THE ARC OF GRAYS HARBOR: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE ARC OF GRAYS HARBOR (EIN 91-2010058)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-08-21
IRS object ID
202322339349301422
Schema version
2021v4.2
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)
Return2023-08-21T17:39:56-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611857207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KP AdvantageBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1179 Madrone Lane NAddressLine1Txt
Address Line2Suite 205AddressLine2Txt
CityBainbridge IslandCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98110ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN912010058EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The ARC of Grays HarborBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Martin BlevinsInCareOfNm
Business Name ControlTHEABusinessNameControlTxt
Phone3605377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1794AddressLine1Txt
CityAberdeenCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98520ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARTIN BLEVINSPersonNm
Person TitleCPAPersonTitleTxt
Phone3605354110PhoneNum
Signature2023-08-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARTINPersonFirstNm
Person LastBLEVINSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARTIN R BLEVINS CPAPreparerPersonNm
PTINP02133663PTIN
Phone3605354110PhoneNum
Preparation2023-08-21PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerJEFF MEEKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BoxAddressLine1Txt
CityAberdeenCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98520ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$239,818GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.arcgh.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTo promote the general welfare of all persons with developmental disabilitiesActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$2,126NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$164,606PYContributionsGrantsAmt
CY Contributions Grants$192,729CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$11PYInvestmentIncomeAmt
CY Investment Income$344CYInvestmentIncomeAmt
PY Other Revenue$1,108PYOtherRevenueAmt
CY Other Revenue$35,471CYOtherRevenueAmt
PY Total Revenue$165,725PYTotalRevenueAmt
CY Total Revenue$228,544CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$113,526PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,289CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$45,763PYOtherExpensesAmt
CY Other Expenses$58,431CYOtherExpensesAmt
PY Total Expenses$159,289PYTotalExpensesAmt
CY Total Expenses$211,720CYTotalExpensesAmt
PY Revenues Less Expenses$6,436PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,824CYRevenuesLessExpensesAmt
Total Assets BOY$560,228TotalAssetsBOYAmt
Total Assets EOY$553,726TotalAssetsEOYAmt
Total Liabilities BOY$355,387TotalLiabilitiesBOYAmt
Total Liabilities EOY$332,062TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$204,841NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$221,664NetAssetsOrFundBalancesEOYAmt
MissionTo promote the general welfare of all persons with developmental disabilitiesMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$182,039ExpenseAmt
DescInformation, resources & referral empowers people with developmental disabilities, their families and others acting on their behalf to resolve concerns, locate and access available resources and/or services and/or refers them to appropriate servicesDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$19,552ExpenseAmt
DescParent to parent assists families with loved ones with disabilities from birth through life by focusing on enhancing the learning and development of their child, encouraging families to have their loved one participate in family and community activities, and maximizing natural occuring learning opportunities.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$201,591TotalProgramServiceExpensesAmt
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Excs Tax Sect4951 Or4952 Or4953falseExcsTaxSect4951Or4952Or4953Ind
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFF MEEKSPersonNm
Phone3605377000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1794AddressLine1Txt
CityAberdeenCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98520ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
JEFF MEEKS
Executive Director32.00Yes (X)$39,950$0$0
GLORIA CALLAGHAN
Board Member0.500$0$0$0Yes (X)
DANIEL SPERLINE
Vice President1.000$0$0$0Yes (X)Yes (X)
VIOLA KHAMMALA
Board Member0.500$0$0$0Yes (X)
ZANE EKO
Board Member0.500$0$0$0Yes (X)
JANE HAYES
Secretary1.000$0$0$0Yes (X)Yes (X)
SUSAN BURNS
Board Member0.500$0$0$0Yes (X)
SUSAN FRANCK
President1.000$0$0$0Yes (X)Yes (X)
TRISHA GUSTAFSON
Board Member0.500$0$0$0Yes (X)
CONNIE KING
Board Member0.500$0$0$0Yes (X)
TED LAWSON
Board Member0.500$0$0$0Yes (X)
DAN BASKINS
Treasurer1.000$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$39,950TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$1,891MembershipDuesAmt
Government Grants$77,086GovernmentGrantsAmt
All Other Contributions$113,752AllOtherContributionsAmt
Total Contributions$192,729TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$344TotalRevenueColumnAmt
Exclusion$344ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$14,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$11,274RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,126RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,126TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Unrealized Loss Endow900099-$52,309-$52,309
SBA PPP/EIDL Forgiven900099$27,441$27,441
ERC IRS REfund900099$57,213$57,213
FieldValueIRS element (for citing)
Other Revenue Total$32,345OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,544TotalRevenueColumnAmt
Related Or Exempt Func Income$32,345RelatedOrExemptFuncIncomeAmt
Exclusion$344ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$42,132TotalAmt
Program Services$42,132ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,224TotalAmt
Program Services$96,224ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,933TotalAmt
Program Services$14,933ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,367TotalAmt
Program Services$2,367ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,869TotalAmt
Program Services$4,869ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,050TotalAmt
Program Services$2,025ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,262TotalAmt
Program Services$6,943ProgramServicesAmt
Management And General$1,319ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,483TotalAmt
Program Services$2,483ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$126TotalAmt
Program Services$126ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,212TotalAmt
Program Services$7,212ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,415TotalAmt
Program Services$6,509ProgramServicesAmt
Management And General$1,906ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Program Expenses$4,857$4,857
Fiscal Agency Expense$13,800$13,800
Affiliation Fees$2,288$2,288
Other Expenses$1,702$1,702

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$211,720TotalAmt
Program Services$208,470ProgramServicesAmt
Management And General$3,250ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$107,062BOYAmt
EOY$79,831EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,978BOYAmt
EOY$12,795EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,245BOYAmt
EOY$2,045EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,471LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,440LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$230,243BOYAmt
EOY$223,031EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$215,700BOYAmt
EOY$236,024EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$560,228BOYAmt
EOY$553,726EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,482BOYAmt
EOY$19,883EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$342,905BOYAmt
EOY$312,179EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$355,387BOYAmt
EOY$332,062EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$26,115BOYAmt
EOY$26,115EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$178,726BOYAmt
EOY$195,549EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$204,841BOYAmt
EOY$221,664EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$560,228BOYAmt
EOY$553,726EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,824ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$110,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$196,829CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,219CurrentTaxYearMinus1YearAmt
Current Tax Year$194,898CurrentTaxYearAmt
Total$823,528TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$110,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$156,035CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$196,829CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$165,219CurrentTaxYearMinus1YearAmt
Current Tax Year$194,898CurrentTaxYearAmt
Total$823,528TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$823,528PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,984CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,696CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,406CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,411CurrentTaxYearMinus1YearAmt
Current Tax Year$14,744CurrentTaxYearAmt
Total$88,241TotalAmt
FieldValueIRS element (for citing)
Total Support$911,769TotalSupportAmt
Public Support CY1700.90322PublicSupportCY170Pct
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

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlfalseDisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsfalseDisclosedForCharitablePrpsInd
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Section170h Rqr StsfdfalseSection170hRqrStsfdInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,000OtherCostOrOtherBasisAmt
Book Value$48,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$210,100OtherCostOrOtherBasisAmt
Depreciation$37,223DepreciationAmt
Book Value$172,877BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,371OtherCostOrOtherBasisAmt
Depreciation$7,217DepreciationAmt
Book Value$2,154BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$223,031TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescGrays Harbor Community FoundationDesc
Book Value$236,024BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$236,024TotalBookValueSecuritiesAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 11bCPA prepared Form 990 was provided to the Board by the Executive
Part VI Line 11bDirector prior to filing.
Part VI Line 18Form 990 is provided to the public upon request
Part VI Line 19If requested, the documents are made available to the public.

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