CHOICES PREGNANCY RESOURCE CLINIC INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
CHOICES PREGNANCY RESOURCE CLINIC INC (EIN 58-2035622)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202343199349310109
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)
Return2023-11-15T09:29:48-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN710809470PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARY M SCHWARTZ CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 ROLLING RIVER LNAddressLine1Txt
CityRussellvilleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582035622EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHOICES PREGNANCY RESOURCE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHOIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 394AddressLine1Txt
CityRUSSELLVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP728110394ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTY RENFROEPersonNm
Person TitleEXECUTIVE DIRECPersonTitleTxt
Phone4799672255PhoneNum
Signature2023-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHRISTYPersonFirstNm
Person LastRENFROEPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY M SCHWARTZPreparerPersonNm
PTINP00411894PTIN
Phone4792647950PhoneNum
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 LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHOICECARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerCHRISTY RENFROEPrincipalOfficerNm
Gross Receipts$309,485GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionCRISIS PREGNANCY COUNSELING, CLINIC TO PROVIDE ULTRASOUNDS, PARENTING CLASSES, COUNSELING, DIAPERS, CLOTHES FOR BABIES & TODDLERS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$304,485PYContributionsGrantsAmt
CY Contributions Grants$309,246CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$239CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$304,485PYTotalRevenueAmt
CY Total Revenue$309,485CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$114,685PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$140,360CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$21,908CYTotalFundraisingExpenseAmt
PY Other Expenses$108,534PYOtherExpensesAmt
CY Other Expenses$149,081CYOtherExpensesAmt
PY Total Expenses$223,219PYTotalExpensesAmt
CY Total Expenses$289,441CYTotalExpensesAmt
PY Revenues Less Expenses$81,266PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,044CYRevenuesLessExpensesAmt
Total Assets BOY$140,884TotalAssetsBOYAmt
Total Assets EOY$154,789TotalAssetsEOYAmt
Total Liabilities BOY$6,507TotalLiabilitiesBOYAmt
Total Liabilities EOY$368TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$134,377NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$154,421NetAssetsOrFundBalancesEOYAmt
MissionCRISIS PREGNANCY COUNSELING, CLINIC TO PROVIDE ULTRASOUNDS, PARENTING CLASSES, COUNSELING, DIAPERS, CLOTHES FOR BABIES & TODDLERS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$217,220ExpenseAmt
Desc903 CLIENT VISITS, PROVIDED 120 FREE PREGNANCY TESTS & 93 ULTRASOUNDS,PARENTING & INCENTIVE PROGRAMS, TANGIBLE NEEDS FOR MOTHERS & BABIES SUCH AS OVER 2,500 DIAPERS, OTHER BABY ITEMS, CLOTHING & FORMULA. 21 BABIES WERE BORN TO WOMEN WE SERVED THIS YEAR.Desc
Total Program Service Expenses$217,220TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 ActivitiesfalseFundraisingActivitiesInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members8GoverningBodyVotingMembersCnt
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 PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTY RENFROEPersonNm
Phone4799672255PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 394AddressLine1Txt
CityRUSSELLVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP728110394ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHRISTY RENFROE
EXECUTIVE DIRECTOR40.000.00Yes (X)Yes (X)$46,582$0$0
DONNA ROWE
DIRECTOR1.000.00$0$0$0Yes (X)
DON ERWIN
DIRECTOR1.000.00$0$0$0Yes (X)
MARY M SCHWARTZ
DIRECTOR1.000.00$0$0$0Yes (X)
CASSITY HOGINS
DIRECTOR1.000.00$0$0$0Yes (X)
SARAH HICKMAN
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
JEFF WALCHSHAUSER
PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
DANIEL CONDITT
VICE PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$46,582TotalReportableCompFromOrgAmt
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
All Other Contributions$309,246AllOtherContributionsAmt
Total Contributions$309,246TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$239TotalRevenueColumnAmt
Exclusion$239ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$309,485TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$239ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$46,582TotalAmt
Program Services$27,949ProgramServicesAmt
Management And General$13,975ManagementAndGeneralAmt
Fundraising$4,658FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,803TotalAmt
Program Services$73,705ProgramServicesAmt
Management And General$5,952ManagementAndGeneralAmt
Fundraising$4,146FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,975TotalAmt
Program Services$7,777ProgramServicesAmt
Management And General$1,524ManagementAndGeneralAmt
Fundraising$674FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$274TotalAmt
Management And General$274ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$16,019TotalAmt
Program Services$12,815ProgramServicesAmt
Fundraising$3,204FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$32,121TotalAmt
Program Services$11,666ProgramServicesAmt
Management And General$17,235ManagementAndGeneralAmt
Fundraising$3,220FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,985TotalAmt
Program Services$3,919ProgramServicesAmt
Management And General$2,294ManagementAndGeneralAmt
Fundraising$2,772FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,079TotalAmt
Program Services$17,416ProgramServicesAmt
Management And General$6,175ManagementAndGeneralAmt
Fundraising$2,488FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,500TotalAmt
Program Services$3,500ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$35,098TotalAmt
Program Services$35,098ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$1,312TotalAmt
Program Services$1,312ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,197TotalAmt
Program Services$2,825ProgramServicesAmt
Management And General$372ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,458TotalAmt
Program Services$5,220ProgramServicesAmt
Management And General$1,492ManagementAndGeneralAmt
Fundraising$746FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
REPAIR AND MAINTENANCE$1,020$1,020
CLIENT ASSIST MEDICAL TRN$8,624$8,624
STAFF VOLUNTEER EXPENSE$5,394$5,394

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$289,441TotalAmt
Program Services$217,220ProgramServicesAmt
Management And General$50,313ManagementAndGeneralAmt
Fundraising$21,908FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,940BOYAmt
EOY$127,042EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$63,856LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,109LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,944BOYAmt
EOY$27,747EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$140,884BOYAmt
EOY$154,789EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,507BOYAmt
EOY$368EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,507BOYAmt
EOY$368EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$103,433BOYAmt
EOY$126,675EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$30,944BOYAmt
EOY$27,747EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
EOY-$1EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$134,377BOYAmt
EOY$154,421EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$140,884BOYAmt
EOY$154,789EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$20,044ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,069CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$241,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$204,030CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$304,485CurrentTaxYearMinus1YearAmt
Current Tax Year$309,246CurrentTaxYearAmt
Total$1,277,104TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,069CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$241,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$204,030CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$304,485CurrentTaxYearMinus1YearAmt
Current Tax Year$309,246CurrentTaxYearAmt
Total$1,277,104TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$6,451SubstantialContributorsTotAmt
Public Support Total170$1,270,653PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year$239CurrentTaxYearAmt
Total$343TotalAmt
FieldValueIRS element (for citing)
Total Support$1,277,447TotalSupportAmt
Public Support CY1700.99470PublicSupportCY170Pct
Public Support PY1700.99230PublicSupportPY170Pct
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$63,856OtherCostOrOtherBasisAmt
Depreciation$36,109DepreciationAmt
Book Value$27,747BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,747TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYROLL TAXES DUE
CREDIT CARD BALANCE$368
FieldValueIRS element (for citing)
Total Liability$368TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11A COPY OF THE FORM 990 WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING.
Form 990 availability to public Part VI line 18GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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