FIREFIGHTERS FOR HEALING: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FIREFIGHTERS FOR HEALING (EIN 80-0717709)
Tax period
2021-01-01 to 2021-12-31
Filed
2023-11-15
IRS object ID
202313199349332161
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)
Return2023-11-15T22:18:26-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411431613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGANKDV LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 PARK AVE SAddressLine1Txt
CityST CLOUDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800717709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIREFIGHTERS FOR HEALINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIREBusinessNameControlTxt
Phone6127015055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACOB LAFERRIEREPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6127015055PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJACOBPersonFirstNm
Person LastLAFERRIEREPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARIE A PRIMUS CPAPreparerPersonNm
PTINP01272184PTIN
Phone3202517010PhoneNum
Preparation2023-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
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 OfficerJACOB LAFERRIEREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,689,484GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FIREFIGHTERSFORHEALING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionIDENTIFY AND SUPPORT FAMILIES AND INDIVIDUALS IMPACTED BY FIRES, VIA FINANCIAL ASSISTANCE AND PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers95TotalVolunteersCnt
Total Gross UBI$39,245TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$16,822NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$384,273PYContributionsGrantsAmt
CY Contributions Grants$1,236,947CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$995PYInvestmentIncomeAmt
CY Investment Income$1,024CYInvestmentIncomeAmt
PY Other Revenue-$47,616PYOtherRevenueAmt
CY Other Revenue$81,605CYOtherRevenueAmt
PY Total Revenue$337,652PYTotalRevenueAmt
CY Total Revenue$1,319,576CYTotalRevenueAmt
PY Grants And Similar Paid$60,549PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$50,800CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,074PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$122,700CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$48,097CYTotalFundraisingExpenseAmt
PY Other Expenses$117,453PYOtherExpensesAmt
CY Other Expenses$125,971CYOtherExpensesAmt
PY Total Expenses$299,076PYTotalExpensesAmt
CY Total Expenses$299,471CYTotalExpensesAmt
PY Revenues Less Expenses$38,576PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,020,105CYRevenuesLessExpensesAmt
Total Assets BOY$1,232,165TotalAssetsBOYAmt
Total Assets EOY$2,270,207TotalAssetsEOYAmt
Total Liabilities BOY$34,605TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,067TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,197,560NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,242,140NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSUPPORT CHILDREN AND BURN SURVIVORS IN WAYS THAT INSURANCE COMPANIES AND CARETAKERS ARE UNABLE TO.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$61,292ExpenseAmt
Grant$0GrantAmt
DescFIREFIGHTERS FOR HEALING OFFERS THREE FULLY FURNISHED TRANSITIONAL, SHORT-TERM APARTMENTS TO INDIVIDUALS AND FAMILIES WHILE THEY OR THEIR LOVED ONES ARE TREATED FOR BURN INJURIES IN THE TWIN CITES AREA. FIREFIGHTERS TRAVELING TO THE TWIN CITIES AREA FOR MEDICAL ATTENTION ARE ALSO ALLOWED TO STAY IN THE UNITS WHILE RECEIVING TREATMENT. COSTS OF THE FACILITY, CLEANING FEES, AND BASIC NECESSITIES ARE ALL COVERED BY FIREFIGHTES FOR HEALING.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$57,658ExpenseAmt
Grant$22,130GrantAmt
DescCAMP RED IS AN OVERNIGHT CAMP FOR BURN SURVIVORS BETWEEN 6 - 16 YEARS OF AGE WHO WANT TO HAVE THE OPPORTUNITY TO LIVE BEYOND THE SCARS AND TO BE KIDS. CAMP RED OFFERS A VARIETY OF ACTIVE AND PASSIVE ACTIVITIES IN THE MOST BEAUTIFUL SETTING, INCLUDING CANOEING, ARCHERY, TRUST, SWIMMING, BOATING, HORSEBACK RIDING AND MORE. IN JULY 2021, A FAMILY STAYCATION EXPERIENCE WAS HOSTED AT THE GREAT WOLF LODGE WATER PARK IN BLOOMINGTON. IT WAS SAFE WAY TO GATHER OUR BURN SURVIVOR FAMILIES AND TO BUILD COMMUNITY AND CONFIDENCE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$44,011ExpenseAmt
Grant$28,063GrantAmt
DescFINANCIAL SUPPORT AND AID OUTSIDE OF INSURANCE TO REGIONAL BURN UNITS, BURN SURVIVORS AND THEIR FAMILIES. WE PROVIDE ASSISTANCE TO FAMILIES WITH TEMPORARY OVERNIGHT STAYS IN HOTELS, BASIC TOILETRIES, AND ESSENTIALS WHILE THEIR LOVED ONES ARE BEING TREATED FOR BURN INJURIES AT TWIN CITIES HOSPITALS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$49,925ExpenseAmt
Grant$607GrantAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$49,925TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$607TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$212,886TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document7IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6127015055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JACOB LAFERRIERE
PRESIDENT/EXECUTIVE DIRECTOR50.00Yes (X)Yes (X)$54,167$0$0
PAULA WILHELM
DIRECTOR10.00Yes (X)$24,551$0$0
RON JOHNSON
DIRECTOR/GAMBLING MGR10.00Yes (X)$14,583$0$0
JEFF LARSON
DIRECTOR5.00Yes (X)$21,125$0$0
CHRIS DUNKER
CHAIR25.00Yes (X)Yes (X)$0$0$0
JENNA COLVIN
VICE CHAIR5.00Yes (X)Yes (X)$0$0$0
MELISSA HOLMES
TREASURER5.00Yes (X)Yes (X)$0$0$0
KATIE LANDWEHR
TREASURER (PARTIAL YEAR)5.00Yes (X)Yes (X)$0$0$0
RON MEUSER
DIRECTOR1.00Yes (X)$0$0$0
GRANT BERNARDY
DIRECTOR1.00Yes (X)$0$0$0
ANGIE HUNTER
DIRECTOR5.00Yes (X)$0$0$0
LANDON HARTVIGSEN
DIRECTOR1.00Yes (X)$0$0$0
HOLLY SPEATH
DIRECTOR1.00Yes (X)$0$0$0
ELLEN KRUMHOLZ
DIRECTOR (PARTIAL YEAR)1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,426TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$592,940FundraisingAmt
Government Grants$59,093GovernmentGrantsAmt
All Other Contributions$584,914AllOtherContributionsAmt
Noncash Contributions$7,058NoncashContributionsAmt
Total Contributions$1,236,947TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,024TotalRevenueColumnAmt
Exclusion$1,024ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$247,089FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$592,940ContriRptFundraisingEventAmt
Fundraising Direct Expenses$210,641FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,448TotalRevenueColumnAmt
Exclusion$36,448ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$1,204,424GamingGrossIncomeAmt
Gaming Direct Expenses$1,159,267GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,157TotalRevenueColumnAmt
Unrelated Business Revenue$39,245UnrelatedBusinessRevenueAmt
Exclusion$5,912ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,319,576TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$39,245UnrelatedBusinessRevenueAmt
Exclusion$43,384ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,145TotalAmt
Program Services$1,145ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$49,655TotalAmt
Program Services$49,655ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$119,625TotalAmt
Program Services$89,958ProgramServicesAmt
Management And General$20,520ManagementAndGeneralAmt
Fundraising$9,147FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,075TotalAmt
Program Services$2,546ProgramServicesAmt
Management And General$226ManagementAndGeneralAmt
Fundraising$303FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,347TotalAmt
Management And General$3,642ManagementAndGeneralAmt
Fundraising$705FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,839TotalAmt
Program Services$6,156ProgramServicesAmt
Fundraising$9,683FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$25,329TotalAmt
Program Services$498ProgramServicesAmt
Management And General$13,928ManagementAndGeneralAmt
Fundraising$10,903FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,037TotalAmt
Management And General$880ManagementAndGeneralAmt
Fundraising$7,157FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$42,785TotalAmt
Program Services$42,785ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,987TotalAmt
Program Services$4,227ProgramServicesAmt
Management And General$520ManagementAndGeneralAmt
Fundraising$1,240FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,153TotalAmt
Program Services$1,229ProgramServicesAmt
Management And General$4,232ManagementAndGeneralAmt
Fundraising$8,692FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,137TotalAmt
Management And General$6,137ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,253TotalAmt
Management And General$2,986ManagementAndGeneralAmt
Fundraising$267FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER PROGRAM EXPENSES$11,927$11,927
GIFTS FOR VOLUNTEERS$2,760$2,760
GAMBLING MGR OFFSET-$14,583-$14,583

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$299,471TotalAmt
Program Services$212,886ProgramServicesAmt
Management And General$38,488ManagementAndGeneralAmt
Fundraising$48,097FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$1,190,882EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,168,236BOYAmt
EOY$15,101EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,602BOYAmt
EOY$34,975EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,029,099LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,709LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,327BOYAmt
EOY$1,008,390EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$20,751EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$108EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,232,165BOYAmt
EOY$2,270,207EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,059BOYAmt
EOY$28,067EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$29,546BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,605BOYAmt
EOY$28,067EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$868,611BOYAmt
EOY$1,722,191EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$328,949BOYAmt
EOY$519,949EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,197,560BOYAmt
EOY$2,242,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,232,165BOYAmt
EOY$2,270,207EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,020,105ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$30,525PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$55,000OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$416,616CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$742,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$802,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$384,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,236,947CurrentTaxYearAmt
Total$3,583,501TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$416,616CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$742,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$802,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$384,273CurrentTaxYearMinus1YearAmt
Current Tax Year$1,236,947CurrentTaxYearAmt
Total$3,583,501TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$236,840SubstantialContributorsTotAmt
Public Support Total170$3,346,661PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$645CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$995CurrentTaxYearMinus1YearAmt
Current Tax Year$1,024CurrentTaxYearAmt
Total$3,261TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,520CurrentTaxYearMinus4YearsAmt
Current Tax Year$81,605CurrentTaxYearAmt
Total$132,125TotalAmt
FieldValueIRS element (for citing)
Total Support$3,718,887TotalSupportAmt
Public Support CY1700.89990PublicSupportCY170Pct
Public Support PY1700.87600PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,029,099OtherCostOrOtherBasisAmt
Depreciation$20,709DepreciationAmt
Book Value$1,008,390BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,008,390TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,423,716TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$94,310DonatedServicesAndUseFcltsAmt
Other Revenue$55,000OtherRevenueAmt
Revenue Not Reported$149,310RevenueNotReportedAmt
Revenue Subtotal$1,274,406RevenueSubtotalAmt
Other Revenues Not Included$45,170OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$45,170RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,319,576TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$393,781TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$94,310DonatedServicesUseFcltsAmt
Expenses Not Reported$94,310ExpensesNotReportedAmt
Expenses Subtotal$299,471ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$299,471TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:TRANSFERS FROM GAMING FUND 55,000.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NET GAMING ACTIVITY 45,170.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1RED TIE GALAEvent1Nm
Gross Receipts Event1$572,794GrossReceiptsEvent1Amt
Charitable Contri Event1$400,270CharitableContriEvent1Amt
Gross Revenue Event1$172,524GrossRevenueEvent1Amt
Rent Facility Costs Event1$5,290RentFacilityCostsEvent1Amt
Food And Beverage Event1$96,477FoodAndBeverageEvent1Amt
Entertainment Event1$38,438EntertainmentEvent1Amt
Other Direct Expenses Event1$16,576OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMENTEvent2Nm
Gross Receipts Event2$266,661GrossReceiptsEvent2Amt
Charitable Contri Event2$192,096CharitableContriEvent2Amt
Gross Revenue Event2$74,565GrossRevenueEvent2Amt
Rent Facility Costs Event2$49,076RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$3,820OtherDirectExpensesEvent2Amt
Gross Receipts Total$839,455GrossReceiptsTotalAmt
Charitable Contributions Tot$592,366CharitableContributionsTotAmt
Gross Revenue Total Events$247,089GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$54,366RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$96,477FoodAndBeverageTotalEventsAmt
Entertainment Total Events$38,438EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$20,396OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$209,677DirectExpenseSummaryEventsAmt
Net Income Summary$37,412NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Bingo$24,259GrossRevenueBingoAmt
Cash Prizes Bingo$18,347CashPrizesBingoAmt
Volunteer Labor Bingo0VolunteerLaborBingoInd
Gross Revenue Pull Tabs$1,109,945GrossRevenuePullTabsAmt
Cash Prizes Pull Tabs$929,359CashPrizesPullTabsAmt
Rent Facility Costs Pull Tabs$28,701RentFacilityCostsPullTabsAmt
Other Direct Expenses Pull Tabs$158,564OtherDirectExpensesPullTabsAmt
Volunteer Labor Pull Tabs0VolunteerLaborPullTabsInd
Gross Revenue Other Gaming$70,220GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,100CashPrizesOtherGamingAmt
Non Cash Prizes Other Gaming$19,900NonCashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$3,296OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$1,204,424GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$948,806CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$19,900NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$28,701RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$161,860OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$1,159,267DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$45,157NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMNStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1MAIR AND ASSOCIATES PLLPBusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line13570 LEXINGTON AVENUE N 300AddressLine1Txt
CitySHOREVIEWCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55126ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonRON JOHNSONGamingManagerPersonNm
Gaming Manager Compensation$14,583GamingManagerCompensationAmt
Gaming Manager Services ProvGAMBLING MANAGERGamingManagerServicesProvTxt
Gaming Manager Is Director OfcrYes (X)GamingManagerIsDirectorOfcrInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd
Distributed$55,000DistributedAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
FAMILY ASSISTANCE90$27,525COSTHOTEL STAYS, UBER RIDES, GIFT CARDS, AND OTHER SUPPLIES FOR BURN VICTIMS AND THEIR FAMILIES
CAMP RED69$22,130COSTCAMP AND EVENTS AT GREAT WOLF LODGE IN MINNEAPOLIS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationASSISTANCE IS GIVEN BASED ON NEED.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
PAULA WILHELM
PAULA WILHELM IS A BOARD MEMBER$24,551FEES FOR SERVICES0
MIKE WILHELM
MIKE IS THE HUSBAND OF A BOARD MEMBER$19,900RAFFLE PRIZE WINNER0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
IRS FORM 990, AMENDED RETURN EXPLANATION:THE ORGANIZATION IS AMENDING THE 2021 990 TO ACCOUNT FOR $55,000 OF LAWFUL PURPOSE EXPENDITURES THAT WERE NOT REPORTED WITH THE GAMBLING ACTIVITY. THE FOLLOWING AMOUNTS WERE CHANGED: PAGE 9, LINE 9B: INCREASED BY $55,000. PAGE 12, LINE 9: INCLUDED $55,000 AS A RECONCILING ITEM TO NET ASSETS. SCHEDULE A, PART II, SECTION B, LINE 9: DECREASED BY $55,000. SCHEDULE D, PART XI, LINE 2D: INCLUDED $55,000 AS RECONCILING ITEM. SCHEDULE G, PART III, LINE 5: INCREASED BY $55,000. SCHEDULE G, PART III, LINE 17B: INCLUDED $55,000 AS REQUIRED.
FORM 990, PART III, LINE 2IN MAY 2021 WE PARTNERED WITH SHERMAN & ASSOCIATES TO BREAK GROUND ON OUR ONE OF A KIND TRANSITIONAL HEALING CENTER IN MINNEAPOLIS.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE TREASURER BEFORE FILING TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD REVIEWS AND VOTES ON THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFERS FROM GAMING TO GENERAL FUND 55,000. TO INCLUDE GAMING PAYABLES ON THE BALANCE SHEET 0.

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