SANTA ROSA KIDS HOUSE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SANTA ROSA KIDS HOUSE INC (EIN 20-1524354)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-12
- IRS object ID
- 202211329349303956
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-12T12:06:11-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450529207 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DURST JORDAN CPA PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4459-B HIGHWAY 90 | AddressLine1Txt |
| City | MILTON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32571 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201524354 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA ROSA KIDS' HOUSE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANT | BusinessNameControlTxt |
| Phone | 8506231112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1Txt |
| City | MILTON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32570 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WENDELL HALL | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 8506231112 | PhoneNum |
| Signature | 2022-04-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WENDELL | PersonFirstNm |
| Person Last | HALL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSHUA C DURST | PreparerPersonNm |
| PTIN | P00436839 | PTIN |
| Phone | 8509955000 | PhoneNum |
| Preparation | 2022-05-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WENDELL HALL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1Txt |
| City | MILTON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32570 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $929,180 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SRKIDSHOUSE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS THE NEES OF THE CHILDREN FIRST | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $350,408 | PYContributionsGrantsAmt |
| CY Contributions Grants | $578,953 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $87,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $95,071 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,942 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,001 | PYOtherRevenueAmt |
| CY Other Revenue | $144,821 | CYOtherRevenueAmt |
| PY Total Revenue | $544,528 | PYTotalRevenueAmt |
| CY Total Revenue | $774,716 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $268,066 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $338,757 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,054 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $268,668 | PYOtherExpensesAmt |
| CY Other Expenses | $267,847 | CYOtherExpensesAmt |
| PY Total Expenses | $536,734 | PYTotalExpensesAmt |
| CY Total Expenses | $606,604 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,794 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $168,112 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,258,051 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,419,324 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,415 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,582 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,254,636 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,405,742 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS CHILDREN FIRST | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $523,059 | ExpenseAmt |
| Desc | PROGRAM SERVICES PROVIDED INCLUDE MANAGING A FACILITY TO HOUSE MULTIPLE SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES TO CHILD ABUSE VICTIMS AND THEIR FAMILIES AND FACILITATE THE PROSECUTION OF THEIR ABUSERS IN SANTA ROSA COUNTY, FL. THESE SERVICES ARE PROVIDED FREE OF CHARGE IN A CHILD FRIENDLY ENVIRONMENT THEREBY REDUCING THE TRAUMA A CHILD HAS EXPERIENCED AS A RESULT OF ABUSE. DIRECT SERVICES INCLUDING CRISIS INTERVENTION, DEVELOPMENTALLY APPROPRIATE INTERVIEWS, MEDICAL EXAMS, MENTAL HEALTH COUNSELING, CASE MANAGEMENT AND VICTIM ADVOCACY WERE PROVIDED TO NUMEROUS CHILD VICTIMS OF PHYSICALLY AND SEXUAL ABUSE. | Desc |
| Total Program Service Expenses | $523,059 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 9 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEITH ANN CAMPBELL | PersonNm |
| Phone | 8506231112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1Txt |
| City | MILTON | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32570 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| WENDELL HALL | ||||||
| CHAIRMAN | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PATRICK DAWSON | ||||||
| VICE CHAIRMA | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARGARET PORTER | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CONNIE CUSHING | ||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID DILAURO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEFFREY HELMS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAN CROWDER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARK MURRAY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RANDY TIFFT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SANDY PARK-OHARA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JONATHAN COLE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEVE RHODES | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY BATTERTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELE TUCKER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LIZ SIMMONS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL LIO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRAD SOLOMON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN LUCAS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARCIE HUNT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| WALKER CLEMMONS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $578,953 | AllOtherContributionsAmt |
| Noncash Contributions | $12,000 | NoncashContributionsAmt |
| Total Contributions | $578,953 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,598 | TotalRevenueColumnAmt |
| Exclusion | $29,598 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,780 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $87,780 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $87,780 | TotalRevenueColumnAmt |
| Exclusion | $87,780 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $166,696 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $145,352 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,344 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,344 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $21,344 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $58,534 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $9,112 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,422 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE PROCEEDS | Desc |
| Total Revenue Column | $7,619 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,619 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,619 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $774,716 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,963 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $117,378 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $338,757 | TotalAmt |
| Program Services | $287,943 | ProgramServicesAmt |
| Management And General | $33,876 | ManagementAndGeneralAmt |
| Fundraising | $16,938 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,075 | TotalAmt |
| Management And General | $6,075 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,294 | TotalAmt |
| Program Services | $18,294 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,262 | TotalAmt |
| Program Services | $1,923 | ProgramServicesAmt |
| Management And General | $339 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,040 | TotalAmt |
| Program Services | $7,884 | ProgramServicesAmt |
| Management And General | $2,606 | ManagementAndGeneralAmt |
| Fundraising | $550 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,701 | TotalAmt |
| Program Services | $51,373 | ProgramServicesAmt |
| Management And General | $3,505 | ManagementAndGeneralAmt |
| Fundraising | $823 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750 | TotalAmt |
| Program Services | $727 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
| Fundraising | $15 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,266 | TotalAmt |
| Program Services | $46,976 | ProgramServicesAmt |
| Management And General | $5,527 | ManagementAndGeneralAmt |
| Fundraising | $2,763 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,769 | TotalAmt |
| Program Services | $21,904 | ProgramServicesAmt |
| Management And General | $2,577 | ManagementAndGeneralAmt |
| Fundraising | $1,288 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT | $30,163 | $30,163 | ||
| MAINTENANCE & REPAIRS | $24,900 | $22,711 | $1,463 | $726 |
| SUPPLIES | $14,661 | $12,462 | $1,466 | $733 |
| CHILD PROTECTIVE TEAM | $11,329 | $11,329 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,637 | TotalAmt |
| Program Services | $9,370 | ProgramServicesAmt |
| Management And General | $2,049 | ManagementAndGeneralAmt |
| Fundraising | $218 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,604 | TotalAmt |
| Program Services | $523,059 | ProgramServicesAmt |
| Management And General | $59,491 | ManagementAndGeneralAmt |
| Fundraising | $24,054 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $322,128 | BOYAmt |
| EOY | $541,124 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,000 | BOYAmt |
| EOY | $25,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,203 | BOYAmt |
| EOY | $2,007 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $827 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,042,212 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $784,478 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,301,609 | BOYAmt |
| EOY | $1,257,734 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $544,942 | BOYAmt |
| EOY | $589,463 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,169 | BOYAmt |
| EOY | $3,169 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,258,051 | BOYAmt |
| EOY | $2,419,324 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121 | BOYAmt |
| EOY | $9,344 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,294 | BOYAmt |
| EOY | $4,238 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,415 | BOYAmt |
| EOY | $13,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,254,636 | BOYAmt |
| EOY | $2,405,742 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,254,636 | BOYAmt |
| EOY | $2,405,742 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,258,051 | BOYAmt |
| EOY | $2,419,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $168,112 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $684 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$12,000 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | -$5,690 | InvestmentExpenseAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $498,299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $356,981 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $495,316 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $350,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,953 | CurrentTaxYearAmt |
| Total | $2,279,957 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $498,299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $356,981 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $495,316 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $350,408 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $578,953 | CurrentTaxYearAmt |
| Total | $2,279,957 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $2,279,957 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76,747 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,621 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,826 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $117,378 | CurrentTaxYearAmt |
| Total | $602,988 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,882,945 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $479,439 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.79080 | PublicSupportCY170Pct |
| Public Support PY170 | 0.77320 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $143,120 | InvestmentCostOrOtherBasisAmt |
| Book Value | $143,120 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,426,655 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $428,259 | DepreciationAmt |
| Book Value | $998,396 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $183,835 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $102,804 | DepreciationAmt |
| Book Value | $81,031 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $225,495 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $216,010 | DepreciationAmt |
| Book Value | $9,485 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $63,107 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $37,405 | DepreciationAmt |
| Book Value | $25,702 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,257,734 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MERRILL LYNCH MUTUAL FUNDS | Desc |
| Book Value | $589,463 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $589,463 | TotalBookValueSecuritiesAmt |
| Total Rev Etc Audited Fincl Stmt | $769,710 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $684 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $684 | RevenueNotReportedAmt |
| Revenue Subtotal | $769,026 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,690 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,690 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $774,716 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $618,604 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $12,000 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $12,000 | ExpensesNotReportedAmt |
| Expenses Subtotal | $606,604 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $606,604 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $34,540 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $34,540 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $4,115 | OtherDirectExpensesEvent1Amt |
| Event2 | CHILI COOKOFF | Event2Nm |
| Gross Receipts Event2 | $12,510 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $12,510 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $773 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 4 | OtherEventsTotalCnt |
| Gross Receipts Total | $47,050 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $47,050 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $4,888 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $4,888 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $42,162 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED AND APPROVED BY BOARD OF DIRECTORS BEFORE FILING WITH IRS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND SIGNATURE. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE PROCESS TO DETERMINE THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA. ALL DELIBERATIONS AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | NO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | DOCUMENTS ARE MADE AVAILBALE UPON REQUEST. |
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