CLIVE COMMUNITY SERVICES: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CLIVE COMMUNITY SERVICES (EIN 47-3206742)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-23
- IRS object ID
- 202221439349201117
- 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 | 2022-05-23T11:41:16-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200527398 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ann M Hartz CPA & Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7109 Hickman Road | AddressLine1Txt |
| City | Urbandale | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50322 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473206742 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIVE COMMUNITY SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CLIV | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2190 NW 82ND ST STE A | AddressLine1Txt |
| City | CLIVE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50325 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE HORAK | PersonNm |
| Person Title | BOARD PRESIDENT | PersonTitleTxt |
| Phone | 5159871895 | PhoneNum |
| Signature | 2022-05-20 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEPHANIE | PersonFirstNm |
| Person Last | HORAK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Ann M Hartz | PreparerPersonNm |
| PTIN | P00115539 | PTIN |
| Phone | 5152597779 | PhoneNum |
| Preparation | 2022-05-23 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| 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-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Type Of Organization Other | CHARITY | TypeOfOrganizationOtherDesc |
| Gross Receipts | $147,054 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $146,995 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $59 | InvestmentIncomeAmt |
| Total Revenue | $147,054 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $11,576 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $321 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $8,771 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $243 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $26,953 | OtherExpensesTotalAmt |
| Total Expenses | $47,864 | TotalExpensesAmt |
| Excess Or Deficit For Year | $99,190 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $178,504 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $277,694 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,226 | BOYAmt |
| EOY | $267,412 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702 | BOYAmt |
| EOY | $421 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,165 | BOYAmt |
| EOY | $11,165 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,093 | BOYAmt |
| EOY | $278,998 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,589 | BOYAmt |
| EOY | $1,304 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,504 | BOYAmt |
| EOY | $277,694 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | PROVIDE FOOD AND CLOTHING TO THE NEEDY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PROVIDING ASSISTANCE AND LINKING THEM WITH RESOURCES THAT ENABLE THEM TO BECOME HEALTHIER IN MIND, BODY AND SPIRIT. | DescriptionProgramSrvcAccomTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| STEPHANIE HORAK | ||||
| PRESIDENT | 20.00 | $0 | $0 | $0 |
| CHAD WHITMORE | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| LESLIE SHEFFIELD | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| LUANNE GAFFORD | ||||
| TREASURER | 2.00 | $0 | $0 | $0 |
| DOUG HOYNG | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| MIKE SCHMIDT | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| JENNIFER EASLER | ||||
| SECRETARY | 10.00 | $0 | $0 | $0 |
| JULIE CIRKSENA | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| DEE MANKLE | ||||
| VICE PRESIDENT | 2.00 | $0 | $0 | $0 |
| MARY ANN ZUG | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| LISA EARLS | ||||
| DIRECTOR | 10.00 | $0 | $0 | $0 |
| KRISTINE STONE | ||||
| BOARD MEMBER | 0.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELISSA JANSSEN | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 SW KENNYBROOK DR | AddressLine1Txt |
| City | GRIMES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5153719246 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $28,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,766 | CurrentTaxYearAmt |
| Total | $137,089 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $28,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,461 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,150 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,766 | CurrentTaxYearAmt |
| Total | $137,089 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $27,300 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,000 | CurrentTaxYearAmt |
| Total | $123,300 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $27,300 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,000 | CurrentTaxYearAmt |
| Total | $123,300 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $13,789 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $354 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59 | CurrentTaxYearAmt |
| Total | $737 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $211 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $354 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59 | CurrentTaxYearAmt |
| Total | $737 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,923 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,815 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,825 | CurrentTaxYearAmt |
| Total | $137,826 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.10000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Private Foundation509 | Yes (X) | PrivateFoundation509Ind |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of other expenses Part I line 16 | Description AmountDepreciation from 4562 281FEES FOR SERVICE 641FUNDRAISERS 11,664CLINIC EXPENSE 1,536TECHNOLOGY 1,366CLOTHING CLOSET 134PANTRY EXPENSE 8,084OFFICE SUPPLIES 1,330BOARD MEETINGS 80INSURANCE 1,837 |
| Description of other assets Part II line 24 | Category Beginning of Year End of YearIN-KIND ASSETS 11,165 11,165 |
| Description of total liabilities Part II line 26 | Category Beginning of Year End of YearPAYROLL TAX PAYABLE 1,589 462ACCRUAL ADJUSTMENT 0 842 |
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