BREMERTON SERVICES ASSOCIATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BREMERTON SERVICES ASSOCIATION (EIN 91-1197374)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-09
IRS object ID
202203139349301845
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

FieldValueIRS element (for citing)
Return2022-11-09T11:01:58-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN911397083PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HEARTHSTONE CPA GROUP PSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14312 KITSAP WAY SUITE 102AddressLine1Txt
CityBREMERTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98312ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911197374EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BREMERTON SERVICES ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBREMBusinessNameControlTxt
Phone3603778511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY SUITE 208AddressLine1Txt
CityBREMERTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98310ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDEBORAH P HORNPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3603778511PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDEBORAHPersonFirstNm
Person LastHORNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE LIND CPAPreparerPersonNm
PTINP01339785PTIN
Phone3604794611PhoneNum
Preparation2022-11-08PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
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 Line1MEALS ON WHEELS KITSAPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDEBORAH P HORNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY SUITE 208AddressLine1Txt
CityBREMERTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98310ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,026,349GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MEALSONWHEELSKITSAP.ORGWebsiteAddressTxt
Type Of Organization AssocYes (X)TypeOfOrganizationAssocInd
Formation1983FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE MEALS AND OTHER NUTRITION AND SOCIAL SERVICES TO OLDER PERSONS TO MAINTAIN AND IMPROVE THEIR HEALTH AND SUPPORT THEIR INDEPENDENCE.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers182TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,261,130PYContributionsGrantsAmt
CY Contributions Grants$981,438CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$110PYInvestmentIncomeAmt
CY Investment Income$131CYInvestmentIncomeAmt
PY Other Revenue$20,755PYOtherRevenueAmt
CY Other Revenue$24,413CYOtherRevenueAmt
PY Total Revenue$1,281,995PYTotalRevenueAmt
CY Total Revenue$1,005,982CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$211,588PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$241,763CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,658CYTotalFundraisingExpenseAmt
PY Other Expenses$596,524PYOtherExpensesAmt
CY Other Expenses$581,086CYOtherExpensesAmt
PY Total Expenses$808,112PYTotalExpensesAmt
CY Total Expenses$822,849CYTotalExpensesAmt
PY Revenues Less Expenses$473,883PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$183,133CYRevenuesLessExpensesAmt
Total Assets BOY$1,021,680TotalAssetsBOYAmt
Total Assets EOY$1,153,475TotalAssetsEOYAmt
Total Liabilities BOY$106,367TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,029TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$915,313NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,098,446NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEALS AND OTHER NUTRITION AND SOCIAL SERVICES TO OLDER PERSONS TO MAINTAIN AND IMPROVE THEIR HEALTH AND SUPPORT THEIR INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$257,309ExpenseAmt
DescTHE SERVICE OF NUTRITIOUS MEALS AT VARIOUS MEAL SITES THROUGHOUT KITSAP COUNTY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$471,413ExpenseAmt
DescHOME DELIVERED NUTRITIOUS MEALS TO HOMEBOUND PERSONS DUE TO ILLNESS OR DISABILITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$728,722TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3603778511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12817 WHEATON WAY SUITE 208AddressLine1Txt
CityBREMERTONCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98310ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
LYNN GRELLNER
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
JOHN BOWER
VICE-PRESIDENT3.00Yes (X)Yes (X)$0$0$0
AMY WEISSMAN
SECRETARY3.00Yes (X)Yes (X)$0$0$0
RUSS SHIPLET
TREASURER3.00Yes (X)Yes (X)$0$0$0
ANDY ARRANTS
DIRECTOR2.00Yes (X)$0$0$0
NANCY DOYLE
DIRECTOR2.00Yes (X)$0$0$0
BERT RINDERLE
DIRECTOR2.00Yes (X)$0$0$0
SUE VANWINKLE-KATHAN
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$796,093GovernmentGrantsAmt
All Other Contributions$185,345AllOtherContributionsAmt
Noncash Contributions$47,230NoncashContributionsAmt
Total Contributions$981,438TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$131TotalRevenueColumnAmt
Related Or Exempt Func Income$131RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,780FundraisingGrossIncomeAmt
Fundraising Direct Expenses$20,367FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,413TotalRevenueColumnAmt
Exclusion$24,413ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,005,982TotalRevenueColumnAmt
Related Or Exempt Func Income$131RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,413ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$219,175TotalAmt
Program Services$153,422ProgramServicesAmt
Management And General$43,835ManagementAndGeneralAmt
Fundraising$21,918FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$22,588TotalAmt
Program Services$16,941ProgramServicesAmt
Management And General$4,518ManagementAndGeneralAmt
Fundraising$1,129FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,515TotalAmt
Program Services$23,388ProgramServicesAmt
Management And General$4,127ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,127TotalAmt
Program Services$6,076ProgramServicesAmt
Management And General$3,848ManagementAndGeneralAmt
Fundraising$203FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,200TotalAmt
Program Services$5,400ProgramServicesAmt
Management And General$1,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$608TotalAmt
Program Services$547ProgramServicesAmt
Management And General$61ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,195TotalAmt
Program Services$31,195ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,928TotalAmt
Program Services$14,388ProgramServicesAmt
Management And General$2,540ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEALS AND SUPPLIES$451,933$451,933
COMMUNICATIONS$14,425$8,655$5,481$289
FUEL$4,562$4,106$456
OPERATING EXPENSES - OT$4,469$2,682$1,698$89

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,124TotalAmt
Program Services$9,989ProgramServicesAmt
Management And General$2,105ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$822,849TotalAmt
Program Services$728,722ProgramServicesAmt
Management And General$70,469ManagementAndGeneralAmt
Fundraising$23,658FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$430,318BOYAmt
EOY$333,650EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$423,745BOYAmt
EOY$639,876EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$99,545BOYAmt
EOY$61,828EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,875BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,393BOYAmt
EOY$4,993EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$260,364LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$147,236LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$58,804BOYAmt
EOY$113,128EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,021,680BOYAmt
EOY$1,153,475EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,615BOYAmt
EOY$37,567EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,752BOYAmt
EOY$17,462EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$106,367BOYAmt
EOY$55,029EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$915,313BOYAmt
EOY$1,098,446EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$915,313BOYAmt
EOY$1,098,446EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,021,680BOYAmt
EOY$1,153,475EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$183,133ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$680,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$724,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$758,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,261,130CurrentTaxYearMinus1YearAmt
Current Tax Year$981,438CurrentTaxYearAmt
Total$4,406,138TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$680,802CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$724,156CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$758,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,261,130CurrentTaxYearMinus1YearAmt
Current Tax Year$981,438CurrentTaxYearAmt
Total$4,406,138TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,406,138PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110CurrentTaxYearMinus1YearAmt
Current Tax Year$131CurrentTaxYearAmt
Total$392TotalAmt
FieldValueIRS element (for citing)
Total Support$4,406,530TotalSupportAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$260,364OtherCostOrOtherBasisAmt
Depreciation$147,236DepreciationAmt
Book Value$113,128BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$113,128TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
VACATION PAYABLE$9,099
PAYROLL TAXES PAYABLE$8,363
FieldValueIRS element (for citing)
Total Liability$17,462TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,038,349TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$12,000DonatedServicesAndUseFcltsAmt
Other Revenue$20,367OtherRevenueAmt
Revenue Not Reported$32,367RevenueNotReportedAmt
Revenue Subtotal$1,005,982RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,005,982TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$855,216TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$12,000DonatedServicesUseFcltsAmt
Other Expenses Included$20,367OtherExpensesIncludedAmt
Expenses Not Reported$32,367ExpensesNotReportedAmt
Expenses Subtotal$822,849ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$822,849TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS BEEN CLASSIFIED AS A NON-PROFIT FOUNDATION AND IS TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, UNDER ASC 740, INCOME TAXES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION BELIEVES THAT INCOME TAX FILLING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE EFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. AS OF DECEMBER 31, 2021 AND 2020, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2021.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING ACTIVITIES 20,367.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING ACTIVITIES 20,367.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPECIAL EVENTSEvent1Nm
Gross Receipts Event1$44,780GrossReceiptsEvent1Amt
Gross Revenue Event1$44,780GrossRevenueEvent1Amt
Other Direct Expenses Event1$20,367OtherDirectExpensesEvent1Amt
Gross Receipts Total$44,780GrossReceiptsTotalAmt
Gross Revenue Total Events$44,780GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$20,367OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,367DirectExpenseSummaryEventsAmt
Net Income Summary$24,413NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$47,230NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO SUBMISSION THE ORGANIZATION'S EXECUTIVE DIRECTOR PRESENTS THE COMPLETED FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION HOLDS AN ANNUAL MEETING WHERE A CONFLICT OF INTEREST DISCLOSURE FORM IS COMPLETED BY ALL EMPLOYEES AND BOARD MEMBERS TO MONITOR COMPLIANCE. UNDER THE DISCLOSURE POLICY THE EMPLOYEE OR BOARD MEMBER IS REQUIRED TO ELIMINATE ANY POTENTIAL OR ACTUAL DUALITY OR CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
LINE 2C EXPLANATIONTHE PROCESS DID NOT CHANGE FROM PRIOR YEAR.

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