HAVE MERCY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HAVE MERCY (EIN 45-2592543)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-29
IRS object ID
202212419349300516
Schema version
2021v4.1
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)
Return2022-08-29T07:15:40-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN412208930PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VREDEVELD HAEFNER LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110302 20TH AVE NWAddressLine1Txt
CityGRAND RAPIDSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452592543EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Have MercyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAVEBusinessNameControlTxt
Phone6162258055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1703 S Greenville W DrAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48838ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKim CainPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone6162258055PhoneNum
Signature2022-08-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKimPersonFirstNm
Person LastCainPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPeter Haefner CPAPreparerPersonNm
PTINP01420387PTIN
Phone6164609388PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKim CainPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1703 S Greenville W DrAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48838ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$947,250GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshavemercymi.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionOur mission is to reflect the compassion of Christ to homeless and hungry families in Montcalm and Ionia Counties.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee31TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$636,081PYContributionsGrantsAmt
CY Contributions Grants$898,448CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$260PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$73,503PYOtherRevenueAmt
CY Other Revenue$3,722CYOtherRevenueAmt
PY Total Revenue$709,844PYTotalRevenueAmt
CY Total Revenue$902,170CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$262,873PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$376,567CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,312CYTotalFundraisingExpenseAmt
PY Other Expenses$464,764PYOtherExpensesAmt
CY Other Expenses$454,822CYOtherExpensesAmt
PY Total Expenses$727,637PYTotalExpensesAmt
CY Total Expenses$831,389CYTotalExpensesAmt
PY Revenues Less Expenses-$17,793PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$70,781CYRevenuesLessExpensesAmt
Total Assets BOY$750,329TotalAssetsBOYAmt
Total Assets EOY$862,149TotalAssetsEOYAmt
Total Liabilities BOY$539,302TotalLiabilitiesBOYAmt
Total Liabilities EOY$580,341TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,027NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$281,808NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to reflect the compassion of Christ to homeless and hungry families in Montcalm and Ionia Counties.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$204,274ExpenseAmt
Grant$193,683GrantAmt
Revenue$0RevenueAmt
DescBread of Life Pantry - This program is designed to offer an emergency food supply to the hungry and homeless in the local community. Approximately 4,400 individuals served.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$524,260ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescShelter - This program is designed to address food and shelter needs of families in crisis and to help them solve the issues that led to homelessness. Approximately 800 individuals served.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$728,534TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee31EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKim CainPersonNm
Phone6162258055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1117 W Cass StAddressLine1Txt
CityGreenvilleCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48838ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Kim Cain
President/CEO40.00Yes (X)Yes (X)$26,632$0$0
Candy Kerschen
Secretary1.00Yes (X)Yes (X)$0$0$0
Rich Jones
Chairman0.00Yes (X)Yes (X)$0$0$0
Mike Walsh
Board Member0.00Yes (X)$0$0$0
Christa Peak
Treasurer0.00Yes (X)Yes (X)$0$0$0
Bill Small
Vice Chair0.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$26,632TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$20,019FederatedCampaignsAmt
Fundraising$1,650FundraisingAmt
Government Grants$149,217GovernmentGrantsAmt
All Other Contributions$727,562AllOtherContributionsAmt
Noncash Contributions$187,374NoncashContributionsAmt
Total Contributions$898,448TotalContributionsAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$40,695RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$45,080RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$4,385RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$4,385TotalRevenueColumnAmt
Related Or Exempt Func Income-$4,385RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$1,650ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther incomeDesc
Business900099BusinessCd
Total Revenue Column$8,107TotalRevenueColumnAmt
Related Or Exempt Func Income$8,107RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,107OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$902,170TotalRevenueColumnAmt
Related Or Exempt Func Income$3,722RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$26,632TotalAmt
Program Services$0ProgramServicesAmt
Management And General$26,632ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$290,765TotalAmt
Program Services$262,599ProgramServicesAmt
Management And General$28,166ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,631TotalAmt
Program Services$28,107ProgramServicesAmt
Management And General$3,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$27,539TotalAmt
Program Services$25,206ProgramServicesAmt
Management And General$2,333ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$16,466TotalAmt
Program Services$9,823ProgramServicesAmt
Management And General$6,643ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,273TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,273ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,825TotalAmt
Program Services$2,440ProgramServicesAmt
Management And General$809ManagementAndGeneralAmt
Fundraising$576FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$67,038TotalAmt
Program Services$59,551ProgramServicesAmt
Management And General$7,487ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,757TotalAmt
Program Services$3,663ProgramServicesAmt
Management And General$94ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$828TotalAmt
Program Services$828ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,774TotalAmt
Program Services$13,857ProgramServicesAmt
Management And General$917ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,474TotalAmt
Program Services$6,668ProgramServicesAmt
Management And General$806ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,644TotalAmt
Program Services$7,585ProgramServicesAmt
Management And General$3,059ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Food$193,530$193,487$0$43
Shelter$98,544$98,544$0$0
Supplies$12,540$11,872$579$89
Special events$8,604$0$0$8,604

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,525TotalAmt
Program Services$4,304ProgramServicesAmt
Management And General$11,221ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$831,389TotalAmt
Program Services$728,534ProgramServicesAmt
Management And General$93,543ManagementAndGeneralAmt
Fundraising$9,312FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,736BOYAmt
EOY$52,247EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,097BOYAmt
EOY$128,544EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$47,433BOYAmt
EOY$37,534EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,105BOYAmt
EOY$5,917EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$731,437LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$93,530LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$610,958BOYAmt
EOY$637,907EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$750,329BOYAmt
EOY$862,149EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,575BOYAmt
EOY$62,072EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$245,252BOYAmt
EOY$249,877EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$244,475BOYAmt
EOY$228,445EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$39,947EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$539,302BOYAmt
EOY$580,341EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,027BOYAmt
EOY$233,411EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$48,397EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,027BOYAmt
EOY$281,808EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$750,329BOYAmt
EOY$862,149EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$70,781ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$349,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$541,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$577,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$636,044CurrentTaxYearMinus1YearAmt
Current Tax Year$898,448CurrentTaxYearAmt
Total$3,003,354TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$349,757CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$541,166CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$577,939CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$636,044CurrentTaxYearMinus1YearAmt
Current Tax Year$898,448CurrentTaxYearAmt
Total$3,003,354TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$145,230SubstantialContributorsTotAmt
Public Support Total170$2,858,124PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$107CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$260CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$664TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,135CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,649CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$11,665TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years-$6,587CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,189CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,348CurrentTaxYearMinus1YearAmt
Current Tax Year$8,107CurrentTaxYearAmt
Total$122,057TotalAmt
FieldValueIRS element (for citing)
Total Support$3,137,740TotalSupportAmt
Public Support CY1700.91090PublicSupportCY170Pct
Public Support PY1700.88010PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: Other income 2018: -6587. 2019: 44189. 2020: 76348. 2021: 8107.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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$37,900OtherCostOrOtherBasisAmt
Book Value$37,900BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$642,131OtherCostOrOtherBasisAmt
Depreciation$87,479DepreciationAmt
Book Value$554,652BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,051OtherCostOrOtherBasisAmt
Depreciation$6,051DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,355OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$45,355BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$637,907TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
Food boxes (BOL Pantry)4400$0$193,487FMVFood
Lodging and support800$0$98,544Other-costOvernight lodging and food

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan To OrganizationLoanToOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
Richard Jones
Board MemberBuilding purchaseYes (X)$140,000$127,896falseYes (true)Yes (true)
Richard Jones
Board MemberBuilding purchaseYes (X)$124,133$121,981falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$249,877TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution73770ContributionCnt
Noncash Contributions Rpt F990$187,374NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 12cInquiry is made at board meetings when any indication of
Pt VI, Line 12ca conflict is noted. Annual affiliation form completed.
Pt VI, Line 11bIRS form 990 tax filing is reviewed at a Board meeting
Pt VI, Line 11bprior to filing.
Pt VI, Line 19Documents are provided upon request
Pt VI, Line 15aDirector performance is assessed and compensation is set by the Board based on comparable data.

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