FURP.ORG / PUBLIC DATA EXPLORER

BETTY AND BOBBY ALLISON OZARKS COUNSELING CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
BETTY AND BOBBY ALLISON OZARKS COUNSELING CENTER (EIN 44-0595115)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202303199349327960
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)
Return2023-11-15T19:00:29-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431189134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELLIOTT ROBINSON AND COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12305 S BLACKMAN RD STE DAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP658092809ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN440595115EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETTY AND BOBBY ALLISON OZARKSBusinessNameLine1Txt
Business Name Line2COUNSELING CENTERBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBETTBusinessNameControlTxt
Phone4178699011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1614 SOUTH AVEAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65806ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREA BISHOPPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4178699011PhoneNum
Signature2023-11-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREAPersonFirstNm
Person LastBISHOPPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS J EVERETTPreparerPersonNm
PTINP00172565PTIN
Phone4178870585PhoneNum
Preparation2023-11-06PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDREA BISHOPPrincipalOfficerNm
Gross Receipts$552,744GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressOZARKSCOUNSELINGCENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1952FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionTO PROVIDE OUTPATIENT COUNSELING AND THERAPY SERVICES ON A SLIDING FEE SCALE. NO ONE IS DENIED SERVICES DUE TO INABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$266,111PYContributionsGrantsAmt
CY Contributions Grants$182,896CYContributionsGrantsAmt
PY Program Service Revenue$316,112PYProgramServiceRevenueAmt
CY Program Service Revenue$349,228CYProgramServiceRevenueAmt
PY Investment Income$5,971PYInvestmentIncomeAmt
CY Investment Income$2,061CYInvestmentIncomeAmt
PY Other Revenue$2,513PYOtherRevenueAmt
CY Other Revenue$3,217CYOtherRevenueAmt
PY Total Revenue$590,707PYTotalRevenueAmt
CY Total Revenue$537,402CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$337,289PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$404,116CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$28,252CYTotalFundraisingExpenseAmt
PY Other Expenses$159,291PYOtherExpensesAmt
CY Other Expenses$156,195CYOtherExpensesAmt
PY Total Expenses$496,580PYTotalExpensesAmt
CY Total Expenses$560,311CYTotalExpensesAmt
PY Revenues Less Expenses$94,127PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$22,909CYRevenuesLessExpensesAmt
Total Assets BOY$803,844TotalAssetsBOYAmt
Total Assets EOY$772,247TotalAssetsEOYAmt
Total Liabilities BOY$9,973TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,984TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$793,871NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$761,263NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE OUTPATIENT COUNSELING AND THERAPY SERVICES ON A SLIDING FEE SCALE. NO ONE IS DENIED SERVICES DUE TO INABILITY TO PAY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$451,260ExpenseAmt
Revenue$349,228RevenueAmt
DescPROVIDE OUTPATIENT COUNSELING AND THERAPY SERVICES BASED ON A SLIDING FEE SCALE, TAKING INCOME, EXPENSES AND HOUSEHOLD SIZE OF THE CLIENT INTO CONSIDERATION. THE ORGANIZATION SERVED 1,712 CLIENTS, PROVIDING 11,066 HOURS OF COUNSELING. 33% OF THE FAMILIES SERVED WERE CONSIDERED LOW INCOME.Desc
Total Program Service Expenses$451,260TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee23EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
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
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANDREA BISHOPPersonNm
Phone4178699011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1614 SOUTH AVEAddressLine1Txt
Address Line2614 SOUTH AVEAddressLine2Txt
CitySPRINGFIELDCityNm
State AbbreviationMOStateAbbreviationCd
ZIP65806ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANDREA BISHOP
EXECUTIVE DI20.00Yes (X)$35,500$0$0
ALLISON ANBARI
BOARD MEMBER1.00$0$0$0Yes (X)
DEREK ANKROM
BOARD MEMBER1.00$0$0$0Yes (X)
MEREDITH BOSSO
BOARD MEMBER1.00$0$0$0Yes (X)
CHRIS BOZARTH
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
TAMMY DIXON
BOARD MEMBER1.00$0$0$0Yes (X)
DHARWOOD FERGUSON
TREASURER2.00Yes (X)$0$0$0Yes (X)
NICHOLE GODDARD-BRADFORD
BOARD MEMBER1.00$0$0$0Yes (X)
JESSICA HARMISON-OLSON
BOARD MEMBER1.00$0$0$0Yes (X)
CHRISTY HEDRICK
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JEREMY HILL
PRESIDENT-EL1.00Yes (X)$0$0$0Yes (X)
MOLLY HOLTMANN
BOARD MEMBER1.00$0$0$0Yes (X)
NICOLE LINDSEY
IMMEDIATE PA1.00$0$0$0Yes (X)
JAMES MULVENON
BOARD MEMBER1.00$0$0$0Yes (X)
BEKAH OLSON
BOARD MEMBER1.00$0$0$0Yes (X)
JENNY OWEN
BOARD MEMBER1.00$0$0$0Yes (X)
KATHRYN PATTERSON
BOARD MEMBER1.00$0$0$0Yes (X)
RICK SCHNAKE
BOARD MEMBER1.00$0$0$0Yes (X)
ANDY SCHOLZ
BOARD MEMBER1.00$0$0$0Yes (X)
ANDREW TASSET
BOARD MEMBER1.00$0$0$0Yes (X)
CRAIG WRIGHT
BOARD MEMBER1.00$0$0$0Yes (X)
BRYANT YOUNG
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$35,500TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$35,867FundraisingAmt
Government Grants$28,579GovernmentGrantsAmt
All Other Contributions$118,450AllOtherContributionsAmt
Noncash Contributions$2,996NoncashContributionsAmt
Total Contributions$182,896TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLIENT PROGRAM FEESDesc
Total Revenue Column$349,228TotalRevenueColumnAmt
Related Or Exempt Func Income$349,228RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$349,228TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,534TotalRevenueColumnAmt
Exclusion$1,534ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$527SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$527SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$527TotalRevenueColumnAmt
Exclusion$527ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$10,175FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$35,867ContriRptFundraisingEventAmt
Fundraising Direct Expenses$15,342FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,167TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MISCELLANEOUS$4,784$4,784
RENT$3,600$3,600
FieldValueIRS element (for citing)
Other Revenue Total$8,384OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$537,402TotalRevenueColumnAmt
Related Or Exempt Func Income$357,612RelatedOrExemptFuncIncomeAmt
Exclusion$2,061ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$373,576TotalAmt
Program Services$285,759ProgramServicesAmt
Management And General$61,700ManagementAndGeneralAmt
Fundraising$26,117FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,540TotalAmt
Program Services$23,361ProgramServicesAmt
Management And General$5,044ManagementAndGeneralAmt
Fundraising$2,135FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$52,683TotalAmt
Program Services$44,933ProgramServicesAmt
Management And General$7,750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,480TotalAmt
Program Services$22,480ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,992TotalAmt
Program Services$5,992ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,357TotalAmt
Program Services$14,357ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$30TotalAmt
Management And General$30ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,074TotalAmt
Program Services$17,074ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,619TotalAmt
Program Services$12,850ProgramServicesAmt
Management And General$769ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
RENT$10,584$10,584
FACILITY AND EQUIPMENT$5,881$5,881
BANK CHARGES$5,506$5,506
TELEPHONE$4,870$4,870

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,119TotalAmt
Program Services$3,119ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$560,311TotalAmt
Program Services$451,260ProgramServicesAmt
Management And General$80,799ManagementAndGeneralAmt
Fundraising$28,252FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$308,851BOYAmt
EOY$297,084EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$550,773LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$133,685LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$431,585BOYAmt
EOY$417,088EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$63,408BOYAmt
EOY$58,075EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$803,844BOYAmt
EOY$772,247EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,973BOYAmt
EOY$10,984EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,973BOYAmt
EOY$10,984EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$719,332BOYAmt
EOY$686,660EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,539BOYAmt
EOY$74,603EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$793,871BOYAmt
EOY$761,263EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$803,844BOYAmt
EOY$772,247EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$22,909ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$9,699NetUnrlzdGainsLossesInvstAmt
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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$205,960CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$304,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266,111CurrentTaxYearMinus1YearAmt
Current Tax Year$182,896CurrentTaxYearAmt
Total$1,157,186TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$205,960CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$304,288CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266,111CurrentTaxYearMinus1YearAmt
Current Tax Year$182,896CurrentTaxYearAmt
Total$1,157,186TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$31,089SubstantialContributorsTotAmt
Public Support Total170$1,126,097PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$886CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,823CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,614CurrentTaxYearMinus1YearAmt
Current Tax Year$1,534CurrentTaxYearAmt
Total$9,080TotalAmt
FieldValueIRS element (for citing)
Total Support$1,166,266TotalSupportAmt
Gross Receipts Rltd Activities$1,494,047GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96560PublicSupportCY170Pct
Public Support PY1700.91520PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$60,001BeginningYearBalanceAmt
Investment Earnings Or Losses-$7,763InvestmentEarningsOrLossesAmt
Administrative Expenses$635AdministrativeExpensesAmt
End Year Balance$51,603EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$53,227BeginningYearBalanceAmt
Investment Earnings Or Losses$7,395InvestmentEarningsOrLossesAmt
Administrative Expenses$621AdministrativeExpensesAmt
End Year Balance$60,001EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$49,046BeginningYearBalanceAmt
Investment Earnings Or Losses$4,657InvestmentEarningsOrLossesAmt
Administrative Expenses$476AdministrativeExpensesAmt
End Year Balance$53,227EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$42,589BeginningYearBalanceAmt
Investment Earnings Or Losses$6,931InvestmentEarningsOrLossesAmt
Administrative Expenses$474AdministrativeExpensesAmt
End Year Balance$49,046EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$45,735BeginningYearBalanceAmt
Investment Earnings Or Losses-$2,694InvestmentEarningsOrLossesAmt
Administrative Expenses$452AdministrativeExpensesAmt
End Year Balance$42,588EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.60590PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.39410TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$517,739OtherCostOrOtherBasisAmt
Book Value$517,739BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,034OtherCostOrOtherBasisAmt
Book Value$33,034BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Depreciation$133,685DepreciationAmt
Book Value-$133,685BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$417,088TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
ENDOWMENT AND OTHER INVESTMENTS$52,947F
BROKERAGE ACCOUNT$5,128F
FieldValueIRS element (for citing)
Total Book Value Securities$58,075TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYROLL TAXES$7,799
CREDIT CARD PAYABLE$3,185
FieldValueIRS element (for citing)
Total Liability$10,984TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$542,403TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$9,699NetUnrealizedGainsInvstAmt
Other Revenue$15,342OtherRevenueAmt
Revenue Not Reported$5,643RevenueNotReportedAmt
Revenue Subtotal$536,760RevenueSubtotalAmt
Investment Expenses Not Incld$642InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$642RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$537,402TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$575,011TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$15,342OtherExpensesIncludedAmt
Expenses Not Reported$15,342ExpensesNotReportedAmt
Expenses Subtotal$559,669ExpensesSubtotalAmt
Investment Expenses Not Incld2$642InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$642ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$560,311TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. MANAGEMENT HAS EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE, OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2019.
SCHEDULE D, PAGE 4, PART XI, LINE 2DDIRECT FUNDRAISING EXPENSE 15,342
SCHEDULE D, PAGE 4, PART XII, LINE 2DDIRECT FUNDRAISING EXPENSES 15,342

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$26,217GrossReceiptsEvent1Amt
Charitable Contri Event1$19,017CharitableContriEvent1Amt
Gross Revenue Event1$7,200GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,055OtherDirectExpensesEvent1Amt
Event2NSNWGEvent2Nm
Gross Receipts Event2$19,825GrossReceiptsEvent2Amt
Charitable Contri Event2$16,850CharitableContriEvent2Amt
Gross Revenue Event2$2,975GrossRevenueEvent2Amt
Other Direct Expenses Event2$6,287OtherDirectExpensesEvent2Amt
Gross Receipts Total$46,042GrossReceiptsTotalAmt
Charitable Contributions Tot$35,867CharitableContributionsTotAmt
Gross Revenue Total Events$10,175GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$15,342OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$15,342DirectExpenseSummaryEventsAmt
Net Income Summary-$5,167NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BBOARD OF DIRECTORS MEETS AND REVIEWS AND APPROVES THE 990 BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9DIRECT FUNDRAISING EXPENSE 15,342 DIRECT FUNDRAISING EXPENSES -15,342