KNOX COUNTY HUMANE SOCIETY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
KNOX COUNTY HUMANE SOCIETY (EIN 23-7369831)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-08-03
IRS object ID
202222159349300617
Schema version
2021v4.0
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)
Return2022-08-03T11:41:41-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN832887554PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COURTNEY & ALDRICH LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E MAIN ST STE 300AddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237369831EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KNOX COUNTY HUMANE SOCIETYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKNOXBusinessNameControlTxt
Phone3093421275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11855 WINDISH DRAddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROXI PARKSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3093421275PhoneNum
Signature2022-07-13SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROXIPersonFirstNm
Person LastPARKSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHANE ALDRICHPreparerPersonNm
PTINP00244326PTIN
Phone8663451915PhoneNum
Preparation2022-07-13PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PRAIRIELAND ANIMAL WELFARE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerROXI PARKSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11855 WINDISH DRIVEAddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$555,212GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KCHS.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTO PROVIDE AND OPERATE A SHELTER FOR UNWANTED PETS WHICH PROVIDES PET ADOPTION SERVICES THAT REQUIRES ALL ADOPTED PETS TO BE SPAYED OR NEUTERED.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$153,899PYContributionsGrantsAmt
CY Contributions Grants$230,912CYContributionsGrantsAmt
PY Program Service Revenue$292,942PYProgramServiceRevenueAmt
CY Program Service Revenue$297,775CYProgramServiceRevenueAmt
PY Investment Income$11,619PYInvestmentIncomeAmt
CY Investment Income$7,830CYInvestmentIncomeAmt
PY Other Revenue$29,339PYOtherRevenueAmt
CY Other Revenue$16,530CYOtherRevenueAmt
PY Total Revenue$487,799PYTotalRevenueAmt
CY Total Revenue$553,047CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$187,800PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$206,080CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,166CYTotalFundraisingExpenseAmt
PY Other Expenses$205,199PYOtherExpensesAmt
CY Other Expenses$213,034CYOtherExpensesAmt
PY Total Expenses$392,999PYTotalExpensesAmt
CY Total Expenses$419,114CYTotalExpensesAmt
PY Revenues Less Expenses$94,800PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$133,933CYRevenuesLessExpensesAmt
Total Assets BOY$1,191,649TotalAssetsBOYAmt
Total Assets EOY$1,301,757TotalAssetsEOYAmt
Total Liabilities BOY$64,105TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,127,544NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,265,382NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE AND OPERATE A SHELTER FOR UNWANTED PETS WHICH PROVIDES PET ADOPTION SERVICES THAT REQUIRES ALL ADOPTED PETS TO BE SPAYED OR NEUTEREDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$369,751ExpenseAmt
DescREDUCE AMOUNT OF UNWANTED PETS BY OPERATING AN ANIMAL SHELTER AND PROVIDING PET ADOPTION SERVICES WHICH REQUIRE ALL PETS TO BE SPAYED OR NEUTERED.Desc
Total Program Service Expenses$369,751TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 StmtYes (true)IndependentAuditFinclStmtInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIN BUCKMASTERPersonNm
Phone3093421275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11855 WINDISH DRAddressLine1Txt
CityGALESBURGCityNm
State AbbreviationILStateAbbreviationCd
ZIP61401ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CARRIE BENEDICT
DIRECTORYes (X)$0$0$0
JILL DAVIS
DIRECTORYes (X)$0$0$0
MIRIAM HAMPTON
TREASURERYes (X)$0$0$0
NANCY LEONARD
SECRETARYYes (X)$0$0$0
DIANA POWELL
DIRECTORYes (X)$0$0$0
BECKY YOUNG
DIRECTORYes (X)$0$0$0
ERIN BUCKMASTER
SHELTER DIRE$0$0$0Yes (X)
ROXI PARKS
PRESIDENT$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$43,631GovernmentGrantsAmt
All Other Contributions$187,281AllOtherContributionsAmt
Noncash Contributions$19,748NoncashContributionsAmt
Total Contributions$230,912TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CITY/VILLAGE CONTRACT$248,376$248,376
ADOPTION FEES$21,074$21,074
OTHER$13,854$13,854
OWNER SURRENDER FEES$4,903$4,903
BOARDING FEES$4,463$4,463

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,105TotalRevenueColumnAmt
Related Or Exempt Func Income$5,105RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$297,775TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,830TotalRevenueColumnAmt
Exclusion$7,830ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,631FundraisingGrossIncomeAmt
Fundraising Direct Expenses$2,165FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,466TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$1,064TotalRevenueColumnAmt
Related Or Exempt Func Income$1,064RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,064OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$553,047TotalRevenueColumnAmt
Related Or Exempt Func Income$298,839RelatedOrExemptFuncIncomeAmt
Exclusion$7,830ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$189,333TotalAmt
Program Services$167,106ProgramServicesAmt
Management And General$18,630ManagementAndGeneralAmt
Fundraising$3,597FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,747TotalAmt
Program Services$14,781ProgramServicesAmt
Management And General$1,648ManagementAndGeneralAmt
Fundraising$318FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,221TotalAmt
Management And General$12,221ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,360TotalAmt
Program Services$40,360ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,191TotalAmt
Management And General$1,072ManagementAndGeneralAmt
Fundraising$119FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,660TotalAmt
Program Services$23ProgramServicesAmt
Management And General$1,614ManagementAndGeneralAmt
Fundraising$23FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$39,074TotalAmt
Program Services$37,111ProgramServicesAmt
Management And General$1,963ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,111TotalAmt
Program Services$10,111ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,948TotalAmt
Program Services$41,230ProgramServicesAmt
Management And General$1,718ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,860TotalAmt
Program Services$13,101ProgramServicesAmt
Management And General$3,650ManagementAndGeneralAmt
Fundraising$109FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PET FOOD/SUPPLIES$45,928$45,928
OTHER$2,681$2,681

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$419,114TotalAmt
Program Services$369,751ProgramServicesAmt
Management And General$45,197ManagementAndGeneralAmt
Fundraising$4,166FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$296,764BOYAmt
EOY$392,811EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$471,165BOYAmt
EOY$494,246EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,790BOYAmt
EOY$99EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$27,272BOYAmt
EOY$10,079EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$841,255LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$454,278LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$379,118BOYAmt
EOY$386,977EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,540BOYAmt
EOY$17,545EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,191,649BOYAmt
EOY$1,301,757EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$43,137BOYAmt
EOY$15,407EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$20,968BOYAmt
EOY$20,968EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,105BOYAmt
EOY$36,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,127,544BOYAmt
EOY$1,265,382EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,127,544BOYAmt
EOY$1,265,382EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,191,649BOYAmt
EOY$1,301,757EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$133,933ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,905NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$470,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,899CurrentTaxYearMinus1YearAmt
Current Tax Year$230,912CurrentTaxYearAmt
Total$1,155,114TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,965CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,115CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$470,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,899CurrentTaxYearMinus1YearAmt
Current Tax Year$230,912CurrentTaxYearAmt
Total$1,155,114TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,155,114PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,655CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,167CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,619CurrentTaxYearMinus1YearAmt
Current Tax Year$7,830CurrentTaxYearAmt
Total$35,712TotalAmt
FieldValueIRS element (for citing)
Total Support$1,190,826TotalSupportAmt
Gross Receipts Rltd Activities$1,707,998GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97000PublicSupportCY170Pct
Public Support PY1700.97270PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$530,259OtherCostOrOtherBasisAmt
Depreciation$224,359DepreciationAmt
Book Value$305,900BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$310,996OtherCostOrOtherBasisAmt
Depreciation$229,919DepreciationAmt
Book Value$81,077BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$386,977TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$553,047TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$553,047RevenueSubtotalAmt
Total Revenue Per Form990$553,047TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$419,114TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$419,114ExpensesSubtotalAmt
Total Expenses Per Form990$419,114TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 2DSPECIAL EVENT EXPENSES 0
SCHEDULE D, PAGE 4, PART XII, LINE 2DSPECIAL EVENT EXPENSES 0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISERSEvent1Nm
Gross Receipts Event1$17,631GrossReceiptsEvent1Amt
Gross Revenue Event1$17,631GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,165OtherDirectExpensesEvent1Amt
Gross Receipts Total$17,631GrossReceiptsTotalAmt
Gross Revenue Total Events$17,631GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$2,165OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,165DirectExpenseSummaryEventsAmt
Net Income Summary$15,466NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 9SPECIAL EVENT EXPENSES 0 SPECIAL EVENT EXPENSES 0

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