ROSE HAVEN CIC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ROSE HAVEN CIC (EIN 20-5922682)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-04-27
IRS object ID
202201179349301035
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-04-27T13:29:47-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GARY MCGEE & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 SW BROADWAY SUITE 1200AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97205ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205922682EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROSE HAVEN CICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlROSEBusinessNameControlTxt
Phone5032486364PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10405AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKATHLEEN O'BRIENPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5032486364PhoneNum
Signature2022-04-27SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKATHLEENPersonFirstNm
Person LastOBRIENPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonYEE LEE MCGEEPreparerPersonNm
PTINP01294356PTIN
Phone5032222515PhoneNum
Preparation2022-04-27PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHLEEN O'BRIENPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10405AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,118,104GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ROSEHAVEN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionROSE HAVEN'S MISSION IS TO PROVIDE DAY SHELTER, RESOURCES, EMOTIONAL SUPPORT, AND COMMUNITY CONNECTIONS TO WOMEN, CHILDREN, AND MARGINALIZED GENDERS EXPERIENCING HOMELESSNESS AND POVERTY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers602TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,430,247PYContributionsGrantsAmt
CY Contributions Grants$3,116,759CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$4,007PYInvestmentIncomeAmt
CY Investment Income$393CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$952CYOtherRevenueAmt
PY Total Revenue$1,434,254PYTotalRevenueAmt
CY Total Revenue$3,118,104CYTotalRevenueAmt
PY Grants And Similar Paid$116,556PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100,306CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$654,637PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$737,384CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$21,995CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$242,768CYTotalFundraisingExpenseAmt
PY Other Expenses$169,378PYOtherExpensesAmt
CY Other Expenses$329,326CYOtherExpensesAmt
PY Total Expenses$940,571PYTotalExpensesAmt
CY Total Expenses$1,189,011CYTotalExpensesAmt
PY Revenues Less Expenses$493,683PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,929,093CYRevenuesLessExpensesAmt
Total Assets BOY$1,737,954TotalAssetsBOYAmt
Total Assets EOY$3,635,133TotalAssetsEOYAmt
Total Liabilities BOY$111,112TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,240TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,626,842NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,598,893NetAssetsOrFundBalancesEOYAmt
MissionROSE HAVEN'S MISSION IS TO PROVIDE DAY SHELTER, RESOURCES, EMOTIONAL SUPPORT, AND COMMUNITY CONNECTIONS TO WOMEN, CHILDREN, AND MARGINALIZED GENDERS EXPERIENCING HOMELESSNESS AND POVERTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$851,425ExpenseAmt
Grant$100,306GrantAmt
DescROSE HAVEN CONTINUED TO PROVIDE DAYTIME SERVICE THROUGH THE PANDAMIC. WE SUPPORTED 2,622 WOMEN AND CHILDREN IN 2021 WHO COLLECTIVELY VISITED 17,866 TIMES FOR SAFETY, SERVICES AND SUPPORT. WE FIRST MET BASIC NEED (26,792 NUTRITIOUS MEALS; 9,088 SHOPPING VISITS; 5,526 HYGIENE KITS; 5,964 SHOWERS AND BATHROOM VISITS, 660 DIAPERS; 24,608 BUS TICKETS), AND THEN ASSISTED GUESTS WITH LONG-TERM SUPPORT (1,409 ADVOCACY APPOINTMENTS, 243 HEALTH AND WELLNESS ACTIVITIES) TO HELP EMPOWER WOMEN AND CHILDREN IN CREATING A BETTER FUTURE.Desc
Total Program Service Expenses$851,425TotalProgramServiceExpensesAmt
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 FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org 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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee20EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn 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 Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHLEEN O'BRIENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5032486364PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 10405AddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97296ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KATHY KELLY
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARYANN SCHWAB
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
DANA HOGAN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
MARY CONSANTINO
TREASURER2.00Yes (X)Yes (X)$0$0$0
SHARRON GARGOSKY
MEMBER2.00Yes (X)$0$0$0
JOANNA HERMANN
MEMBER2.00Yes (X)$0$0$0
PETER IRVING
MEMBER2.00Yes (X)$0$0$0
SCOTT NICHOLS
MEMBER2.00Yes (X)$0$0$0
HAYDEN THOMAS
MEMBER2.00Yes (X)$0$0$0
LAUREN WILKINS
MEMBER2.00Yes (X)$0$0$0
KATHLEEN O'BRIEN
EXECUTIVE DIRECTOR40.00Yes (X)$102,704$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,704TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$106,700GovernmentGrantsAmt
All Other Contributions$3,010,059AllOtherContributionsAmt
Noncash Contributions$1,200NoncashContributionsAmt
Total Contributions$3,116,759TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$393TotalRevenueColumnAmt
Exclusion$393ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business541100BusinessCd
Total Revenue Column$952TotalRevenueColumnAmt
Exclusion$952ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$952OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,118,104TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,345ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$100,306TotalAmt
Program Services$100,306ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,704TotalAmt
Program Services$51,352ProgramServicesAmt
Management And General$25,676ManagementAndGeneralAmt
Fundraising$25,676FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$518,796TotalAmt
Program Services$406,156ProgramServicesAmt
Fundraising$112,640FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$10,060TotalAmt
Program Services$9,640ProgramServicesAmt
Management And General$210ManagementAndGeneralAmt
Fundraising$210FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,309TotalAmt
Program Services$36,708ProgramServicesAmt
Management And General$801ManagementAndGeneralAmt
Fundraising$800FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$67,515TotalAmt
Program Services$53,836ProgramServicesAmt
Management And General$3,646ManagementAndGeneralAmt
Fundraising$10,033FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,882TotalAmt
Management And General$15,882ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$21,995TotalAmt
Fundraising$21,995FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,160TotalAmt
Management And General$3,160ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,366TotalAmt
Program Services$3,897ProgramServicesAmt
Fundraising$9,469FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,915TotalAmt
Program Services$12,588ProgramServicesAmt
Management And General$2,074ManagementAndGeneralAmt
Fundraising$14,253FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,658TotalAmt
Fundraising$10,658FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$198,076TotalAmt
Program Services$168,365ProgramServicesAmt
Management And General$19,807ManagementAndGeneralAmt
Fundraising$9,904FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,491TotalAmt
Program Services$2,153ProgramServicesAmt
Management And General$338ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,976TotalAmt
Management And General$17,976ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,241TotalAmt
Program Services$3,605ProgramServicesAmt
Management And General$424ManagementAndGeneralAmt
Fundraising$212FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
ANNUAL SUPPORT EXPENSE$26,817$26,817
STAFF/VOLUNT. TRAINING$6,735$101$2,819$3,815
OTHER EXPENSES$1,009$1,009

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,189,011TotalAmt
Program Services$851,425ProgramServicesAmt
Management And General$94,818ManagementAndGeneralAmt
Fundraising$242,768FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$435,854BOYAmt
EOY$1,367,291EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$685,008BOYAmt
EOY$685,350EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,720BOYAmt
EOY$23,061EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,037,807LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,419LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,424BOYAmt
EOY$970,388EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$459,379BOYAmt
EOY$488,424EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$100,569BOYAmt
EOY$100,619EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,737,954BOYAmt
EOY$3,635,133EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,412BOYAmt
EOY$36,240EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$106,700BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$111,112BOYAmt
EOY$36,240EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,626,842BOYAmt
EOY$3,598,893EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,626,842BOYAmt
EOY$3,598,893EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,737,954BOYAmt
EOY$3,635,133EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,929,093ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$42,958NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$719,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$822,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$939,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,430,247CurrentTaxYearMinus1YearAmt
Current Tax Year$3,116,759CurrentTaxYearAmt
Total$7,027,769TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$719,195CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$822,528CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$939,040CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,430,247CurrentTaxYearMinus1YearAmt
Current Tax Year$3,116,759CurrentTaxYearAmt
Total$7,027,769TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$422,131SubstantialContributorsTotAmt
Public Support Total170$6,605,638PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,862CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,007CurrentTaxYearMinus1YearAmt
Current Tax Year$393CurrentTaxYearAmt
Total$32,803TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$952CurrentTaxYearAmt
Total$952TotalAmt
FieldValueIRS element (for citing)
Total Support$7,061,524TotalSupportAmt
Gross Receipts Rltd Activities$9,479GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93540PublicSupportCY170Pct
Public Support PY1700.97400PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2021 AMOUNT: $ 952.ExplanationTxt

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$964,523OtherCostOrOtherBasisAmt
Depreciation$43,690DepreciationAmt
Book Value$920,833BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,864OtherCostOrOtherBasisAmt
Depreciation$23,729DepreciationAmt
Book Value$49,135BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$420OtherCostOrOtherBasisAmt
Book Value$420BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$970,388TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonANGELA QUERFELDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18233 N WILLAMETTE BLVDAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97203ZIPCd
FieldValueIRS element (for citing)
ActivityFUNDRAISING SUPPORTActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$0GrossReceiptsAmt
Retained By Contractor$21,995RetainedByContractorAmt
Net To Organization$0NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Retained By Contractors$21,995TotalRetainedByContractorsAmt
Licensed StatesORLicensedStatesCd

Schedule I IRS990ScheduleI

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

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDIRECT SERVICE ASSISTANCE TO VICTIMS OF DOMESTIC VIOLENCEGrantTypeTxt
Recipient2622RecipientCnt
Cash Grant$80,127CashGrantAmt
Non Cash Assistance$20,179NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceCLOTHING, HYGIENE KITS, BEDDING, AND OTHER HOUSEHOLD ITEMS.NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationROSE HAVEN CIC PROVIDES ASSISTANCE TO WOMEN AND CHILDREN EXPERIENCING ABUSE, HOMELESSNESS AND OTHER DISRUPTIVE LIFE EVENTS THROUGH PAYMENT OF EXPENSES SUCH AS UTILITIES, MEDICAL, IDENTIFICATION, AND TRANSPORTATION. ROSE HAVEN CIC ALSO PROVIDES OTHER NONCASH ASSISTANCE. ADVOCACY STAFF MEMBERS VERIFY COSTS IN ADVANCE AND PAYMENT IS MADE DIRECTLY TO THE SERVICE PROVIDERS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT CPA FIRM. ROSE HAVEN'S EXECUTIVE COMMITTEE CONSISTING OF THE BOARD PRESIDENT, VICE PRESIDENT, SECRETARY AND TREASURER REVIEWED AND APPROVED THE 990 PRIOR TO FINALIZATION.
FORM 990, PART VI, SECTION B, LINE 12CA TRANSACTION IN WHICH A BOARD MEMBER HAS A DIRECT OR INDIRECT INTEREST SHALL BE VALID NOTWITHSTANDING THE MEMBER'S INTEREST IN THE TRANSACTION IF: A) THE MATERIAL FACTS OF THE TRANSACTION AND THE MEMBER'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD AND IT AUTHORIZES, APPROVES, OR RATIFIES THE TRANSACTION BY VOTE OR CONSENT SUFFICIENT FOR THE PURPOSE WITHOUT COUNTING THE VOTES OF CONSENT OF MEMBERS WITH A DIRECT OR INDIRECT INTEREST IN THE TRANSACTION; OR B) THE MATERIAL FACTS OF THE TRANSACTION AND THE MEMBER'S INTEREST ARE DISCLOSED OR KNOWN TO THE BOARD MEMBERS ENTITLED TO VOTE AND THEY AUTHORIZE, APPROVE, OR RATIFY THE TRANSACTION; C) THE TRANSACTION IS FAIR TO THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE COMMITTEE CONDUCTS AN ANNUAL PERFORMANCE REVIEW FOR THE EXECUTIVE DIRECTOR WITH SUPPORT FROM AN OUTSIDE AGENCY. ALL EXECUTIVE COMMITTEE MEMBERS APPROVE REVIEW AND COMPENSATION FOR APPROVAL. EXECUTIVE DIRECTOR CODUCTS AN ANNUAL PERFORMANCE REVIEW AND COMPENSATION INCREASES FOR ALL MANAGERS. DEPARTMENT MANAGERS CONDUCT ANNUAL REVIEWS AND RECOMMEND ANNUAL PERFORMANCE INCREASES TO EXECUTIVE DIRECTOR FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19ALL FINANCIAL DOCUMENTS INCLUDING THE FORM 990 AND ANNUAL PROFIT AND LOSS STATEMENTS ARE AVAILABE ON OUR WEBSITE. GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.

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