NORTHWEST BEHAVIORAL HEALTH SERVICES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST BEHAVIORAL HEALTH SERVICES INC (EIN 59-3128476)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2022-10-31
- IRS object ID
- 202213049349302261
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-31T17:25:05-04:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270649858 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ENOFE & ASSOCIATES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5991 CHESTER AVE STE 204 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 322172245 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593128476 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST BEHAVIORAL HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 9047817797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2392 EDGEWOOD AVENUE N | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32254 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRI GLOVER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9047817797 | PhoneNum |
| Signature | 2022-10-28 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRI | PersonFirstNm |
| Person Last | GLOVER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DR DAN ANEKWU | PreparerPersonNm |
| PTIN | P02399806 | PTIN |
| Phone | 9043011260 | PhoneNum |
| Preparation | 2022-10-31 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| 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) |
|---|---|---|
| Principal Officer | TERRI GLOVER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 EAST FORSYTH ST 301 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,486,434 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO ASSIST ITS CLIENTS TO OVERCOME LIFE'S CHALLENGES AND ENHANCE THEIR QUALITY OF LIFE IN THE COMMUNITY. SERVICES PROVIDED INCLUDE OUTPATIENT PSYCHIATRIC COUNSELING AND THERAPY, AN ASSORTMENT OF COMMUNITY-BASED SERVICES, AND A SUPPORTIVE HOUSING UNIT FOR PERSONS WITH DISABILITIES. IT ALSO, PROVIDES SERVICES FOR THE DEAF, HARD OF HEARING, AND THOSE IN NEED OF INTERPRETATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 86 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $414,234 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,800 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,975,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,430,634 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,389,458 | PYTotalRevenueAmt |
| CY Total Revenue | $2,486,434 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,680,675 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,697,216 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $6,220 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $534,588 | PYOtherExpensesAmt |
| CY Other Expenses | $907,172 | CYOtherExpensesAmt |
| PY Total Expenses | $2,215,263 | PYTotalExpensesAmt |
| CY Total Expenses | $2,604,388 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $174,195 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$117,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $804,822 | TotalAssetsBOYAmt |
| Total Assets EOY | $972,934 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $541,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $827,364 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $263,524 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $145,570 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION'S MISSION IS TO ASSIST ITS CLIENTS TO OVERCOME LIFE'S CHALLENGES AND ENHANCE THEIR QUALITY OF LIFE IN THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,031,501 | ExpenseAmt |
| Desc | MENTAL HEALTH CASE MANAGEMENT CONTINUES TO IMPLEMENT STRATEGIES TO IMPROVE PROGRAM PERFORMANCE TO THE CHRONICALLY AND SEVERELY MENTALLY ILL, LINKING THE ADULTS TO COMMUNITY RESOURCES AND ACTIVITIES, MONITORING THOSE SERVICES AND ADVOCATING IN HIS OR HER BEHALF IN THE NORTHWEST QUADRANT OF DUVAL COUNTY. APPROXIMATELY 633 PERSONS WERE SERVED DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $351,287 | ExpenseAmt |
| Desc | MENTAL HEALTH CHILDREN'S PROGRAM PROVIDED MENTAL AND BEHAVIORAL HEALTH INTERVENTION SERVICES FOR AND FAMILIES THAT EXPERIENCE STRESS AS TRAUMATIC INCIDENT WHICH INCLUDED IMMEDIATE, SHORT TERM CRISIS STABILITY, GRIEF AND TRAUMA SUPPORT IN THE NORWEST QUADRANT OF DUVAL COUNTY. APPROXIMATELY 180 PERSONS WERE SERVED DURING THE YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $366,765 | ExpenseAmt |
| Desc | MENTAL HEALTH OUTPATIENT PROGRAM AIMS TO STRENGTHEN THE FAMILY, PROMOTE HEALTHY LIVING AND HELP REDUCE THE NUMBER OF HOMELESSNESS AMONG THE MENTALLY ILL POPULATION WHICH IS AN UNMET NEED IN THE NORTHWEST QUADRANT OF DUVAL AND NASSAU COUNTIES. APPROXIMATELY 90 PERSONS WERE SERVED DURING THE YEAR. MENTAL HEALTH OUTPATIENT PROGRAM AIMS TO STRENGTHEN THE FAMILY, PROMOTE HEALTHY LIVING AND HELP REDUCE THE NUMBER OF HOMELESSNESS AMONG THE MENTALLY ILL POPULATION WHICH IS AN UNMET NEED IN THE NORTHWEST QUADRANT OF DUVAL AND NASSAU COUNTIES. APPROXIMATELY 90 PERSONS WERE SERVED DURING THE YEAR. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,749,553 | 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 | false | 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 | Yes (true) | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 86 | 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 |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST BEHAVIORAL HEALTH SERVICE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9047817797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2392 EDGEWOOD AVENUE NORTH | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32254 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| TERRI GLOVER | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $83,638 | $0 | $0 | |
| CHARLES FRANZONI | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| MARIE HEATH | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| HELEN HOOPER | ||||||
| SECRETARY | 0.50 | $0 | $0 | $0 | Yes (X) | |
| MELANIE HOPKINS | ||||||
| V.P. & TREAS | 0.50 | $0 | $0 | $0 | Yes (X) | |
| REGINALD ESTELL JR | ||||||
| PARLIAMENTAR | $0 | $0 | $0 | Yes (X) | ||
| BERNICE PAKER-BELL | ||||||
| PRESIDENT | 0.50 | $0 | $0 | $0 | Yes (X) | |
| DANIEL E PERLE | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| JOSEPH ROBINSON | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| STEWARD E WASHINGTON | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| MIA R WILSON | ||||||
| TRUSTEE | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $83,638 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR HENRY LEPELY | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4131 UNIVERSITY CENTER DRIVE | AddressLine1Txt |
| Address Line2 | SUITE 7 | AddressLine2Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32216 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | PSYCHIATRIC | ServicesDesc |
| Compensation | $171,734 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $40,150 | GovernmentGrantsAmt |
| All Other Contributions | $15,650 | AllOtherContributionsAmt |
| Total Contributions | $55,800 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $1,414,989 | $1,414,989 |
| LSF HEALTH SYSTEMS | 624100 | $872,734 | $872,734 |
| OTHER | 624100 | $124,261 | $124,261 |
| SERVICES | 624100 | $18,650 | $18,650 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,430,634 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,486,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,430,634 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,571,220 | TotalAmt |
| Program Services | $1,055,860 | ProgramServicesAmt |
| Management And General | $515,360 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,471 | TotalAmt |
| Management And General | $2,471 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,525 | TotalAmt |
| Program Services | $83,009 | ProgramServicesAmt |
| Management And General | $40,516 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,030 | TotalAmt |
| Program Services | $14,809 | ProgramServicesAmt |
| Management And General | $7,221 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,274 | TotalAmt |
| Management And General | $26,274 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | DescDesc |
|---|---|---|---|
| $598,553 | $420,189 | $178,364 | |
| $122,186 | $122,186 | RENT | |
| $55,149 | $55,149 | FEES AND PENALTIES | |
| $23,260 | $23,260 | MORTGAGE INTEREST |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,720 | TotalAmt |
| Program Services | $53,500 | ProgramServicesAmt |
| Fundraising | $6,220 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,604,388 | TotalAmt |
| Program Services | $1,749,553 | ProgramServicesAmt |
| Management And General | $848,615 | ManagementAndGeneralAmt |
| Fundraising | $6,220 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,705 | BOYAmt |
| EOY | $139,036 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,595 | BOYAmt |
| EOY | $379,798 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,902 | BOYAmt |
| EOY | $28,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $819,544 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $393,768 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,620 | BOYAmt |
| EOY | $425,776 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $804,822 | BOYAmt |
| EOY | $972,934 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,843 | BOYAmt |
| EOY | $510,984 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,908 | BOYAmt |
| EOY | $16,075 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,547 | BOYAmt |
| EOY | $300,305 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,298 | BOYAmt |
| EOY | $827,364 | 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 | $263,524 | BOYAmt |
| EOY | $145,570 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $263,524 | BOYAmt |
| EOY | $145,570 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $804,822 | BOYAmt |
| EOY | $972,934 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$117,954 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $414,234 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,800 | CurrentTaxYearAmt |
| Total | $470,034 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $414,234 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,800 | CurrentTaxYearAmt |
| Total | $470,034 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $470,034 | PublicSupportTotal170Amt |
| Total Support | $470,034 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $4,405,858 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $569,322 | OtherCostOrOtherBasisAmt |
| Depreciation | $236,526 | DepreciationAmt |
| Book Value | $332,796 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,879 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,193 | DepreciationAmt |
| Book Value | $64,686 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,513 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,513 | DepreciationAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,536 | DepreciationAmt |
| Book Value | $28,294 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $425,776 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG-TERM NOTE FROM EQUITYMAX | Desc |
| Amt | $300,305 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $300,305 | TotalLiabilityAmt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEWARD WASHINGTON | PersonNm |
| Relationship With Org | TRUSTEE | RelationshipWithOrgTxt |
| Loan Purpose | PROVIDE NEEDED CASH FLOWS | LoanPurposeTxt |
| Loan To Organization | Yes (X) | LoanToOrganizationInd |
| Original Principal | $73,075 | OriginalPrincipalAmt |
| Balance Due | $16,075 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $16,075 | TotalBalanceDueAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | UPON COMPLETION OF THE TAX RETURN (IRS FORM 990), A DRAFT COPY IS SHARED WITH THE EXECUTIVE DIRECTOR AND HER MANAGEMENT TEAM FOR THEIR REVIEW AND APPROVAL. IF ANY CORRECTIONS ARE NECESSARY, THE CORRECTIONS WILL BE MADE AND THEREAFTER, THE TAX RETURN IS FILED ELECTRONICALLY. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH BOARD MEMBER IS REQUIRED TO FILL OUT BASIC CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY. THE BOARD REVIEWS THE FORMS AND ACT ACCORDINGLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | NONE OF THESE DOCUMENTS ARE AVAILABLE TO THE PUBLIC UNLESS SPECIFICALLY REQUESTED FROM THE ORGANIZATION'S MANAGEMENT. |
Comments