CHURCH MISSION OF HELP OF WESTERN NEW YORK INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CHURCH MISSION OF HELP OF WESTERN NEW YORK INC (EIN 16-0743964)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202323199349309017
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)
Return2023-11-15T12:02:34-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN475544318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Barbara A Hauser CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14535 Southwestern Blvd Suite 803BAddressLine1Txt
CityHamburgCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14075ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN160743964EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHURCH MISSION OF HELP OF WNY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHURBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1153 WEST UTICA STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW MATTLEPersonNm
Person TitleEXECUTIVE DIRECPersonTitleTxt
Phone7168847569PhoneNum
Signature2023-11-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstANDREWPersonFirstNm
Person LastMATTLEPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara A HauserPreparerPersonNm
PTINP00060136PTIN
Phone7166498605PhoneNum
Preparation2023-11-15PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerAARON KAISER POMERANTZPrincipalOfficerNm
Gross Receipts$804,502GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CMHCOUNSELING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionCHURCH MISSION OF HELP PROMOTES EMOTIONAL WELL-BEING THROUGH PROFESSIONAL COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES AND FAMILIES IN AN ENVIRONMENT DISTINGUISHED BY COMPASSION AND HOPE.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$98,181PYContributionsGrantsAmt
CY Contributions Grants$93,003CYContributionsGrantsAmt
PY Program Service Revenue$573,363PYProgramServiceRevenueAmt
CY Program Service Revenue$533,917CYProgramServiceRevenueAmt
PY Investment Income$43,362PYInvestmentIncomeAmt
CY Investment Income$11,711CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$714,906PYTotalRevenueAmt
CY Total Revenue$638,631CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$452,583PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$472,281CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$176,659PYOtherExpensesAmt
CY Other Expenses$191,100CYOtherExpensesAmt
PY Total Expenses$629,242PYTotalExpensesAmt
CY Total Expenses$663,381CYTotalExpensesAmt
PY Revenues Less Expenses$85,664PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$24,750CYRevenuesLessExpensesAmt
Total Assets BOY$1,167,881TotalAssetsBOYAmt
Total Assets EOY$1,042,576TotalAssetsEOYAmt
Total Liabilities BOY$18,852TotalLiabilitiesBOYAmt
Total Liabilities EOY$22,466TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,149,029NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,020,110NetAssetsOrFundBalancesEOYAmt
MissionCHURCH MISSION OF HELP PROMOTES EMOTIONAL WELL-BEING THROUGH PROFESSIONAL COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES AND FAMILIES IN AN ENVIRONMENT DISTINGUISHED BY COMPASSION AND HOPE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$543,354ExpenseAmt
Revenue$533,917RevenueAmt
DescPROVIDE COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES, AND FAMILIESDesc
Total Program Service Expenses$543,354TotalProgramServiceExpensesAmt
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 SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee10EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHELLY HORANPersonNm
Phone7168847569PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1153 WEST UTICA STREETAddressLine1Txt
CityBUFFALOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14222ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANDREW MATTLE
EXECUTIVE DIRECTOR40.000.00Yes (X)$88,821$0$0
RICHARD HIGGINS
DIRECTOR1.000.00$0$0$0Yes (X)
MARSHA BUHL
DIRECTOR1.000.00$0$0$0Yes (X)
HOGARTH DE L PLANTE
DIRECTOR1.000.00$0$0$0Yes (X)
ANGELA PALMER
DIRECTOR1.000.00$0$0$0Yes (X)
REV STEPHEN LANE
DIRECTOR1.000.00$0$0$0Yes (X)
JOSEPH REKRUT
DIRECTOR1.000.00$0$0$0Yes (X)
KATHRYN DIEBOLD
DIRECTOR1.000.00$0$0$0Yes (X)
RICHARD GEHRING
DIRECTOR1.000.00$0$0$0Yes (X)
HOLLY HAHN-BAKER
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
AARON KAISER POMERANTZ
PRESIDENT2.000.00Yes (X)$0$0$0Yes (X)
EMILIE ROSENBLUTH
VICE PRESIDENT2.000.00Yes (X)$0$0$0Yes (X)
STEPHEN CZARNECKI
TREASURER2.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$88,821TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$2,180FederatedCampaignsAmt
Fundraising$20,575FundraisingAmt
All Other Contributions$70,248AllOtherContributionsAmt
Total Contributions$93,003TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFEE FOR SERVICEDesc
Business621300BusinessCd
Total Revenue Column$533,917TotalRevenueColumnAmt
Related Or Exempt Func Income$533,917RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$533,917TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,971TotalRevenueColumnAmt
Exclusion$18,971ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$148,124SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$155,384SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$7,260SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,260TotalRevenueColumnAmt
Exclusion-$7,260ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$10,487FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,575ContriRptFundraisingEventAmt
Fundraising Direct Expenses$10,487FundraisingDirectExpensesAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$638,631TotalRevenueColumnAmt
Related Or Exempt Func Income$533,917RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,711ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$88,821TotalAmt
Program Services$71,057ProgramServicesAmt
Management And General$17,764ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$325,473TotalAmt
Program Services$258,181ProgramServicesAmt
Management And General$67,292ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$17,198TotalAmt
Program Services$13,667ProgramServicesAmt
Management And General$3,531ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,535TotalAmt
Program Services$8,372ProgramServicesAmt
Management And General$2,163ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,254TotalAmt
Program Services$24,043ProgramServicesAmt
Management And General$6,211ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,200TotalAmt
Management And General$4,200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,123TotalAmt
Management And General$4,123ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$101,960TotalAmt
Program Services$101,960ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,317TotalAmt
Program Services$16,933ProgramServicesAmt
Management And General$4,384ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,082TotalAmt
Program Services$15,164ProgramServicesAmt
Management And General$3,918ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$204TotalAmt
Program Services$204ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,547TotalAmt
Program Services$3,613ProgramServicesAmt
Management And General$934ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,139TotalAmt
Program Services$19,918ProgramServicesAmt
Management And General$3,221ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM MATERIALS$10,242$10,242
PAYROLL PREP SERVICE$2,286$2,286

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$663,381TotalAmt
Program Services$543,354ProgramServicesAmt
Management And General$120,027ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$126,994BOYAmt
EOY$93,830EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$60,419BOYAmt
EOY$44,865EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,710BOYAmt
EOY$8,802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$274,055LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$204,359LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$69,713BOYAmt
EOY$69,696EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$902,045BOYAmt
EOY$798,582EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$26,801EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,167,881BOYAmt
EOY$1,042,576EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,852BOYAmt
EOY$15,136EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$7,330EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,852BOYAmt
EOY$22,466EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$976,988BOYAmt
EOY$873,113EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$172,041BOYAmt
EOY$146,997EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,149,029BOYAmt
EOY$1,020,110EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,167,881BOYAmt
EOY$1,042,576EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$24,750ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$88,000NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,169OtherChangesInNetAssetsAmt
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 CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,987CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,665CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$98,181CurrentTaxYearMinus1YearAmt
Current Tax Year$93,003CurrentTaxYearAmt
Total$466,036TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$452,184CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$467,281CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$509,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$573,363CurrentTaxYearMinus1YearAmt
Current Tax Year$533,917CurrentTaxYearAmt
Total$2,536,525TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$532,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$528,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$643,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$671,544CurrentTaxYearMinus1YearAmt
Current Tax Year$626,920CurrentTaxYearAmt
Total$3,002,561TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,002,561PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,896CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,527CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,617CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,186CurrentTaxYearMinus1YearAmt
Current Tax Year$18,971CurrentTaxYearAmt
Total$117,197TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,896CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,527CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,617CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,186CurrentTaxYearMinus1YearAmt
Current Tax Year$18,971CurrentTaxYearAmt
Total$117,197TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$550,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$546,795CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$677,062CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$699,730CurrentTaxYearMinus1YearAmt
Current Tax Year$645,891CurrentTaxYearAmt
Total$3,119,758TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.96240PublicSupportCY509Pct
Public Support PY5090.96440PublicSupportPY509Pct
Investment Income CY0.04000InvestmentIncomeCYPct
Investment Income PY0.04000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$902,045BeginningYearBalanceAmt
Investment Earnings Or Losses-$92,458InvestmentEarningsOrLossesAmt
Other Expenditures$6,882OtherExpendituresAmt
Administrative Expenses$4,123AdministrativeExpensesAmt
End Year Balance$798,582EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$812,780BeginningYearBalanceAmt
Contributions$11,000ContributionsAmt
Investment Earnings Or Losses$82,490InvestmentEarningsOrLossesAmt
Administrative Expenses$4,225AdministrativeExpensesAmt
End Year Balance$902,045EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$753,250BeginningYearBalanceAmt
Contributions$45,000ContributionsAmt
Investment Earnings Or Losses$60,760InvestmentEarningsOrLossesAmt
Other Expenditures$42,652OtherExpendituresAmt
Administrative Expenses$3,578AdministrativeExpensesAmt
End Year Balance$812,780EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$663,236BeginningYearBalanceAmt
Investment Earnings Or Losses$96,058InvestmentEarningsOrLossesAmt
Other Expenditures$6,044OtherExpendituresAmt
End Year Balance$753,250EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$703,933BeginningYearBalanceAmt
Investment Earnings Or Losses-$31,568InvestmentEarningsOrLossesAmt
Other Expenditures$5,836OtherExpendituresAmt
Administrative Expenses$3,293AdministrativeExpensesAmt
End Year Balance$663,236EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,000OtherCostOrOtherBasisAmt
Book Value$35,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,037OtherCostOrOtherBasisAmt
Depreciation$16,037DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,500OtherCostOrOtherBasisAmt
Depreciation$99,064DepreciationAmt
Book Value$436BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$123,518OtherCostOrOtherBasisAmt
Depreciation$89,258DepreciationAmt
Book Value$34,260BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$69,696TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITY-OPERATING LEASEDesc
Amt$7,330Amt
FieldValueIRS element (for citing)
Total Liability$7,330TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$530,339TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$88,000NetUnrealizedGainsInvstAmt
Other Revenue-$23,429OtherRevenueAmt
Revenue Not Reported-$111,429RevenueNotReportedAmt
Revenue Subtotal$641,768RevenueSubtotalAmt
Investment Expenses Not Incld$4,123InvestmentExpensesNotIncldAmt
Other Revenues Not Included-$7,260OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$3,137RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$638,631TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$659,258TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$659,258ExpensesSubtotalAmt
Investment Expenses Not Incld2$4,123InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$4,123ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$663,381TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other revenues not included on Form 990 (Part XI, line 2d)REALIZED GAIN (LOSS) FMV ($23,429)
Other revenues included on Form 990 (Part XI, line 4b)REALIZED GAIN (LOSS) - COST BASIS ($7,260)

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL EVENTEvent1Nm
Gross Receipts Event1$16,256GrossReceiptsEvent1Amt
Charitable Contri Event1$5,769CharitableContriEvent1Amt
Gross Revenue Event1$10,487GrossRevenueEvent1Amt
Rent Facility Costs Event1$10,467RentFacilityCostsEvent1Amt
Event2ANNUALEvent2Nm
Gross Receipts Event2$12,045GrossReceiptsEvent2Amt
Charitable Contri Event2$12,045CharitableContriEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$2,761GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$2,761CharitableContriOtherEventsAmt
Gross Receipts Total$31,062GrossReceiptsTotalAmt
Charitable Contributions Tot$20,575CharitableContributionsTotAmt
Gross Revenue Total Events$10,487GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$10,467RentFcltyCostsTotalEventsAmt
Direct Expense Summary Events$10,467DirectExpenseSummaryEventsAmt
Net Income Summary$20NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11GOVERNING BOARD PROVIDED COPIES. PRIOR TO SIGNING, IT WILL BE REVIEWED.
Governing documents etc available to public Part VI line 19NO FORMAL PLANNED DISCLOSURE AT THIS TIME
Explanation of other changes in net assets or fund balances Part XI line 9INVESTMENTS BASIS IS FAIR MARKET VALUE ON FINANCIAL STATEMENT AND COST BASIS FOR THE TAX RETURN.REALIZED GAIN (LOSS) FINANCIALS FMV BASIS ($ 23,429)REALIZED (GAIN) LOSS TAX RETURN COST BASIS $ 7,260NET ($ 16,169)
List of other fees for services expenses Part IX line 11gCONTRACTED MENTAL HEALTH PROFESSIONALS $101,960

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