MILLER CENTER FOR RECREATION AND WELLNESS: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MILLER CENTER FOR RECREATION AND WELLNESS (EIN 47-3104877)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202211369349102156
Schema version
2020v4.2
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)
Return2022-05-16T09:27:25-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11000 COMMERCE PARK DRAddressLine1Txt
CityWILLIAMSPORTCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17701ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473104877EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MILLER CENTER FOR RECREATIONBusinessNameLine1Txt
Business Name Line2AND WELLNESSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMILLBusinessNameControlTxt
Phone5702229800PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 BUFFALO ROADAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMATTHEW MILLERPersonNm
Person TitleACTING EXECUTIVE DIRECTORPersonTitleTxt
Phone5705564191PhoneNum
Signature2022-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMATTHEWPersonFirstNm
Person LastMILLERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAIME L KUNTZ CPAPreparerPersonNm
PTINP01272711PTIN
Phone5703236023PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$11,558,800FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$164,216ContriRcvdRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,282InterestOnSavNetInvstIncmAmt
Gross Rents Rev And Expnss$182,813GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$182,813GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$168,307NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$200NetGainSaleAstRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Gross Sales Less Ret And Allwnc$3,909GrossSalesLessRetAndAllwncAmt
Cost Of Goods Sold$689CostOfGoodsSoldAmt
Gross Profit Rev And Expnss$3,220GrossProfitRevAndExpnssAmt
Other Income Rev And Expnss$708,403OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,058,852TotalRevAndExpnssAmt
Total Net Invst Incm$184,095TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$207,266OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$53,181PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$0PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$19,419LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,800AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$681,021OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$285,817DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$8,030DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$107,981OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$4,966OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$0OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,990TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$254,605OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,510OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,613,080TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$14,506TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,613,080TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$14,506TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$0TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$554,228ExcessRevenueOverExpensesAmt
Net Investment Income$169,589NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$387,476CashBOYAmt
Cash EOY$671,611CashEOYAmt
Cash EOYFMV$671,611CashEOYFMVAmt
Acct Rcvbl$53,932AcctRcvblAmt
Acct Rcvbl BOY$52,484AcctRcvblBOYAmt
Acct Rcvbl EOY$53,932AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$53,932AcctRcvblEOYFMVAmt
Pledges Rcvbl$32,000PledgesRcvblAmt
Pledges Rcvbl BOY$32,000PledgesRcvblBOYAmt
Pledges Rcvbl EOY$32,000PledgesRcvblEOYAmt
Pledges Rcvbl EOYFMV$32,000PledgesRcvblEOYFMVAmt
Prepaid Expenses BOY$42,306PrepaidExpensesBOYAmt
Prepaid Expenses EOY$16,202PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$16,202PrepaidExpensesEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$8,794,630LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$415,807LandBldgEquipAccumDeprecAmt
Land BOY$6,792,712LandBOYAmt
Land EOY$8,378,823LandEOYAmt
Land EOYFMV$8,378,823LandEOYFMVAmt
Other Assets BOY$2,406,232OtherAssetsBOYAmt
Other Assets EOY$2,406,232OtherAssetsEOYAmt
Other Assets EOYFMV$2,406,232OtherAssetsEOYFMVAmt
Total Assets BOY$9,713,210TotalAssetsBOYAmt
Total Assets EOY$11,558,800TotalAssetsEOYAmt
Total Assets EOYFMV$11,558,800TotalAssetsEOYFMVAmt
Accounts Payable BOY$172,829AccountsPayableBOYAmt
Accounts Payable EOY$231,272AccountsPayableEOYAmt
Deferred Revenue BOY$26,242DeferredRevenueBOYAmt
Deferred Revenue EOY$58,035DeferredRevenueEOYAmt
Other Liabilities BOY$171OtherLiabilitiesBOYAmt
Other Liabilities EOY$48,493OtherLiabilitiesEOYAmt
Total Liabilities BOY$199,242TotalLiabilitiesBOYAmt
Total Liabilities EOY$337,800TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$9,490,563NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$11,217,258NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$23,405DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$3,742DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$9,513,968TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,221,000TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$9,713,210TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$11,558,800TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$9,513,968TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$554,228ExcessRevenueOverExpensesAmt
Other Increases$2,261,260OtherIncreasesAmt
Subtotal$11,221,000SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$11,221,000TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,357InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,357SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,357TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$53EsPenaltyAmt
Tax Due$2,410TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.MILLERCENTERLEWISBURG.COMWebsiteAddressTxt
Individual With BooksEVANGELICAL COMMUNITY HOSPITALIndividualWithBooksNm
Phone5705222741PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1ONE HOSPITAL DRIVEAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KENDRA A AUCKER
1000 BUFFALO ROADLEWISBURGPA17837PRESIDENT (NONVOTING)1.00$0$0$0
JAMES A STOPPER
1000 BUFFALO ROADLEWISBURGPA17837TREASURER (NONVOTING)1.00$0$0$0
MATTHEW M WALSH
1000 BUFFALO ROADLEWISBURGPA17837SECRETARY (NONVOTING)1.00$0$0$0
JIM MATHIAS
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
WILLIAM P ANDERSON III
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
JAMES G APPLE
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
JULIE A BARNA DMD
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
STEVEN R KRAMM DO
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
E LYNN MILLER
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
DOMINIC S MOFFA
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
THOMAS B MORLAND MD
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
ANGELA M MOTTO
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
TIMM A MOYER
1000 BUFFALO ROADLEWISBURGPA17837DIRECTOR0.10$0$0$0
BONNIE L MCDOWELL
1000 BUFFALO ROADLEWISBURGPA17837EX-OFFICIO MEMBER (NONVOTING)0.10$0$0$0
RYAN M MCNALLY
1000 BUFFALO ROADLEWISBURGPA17837EX-OFFICIO MEMBER (NONVOTING)0.10$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$529,544AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$529,544TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$529,544AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$7,943CashDeemedCharitableAmt
Net Vl Noncharitable Assets$521,601NetVlNoncharitableAssetsAmt
Minimum Investment Return$26,080MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$26,080MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,357TaxBasedOnInvestmentIncomeAmt
Total Tax$2,357TotalTaxAmt
Distributable Before Adj$23,723DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$23,723DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$23,723DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$0ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$0QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$0AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$23,723DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,507,562ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$12,794,155ExcessDistributionCyovYr3Amt
Total Excess Distribution Cyov$14,301,717TotalExcessDistributionCyovAmt
Qualifying Distributions$0QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$0AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$23,723ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$23,723ExcessDistributionCyovAppCYAmt
Total Corpus$14,277,994TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$1,483,839ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$12,794,155ExcessDistriCyovToNextYrAmt
Excess From Year3$12,794,155ExcessFromYear3Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMILLER CENTERRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11000 BUFFALO ROADAddressLine1Txt
CityLEWISBURGCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17837ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5705229800RecipientPhoneNum
Form And Info And MaterialsNONE ARE SPECIFIEDFormAndInfoAndMaterialsTxt
Submission DeadlinesNONE ARE SPECIFIEDSubmissionDeadlinesTxt
Restrictions On AwardsNONE ARE SPECIFIEDRestrictionsOnAwardsTxt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$0TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$168,307ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$200ExclusionAmt

Gross Profit Loss Sls Of Invntry GrossProfitLossSlsOfInvntryGrp

FieldValueIRS element (for citing)
Exclusion03ExclusionCd
Exclusion$3,220ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (4 entries)

DescDescExclusionExclusionCdRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmtExclusionExclusionAmt
FITNESS FACILITIES03$422,235
SPORTS AND RECREATION03$278,068
CHILD CARE03$0
FUNDRAISING AND MARKETING01$8,100

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$179,827ExclusionAmt
Related Or Exempt Function Incm$700,303RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$880,130TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (10 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
11PROGRAM SERVICE REVENUE IS EARNED BY PROVIDING THE FOLLOWING SERVICES:
11AFITNESS FACILITIES PROVIDE OPPORTUNITIES FOR EXERCISE ASSISTANCE FROM
11AFITNESS TRAINERS, AND OTHER SPECIFIED FITNESS PROGRAMS AND CLASSES.
11AADMISSION IS BY ANNUAL MEMBERSHIP OR DAY PASS.
11BSPORTS AND RECEREATION FACILITIES:
11BTHE SPORTS AND RECREATION FACILITIES INCLUDE 4 HARD COURT SURFACES AND
11BAN ARTIFICIAL TURF SURFACE WHICH CAN BE USED BY A VARIETY OF SPORTS.
11BALL SURFACES ARE INDOORS. THE FACILITIES ARE USED BY MEMBERS, RENTED
11BLEAGUES OR GROUPS. ADMISSION IS BY ANNUAL MEMBERSHIP, LEAGUE OR
11BOTHER GROUP PARTICIPATION.

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1US DEPARTMENT OF HEALTH AND HUMAN SERVICESBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1200 INDEPENDENCE AVE SWAddressLine1Txt
CityWASHINGTONCityNm
State AbbreviationDCStateAbbreviationCd
ZIP20201ZIPCd
FieldValueIRS element (for citing)
Total Contributions$159,300TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$1,800Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$19,419LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescGOODWILLDesc
BOY Book Value$2,406,232BOYBookValueAmt
EOY Book Value$2,406,232EOYBookValueAmt
EOYFMV$2,406,232EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ADVERTISING$1,553$0$0
DUES & SUBSCRIPTIONS$15,355$0$0
EQUIPMENT MAINTENANCE$57,349$0$0
EQUIPMENT RENTAL$46,531$0$0
INFORMATION TECHNOLOGY$15,749$0$0
INSURANCE$46,028$0$0
OTHER EXPENSES$30,251$0$0
SUPPLIES$9,937$0$0
TAXES & LICENSES$9,287$0$0
OFFICE EXPENSES$19,643$0$0
BAD DEBT EXPENSE$1,412$0$0
OTHER$1,510$1,510$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
FITNESS FACILITIES$422,235$422,235
SPORTS AND RECREATION$278,068$278,068
FUNDRAISING AND MARKETING$8,100$8,100

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (2 entries)

DescDescAmtAmt
EQUITY TRANSFER$2,250,000
OTHER CHANGES$11,260

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
DUE TO ECH$0$48,493
PAYROLL TAXES WITHHOLDING$171$0

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PURCHASED SERVICES$259,512$0$0
CONTRACT LABOR$421,509$0$0

Comments

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