ADRIA WOMENS HEALTH: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ADRIA WOMENS HEALTH (EIN 76-0386986)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202203149349201330
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-10T08:48:53-08:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deborah T Koenig | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 105 M and M Ln Unit C | AddressLine1Txt |
| City | Salida | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 81202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760386986 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crisis Pregnancy Support Center of the Mainland | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRIS | BusinessNameControlTxt |
| Phone | 4097892295 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 164 | AddressLine1Txt |
| City | Texas City | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77592 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jack Roady | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 4097892295 | PhoneNum |
| Signature | 2022-10-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Jack | PersonFirstNm |
| Person Last | Roady | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Deborah T Koenig | PreparerPersonNm |
| PTIN | P02024898 | PTIN |
| Phone | 7133056776 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | CPSCM.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $128,259 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $100,221 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $0 | ProgramServiceRevenueAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Investment Income | $266 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $27,772 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $500 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $27,272 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $127,759 | TotalRevenueAmt |
| Benefits Paid To Or For Members | $18,608 | BenefitsPaidToOrForMembersAmt |
| Salaries Other Comp Empl Bnft | $51,350 | SalariesOtherCompEmplBnftAmt |
| Occupancy Rent Utlts And Maint | $39,922 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $389 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $4,573 | OtherExpensesTotalAmt |
| Total Expenses | $114,842 | TotalExpensesAmt |
| Excess Or Deficit For Year | $12,917 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $61,632 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $120,607 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $195,156 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,632 | BOYAmt |
| EOY | $84,401 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $110,755 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,632 | BOYAmt |
| EOY | $195,156 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,632 | BOYAmt |
| EOY | $195,156 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | To provide pregnant and parental mothers support thru education and supplies | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| Blessing rooms supplies of diapers, wipes,formula andneeds for babies | $0 | $15,553 |
| Parenting and prenatal classes | $0 | $1,870 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,423 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| ChristyAnne Dickson | ||||
| Executive Director | 40.00 | $30,000 | $0 | $0 |
| Jack Roady | ||||
| Board Chair | 3.00 | $0 | $0 | $0 |
| Geri Bentley | ||||
| Vice Chair | 3.00 | $0 | $0 | $0 |
| Brent Haynes | ||||
| Secretary | 2.00 | $0 | $0 | $0 |
| Rachel Delgado | ||||
| Treasurer | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ChristyAnne Dickson | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One 18th Ave N | AddressLine1Txt |
| City | Texas City | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77590 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4097892295 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $103,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,372 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,271 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $111,162 | CurrentTaxYearAmt |
| Total | $511,644 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $103,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $105,372 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $92,271 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $111,162 | CurrentTaxYearAmt |
| Total | $511,644 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $511,644 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $511,644 | TotalSupportAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Baby Bottle Campaign | Event1Nm |
| Gross Receipts Event1 | $27,772 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $27,772 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $500 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $27,772 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $27,772 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $500 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $500 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $27,272 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt V, Line 35b | No unrelated business gross income |
| Form 990EZ, Part I, Line 16 | Building repairs 2796. |
| Form 990EZ, Part I, Line 16 | Volunteer support 1777. |
| Form 990EZ, Part I, Line 20 | Walmart stock 122.642 shares-Donated 17745. |
| Form 990EZ, Part I, Line 20 | 602 6th St N-Donated 11/28/2006 34510. |
| Form 990EZ, Part I, Line 20 | 714 7th Ave N-purchased 12/11/2003 58500. |
| Form 990EZ, Part I, Line 20 | prior year adjustment 9852. |
| Form 990EZ, Part II, Line 24 | Walmart stock 122.642 shares-Donated 17745. |
| Form 990EZ, Part II, Line 24 | 602 6th St N-Donated 34510. |
| Form 990EZ, Part II, Line 24 | 714 7th Ave N - purchased 12/11/2003 58500. |
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