FOOTHILLS CARE CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FOOTHILLS CARE CENTER INC (EIN 57-0897976)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-03-04
IRS object ID
202220639349301467
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)
Return2022-03-04T18:12:32-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PAYNE WHITE AND SCHMUTZ CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1114 WEST NORTH FIRST STREETAddressLine1Txt
CitySENECACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29678ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN570897976EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOOTHILLS CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOOTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 MAIN STREETAddressLine1Txt
CitySENECACityNm
State AbbreviationSCStateAbbreviationCd
ZIP29678ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHERYL L KUBACZPersonNm
Person TitleCEOPersonTitleTxt
Phone8648828796PhoneNum
Signature2022-02-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHERYLPersonFirstNm
Person LastKUBACZPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON S WHITE CPAPreparerPersonNm
PTINP00527782PTIN
Phone8648821937PhoneNum
Preparation2022-03-04PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$596,731GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FOOTHILLSCARECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionFOOTHILLS CARE CENTER EXISTS TO GLORIFY GOD, THE CREATOR, BY PROTECTING AND PROMOTING THE VALUE OF ALL HUMAN LIFE. WE OFFER HOPE THROUGH JESUS LOVE, HEALING THROUGH SPIRITUAL AND EMOTIONAL SUPPORT, AND HELP THROUGH MEDICAL AND EDUCATIONAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers55TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$427,815PYContributionsGrantsAmt
CY Contributions Grants$406,039CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$999PYInvestmentIncomeAmt
CY Investment Income$1,588CYInvestmentIncomeAmt
PY Other Revenue$74,238PYOtherRevenueAmt
CY Other Revenue$172,048CYOtherRevenueAmt
PY Total Revenue$503,052PYTotalRevenueAmt
CY Total Revenue$579,675CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$208,764PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$232,644CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,499CYTotalFundraisingExpenseAmt
PY Other Expenses$103,541PYOtherExpensesAmt
CY Other Expenses$137,629CYOtherExpensesAmt
PY Total Expenses$312,305PYTotalExpensesAmt
CY Total Expenses$370,273CYTotalExpensesAmt
PY Revenues Less Expenses$190,747PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$209,402CYRevenuesLessExpensesAmt
Total Assets BOY$573,736TotalAssetsBOYAmt
Total Assets EOY$783,141TotalAssetsEOYAmt
Total Liabilities BOY$9,166TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$564,570NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$773,972NetAssetsOrFundBalancesEOYAmt
MissionFOOTHILLS CARE CENTER EXISTS TO GLORIFY GOD, THE CREATOR, BY PROTECTING AND PROMOTING THE VALUE OF ALL HUMAN LIFE. WE OFFER HOPE THROUGH JESUS LOVE, HEALING THROUGH SPIRITUAL AND EMOTIONAL SUPPORT, AND HELP THROUGH MEDICAL AND EDUCATIONAL SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$295,870ExpenseAmt
Revenue$451,133RevenueAmt
DescFOOTHILLS CARE CENTER PROVIDED PREGNANCY TESTING, ULTRASOUNDS, COUNSELING, AND EDUCATIONAL CLASSES TO CLIENTSDesc
Total Program Service Expenses$295,870TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee11EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHERYL KUBACZPersonNm
Phone8648828796PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1207 HOLLIE DRIVEAddressLine1Txt
CityWEST UNIONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29696ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CHERYL KUBACZ
CEO40.000.00Yes (X)$58,100$0$0
SAMUEL WHITE
BOARD MEMBER2.000.00$0$0$0Yes (X)
BRENDA DAWKINS
BOARD MEMBER2.000.00$0$0$0Yes (X)
CHRIS KIKER
BOARD MEMBER2.000.00$0$0$0Yes (X)
NANCY A EBELING
BOARD MEMBER2.000.00$0$0$0Yes (X)
LINDA JOHNSON
BOARD MEMBER2.000.00$0$0$0Yes (X)
RYAN PERRY
BOARD MEMBER2.000.00$0$0$0Yes (X)
MATTHEW WINTERS
BOARD MEMBER2.000.00$0$0$0Yes (X)
THOMAS JONES
BOARD MEMBER2.000.00$0$0$0Yes (X)
DAVID WEST
CHAIRMAN2.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,100TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$121,980FundraisingAmt
All Other Contributions$284,059AllOtherContributionsAmt
Noncash Contributions$225NoncashContributionsAmt
Total Contributions$406,039TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,588TotalRevenueColumnAmt
Related Or Exempt Func Income$1,588RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$144,010FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$121,980ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,056FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$126,954TotalRevenueColumnAmt
Exclusion$126,954ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business561499BusinessCd
Total Revenue Column$45,094TotalRevenueColumnAmt
Related Or Exempt Func Income$45,094RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$45,094OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$579,675TotalRevenueColumnAmt
Related Or Exempt Func Income$46,682RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$126,954ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$232,644TotalAmt
Program Services$173,645ProgramServicesAmt
Management And General$50,670ManagementAndGeneralAmt
Fundraising$8,329FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$33,336TotalAmt
Program Services$24,882ProgramServicesAmt
Management And General$7,261ManagementAndGeneralAmt
Fundraising$1,193FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$2,700ProgramServicesAmt
Management And General$900ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,959TotalAmt
Program Services$3,701ProgramServicesAmt
Management And General$1,080ManagementAndGeneralAmt
Fundraising$178FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,620TotalAmt
Program Services$9,043ProgramServicesAmt
Management And General$481ManagementAndGeneralAmt
Fundraising$96FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,460TotalAmt
Program Services$2,312ProgramServicesAmt
Management And General$123ManagementAndGeneralAmt
Fundraising$25FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,785TotalAmt
Program Services$29,878ProgramServicesAmt
Management And General$1,589ManagementAndGeneralAmt
Fundraising$318FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$3,384ProgramServicesAmt
Management And General$180ManagementAndGeneralAmt
Fundraising$36FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$248TotalAmt
Program Services$234ProgramServicesAmt
Management And General$12ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,321TotalAmt
Program Services$13,321ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,154TotalAmt
Program Services$8,604ProgramServicesAmt
Management And General$458ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROFESSIONAL DEVELOPMENTEDU$4,926$4,631$246$49
OUTREACH$11,704$11,002$585$117
MOBILE UNIT$2,544$2,544

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,372TotalAmt
Program Services$5,989ProgramServicesAmt
Management And General$319ManagementAndGeneralAmt
Fundraising$64FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$370,273TotalAmt
Program Services$295,870ProgramServicesAmt
Management And General$63,904ManagementAndGeneralAmt
Fundraising$10,499FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$229,340BOYAmt
EOY$271,059EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$60,133BOYAmt
EOY$335,195EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$358,308LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$187,555LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$180,044BOYAmt
EOY$170,753EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$3,983BOYAmt
EOY$5,647EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$236BOYAmt
EOY$487EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$573,736BOYAmt
EOY$783,141EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,440BOYAmt
EOY$3,884EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$726BOYAmt
EOY$5,285EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,166BOYAmt
EOY$9,169EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$564,570BOYAmt
EOY$773,972EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$564,570BOYAmt
EOY$773,972EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$573,736BOYAmt
EOY$783,141EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$209,402ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$337,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$413,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$426,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$490,790CurrentTaxYearMinus1YearAmt
Current Tax Year$550,049CurrentTaxYearAmt
Total$2,218,278TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$337,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$413,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$426,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$490,790CurrentTaxYearMinus1YearAmt
Current Tax Year$550,049CurrentTaxYearAmt
Total$2,218,278TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,218,278PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$337,274CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$413,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$426,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$490,790CurrentTaxYearMinus1YearAmt
Current Tax Year$550,049CurrentTaxYearAmt
Total$2,218,278TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$179,251OtherCostOrOtherBasisAmt
Depreciation$22,194DepreciationAmt
Book Value$157,057BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,285OtherCostOrOtherBasisAmt
Depreciation$48,589DepreciationAmt
Book Value$13,696BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,772OtherCostOrOtherBasisAmt
Depreciation$116,772DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$170,753TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
PETTY CASH$362
GIFT CARDS$125
FieldValueIRS element (for citing)
Total Book Value Other Assets$487TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARDSDesc
Amt$5,285Amt
FieldValueIRS element (for citing)
Total Liability$5,285TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$119,563GrossReceiptsEvent1Amt
Gross Revenue Event1$119,563GrossRevenueEvent1Amt
Rent Facility Costs Event1$440RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,985FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$2,647OtherDirectExpensesEvent1Amt
Event2GOLF TOURNAMEvent2Nm
Gross Receipts Event2$58,775GrossReceiptsEvent2Amt
Gross Revenue Event2$58,775GrossRevenueEvent2Amt
Non Cash Prizes Event2$2,025NonCashPrizesEvent2Amt
Rent Facility Costs Event2$2,552RentFacilityCostsEvent2Amt
Food And Beverage Event2$136FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$1,139OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Oth Direct Expnss Other Events$2,132OthDirectExpnssOtherEventsAmt
Gross Receipts Total$178,338GrossReceiptsTotalAmt
Gross Revenue Total Events$178,338GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,025NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$2,992RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$6,121FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$5,918OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,056DirectExpenseSummaryEventsAmt
Net Income Summary$161,282NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11EMAILED THE BOARD OF DIRECTORS A COPY OF THE RETURN FOR THEIR REVIEW.
Conflict of interest policy compliance Part VI line 12cIF A CONFLICT OF INTEREST IS NOTICED, THE BOARD HAS WRITTEN POLICY TO DEAL WITH THE CONFLICT OF INTEREST IN A WAY TO PROTECT THE INTEGRITY OF THE CENTER. IN THE PAST, ANYTHING THAT MIGHT BE CONSIDERED A CONFLICT OF INTEREST IS BROUGHT UP AND DISCUSSED AT A REGULAR BOARD MEETING.
CEO executive director top management comp Part VI line 15aTHE BOARD INDEPENDENTLY APPROVES THE SALARY/COMPENSATION FOR THE CEO.
Other officer or key employee compensation Part VI line 15bTHERE ARE NO COMPENSATED OFFICERS OR KEY EMPLOYEES EXCEPT FOR THE CEO WHOSE COMPENSATION IS DETERMINED BY THE BOARD.
Governing documents etc available to public Part VI line 19THE 990 TAX RETURN IS AVAILABLE TO THE PUBLIC UPON REQUEST. IN ADDITION, A COPY IS ALWAYS AVAILABLE IN THE OFFICE.

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