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CITYCARE COUNSELING INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CITYCARE COUNSELING INC (EIN 47-2082709)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202333199349317148
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)
Return2023-11-15T14:39:17-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN813053687PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGANKDV LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line116924 FRANCES STAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68130ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472082709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CITYCARE COUNSELING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCITYBusinessNameControlTxt
Phone4029169421PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110845 HARNEY STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID R SIEMENSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4029169421PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastSIEMENSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN J RODERIQUE CPAPreparerPersonNm
PTINP00482589PTIN
Phone4023307008PhoneNum
Preparation2023-11-15PreparationDt

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 OfficerDAVID R SIEMENSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110845 HARNEY STREETAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,801,753GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CITYCARECOUNSELING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionTHE EXEMPT PURPOSE AND MISSION OF CITYCARE COUNSELING, INC. IS TO CONDUCT OR SUPPORT ACTIVITIES FOR THE BENEFIT OF OR TO CARRY OUT THE PURPOSES OF CHRIST COMMUNITY CHURCH OF THE CHRISTIAN AND MISSIONARY ALLIANCE, A NEBRASKA NONPROFIT CORPORATION LOCATED IN OMAHA, NE. THIS SUPPORTING PURPOSE WILL BE ACCOMPLISHED BY (1) PROVIDING FAITH-BASED AND PROFESSIONAL COUNSELING SERVICES TO INDIVIDUALS, COUPLES, FAMILIES AND GROUPS AT AFFORDABLE, DISCOUNTED OR SUBSIDIZED RATES, (2) EDUCATION AND TRAINING SERVICES FOR STUDENTS AT LOCAL UNIVERSITIES WHO ARE PURSUING A PROFESSIONAL COUNSELING DEGREE AND LICENSE, AND WHO NEED SUPERVISED COUNSELING EXPERIENCES, AND (3) EDUCATIONAL AND TRAINING SERVICES FOR OUR SUPPORTED ORGANIZATION, CHRIST COMMUNITY CHURCH OF THE CHRISTIAN AND MISSIONARY ALLIANCE IN OMAHA, NEBRASKA, TO ASSIST ITS PASTORS AND LAITY IN PROVIDING COUNSELING, RENEWAL AND CARE MINISTRIES TO ITS CONGREGATION.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$78,088PYContributionsGrantsAmt
CY Contributions Grants$209,864CYContributionsGrantsAmt
PY Program Service Revenue$2,169,043PYProgramServiceRevenueAmt
CY Program Service Revenue$2,591,741CYProgramServiceRevenueAmt
PY Investment Income$104PYInvestmentIncomeAmt
CY Investment Income$148CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,247,235PYTotalRevenueAmt
CY Total Revenue$2,801,753CYTotalRevenueAmt
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$226,563PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$307,225CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,852,705PYOtherExpensesAmt
CY Other Expenses$2,296,323CYOtherExpensesAmt
PY Total Expenses$2,079,268PYTotalExpensesAmt
CY Total Expenses$2,603,548CYTotalExpensesAmt
PY Revenues Less Expenses$167,967PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$198,205CYRevenuesLessExpensesAmt
Total Assets BOY$761,731TotalAssetsBOYAmt
Total Assets EOY$959,936TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$761,731NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$959,936NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN BRIEF, THE MISSION OF CITYCARE COUNSELING, INC. IS TO PROVIDE MINISTRY SUPPORT TO CHRIST COMMUNITY CHURCH OF THE CHRISTIAN AND MISSIONARY ALLIANCE IN OMAHA, NE. THAT MINISTRY SUPPORT IS DEFINED BY THREE MAIN FUNCTIONS. FIRST, CITYCARE COUNSELING SUPPORTS CHRIST COMMUNITY CHURCH BY PROVIDING FAITH-BASED AND PROFESSIONAL COUNSELING SERVICES TO INDIVIDUALS, COUPLES, FAMILIES AND GROUPS AT AFFORDABLE, DISCOUNTED OR SUBSIDIZED RATES. SECONDLY, CITYCARE COUNSELING PROVIDES EDUCATIONAL AND PRACTICAL TRAINING EXPERIENCES FOR STUDENTS FROM LOCAL UNIVERSITIES WHO ARE PURSUING A PROFESSIONAL COUNSELING DEGREE AND LICENSE, AND WHO NEED SUPERVISED COUNSELING EXPERIENCE AS PART OF THEIR GRADUATION REQUIREMENTS. FINALLY, CITYCARE COUNSELING PROVIDES EDUCATIONAL AND TRAINING SERVICES FOR OUR SUPPORTED ORGANIZATION, CHRIST COMMUNITY CHURCH, IN OMAHA, NE TO ASSIST ITS PASTORS AND LAITY IN PROVIDING COUNSELING, RENEWAL AND CARE MINISTRIES TO ITS CONGREGATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,372,623ExpenseAmt
Revenue$2,583,879RevenueAmt
DescPROGRAM SERVICE: TO SUPPORT CHRIST COMMUNITY CHURCH IN OMAHA, NE, BY PROVIDING FAITH-BASED, PROFESSIONAL COUNSELING SERVICES TO INDIVIDUALS, COUPLES, FAMILIES AND GROUPS.CITYCARE COUNSELING, INC. PROVIDED 19,874 HOURS OF PROFESSIONAL COUNSELING SERVICES TO 2,151 INDIVIDUALS, COUPLES AND FAMILIES AT AFFORDABLE, DISCOUNTED OR SUBSIDIZED RATES. IN ADDITION, 555 HOURS OF PROFESSIONAL COUNSELING SERVICES WERE PROVIDED TO THE NEEDY AT NO CHARGE AND ANOTHER 1,116 HOURS WERE PROVIDED AT A REDUCED RATE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,222ExpenseAmt
Revenue$7,862RevenueAmt
DescPROGRAM SERVICE: TO SUPPORT CHRIST COMMUNITY CHURCH IN OMAHA, NE, BY EDUCATION AND TRAINING SERVICES FOR STUDENTS AT LOCAL UNIVERSITIES WHO ARE PURSUING A PROFESSIONAL COUNSELING DEGREE AND LICENSE, AND WHO NEED SUPERVISED COUNSELING EXPERIENCES.CITYCARE COUNSELING, INC. PROVIDED 264 HOURS OF SUPERVISED EXPERIENCE AT NO COST TO 10 PROFESSIONAL COUNSELING INTERNS PURSUING MASTERS DEGREES IN CLINICAL MENTAL HEALTH COUNSELING. THE INTERNS PROVIDED APPROXIMATELY 2,166 HOURS OF COUNSELING TO 212 INDIVIDUALS, COUPLES AND FAMILIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Revenue$0RevenueAmt
DescPROGRAM SERVICE: TO SUPPORT CHRIST COMMUNITY CHURCH IN OMAHA, NE, BY PROVIDING EDUCATION AND TRAINING SERVICES TO ASSIST PASTORS AND LAITY IN PROVIDING COUNSELING, RENEWAL AND CARE MINISTRIES TO ITS CONGREGATION.CITYCARE COUNSELING, INC. PROVIDED 264 HOURS OF PROFESSIONAL TRAINING, CONTINUING EDUCATION, AND PASTORAL COUNSELING TRAINING AND EDUCATION TO CHRIST COMMUNITY CHURCH PASTORS AND LAITY WHO ARE INVOLVED IN ITS RELATED CARE MINISTRIES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$2,385,845TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
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 Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID R SIEMENSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4029169421PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110845 HARNEY STREET SUITE 200AddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WENDELL NELSON
DIRECTOR/PRESIDENT6.0042.00Yes (X)Yes (X)$0$61,500$55,500
MARC MONTANYE
DIRECTOR24.0024.00Yes (X)$0$38,280$59,302
NATHAN SEADORE
DIRECTOR40.00Yes (X)$100,597$0$0
BRIAN KOENIG
DIRECTOR2.00Yes (X)$0$0$0
TERI SHEPHERD
DIRECTOR/VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DON SWANSON
DIRECTOR/SECRETARY2.00Yes (X)Yes (X)$0$0$0
DAVID SIEMENS
DIRECTOR/TREASURER8.00Yes (X)Yes (X)$0$0$0
JERRY NORRIS
DIRECTOR/PRIVACY OFFICER2.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,597TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$99,780TotReportableCompRltdOrgAmt
Total Other Compensation$114,802TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
KEATON KLEINERKEATON LLC
10845 HARNEY STREETOMAHANE68154COUNSELING SERVICES$157,282
WENDY H SUMMERS
10845 HARNEY STREETOMAHANE68154COUNSELING SERVICES$129,971
BRENDA NEYENS
10845 HARNEY STREETOMAHANE68154COUNSELING SERVICES$105,013
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$190,764RelatedOrganizationsAmt
All Other Contributions$19,100AllOtherContributionsAmt
Total Contributions$209,864TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCOUNSELING SERVICESDesc
Business621300BusinessCd
Total Revenue Column$2,591,741TotalRevenueColumnAmt
Related Or Exempt Func Income$2,591,741RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,591,741TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$148TotalRevenueColumnAmt
Exclusion$148ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,801,753TotalRevenueColumnAmt
Related Or Exempt Func Income$2,591,741RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$148ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$100,597TotalAmt
Program Services$100,597ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$206,628TotalAmt
Program Services$206,628ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$34,020TotalAmt
Program Services$34,020ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,300TotalAmt
Management And General$2,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,004,433TotalAmt
Program Services$1,898,363ProgramServicesAmt
Management And General$106,070ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$367TotalAmt
Program Services$367ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$96,263TotalAmt
Management And General$96,263ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,763TotalAmt
Program Services$7,972ProgramServicesAmt
Management And General$6,791ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$68,699TotalAmt
Program Services$68,699ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,977TotalAmt
Program Services$55,977ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,070TotalAmt
Management And General$2,070ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INTERN EXPENSE$13,222$13,222
REPAIRS AND MAINTENANCE$4,209$4,209

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,603,548TotalAmt
Program Services$2,385,845ProgramServicesAmt
Management And General$217,703ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$128,446BOYAmt
EOY$110,871EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$144,315BOYAmt
EOY$109,493EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$911,033LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$171,821LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$488,610BOYAmt
EOY$739,212EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$360BOYAmt
EOY$360EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$761,731BOYAmt
EOY$959,936EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$761,731BOYAmt
EOY$959,936EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$761,731BOYAmt
EOY$959,936EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$761,731BOYAmt
EOY$959,936EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$198,205ReconcilationRevenueExpnssAmt
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)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CHRIST COMMUNITY CHURCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN470376594EIN
Organization Type1OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$845,546OtherCostOrOtherBasisAmt
Depreciation$164,805DepreciationAmt
Book Value$680,741BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,487OtherCostOrOtherBasisAmt
Depreciation$7,016DepreciationAmt
Book Value$58,471BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$739,212TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ABASED ON CITYCARE COUNSELING, INC. BY-LAWS, "DIRECTORS OF CITYCARE COUNSELING, INC. SHALL BE ELECTED BY A MAJORITY VOTE OF THE GOVERNING BOARD OF ELDERS OF CHRIST COMMUNITY CHURCH OF THE CHRISTIAN AND MISSIONARY ALLIANCE, OF OMAHA, NEBRASKA. ONCE APPOINTED OR ELECTED AS THE CASE MAY BE, A DIRECTOR SHALL SERVE FOR A PERIOD OF ONE (1) YEAR OR UNTIL HIS OR HER SUCCESSOR IS DULY ELECTED, OR IF EARLIER, UNTIL HE OR SHE RESIGNS OR IS REMOVED." THUS, THE GOVERNING BOARD OF CHRIST COMMUNITY CHURCH (ONE OR MORE PERSONS OTHER THAN THE GOVERNING BODY OF THE FILING ENTITY ITSELF) HAS THE RIGHT TO ELECT OR APPOINT ALL OF THE MEMBERS OF THE CITYCARE COUNSELING, INC. GOVERNING BODY. BEYOND THIS ELECTION OR APPOINTMENT OF MEMBERS, NO GOVERNANCE DECISIONS OF CITYCARE COUNSELING, INC. ARE RESERVED TO PERSONS OTHER THAN THE CITYCARE COUNSELING, INC. GOVERNING BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT OF FORM 990 IS PROVIDED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING THE CURRENT YEAR'S FORM. ANY ERRORS/OMISSIONS/CHANGES ARE BROUGHT TO THE ATTENTION OF THE TREASURER BY THE GOVERNING BOARD MEMBERS. TREASURER BRINGS ANY CHANGES NEEDED TO THE ATTENTION OF PAID PREPARER. ONCE CORRECTED, WRITTEN CONSENT OR ORAL CONSENT IS GIVEN BY THE GOVERNING BOARD TO THE TREASURER, WHO THEN AUTHORIZES ELECTRONIC FILING OF THE 990 RETURN BY HIS SIGNATURE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY REQUIRES IMMEDIATE AND WRITTEN DISCLOSURE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST INCLUDING THE EXISTENCE, NATURE OF AND ALL MATERIAL FACTS RELATED TO SUCH CONFLICT. OPPORTUNITY IS GIVEN ANNUALLY TO DISCLOSE CONFLICTS, BUT ENCOURAGEMENT IS GIVEN TO REVEAL SUCH CONFLICTS AT ANY TIME THEY ARISE DURING THE YEAR. ORDINARILY, THE LEGAL OFFICER DISTRIBUTES A COPY OF THE CONFLICT OF INTEREST POLICY AT A BOARD MEETING EACH FALL AND NOTES ANY POTENTIAL CONFLICTS STATED ORALLY BY ANY BOARD MEMBER.
FORM 990, PART VI, SECTION C, LINE 19CITYCARE COUNSELING, INC., A NEBRASKA NON-PROFIT CORPORATION, WILL DISCLOSE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS IN RESPONSE TO WRITTEN REQUEST FOR THE SAME, DIRECTED TO: CITYCARE COUNSELING, INC. C/O DAVID R. SIEMENS, TREASURER 10845 HARNEY STREET OMAHA, NE 68154
FORM 990, PART IX, LINE 11GPROFESSIONAL COUNSELOR SERVICES: PROGRAM SERVICE EXPENSES 1,898,363. MANAGEMENT AND GENERAL EXPENSES 106,070. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,004,433.
FORM 990, PART IX, LINE 7, COLUMN (A) AND (C)$206,628 WAS REPORTED AS OTHER SALARIES AND WAGES. CITYCARE COUNSELING IS NOT AN EMPLOYER AND HAS NO PAYROLL. THIS AMOUNT REPRESENTED A REIMBURSEMENT OF PAYROLL EXPENSE FOR ADMINISTRATIVE SUPPORT PROVIDED BY THE ORGANIZATION'S SUPPORTED ORGANIZATION, CHRIST COMMUNITY CHURCH OF THE CHRISTIAN AND MISSIONARY ALLIANCE.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CHRIST COMMUNITY CHURCH OF THE CHRISTIAN & MISSIONARY ALLIANCEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1404 SOUTH 108TH AVENUEAddressLine1Txt
CityOMAHACityNm
State AbbreviationNEStateAbbreviationCd
ZIP68154ZIPCd
FieldValueIRS element (for citing)
EIN470376594EIN
Primary ActivitiesCHURCH PROVIDING COUNSELING SVCS THROUGH SUPPORTING ORGANIZATION.PrimaryActivitiesTxt
Legal Domicile StateNELegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 1PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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