THE LAZARUS HOUSE A CENTER FOR WELLNESS: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
THE LAZARUS HOUSE A CENTER FOR WELLNESS (EIN 76-0693417)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-14
IRS object ID
202343189349317929
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)
Return2023-11-14T16:09:08-08:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN460830510PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KATHY PLOCH CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 820182AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77282ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760693417EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Lazarus House A Center for WellnessBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAZABusinessNameControlTxt
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 Austin StAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDanielle SampeyPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone7135265071PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDaniellePersonFirstNm
Person LastSampeyPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY PLOCH CPAPreparerPersonNm
PTINP00158545PTIN
Phone2814964275PhoneNum
Preparation2023-11-14PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDanielle SampeyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$259,879GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thelazarushouse.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionThe Lazarus House is dedicated to decreasing & limiting the effects of disease related wasting cachexia, through low cost services of wellness, nutrition & support in a nonActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$195,433PYContributionsGrantsAmt
CY Contributions Grants$151,365CYContributionsGrantsAmt
PY Program Service Revenue$54,065PYProgramServiceRevenueAmt
CY Program Service Revenue$53,152CYProgramServiceRevenueAmt
PY Investment Income$118PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$35,721PYOtherRevenueAmt
CY Other Revenue$50,897CYOtherRevenueAmt
PY Total Revenue$285,337PYTotalRevenueAmt
CY Total Revenue$255,414CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$203,333PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$201,316CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,280CYTotalFundraisingExpenseAmt
PY Other Expenses$71,830PYOtherExpensesAmt
CY Other Expenses$59,309CYOtherExpensesAmt
PY Total Expenses$275,163PYTotalExpensesAmt
CY Total Expenses$260,625CYTotalExpensesAmt
PY Revenues Less Expenses$10,174PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,211CYRevenuesLessExpensesAmt
Total Assets BOY$571,662TotalAssetsBOYAmt
Total Assets EOY$393,066TotalAssetsEOYAmt
Total Liabilities BOY$210,263TotalLiabilitiesBOYAmt
Total Liabilities EOY$187,402TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$361,399NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$205,664NetAssetsOrFundBalancesEOYAmt
MissionThe Lazarus House is dedicated to decreasing & limiting the effects of disease related wasting cachexia, through low cost services of wellness, nutrition & support in a nonMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$236,725ExpenseAmt
Grant$0GrantAmt
Revenue$53,152RevenueAmt
DescWellness Program: We served a daily average of 43 clients who participated in three appointments per week. Clients were able to participate in person after being released by their physician. Because the clients of Lazarus House are at a greater health risk with COVID-19, we also provided a virtual option without having no risk exposure. Lazarus House clients presented with various etiologies & degrees of cachexia. Disease related muscle loss addressed at Lazarus House involved clients who suffered from stroke, traumatic brain injury, cancer, MS, spinal cord trauma, & HIV. Certified personal health trainers provided researched & disease specific exercise training sessions. Progress was documented through a series of measurements taken before initiation, at 6 weeks, & upon completion. Measurements demonstrated that clients, on average, gained muscle & reflected a decrease in muscular wasting. The Lazarus House provided an exercise program that utilized progressive resistance training to address & attenuate disease related muscle loss, cardiopulmonary training to increase endurance & address dysmorphic issues associated with some medications, & nutritional counseling to encourage optimal muscle growth. As was in 2020, the Wellness Program services continued to address the social isoliation effects. Weekly one on one check ins continued allowing clients to share any needs like food deficits, anxieties or need for emotional/mental support, or just an opportunity to connect with another human. The mental stress & anxiety associated with COVID & isolation continued to become more apparent in 2021. Lazarus House recognized the growing issue & added more socialization & team building exercises to address clients' needs.Desc
Total Program Service Expenses$236,725TotalProgramServiceExpensesAmt
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 EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDanielle SampeyPersonNm
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Stacey Batiste
President7.00Yes (X)Yes (X)$0$0$0
Ralais Harper
Secretary3.00Yes (X)Yes (X)$0$0$0
Jerry Callaway
Vice President3.00Yes (X)Yes (X)$0$0$0
Michelle Zingaro
Director3.00Yes (X)$0$0$0
Melissa Wilson
Honorary Member0.00Yes (X)$0$0$0
Kristel Jefferson
Treasurer3.00Yes (X)Yes (X)$0$0$0
Danielle Sampy
Executive Director40.00Yes (X)$48,634$0$0
Omar Bell
Director3.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,634TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$151,365AllOtherContributionsAmt
Total Contributions$151,365TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescClient feeDesc
Business624100BusinessCd
Total Revenue Column$53,152TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$53,152TotalProgramServiceRevenueAmt
Fundraising Gross Income$55,362FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,465FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,897TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$50,897ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$255,414TotalRevenueColumnAmt
Related Or Exempt Func Income$53,152RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$50,897ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$184,180TotalAmt
Program Services$169,590ProgramServicesAmt
Management And General$9,727ManagementAndGeneralAmt
Fundraising$4,863FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,900TotalAmt
Program Services$2,900ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,236TotalAmt
Program Services$13,111ProgramServicesAmt
Management And General$750ManagementAndGeneralAmt
Fundraising$375FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Program Services$0ProgramServicesAmt
Management And General$200ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,928TotalAmt
Program Services$23,076ProgramServicesAmt
Management And General$4,810ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,308TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,308ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,848TotalAmt
Program Services$14,848ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,701TotalAmt
Program Services$5,534ProgramServicesAmt
Management And General$1,167ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,875TotalAmt
Program Services$1,875ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,220TotalAmt
Program Services$5,791ProgramServicesAmt
Management And General$429ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMembership feesDesc
Total$229TotalAmt
Program Services$0ProgramServicesAmt
Management And General$229ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$260,625TotalAmt
Program Services$236,725ProgramServicesAmt
Management And General$18,620ManagementAndGeneralAmt
Fundraising$5,280FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$310,765BOYAmt
EOY$177,658EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,225BOYAmt
EOY$9,730EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$276,596LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,918LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$255,672BOYAmt
EOY$205,678EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$571,662BOYAmt
EOY$393,066EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,676BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$132,772BOYAmt
EOY$123,256EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$65,815BOYAmt
EOY$64,146EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$210,263BOYAmt
EOY$187,402EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$361,399BOYAmt
EOY$205,664EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$361,399BOYAmt
EOY$205,664EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$571,662BOYAmt
EOY$393,066EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,211ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$150,524PriorPeriodAdjustmentsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$235,708CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$221,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$186,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$195,433CurrentTaxYearMinus1YearAmt
Current Tax Year$151,365CurrentTaxYearAmt
Total$991,069TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$235,708CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$221,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$186,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$195,433CurrentTaxYearMinus1YearAmt
Current Tax Year$151,365CurrentTaxYearAmt
Total$991,069TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$375,719SubstantialContributorsTotAmt
Public Support Total170$615,350PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$118CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$2,601TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$993,670TotalSupportAmt
Public Support CY1700.61930PublicSupportCY170Pct
Public Support PY1700.68430PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$153,866OtherCostOrOtherBasisAmt
Book Value$153,866BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,305OtherCostOrOtherBasisAmt
Depreciation$38,493DepreciationAmt
Book Value$51,812BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,425OtherCostOrOtherBasisAmt
Depreciation$32,425DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$205,678TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AIDS WalkEvent1Nm
Gross Receipts Event1$33,136GrossReceiptsEvent1Amt
Gross Revenue Event1$33,136GrossRevenueEvent1Amt
Food And Beverage Event1$258FoodAndBeverageEvent1Amt
Event2Holiday CampaignEvent2Nm
Gross Receipts Event2$14,568GrossReceiptsEvent2Amt
Gross Revenue Event2$14,568GrossRevenueEvent2Amt
Food And Beverage Event2$2,928FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$937OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$7,658GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$7,658GrossRevenueOtherEventsAmt
Food And Beverage Other Events$342FoodAndBeverageOtherEventsAmt
Gross Receipts Total$55,362GrossReceiptsTotalAmt
Gross Revenue Total Events$55,362GrossRevenueTotalEventsAmt
Food And Beverage Total Events$3,528FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$937OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,465DirectExpenseSummaryEventsAmt
Net Income Summary$50,897NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bReport is e-mailed to board members.
Pt VI, Line 15aThe United Way Compensation Survey is used.
Pt VI, Line 15bThe United Way Compensaion Survey is used.
Pt XIRounding

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.