MOLLYS HOUSE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MOLLYS HOUSE INC (EIN 65-0407242)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-06
IRS object ID
202332799349301828
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)
Return2023-10-06T16:22:20-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line133 SW FLAGLER AVENUEAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650407242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLLY'S HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOLLBusinessNameControlTxt
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATIE BARTLETTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7722236659PhoneNum
Signature2023-10-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATIEPersonFirstNm
Person LastBARTLETTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE MYERS CPAPreparerPersonNm
PTINP00404484PTIN
Phone7722832356PhoneNum
Preparation2023-10-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATIE BARTLETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,691,679GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOLLYSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO SUPPORT PATIENTS RECEIVING MEDICAL TREATMENT BY PROVIDING TEMPORARY AFFORDABLE ACCOMMODATIONSActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers87TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$645,456PYContributionsGrantsAmt
CY Contributions Grants$531,724CYContributionsGrantsAmt
PY Program Service Revenue$98,924PYProgramServiceRevenueAmt
CY Program Service Revenue$127,123CYProgramServiceRevenueAmt
PY Investment Income$70,174PYInvestmentIncomeAmt
CY Investment Income$320,790CYInvestmentIncomeAmt
PY Other Revenue-$25,512PYOtherRevenueAmt
CY Other Revenue-$30,397CYOtherRevenueAmt
PY Total Revenue$789,042PYTotalRevenueAmt
CY Total Revenue$949,240CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$288,576PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$297,856CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,301CYTotalFundraisingExpenseAmt
PY Other Expenses$216,210PYOtherExpensesAmt
CY Other Expenses$225,350CYOtherExpensesAmt
PY Total Expenses$504,786PYTotalExpensesAmt
CY Total Expenses$523,206CYTotalExpensesAmt
PY Revenues Less Expenses$284,256PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$426,034CYRevenuesLessExpensesAmt
Total Assets BOY$2,893,264TotalAssetsBOYAmt
Total Assets EOY$3,318,134TotalAssetsEOYAmt
Total Liabilities BOY$7,746TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,582TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,885,518NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,311,552NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO SUPPORT PATIENTS RECEIVING MEDICAL TREATMENT BY PROVIDING TEMPORARY AFFORDABLE ACCOMMODATIONS TO THEM AND THEIR FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$386,745ExpenseAmt
Revenue$127,123RevenueAmt
DescMOLLY'S HOUSE IS A CERTIFIED HOSPITALITY HOUSE THAT PROVIDES A PEACEFUL, CONVENIENT AND AFFORDABLE PLACE TO STAY DURING ANY MEDICAL CRISIS. FOR THOSE WHO CAN'T AFFORD HOTELS AND DO NOT WANT TO SLEEP IN THE HOSPITAL, MOLLY'S HOUSE GOES ABOVE AND BEYOND TO MEET GUESTS WHERE THEY ARE DURING THE HARDEST TIME IN THEIR LIFE. FOR JUST $40 PER NIGHT, PER ROOM, GUESTS CAN STAY IN ONE OF THE 14 BEDROOMS EACH WITH ITS OWN PRIVATE BATHROOM. SUBSIDIZED STAYS ARE AVAILABLE FOR THOSE WHO CANNOT AFFORD THE ROOM FEE. GUESTS TAKE COMFORT IN CONNECTING WITH OTHER FAMILIES, STAYING AT MOLLY'S HOUSE, WHO ARE GOING THROUGH A SIMILAR SITUATION.Desc
Total Program Service Expenses$386,745TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATIE BARTLETTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHARLES CLEAVER
TREASURER2.00Yes (X)Yes (X)$0$0$0
JUDGE ALAN FORST
DIRECTOR1.00Yes (X)$0$0$0
DAN PARZ
DIRECTOR1.00Yes (X)$0$0$0
ELIZABETH HEROLD
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
KATE WEIGERINK
SECRETARY1.00Yes (X)Yes (X)$0$0$0
STEPHEN PINNACOLI
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JAMES DESANTIS
DIRECTOR1.00Yes (X)$0$0$0
DR HOUSSEIN SATER
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH ENDRESS
DIRECTOR1.00Yes (X)$0$0$0
KATIE BARTLETT
EXECUTIVE DIRECTOR40.00Yes (X)$119,855$0$16,493
FieldValueIRS element (for citing)
Total Reportable Comp From Org$119,855TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$16,493TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$115,805FundraisingAmt
Government Grants$59,819GovernmentGrantsAmt
All Other Contributions$356,100AllOtherContributionsAmt
Noncash Contributions$53,484NoncashContributionsAmt
Total Contributions$531,724TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTDesc
Business624100BusinessCd
Total Revenue Column$127,123TotalRevenueColumnAmt
Related Or Exempt Func Income$127,123RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$127,123TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,377TotalRevenueColumnAmt
Exclusion$37,377ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,977,185SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,693,772SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$283,413SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,413TotalRevenueColumnAmt
Exclusion$283,413ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$18,270FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$115,805ContriRptFundraisingEventAmt
Fundraising Direct Expenses$48,667FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,397TotalRevenueColumnAmt
Exclusion-$30,397ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$949,240TotalRevenueColumnAmt
Related Or Exempt Func Income$127,123RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$290,393ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$119,855TotalAmt
Program Services$56,931ProgramServicesAmt
Management And General$56,931ManagementAndGeneralAmt
Fundraising$5,993FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$140,136TotalAmt
Program Services$118,863ProgramServicesAmt
Management And General$4,954ManagementAndGeneralAmt
Fundraising$16,319FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,493TotalAmt
Program Services$7,834ProgramServicesAmt
Management And General$7,834ManagementAndGeneralAmt
Fundraising$825FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,372TotalAmt
Program Services$14,451ProgramServicesAmt
Management And General$5,087ManagementAndGeneralAmt
Fundraising$1,834FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,166TotalAmt
Program Services$12,629ProgramServicesAmt
Management And General$1,955ManagementAndGeneralAmt
Fundraising$1,582FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$9,553TotalAmt
Management And General$9,553ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,529TotalAmt
Program Services$20,693ProgramServicesAmt
Management And General$4,836ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,776TotalAmt
Program Services$5,198ProgramServicesAmt
Management And General$289ManagementAndGeneralAmt
Fundraising$289FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,430TotalAmt
Program Services$13,346ProgramServicesAmt
Management And General$811ManagementAndGeneralAmt
Fundraising$3,273FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,454TotalAmt
Program Services$39,362ProgramServicesAmt
Management And General$1,092ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,611TotalAmt
Program Services$2,611ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,049TotalAmt
Program Services$926ProgramServicesAmt
Management And General$105ManagementAndGeneralAmt
Fundraising$18FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,428TotalAmt
Program Services$31,885ProgramServicesAmt
Management And General$3,543ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,750TotalAmt
Program Services$8,217ProgramServicesAmt
Management And General$1,502ManagementAndGeneralAmt
Fundraising$1,031FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS & MAINTENANCE$24,161$24,080$81$0
SUPPLIES$23,809$18,779$227$4,803
DUES AND SUBSCRIPTIONS$6,681$6,013$334$334
BANK CHARGES$5,045$4,541$504$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$908TotalAmt
Program Services$386ProgramServicesAmt
Management And General$522ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$523,206TotalAmt
Program Services$386,745ProgramServicesAmt
Management And General$100,160ManagementAndGeneralAmt
Fundraising$36,301FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$528,722BOYAmt
EOY$462,131EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,521,127LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$664,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$858,410BOYAmt
EOY$856,259EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,500,002BOYAmt
EOY$1,999,744EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,130BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,893,264BOYAmt
EOY$3,318,134EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,746BOYAmt
EOY$6,582EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,746BOYAmt
EOY$6,582EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,885,518BOYAmt
EOY$3,311,552EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,885,518BOYAmt
EOY$3,311,552EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,893,264BOYAmt
EOY$3,318,134EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$426,034ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$464,901CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,651,756CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$553,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$645,456CurrentTaxYearMinus1YearAmt
Current Tax Year$531,724CurrentTaxYearAmt
Total$3,847,549TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$464,901CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,651,756CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$553,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$645,456CurrentTaxYearMinus1YearAmt
Current Tax Year$531,724CurrentTaxYearAmt
Total$3,847,549TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,754,305SubstantialContributorsTotAmt
Public Support Total170$2,093,244PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$49,245CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,992CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$70,174CurrentTaxYearMinus1YearAmt
Current Tax Year$320,790CurrentTaxYearAmt
Total$530,467TotalAmt
FieldValueIRS element (for citing)
Total Support$4,378,016TotalSupportAmt
Gross Receipts Rltd Activities$536,553GrossReceiptsRltdActivitiesAmt
Public Support CY1700.47810PublicSupportCY170Pct
Public Support PY1700.47840PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,703OtherCostOrOtherBasisAmt
Book Value$408,703BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$969,672OtherCostOrOtherBasisAmt
Depreciation$562,916DepreciationAmt
Book Value$406,756BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,490OtherCostOrOtherBasisAmt
Depreciation$25,661DepreciationAmt
Book Value$2,829BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$114,262OtherCostOrOtherBasisAmt
Depreciation$76,291DepreciationAmt
Book Value$37,971BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$856,259TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARD PAYABLEDesc
Amt$6,582Amt
FieldValueIRS element (for citing)
Total Liability$6,582TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1POLO EVENTEvent1Nm
Gross Receipts Event1$110,841GrossReceiptsEvent1Amt
Charitable Contri Event1$92,571CharitableContriEvent1Amt
Gross Revenue Event1$18,270GrossRevenueEvent1Amt
Rent Facility Costs Event1$19,542RentFacilityCostsEvent1Amt
Food And Beverage Event1$10,177FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$7,542OtherDirectExpensesEvent1Amt
Event2OTHER SMALL EVENTSEvent2Nm
Gross Receipts Event2$23,234GrossReceiptsEvent2Amt
Charitable Contri Event2$23,234CharitableContriEvent2Amt
Cash Prizes Event2$438CashPrizesEvent2Amt
Rent Facility Costs Event2$2,707RentFacilityCostsEvent2Amt
Food And Beverage Event2$4,765FoodAndBeverageEvent2Amt
Entertainment Event2$900EntertainmentEvent2Amt
Other Direct Expenses Event2$2,596OtherDirectExpensesEvent2Amt
Gross Receipts Total$134,075GrossReceiptsTotalAmt
Charitable Contributions Tot$115,805CharitableContributionsTotAmt
Gross Revenue Total Events$18,270GrossRevenueTotalEventsAmt
Cash Prizes Total Events$438CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$22,249RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$14,942FoodAndBeverageTotalEventsAmt
Entertainment Total Events$900EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$10,138OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$48,667DirectExpenseSummaryEventsAmt
Net Income Summary-$30,397NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$34,267NoncashContributionsRptF990Amt
Method Of Determining RevenuesMEAN VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)FURNITURE22$14,998COMPARABLE SALES
Yes (X)SUPPLIES25$4,219COMPARABLE SALES
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WAS HELD IN THE MAIN OFFICE LOCATION. DIRECTORS WERE INFORMED OF THE COMPLETION AND FILING OF FORM 990. THE PRESIDENT, TREASURER AND FINANCE COMMITTEE REVIEWS THE ANNUAL FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR BOARD MEMBERS ARE REQUIRED TO SUBMIT NEW CONFLICT OF INTEREST FORMS AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15ANNUAL SALARY SURVEYS PROVIDE SPECIFIC COMPENSATION RANGES FOR THE EXECUTIVE DIRECTOR REVIEWED BY THE EXECUTIVE COMMITTEE. THE ANNUAL SALARY WAS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE HELD IN THE LOCATION'S MAIN OFFICE. UPON REQUEST, THESE DOCUMENTS ARE PROVIDED FOR REVIEW.

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