total Program Service Expenses$406,171TotalProgramServiceExpensesAmt
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 StmtYes (true)IndependentAuditFinclStmtInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee13EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN JELLEMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE VERHAGEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MIKE GLENN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SHARON WILKO
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ROBERT WORKMAN JR
TRUSTEE2.00Yes (X)Yes (X)$0$0$0
DAVE NOVOSEL
TREASURER1.00Yes (X)$0$0$0
STEVEN WALSH
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$65,023FundraisingAmt
All Other Contributions$501,861AllOtherContributionsAmt
Noncash Contributions$55,826NoncashContributionsAmt
Total Contributions$566,884TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescIMPACT PRESENTATIONSDesc
Business624190BusinessCd
Total Revenue Column$4,510TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$4,510TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$118TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$118ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$26,547FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$65,023ContriRptFundraisingEventAmt
Fundraising Direct Expenses$26,547FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$571,512TotalRevenueColumnAmt
Related Or Exempt Func Income$4,510RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$118ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$332,960TotalAmt
Program Services$244,049ProgramServicesAmt
Management And General$30,068ManagementAndGeneralAmt
Fundraising$58,843FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,766TotalAmt
Program Services$18,884ProgramServicesAmt
Management And General$2,327ManagementAndGeneralAmt
Fundraising$4,555FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,811TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,811ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,429TotalAmt
Program Services$1,429ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,701TotalAmt
Program Services$10,810ProgramServicesAmt
Management And General$1,669ManagementAndGeneralAmt
Fundraising$2,222FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$43,523TotalAmt
Program Services$39,190ProgramServicesAmt
Management And General$2,166ManagementAndGeneralAmt
Fundraising$2,167FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,044TotalAmt
Program Services$947ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$97FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,954TotalAmt
Program Services$1,954ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,961TotalAmt
Program Services$17,965ProgramServicesAmt
Management And General$998ManagementAndGeneralAmt
Fundraising$998FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,401TotalAmt
Program Services$6,662ProgramServicesAmt
Management And General$369ManagementAndGeneralAmt
Fundraising$370FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND FEES$2,686$724$1,962$0
EDUCATIONAL LITERATURE$7,731$7,731$0$0
BENEVOLENCE$55,826$55,826$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$518,793TotalAmt
Program Services$406,171ProgramServicesAmt
Management And General$43,370ManagementAndGeneralAmt
Fundraising$69,252FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$146,520BOYAmt
EOY$75,073EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$131,620BOYAmt
EOY$261,621EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,622BOYAmt
EOY$2,022EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$747,393LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$393,527LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$358,868BOYAmt
EOY$353,866EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$639,630BOYAmt
EOY$692,582EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,796BOYAmt
EOY$8,029EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,796BOYAmt
EOY$8,029EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$630,834BOYAmt
EOY$683,553EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$631,834BOYAmt
EOY$684,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$639,630BOYAmt
EOY$692,582EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$52,719ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$418,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$448,425CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$545,971CurrentTaxYearMinus1YearAmt
Current Tax Year$566,884CurrentTaxYearAmt
Total$2,388,956TotalAmt

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$418,634CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$448,425CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$545,971CurrentTaxYearMinus1YearAmt
Current Tax Year$566,884CurrentTaxYearAmt
Total$2,388,956TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$89,427SubstantialContributorsTotAmt
Public Support Total170$2,299,529PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$92CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$66CurrentTaxYearMinus1YearAmt
Current Tax Year$118CurrentTaxYearAmt
Total$373TotalAmt

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$2,389,329TotalSupportAmt
Public Support CY1700.96240PublicSupportCY170Pct
Public Support PY1700.95010PublicSupportPY170Pct
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$19,147OtherCostOrOtherBasisAmt
Book Value$19,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,982OtherCostOrOtherBasisAmt
Depreciation$272,501DepreciationAmt
Book Value$307,481BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$148,264OtherCostOrOtherBasisAmt
Depreciation$121,026DepreciationAmt
Book Value$27,238BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$353,866TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$687,948TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$89,889DonatedServicesAndUseFcltsAmt
Other Revenue$26,547OtherRevenueAmt
Revenue Not Reported$116,436RevenueNotReportedAmt
Revenue Subtotal$571,512RevenueSubtotalAmt
Total Revenue Per Form990$571,512TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$635,229TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$89,889DonatedServicesUseFcltsAmt
Other Expenses Included$26,547OtherExpensesIncludedAmt
Expenses Not Reported$116,436ExpensesNotReportedAmt
Expenses Subtotal$518,793ExpensesSubtotalAmt
Total Expenses Per Form990$518,793TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dFUNDRAISING EVENT EXPENSES
Pt XII, Line 2dFUNDRAISING EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HIKE FOR LIFEEvent1Nm
Gross Receipts Event1$37,791GrossReceiptsEvent1Amt
Charitable Contri Event1$30,605CharitableContriEvent1Amt
Gross Revenue Event1$7,186GrossRevenueEvent1Amt
Non Cash Prizes Event1$5,628NonCashPrizesEvent1Amt
Other Direct Expenses Event1$1,558OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$53,779GrossReceiptsEvent2Amt
Charitable Contri Event2$34,418CharitableContriEvent2Amt
Gross Revenue Event2$19,361GrossRevenueEvent2Amt
Rent Facility Costs Event2$6,670RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$12,691OtherDirectExpensesEvent2Amt
Gross Receipts Total$91,570GrossReceiptsTotalAmt
Charitable Contributions Tot$65,023CharitableContributionsTotAmt
Gross Revenue Total Events$26,547GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,628NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,670RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$14,249OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$26,547DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$55,826NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Pt VI, Line 15aBOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR SALARY.
Pt VI, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.

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