HAVEN: Form 990EZ, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- HAVEN (EIN 82-3765753)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-06
- IRS object ID
- 202332799349201603
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-06T17:10:05-04:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 472590304 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BALANCE TAX AND ACCOUNTING | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4809 38TH ST S SUITE 101 | AddressLine1Txt |
| City | FARGO | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 823765753 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAVEN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAVE | BusinessNameControlTxt |
| Phone | 7012001194 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 8TH ST S STE 110 | AddressLine1Txt |
| City | FARGO | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER BURGARD | PersonNm |
| Person Title | MEMBER | PersonTitleTxt |
| Phone | 7012001194 | PhoneNum |
| Signature | 2023-10-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER | PersonFirstNm |
| Person Last | BURGARD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LESLEY MILLER CPA | PreparerPersonNm |
| PTIN | P00749893 | PTIN |
| Phone | 7013650319 | PhoneNum |
| Preparation | 2023-10-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | HAVENMIDWEST.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $122,606 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $64,796 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $56,236 | ProgramServiceRevenueAmt |
| Investment Income | $1 | InvestmentIncomeAmt |
| Fundraising Gross Income | $831 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $7,808 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | -$6,977 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $742 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,223 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | -$481 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $113,575 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $41,403 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $5,320 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $27,026 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $500 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $44,426 | OtherExpensesTotalAmt |
| Total Expenses | $118,675 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$5,100 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $58,776 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,676 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,362 | BOYAmt |
| EOY | $10,972 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,154 | BOYAmt |
| EOY | $60,154 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,516 | BOYAmt |
| EOY | $71,126 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,740 | BOYAmt |
| EOY | $17,450 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,776 | BOYAmt |
| EOY | $53,676 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROVIDE SUPPORT FOR GRIEVING PARENTS. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|
| SENT OVER 240 HEALING GIFTS WERE SENT OUT TO PARENTS ENDURING THE LOSS OF A CHILD. GIFTS INCLUDE BOOKS, JOURNALS, ACTIVITIES, INFORMATION, COMFORT ITEMS, AND REMEMBERANCE ITEMS. THESE PROGRAMS HAVE IMPACTED 400 FAMILIES IN OUR REGION IN THE 2022 YEAR. | $23,273 |
| ANNUAL REMEMBRANCE EVENT HELD EACH OCTOBER IN HONOR OF PREGNANCY AND INFANT LOSS AWARENESS MONTH. | $5,169 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $28,442 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| JENNIFER BURGARD | ||
| MEMBER | 40.00 | $38,461 |
| MAX KRINGEN | ||
| BOARD CHAIR | 1.00 | $0 |
| JESSICA BONTJES | ||
| TREASURER | 3.00 | $0 |
| CASSIE ERICKSON | ||
| MEMBER | 1.00 | $0 |
| KATIE HUTTON | ||
| MEMBER | 1.00 | $0 |
| DANI ANDERSON | ||
| MEMBER | 1.00 | $0 |
| LOGAN LITTLE | ||
| MEMBER | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | Yes (true) | MadeLoansToFromOfficersInd |
| Loans To From Officers | $60,154 | LoansToFromOfficersAmt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER BURGARD | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 8TH ST S | AddressLine1Txt |
| City | FARGO | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7012001194 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $26,273 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,312 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,859 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,796 | CurrentTaxYearAmt |
| Total | $170,240 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $26,273 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,312 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $54,859 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $64,796 | CurrentTaxYearAmt |
| Total | $170,240 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $170,240 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $1 | CurrentTaxYearAmt |
| Total | $1 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $170,241 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $57,810 | GrossReceiptsRltdActivitiesAmt |
| First5 Years170 | Yes (X) | First5Years170Ind |
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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | HOPE FORWARD | Event1Nm |
| Gross Receipts Event1 | $18,421 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $17,590 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $831 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $947 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,334 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,520 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,007 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $18,421 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $17,590 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $831 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $947 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,334 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,520 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,007 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $7,808 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,977 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAYLA SORUM | PersonNm |
| Relationship With Org | FORMER DIRECTOR | RelationshipWithOrgTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $60,154 | OriginalPrincipalAmt |
| Balance Due | $60,154 | BalanceDueAmt |
| Default | Yes (true) | DefaultInd |
| Board Or Committee Approval | false | BoardOrCommitteeApprovalInd |
| Written Agreement | false | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $60,154 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES ADVERTISING AND PROMOTION 4,270 OFFICE 1,687 INFORMATION TECHNOLOGY 5,201 INSURANCE 350 OTHER 69 SUPPLIES 557 PODCAST 3,850 HOPE GIFTS PSA EXPENSE 23,273 LOVE & LIGHT PSA EXPENSE 5,169 TOTAL 44,426 |
| FORM 990-EZ, PART II, LINE 24 | RECEIVABLES DUE FROM OFFICERS 60,154 60,154 TOTAL 60,154 60,154 |
| FORM 990-EZ, PART II, LINE 26 | CREDIT CARDS 3,453 1,347 PAYROLL LIABILITIES 16,287 16,103 |
| FORM 990-EZ, PART III, LINE 28 | SENT OVER 240 HEALING GIFTS WERE SENT OUT TO PARENTS ENDURING THE LOSS OF A CHILD. GIFTS INCLUDE BOOKS, JOURNALS, ACTIVITIES, INFORMATION, COMFORT ITEMS, AND REMEMBERANCE ITEMS. THESE PROGRAMS HAVE IMPACTED 400 FAMILIES IN OUR REGION IN THE 2022 YEAR. |
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