SMOKY MOUNTAIN PREGNANCY CARE CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SMOKY MOUNTAIN PREGNANCY CARE CENTER (EIN 56-2263371)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349315205
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T16:44:41-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 843171054 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Carrion & Associates Tax Prep | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 413 Georgia Road | AddressLine1Txt |
| City | Franklin | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562263371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SMOKY MTN PREGNANCY CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SMOK | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 EAST PALMER ST | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28734 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNY GOLDING | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Phone | 8283493200 | PhoneNum |
| Signature | 2022-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNY | PersonFirstNm |
| Person Last | GOLDING | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Isaac Carrion | PreparerPersonNm |
| PTIN | P01836066 | PTIN |
| Phone | 8283695777 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $494,000 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | OUR CHRIST-CENTERED ORGANIZATION EXISTS TO EDUCATE, ENCOURAGE, AND EMPOWER WOMEN AND MEN TO MAKE HEALTHY INFORMED LIFE CHOICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 8 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $331,854 | PYContributionsGrantsAmt |
| CY Contributions Grants | $460,505 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,601 | PYInvestmentIncomeAmt |
| CY Investment Income | $18,272 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $345,455 | PYTotalRevenueAmt |
| CY Total Revenue | $478,777 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $229,710 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $260,711 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,908 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,289 | PYOtherExpensesAmt |
| CY Other Expenses | $170,933 | CYOtherExpensesAmt |
| PY Total Expenses | $345,999 | PYTotalExpensesAmt |
| CY Total Expenses | $431,644 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$544 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,133 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $787,015 | TotalAssetsBOYAmt |
| Total Assets EOY | $833,880 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,916 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,648 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $783,099 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $830,232 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR CHRIST-CENTERED ORGANIZATION EXISTS TO EDUCATE, ENCOURAGE, AND EMPOWER WOMEN AND MEN TO MAKE HEALTHY INFORMED LIFE CHOICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $293,968 | ExpenseAmt |
| Revenue | $460,505 | RevenueAmt |
| Desc | SERVICES PROVIDED, BUT NOT LIMITED TO FREE LIMITED OB ULTRASOUNDS, FREE PREGNANCY TESTING, EDUCATIONAL MATERIALS ON: PREGNANCY, ABORTION AND RISKS, PARENTING, ADOPTION REFERRALS, MARRIAGE, STDS, REFERRALS TO COMMUNITY RESOURCES, POST-ABORTION PEER COUNSELING, FRIENDSHIP AND ENCOURAGEMENT TO ALL. APPROXIMATELY 72 CLASSES, 172 PREGNANCY TESTING VISITS, 207 SONOGRAMS, 184 CONCEPTS SHARED, AND 52 CLOSET VISITS FROM CLIENTS MADE DURING 2021 YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE EDUCATION PROGRAM EARN WHILE YOU LEARN IS AN EXTENSIVE CURRICULUM BASED ON THE SUBJECTS SURROUNDING LIFE SKILLS, 1ST THROUGH 3RD TRIMESTER OF PREGNANCY, THE UNBORN CHILD, PARENTING, BIBLE STUDIES, SELF-HELP SUBJECT FOR MEN AND WOMEN DURING PREGNANCY AND AFTER. AS AN INCENTIVE, CLIENTS GAIN POINTS THAT ARE ACCUMULATED AND SPENT IN OUR STORE ON ITEMS THAT THEY DESIRE. APPROXIMATELY 368 VISITS FROM CLIENTS DURING 2021. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $293,968 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 8 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAM BOWEN | PersonNm |
| Phone | 8283493200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 EAST PALMER ST | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28734 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| THOMAS SMITH | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL LEE | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MANNY HERNANDEZ | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SAM MCMAHAN | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| HAROLD K CORBIN | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT MASSIE | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| VALERIE NISKANEN | |||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| RON URRUTIA | |||||||
| CHAIRMAN | 3.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN WHITLEY | |||||||
| SECRETARY | 3.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| GREGORY BOYER | |||||||
| VICE CHAIR | 3.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MARIE COOK | |||||||
| TREASURER | 3.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $76,138 | FundraisingAmt |
| Government Grants | $6,500 | GovernmentGrantsAmt |
| All Other Contributions | $377,867 | AllOtherContributionsAmt |
| Total Contributions | $460,505 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,230 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,230 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,265 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,223 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,042 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,042 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,042 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $76,138 | ContriRptFundraisingEventAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $478,777 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,272 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,017 | TotalAmt |
| Program Services | $185,961 | ProgramServicesAmt |
| Management And General | $28,151 | ManagementAndGeneralAmt |
| Fundraising | $9,905 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,520 | TotalAmt |
| Management And General | $19,520 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,174 | TotalAmt |
| Program Services | $12,926 | ProgramServicesAmt |
| Management And General | $3,490 | ManagementAndGeneralAmt |
| Fundraising | $758 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,251 | TotalAmt |
| Fundraising | $8,251 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,128 | TotalAmt |
| Program Services | $26,253 | ProgramServicesAmt |
| Fundraising | $3,875 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,503 | TotalAmt |
| Management And General | $12,503 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,228 | TotalAmt |
| Fundraising | $1,228 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,573 | TotalAmt |
| Program Services | $3,745 | ProgramServicesAmt |
| Management And General | $14,828 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,752 | TotalAmt |
| Program Services | $9,102 | ProgramServicesAmt |
| Management And General | $4,610 | ManagementAndGeneralAmt |
| Fundraising | $40 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,941 | TotalAmt |
| Program Services | $26,521 | ProgramServicesAmt |
| Management And General | $420 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,527 | TotalAmt |
| Program Services | $2,090 | ProgramServicesAmt |
| Management And General | $9,437 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | FundraisingFundraisingAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| LICENSE PERMITS DUES FEES | $2,033 | $1,375 | $658 | |
| SUPPLIES | $17,867 | $3,625 | $8,143 | $6,099 |
| CLINIC EXPENSES | $4,106 | $4,106 | ||
| MOBIL UNIT EXPENSES | $18,264 | $18,264 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,760 | TotalAmt |
| Management And General | $4,710 | ManagementAndGeneralAmt |
| Fundraising | $1,050 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,644 | TotalAmt |
| Program Services | $293,968 | ProgramServicesAmt |
| Management And General | $103,768 | ManagementAndGeneralAmt |
| Fundraising | $33,908 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,315 | BOYAmt |
| EOY | $79,900 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,339 | BOYAmt |
| EOY | $385,611 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,840 | BOYAmt |
| EOY | $18,789 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $479,867 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $130,287 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356,521 | BOYAmt |
| EOY | $349,580 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,015 | BOYAmt |
| EOY | $833,880 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,916 | BOYAmt |
| EOY | $3,648 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,916 | BOYAmt |
| EOY | $3,648 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $783,099 | BOYAmt |
| EOY | $830,232 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $783,099 | BOYAmt |
| EOY | $830,232 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $787,015 | BOYAmt |
| EOY | $833,880 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $47,133 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $745,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $315,982 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $351,882 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $331,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,505 | CurrentTaxYearAmt |
| Total | $2,205,500 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $745,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $315,982 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $351,882 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $331,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,505 | CurrentTaxYearAmt |
| Total | $2,205,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,205,500 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,696 | CurrentTaxYearMinus2YearsAmt |
| Total | $10,018 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $322 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,696 | CurrentTaxYearMinus2YearsAmt |
| Total | $10,018 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $745,277 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316,304 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $361,578 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $331,854 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $460,505 | CurrentTaxYearAmt |
| Total | $2,215,518 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99550 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99420 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,640 | OtherCostOrOtherBasisAmt |
| Book Value | $35,640 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $294,733 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,267 | DepreciationAmt |
| Book Value | $265,466 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $147,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,020 | DepreciationAmt |
| Book Value | $46,287 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,187 | InvestmentCostOrOtherBasisAmt |
| Book Value | $2,187 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $349,580 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PAYROLL LIABILITIES | Desc |
| Amt | $3,648 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,648 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FALL EVENT | Event1Nm |
| Gross Receipts Event1 | $61,938 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $61,938 | GrossRevenueEvent1Amt |
| Event2 | OTHER FUNDRA | Event2Nm |
| Gross Receipts Event2 | $14,200 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $14,200 | GrossRevenueEvent2Amt |
| Gross Receipts Total | $76,138 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $76,138 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $76,138 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | FORM 990 AND ITS RELATED SCHEDULES ARE SUBMITTED TO EACH MEMBER OF THE BOARD OF DIRECTORS IN ELECTRONIC FORM PRIOR TO ITS FILING WITH THE IRSINFORMATION ON REVIEW OF THE FINAL RETURN IS PENDING |
| Conflict of interest policy compliance Part VI line 12c | AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT.EACH BOARD MEMBER, EXECUTIVE DIRECTOR, AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSONA. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY;B. HAS READ AND UNDERSTANDS THE POLICY;C. HAS AGREED TO COMPLY WITH THE POLICY;ANDD. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. |
| CEO executive director top management comp Part VI line 15a | THE EXECUTIVE DIRECTOR UNDERGOES AN ANNUAL REVIEW WITH THE CHAIRMAN OF THE BOARD. THE CHAIRMAN OF THE BOARD THEN MAKES A RECOMMENDATION TO THE BOARD FOR APPROVAL ON ANY SALARY INCREASE, INCREASE IN HOLIDAY OR VACATION DAYS, ETC. ANY SALARY INCREASE IS DETERMINED BASED ON COMPARABLE SALARIES FOR COMPARABLE POSITIONS IN THE GEOGRAPHIC LOCATION. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT AND FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES UPON REQUEST, OR PERMITTING INSPECTION AT THE OFFICE OF THE ORGANIZATION. |
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