OHANA HERITAGE FOUNDATION INC: Form 990, tax year 2021
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- Organization
- OHANA HERITAGE FOUNDATION INC (EIN 37-1523448)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-08-18
- IRS object ID
- 202212309349300246
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-18T15:08:25-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 351307701 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KRUGGEL LAWTON & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 317 W FRANKLIN ST | AddressLine1Txt |
| City | ELKHART | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46516 | 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 | 371523448 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | O'HANA HERITAGE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OHAN | BusinessNameControlTxt |
| Phone | 5742358899 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53131 QUINCE ROAD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46628 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIEAL BISHOP | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5742358899 | PhoneNum |
| Signature | 2022-08-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TIEAL | PersonFirstNm |
| Person Last | BISHOP | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARGENE ZINK | PreparerPersonNm |
| PTIN | P01222961 | PTIN |
| Phone | 5742642247 | PhoneNum |
| Preparation | 2022-08-04 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A ROSIE PLACE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIEAL BISHOP | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53131 QUINCE ROAD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46628 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,416,292 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | AROSIEPLACE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE FISCAL SUPPORT, AND PROMOTE COMMUNITY AWARENESS AND INVOLVEMENT TO FULFILL THE MISSION OF A ROSIE PLACE FOR CHILDREN. IN A SAFE AND NURTURING ENVIRONMENT, A ROSIE PLACE PROVIDES A HAVEN FOR MEDICALLY FRAGILE CHILDREN WHILE GIVING FAMILY MEMBERS PERIODS OF RELIEF FROM THE DEMANDS OF PROVIDING TWENTY-FOUR HOUR CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 71 | TotalEmployeeCnt |
| Total Volunteers | 129 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,195,233 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,233,119 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $129,822 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $163,483 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,674 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,098 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$6,610 | PYOtherRevenueAmt |
| CY Other Revenue | -$13,036 | CYOtherRevenueAmt |
| PY Total Revenue | $1,322,119 | PYTotalRevenueAmt |
| CY Total Revenue | $2,389,664 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $830,863 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $897,141 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $38,716 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $228,521 | PYOtherExpensesAmt |
| CY Other Expenses | $283,893 | CYOtherExpensesAmt |
| PY Total Expenses | $1,059,384 | PYTotalExpensesAmt |
| CY Total Expenses | $1,181,034 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $262,735 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,208,630 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,473,069 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,709,478 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,599 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,473,069 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,683,879 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE FISCAL SUPPORT, AND PROMOTE COMMUNITY AWARENESS AND INVOLVEMENT TO FULFILL THE MISSION OF A ROSIE PLACE FOR CHILDREN. IN A SAFE AND NURTURING ENVIRONMENT, A ROSIE PLACE PROVIDES A HAVEN FOR MEDICALLY FRAGILE CHILDREN WHILE GIVING FAMILY MEMBERS PERIODS OF RELIEF FROM THE DEMANDS OF PROVIDING TWENTY-FOUR HOUR CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $666,721 | ExpenseAmt |
| Revenue | $163,483 | RevenueAmt |
| Desc | A ROSIE PLACE PROVIDES SHORT TERM, OUT OF HOME RESPITE FOR FAMILIES CARING FOR CHILDREN WHO ARE MEDICALLY FRAGILE. THE CHILDREN, AGED FROM BIRTH TO 21 YEARS OF AGE, ARE CARED FOR BY A CLINICAL TEAM OF NURSES AND SUPPORT STAFF. THE CHILDREN STAY AT A ROSIE PLACE ANYWHERE FROM 1-10 DAYS. THIS SERVICE IS AT NO OUT OF POCKET COST TO THE FAMILY BUT WITH SOME REIMBURSEMENT THROUGH MEDICAID WAIVERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,967 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | H.A.V.E.N. FAMILY EVENTS, FAMILY EDUCATION AND TRAINING, COMMUNITY REFERRALS, SOCIAL WORK, AND OUTREACH. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $674,688 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 10 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 71 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TIEAL BISHOP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5742358899 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 53131 QUINCE RD | AddressLine1Txt |
| City | SOUTH BEND | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46628 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PAUL CAFIERO | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| MATT LYNN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| JAMES MARTINDALE | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| JOHN PHAIR | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| AMY O'REILLY | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| LENORE TRACEY | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA WHITE | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| KARLEY WALZ | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| SHERY ROUSSARIE | |||||||
| BOARD MEMBER | 0.75 | Yes (X) | $0 | $0 | $0 | ||
| BILL COUGHLIN | |||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| CHIP MITROS | |||||||
| VICE PRESIDENT/INTERIM SECRETARY | 0.75 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| EDWARD SULLIVAN | |||||||
| PRESIDENT | 0.75 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BUNMI OKANLAMI | |||||||
| PAST PRESIDENT | 0.75 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| ELIZABETH WALKER | |||||||
| TREASURER | 0.75 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TIEAL BISHOP | |||||||
| CEO | 40.00 | $118,000 | $0 | $2,700 | Yes (X) | ||
| MICHAELEEN CONLEE | |||||||
| ADMINISTRATOR | 40.00 | $120,042 | $0 | $2,700 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $238,042 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,400 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $242,657 | FundraisingAmt |
| Government Grants | $539,585 | GovernmentGrantsAmt |
| All Other Contributions | $1,450,877 | AllOtherContributionsAmt |
| Total Contributions | $2,233,119 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAID REVENUE | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $163,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,483 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $163,483 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1 | TotalRevenueColumnAmt |
| Exclusion | $1 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,489 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,392 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,097 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,097 | TotalRevenueColumnAmt |
| Exclusion | $6,097 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $11,200 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $242,657 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $24,236 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,036 | TotalRevenueColumnAmt |
| Exclusion | -$13,036 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,389,664 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $163,483 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$6,938 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,654 | TotalAmt |
| Program Services | $63,075 | ProgramServicesAmt |
| Management And General | $181,579 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $574,476 | TotalAmt |
| Program Services | $408,392 | ProgramServicesAmt |
| Management And General | $149,992 | ManagementAndGeneralAmt |
| Fundraising | $16,092 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,751 | TotalAmt |
| Program Services | $10,324 | ProgramServicesAmt |
| Management And General | $7,427 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,260 | TotalAmt |
| Program Services | $35,711 | ProgramServicesAmt |
| Management And General | $24,549 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,294 | TotalAmt |
| Management And General | $11,294 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10 | TotalAmt |
| Management And General | $10 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,033 | TotalAmt |
| Program Services | $2,024 | ProgramServicesAmt |
| Management And General | $7,009 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,241 | TotalAmt |
| Program Services | $5,449 | ProgramServicesAmt |
| Management And General | $568 | ManagementAndGeneralAmt |
| Fundraising | $9,224 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,238 | TotalAmt |
| Program Services | $2,894 | ProgramServicesAmt |
| Management And General | $14,697 | ManagementAndGeneralAmt |
| Fundraising | $12,647 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,398 | TotalAmt |
| Program Services | $622 | ProgramServicesAmt |
| Management And General | $3,522 | ManagementAndGeneralAmt |
| Fundraising | $254 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,635 | TotalAmt |
| Program Services | $16,073 | ProgramServicesAmt |
| Management And General | $21,562 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980 | TotalAmt |
| Management And General | $980 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,474 | TotalAmt |
| Program Services | $39 | ProgramServicesAmt |
| Management And General | $6,265 | ManagementAndGeneralAmt |
| Fundraising | $170 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,670 | TotalAmt |
| Program Services | $63,603 | ProgramServicesAmt |
| Management And General | $7,067 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,848 | TotalAmt |
| Program Services | $14,522 | ProgramServicesAmt |
| Management And General | $16,997 | ManagementAndGeneralAmt |
| Fundraising | $329 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LICENSES & DUES | $43,157 | $33,342 | $9,815 |
| HAVEN | $7,967 | $7,967 | |
| MEDICAL, SUPPLIES & EQU | $7,230 | $7,230 | |
| RECRUITMENT & STAFF APP | $4,046 | $4,046 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,672 | TotalAmt |
| Program Services | $3,421 | ProgramServicesAmt |
| Management And General | $251 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,181,034 | TotalAmt |
| Program Services | $674,688 | ProgramServicesAmt |
| Management And General | $467,630 | ManagementAndGeneralAmt |
| Fundraising | $38,716 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $370,519 | BOYAmt |
| EOY | $1,384,541 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,660 | BOYAmt |
| EOY | $337,588 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,458 | BOYAmt |
| EOY | $10,783 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,805,878 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $843,094 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,831 | BOYAmt |
| EOY | $1,962,784 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,601 | BOYAmt |
| EOY | $13,781 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,473,069 | BOYAmt |
| EOY | $3,709,478 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $25,599 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $25,599 | 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 | $2,449,007 | BOYAmt |
| EOY | $3,683,879 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,062 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,473,069 | BOYAmt |
| EOY | $3,683,879 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,473,069 | BOYAmt |
| EOY | $3,709,478 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,208,630 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,180 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (1) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAuditedInd |
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $652,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $664,157 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $828,934 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,195,232 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,233,119 | CurrentTaxYearAmt |
| Total | $5,574,335 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $652,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $664,157 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $828,934 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,195,232 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,233,119 | CurrentTaxYearAmt |
| Total | $5,574,335 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,154,176 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,420,159 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $130 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1 | CurrentTaxYearAmt |
| Total | $200 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $69,193 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $11,080 | CurrentTaxYearMinus2YearsAmt |
| Total | $80,273 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,654,808 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $786,692 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.78170 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80950 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $11,601 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,211 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $31 | AdministrativeExpensesAmt |
| End Year Balance | $13,781 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | $10,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,626 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $25 | AdministrativeExpensesAmt |
| End Year Balance | $11,601 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,694 | OtherCostOrOtherBasisAmt |
| Book Value | $50,694 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,607,432 | OtherCostOrOtherBasisAmt |
| Depreciation | $761,923 | DepreciationAmt |
| Book Value | $1,845,509 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,320 | DepreciationAmt |
| Book Value | $50,539 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,893 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,851 | DepreciationAmt |
| Book Value | $16,042 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,962,784 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | THE ENDOWMENT FUNDS ARE INTENDED TO FURTHER THE ORGANIZATION'S MISSION AND PROGRAM SERVICES. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SWEETHEARTS BALL | Event1Nm |
| Gross Receipts Event1 | $184,810 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $184,810 | CharitableContriEvent1Amt |
| Entertainment Event1 | $900 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,593 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $69,047 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $57,847 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $11,200 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $3,623 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $6,310 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $6,574 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $2,236 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $253,857 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $242,657 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $11,200 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,623 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $6,310 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $6,574 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $900 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,829 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $24,236 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$13,036 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ALL BOARD MEMBERS HAVE THE OPPORTUNITY TO VIEW FORM 990 AFTER IT IS PREPARED BY THE ACCOUNTANT. |
| FORM 990, PART VI, SECTION B, LINE 12C | ISSUES REGARDING CONFLICT OF INTERESTS ARE DISCUSSED FOR NEW BOARD MEMBERS. ALL BOARD MEMBERS EVALUATE CONFLICTS OF INTEREST ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST 2,180. |
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