BETHESDA INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BETHESDA INC (EIN 23-7122182)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-29
IRS object ID
202223339349300217
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

FieldValueIRS element (for citing)
Return2022-11-29T07:56:09-08:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561780972PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Busby & CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 E Connecticut AveAddressLine1Txt
CitySouthern PinesCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28387ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237122182EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 N PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9109447700PhoneNum
Signature2022-11-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGLENNPersonFirstNm
Person LastGREENEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ L BUSBYPreparerPersonNm
PTINP00181010PTIN
Phone9106921040PhoneNum
Preparation2022-11-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN GREENEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$332,546GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionALCOHOL AND DRUG REHABILITATIONActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$64,641PYContributionsGrantsAmt
CY Contributions Grants$71,622CYContributionsGrantsAmt
PY Program Service Revenue$192,602PYProgramServiceRevenueAmt
CY Program Service Revenue$209,622CYProgramServiceRevenueAmt
PY Investment Income$99PYInvestmentIncomeAmt
CY Investment Income$100CYInvestmentIncomeAmt
PY Other Revenue$49,950PYOtherRevenueAmt
CY Other Revenue$51,202CYOtherRevenueAmt
PY Total Revenue$307,292PYTotalRevenueAmt
CY Total Revenue$332,546CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$208,562PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$168,630CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$105,969PYOtherExpensesAmt
CY Other Expenses$144,683CYOtherExpensesAmt
PY Total Expenses$314,531PYTotalExpensesAmt
CY Total Expenses$313,313CYTotalExpensesAmt
PY Revenues Less Expenses-$7,239PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,233CYRevenuesLessExpensesAmt
Total Assets BOY$196,945TotalAssetsBOYAmt
Total Assets EOY$212,004TotalAssetsEOYAmt
Total Liabilities BOY$37,038TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,688TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,907NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$179,316NetAssetsOrFundBalancesEOYAmt
MissionALCOHOL AND DRUG REHABILITATIONMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$250,932ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescALCOHOL AND DRUG REHABILITATION-HALFWAY HOUSE WITH COUNSELING FOR MALE AND ADOLESCENTS. APPROXIMATELY 60 ADULTS AND 30 ADOLESCENTS SERVED.Desc
Total Program Service Expenses$250,932TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
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
JOHN KIRKMAN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
STEVE YUSKEVICH
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
CHARLES ALLRED
SECRETARY-TREASURER2.00Yes (X)Yes (X)$0$0$0
KATHLEEN EATON
DIRECTOR2.00Yes (X)$0$0$0
RICHARD MABRY
DIRECTOR2.00Yes (X)$0$0$0
BILL HUGGINS
DIRECTOR2.00Yes (X)$0$0$0
CHERYL STEVENSON
DIRECTOR2.00Yes (X)$0$0$0
MIKE FORTNER
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$71,622AllOtherContributionsAmt
Noncash Contributions$4,755NoncashContributionsAmt
Total Contributions$71,622TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
SANDHILLS MENTAL HEALTH623990$148,947$0$0
CLIENT ROOM AND BOARD623990$60,675$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$209,622TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$100TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$100ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$47,730RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$47,730RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,730TotalRevenueColumnAmt
Related Or Exempt Func Income$47,730RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900000BusinessCd
Total Revenue Column$3,472TotalRevenueColumnAmt
Related Or Exempt Func Income$3,472RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,472OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$332,546TotalRevenueColumnAmt
Related Or Exempt Func Income$260,824RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$100ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$143,294TotalAmt
Program Services$101,739ProgramServicesAmt
Management And General$41,555ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,695TotalAmt
Program Services$8,537ProgramServicesAmt
Management And General$3,158ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,790TotalAmt
Program Services$2,037ProgramServicesAmt
Management And General$753ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,851TotalAmt
Program Services$7,704ProgramServicesAmt
Management And General$3,147ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$13,926TotalAmt
Program Services$12,533ProgramServicesAmt
Management And General$1,393ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,943TotalAmt
Program Services$25,149ProgramServicesAmt
Management And General$2,794ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$109TotalAmt
Program Services$98ProgramServicesAmt
Management And General$11ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,227TotalAmt
Program Services$20,005ProgramServicesAmt
Management And General$2,222ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,762TotalAmt
Program Services$13,286ProgramServicesAmt
Management And General$1,476ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOOD AND PROVISIONS$22,501$22,501$0$0
REPAIRS AND MAINTENANCE$15,128$13,615$1,513$0
SUPPLIES AND MATERIALS$22,058$18,302$3,756$0
VEHICLE OPERATIONS$5,783$5,205$578$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$246TotalAmt
Program Services$221ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$313,313TotalAmt
Program Services$250,932ProgramServicesAmt
Management And General$62,381ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,561BOYAmt
EOY$16,626EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$18,855BOYAmt
EOY$15,853EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,699BOYAmt
EOY$10,627EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,956BOYAmt
EOY$5,751EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$686,511LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$525,482LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$161,932BOYAmt
EOY$161,029EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,942BOYAmt
EOY$2,118EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$196,945BOYAmt
EOY$212,004EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,224BOYAmt
EOY$32,563EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$120BOYAmt
EOY$125EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$11,694BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$37,038BOYAmt
EOY$32,688EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,907BOYAmt
EOY$179,316EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,907BOYAmt
EOY$179,316EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,945BOYAmt
EOY$212,004EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$19,233ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$176NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,641CurrentTaxYearMinus1YearAmt
Current Tax Year$71,622CurrentTaxYearAmt
Total$324,250TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69,979CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,757CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,641CurrentTaxYearMinus1YearAmt
Current Tax Year$71,622CurrentTaxYearAmt
Total$324,250TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$324,250PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$93CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$99CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99CurrentTaxYearMinus1YearAmt
Current Tax Year$100CurrentTaxYearAmt
Total$488TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,932CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,711CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,498CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,220CurrentTaxYearMinus1YearAmt
Total$12,361TotalAmt
FieldValueIRS element (for citing)
Total Support$337,099TotalSupportAmt
Public Support CY1700.96190PublicSupportCY170Pct
Public Support PY1700.95380PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: OTHER 2017: 2932. 2018: 4711. 2019: 2498. 2020: 2220.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$16,500OtherCostOrOtherBasisAmt
Book Value$16,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$451,334OtherCostOrOtherBasisAmt
Depreciation$335,078DepreciationAmt
Book Value$116,256BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$218,677OtherCostOrOtherBasisAmt
Depreciation$190,404DepreciationAmt
Book Value$28,273BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$161,029TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$332,722TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$176NetUnrealizedGainsInvstAmt
Revenue Not Reported$176RevenueNotReportedAmt
Revenue Subtotal$332,546RevenueSubtotalAmt
Total Revenue Per Form990$332,546TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$313,313TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$313,313ExpensesSubtotalAmt
Total Expenses Per Form990$313,313TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS GIVEN TO EACH BOARD MEMBER FOR REVIEW AT THE MEETING FOLLOWING COMPLETION OF FORM 990. ONCE REVIEW OF THE FORM IS COMPLETED BY BOARD MEMBERS AND ANY ISSUES ARE ADDRESSED, FORM 990 IS SUBMITTED.
Pt VI, Line 15aTHE EXECUTIVE DIRECTOR HAS AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

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