COMMUNITY SUPPORT SYSTEMS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY SUPPORT SYSTEMS INC (EIN 41-1658456)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-20
IRS object ID
202202939349301015
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)
Return2022-10-20T16:17:14-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411859070PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KBA PETERSON ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12901 BEMIDJI AVENUE NORTHAddressLine1Txt
CityBEMIDJICityNm
State AbbreviationMNStateAbbreviationCd
ZIP56601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411658456EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY SUPPORT SYSTEMS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone2184446748PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1097AddressLine1Txt
CityBEMIDJICityNm
State AbbreviationMNStateAbbreviationCd
ZIP56619ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBIN WOLDPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2184446748PhoneNum
Signature2022-09-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBINPersonFirstNm
Person LastWOLDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNIFER M LARSON CPAPreparerPersonNm
PTINP00231036PTIN
Phone2184442727PhoneNum
Preparation2022-10-20PreparationDt
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 Line1HOPE HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJEANNE THOMPSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1097AddressLine1Txt
CityBEMIDJICityNm
State AbbreviationMNStateAbbreviationCd
ZIP56601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$392,296GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHOPEHOUSEBEMIDJI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO PROVIDE CONSISTENT ADMINISTRATION OF SERVICES FOR INDIVIDUALS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$373,829PYContributionsGrantsAmt
CY Contributions Grants$319,419CYContributionsGrantsAmt
PY Program Service Revenue$84,810PYProgramServiceRevenueAmt
CY Program Service Revenue$72,797CYProgramServiceRevenueAmt
PY Investment Income$122PYInvestmentIncomeAmt
CY Investment Income-$153CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$458,761PYTotalRevenueAmt
CY Total Revenue$392,063CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$262,325PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$256,044CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,355CYTotalFundraisingExpenseAmt
PY Other Expenses$113,565PYOtherExpensesAmt
CY Other Expenses$118,578CYOtherExpensesAmt
PY Total Expenses$375,890PYTotalExpensesAmt
CY Total Expenses$374,622CYTotalExpensesAmt
PY Revenues Less Expenses$82,871PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,441CYRevenuesLessExpensesAmt
Total Assets BOY$247,000TotalAssetsBOYAmt
Total Assets EOY$300,600TotalAssetsEOYAmt
Total Liabilities BOY$21,749TotalLiabilitiesBOYAmt
Total Liabilities EOY$57,908TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$225,251NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$242,692NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CONSISTENT ADMINISTRATION OF SERVICES FOR INDIVIDUALS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$320,633ExpenseAmt
Revenue$72,682RevenueAmt
DescTO PROVIDE COMMUNITY SUPPORT SERVICES TO INDIVIDUALS WITH SERIOUS AND PERSISTENT MENTAL ILLNESS SO THAT THEY CAN LIVE IN THE COMMUNITY IN THE LEAST RESTRICTIVE SETTING, FUNCTION AT THEIR BEST LEVEL, AND REDUCE THE NEED FOR INVOLUNTARY HOSPITALIZATION.Desc
Total Program Service Expenses$320,633TotalProgramServiceExpensesAmt
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 ActivitiesfalseFundraisingActivitiesInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee9EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOPE HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2184446748PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12014 7TH STREET SEAddressLine1Txt
CityBEMIDJICityNm
State AbbreviationMNStateAbbreviationCd
ZIP56601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ROBIN WOLD
EXECUTIVE DI40.00Yes (X)$46,773$0$0
MISSY BOHLMANN
BOARD MEMBER1.00$0$0$0Yes (X)
LOUIS ERDRICH
BOARD MEMBER1.00$0$0$0Yes (X)
DAVE JOHNSON
SECRETARY1.00Yes (X)$0$0$0Yes (X)
RUSS LEE
BOARD MEMBER1.00$0$0$0Yes (X)
JEANNE THOMPSON
BOARD CHAIR1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$46,773TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$283,953GovernmentGrantsAmt
All Other Contributions$35,466AllOtherContributionsAmt
Total Contributions$319,419TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SERVICES$72,682$72,682
MISCELLANEOUS$115$115
FieldValueIRS element (for citing)
Total Program Service Revenue$72,797TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$80TotalRevenueColumnAmt
Exclusion$80ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$233OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$233OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$233TotalRevenueColumnAmt
Related Or Exempt Func Income-$233RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$392,063TotalRevenueColumnAmt
Related Or Exempt Func Income$72,564RelatedOrExemptFuncIncomeAmt
Exclusion$80ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$46,773TotalAmt
Program Services$21,048ProgramServicesAmt
Management And General$22,451ManagementAndGeneralAmt
Fundraising$3,274FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$153,683TotalAmt
Program Services$153,683ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$41,578TotalAmt
Program Services$33,263ProgramServicesAmt
Management And General$7,615ManagementAndGeneralAmt
Fundraising$700FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,010TotalAmt
Program Services$12,042ProgramServicesAmt
Management And General$1,718ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$54,141TotalAmt
Program Services$43,443ProgramServicesAmt
Management And General$9,421ManagementAndGeneralAmt
Fundraising$1,277FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,796TotalAmt
Program Services$5,912ProgramServicesAmt
Management And General$544ManagementAndGeneralAmt
Fundraising$340FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$18,016TotalAmt
Program Services$16,078ProgramServicesAmt
Management And General$1,446ManagementAndGeneralAmt
Fundraising$492FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,875TotalAmt
Program Services$5,658ProgramServicesAmt
Management And General$145ManagementAndGeneralAmt
Fundraising$72FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,698TotalAmt
Program Services$9,248ProgramServicesAmt
Management And General$2,100ManagementAndGeneralAmt
Fundraising$350FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,450TotalAmt
Program Services$7,367ProgramServicesAmt
Management And General$668ManagementAndGeneralAmt
Fundraising$415FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM EXPENSES$7,358$7,358
STAFF DEVELOPMENT$1,949$1,949
VEHICLE EXPENSE$1,311$1,311
CLIENT TRANSPORTATION$1,268$1,268

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,716TotalAmt
Program Services$1,005ProgramServicesAmt
Management And General$526ManagementAndGeneralAmt
Fundraising$185FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$374,622TotalAmt
Program Services$320,633ProgramServicesAmt
Management And General$46,634ManagementAndGeneralAmt
Fundraising$7,355FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$102,784BOYAmt
EOY$167,526EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,436BOYAmt
EOY$24,316EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$44,242BOYAmt
EOY$36,242EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,418BOYAmt
EOY$3,271EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,380BOYAmt
EOY$2,196EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,511BOYAmt
EOY$6,724EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$236,440LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$176,115LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$68,229BOYAmt
EOY$60,325EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$247,000BOYAmt
EOY$300,600EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,749BOYAmt
EOY$24,908EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$33,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,749BOYAmt
EOY$57,908EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$225,251BOYAmt
EOY$242,692EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,251BOYAmt
EOY$242,692EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,000BOYAmt
EOY$300,600EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$17,441ReconcilationRevenueExpnssAmt
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
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$255,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$300,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$347,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$373,829CurrentTaxYearMinus1YearAmt
Current Tax Year$319,419CurrentTaxYearAmt
Total$1,596,325TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$255,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$300,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$347,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$373,829CurrentTaxYearMinus1YearAmt
Current Tax Year$319,419CurrentTaxYearAmt
Total$1,596,325TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,596,325PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$122CurrentTaxYearMinus1YearAmt
Current Tax Year$80CurrentTaxYearAmt
Total$447TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,010CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,097CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,673CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$84,810CurrentTaxYearMinus1YearAmt
Current Tax Year$72,797CurrentTaxYearAmt
Total$435,387TotalAmt
FieldValueIRS element (for citing)
Total Support$2,032,159TotalSupportAmt
Gross Receipts Rltd Activities$435,387GrossReceiptsRltdActivitiesAmt
Public Support CY1700.78550PublicSupportCY170Pct
Public Support PY1700.76450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
Explanation435,387ExplanationTxt

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)
Other Cost Or Other Basis$6,000OtherCostOrOtherBasisAmt
Book Value$6,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$156,727OtherCostOrOtherBasisAmt
Depreciation$109,889DepreciationAmt
Book Value$46,838BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$73,713OtherCostOrOtherBasisAmt
Depreciation$66,226DepreciationAmt
Book Value$7,487BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$60,325TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$392,063TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$392,063RevenueSubtotalAmt
Total Revenue Per Form990$392,063TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$374,622TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$374,622ExpensesSubtotalAmt
Total Expenses Per Form990$374,622TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BAPPROVED BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 12CAS SITUATIONS ARISE.
FORM 990, PAGE 6, PART VI, LINE 15AOBTAINED DATA FROM STATE AND OTHER SIMILAR AGENCIES.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES 28,603 0 0 PROFESSIONAL SERVICES 14,840 9,421 1,277 TOTAL 43,443 9,421 1,277

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