PREGNANCY AID-SOUTH SUBURBS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY AID-SOUTH SUBURBS INC (EIN 36-3345840)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-11
IRS object ID
202231319349302683
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)
Return2022-05-11T08:42:55-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN842784934PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EGH & AssociatesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110741 Winterset DrAddressLine1Txt
CityOrland ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363345840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY AID SOUTH SUBURBSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVENUEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN JELLEMAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7086149777PhoneNum
Signature2022-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVENPersonFirstNm
Person LastJELLEMAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonElizabeth HoogstraPreparerPersonNm
PTINP01698247PTIN
Phone7083499494PhoneNum
Preparation2022-05-11PreparationDt
Self EmployedYes (X)SelfEmployedInd

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 OfficerSTEVEN JELLEMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$577,289GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPASSNETWORKFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$448,425PYContributionsGrantsAmt
CY Contributions Grants$545,971CYContributionsGrantsAmt
PY Program Service Revenue$6,435PYProgramServiceRevenueAmt
CY Program Service Revenue$8,125CYProgramServiceRevenueAmt
PY Investment Income$75PYInvestmentIncomeAmt
CY Investment Income$66CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$454,935PYTotalRevenueAmt
CY Total Revenue$554,162CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$274,587PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$294,050CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$75,083CYTotalFundraisingExpenseAmt
PY Other Expenses$124,571PYOtherExpensesAmt
CY Other Expenses$141,642CYOtherExpensesAmt
PY Total Expenses$399,158PYTotalExpensesAmt
CY Total Expenses$435,692CYTotalExpensesAmt
PY Revenues Less Expenses$55,777PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$118,470CYRevenuesLessExpensesAmt
Total Assets BOY$518,532TotalAssetsBOYAmt
Total Assets EOY$639,630TotalAssetsEOYAmt
Total Liabilities BOY$5,168TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,796TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$513,364NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$631,834NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$318,978ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.Desc
Total Program Service Expenses$318,978TotalProgramServiceExpensesAmt
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 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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN JELLEMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE VERHAGEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MIKE GLENN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SHARON WILKO
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ROBERT WORKMAN JR
TRUSTEE2.00Yes (X)Yes (X)$0$0$0
MIKE BRADY
TRUSTEE1.00Yes (X)$0$0$0
DAVE NOVOSEL
TREASURER1.00Yes (X)$0$0$0
SUSAN DAVINGER
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$90,948FundraisingAmt
Government Grants$57,512GovernmentGrantsAmt
All Other Contributions$397,511AllOtherContributionsAmt
Noncash Contributions$47,096NoncashContributionsAmt
Total Contributions$545,971TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescIMPACT PRESENTATIONSDesc
Business624190BusinessCd
Total Revenue Column$8,125TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$8,125TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$66TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$66ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$23,127FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$90,948ContriRptFundraisingEventAmt
Fundraising Direct Expenses$23,127FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$554,162TotalRevenueColumnAmt
Related Or Exempt Func Income$8,125RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$66ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$273,266TotalAmt
Program Services$185,165ProgramServicesAmt
Management And General$28,890ManagementAndGeneralAmt
Fundraising$59,211FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,784TotalAmt
Program Services$14,084ProgramServicesAmt
Management And General$2,197ManagementAndGeneralAmt
Fundraising$4,503FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,100TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,100ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,180TotalAmt
Program Services$3,180ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$520TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$520FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,371TotalAmt
Program Services$5,619ProgramServicesAmt
Management And General$2,227ManagementAndGeneralAmt
Fundraising$6,525FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,841TotalAmt
Program Services$32,278ProgramServicesAmt
Management And General$1,781ManagementAndGeneralAmt
Fundraising$1,782FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$588TotalAmt
Program Services$481ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$107FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,327TotalAmt
Program Services$1,327ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,960TotalAmt
Program Services$17,965ProgramServicesAmt
Management And General$998ManagementAndGeneralAmt
Fundraising$997FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,919TotalAmt
Program Services$9,828ProgramServicesAmt
Management And General$545ManagementAndGeneralAmt
Fundraising$546FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND FEES$2,816$1,031$893$892
EDUCATIONAL LITERATURE$924$924$0$0
BENEVOLENCE$47,096$47,096$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$435,692TotalAmt
Program Services$318,978ProgramServicesAmt
Management And General$41,631ManagementAndGeneralAmt
Fundraising$75,083FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,957BOYAmt
EOY$146,520EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$81,560BOYAmt
EOY$131,620EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,187BOYAmt
EOY$2,622EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$732,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$373,566LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$378,828BOYAmt
EOY$358,868EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$518,532BOYAmt
EOY$639,630EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,168BOYAmt
EOY$7,796EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,168BOYAmt
EOY$7,796EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$512,364BOYAmt
EOY$630,834EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$513,364BOYAmt
EOY$631,834EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$518,532BOYAmt
EOY$639,630EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$118,470ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$365,368CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$418,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$448,425CurrentTaxYearMinus1YearAmt
Current Tax Year$545,971CurrentTaxYearAmt
Total$2,187,440TotalAmt

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$365,368CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$418,634CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,042CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$448,425CurrentTaxYearMinus1YearAmt
Current Tax Year$545,971CurrentTaxYearAmt
Total$2,187,440TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$50,012SubstantialContributorsTotAmt
Public Support Total170$2,137,428PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$92CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75CurrentTaxYearMinus1YearAmt
Current Tax Year$66CurrentTaxYearAmt
Total$273TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$61,996CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$61,996TotalAmt
FieldValueIRS element (for citing)
Total Support$2,249,709TotalSupportAmt
Public Support CY1700.95010PublicSupportCY170Pct
Public Support PY1700.91280PublicSupportPY170Pct
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: SPECIAL EVENTS 2017: 61996. 2018: 0. 2019: 0. 2020: 0. 2021: 0.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$19,147OtherCostOrOtherBasisAmt
Book Value$19,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,982OtherCostOrOtherBasisAmt
Depreciation$257,777DepreciationAmt
Book Value$322,205BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,305OtherCostOrOtherBasisAmt
Depreciation$115,789DepreciationAmt
Book Value$17,516BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$358,868TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$677,509TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$100,220DonatedServicesAndUseFcltsAmt
Other Revenue$23,127OtherRevenueAmt
Revenue Not Reported$123,347RevenueNotReportedAmt
Revenue Subtotal$554,162RevenueSubtotalAmt
Total Revenue Per Form990$554,162TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$559,039TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$100,220DonatedServicesUseFcltsAmt
Other Expenses Included$23,127OtherExpensesIncludedAmt
Expenses Not Reported$123,347ExpensesNotReportedAmt
Expenses Subtotal$435,692ExpensesSubtotalAmt
Total Expenses Per Form990$435,692TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dFUNDRAISING EVENT EXPENSES
Pt XII, Line 2dFUNDRAISING EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HIKE FOR LIFEEvent1Nm
Gross Receipts Event1$53,577GrossReceiptsEvent1Amt
Charitable Contri Event1$44,410CharitableContriEvent1Amt
Gross Revenue Event1$9,167GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,165NonCashPrizesEvent1Amt
Other Direct Expenses Event1$8,002OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$60,498GrossReceiptsEvent2Amt
Charitable Contri Event2$46,538CharitableContriEvent2Amt
Gross Revenue Event2$13,960GrossRevenueEvent2Amt
Rent Facility Costs Event2$5,210RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8,750OtherDirectExpensesEvent2Amt
Gross Receipts Total$114,075GrossReceiptsTotalAmt
Charitable Contributions Tot$90,948CharitableContributionsTotAmt
Gross Revenue Total Events$23,127GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,165NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$5,210RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$16,752OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$23,127DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$47,096NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Pt VI, Line 15aBOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR SALARY.
Pt VI, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.