APACHE SENIOR NUTRITION CENTER: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- APACHE SENIOR NUTRITION CENTER (EIN 46-0961533)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2022-12-19
- IRS object ID
- 202223539349200517
- 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 | 2022-12-19T12:09:06-08:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 823990136 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Juanita Myers CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 468 | AddressLine1Txt |
| City | APACHE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460961533 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | APACHE SENIOR NUTRITION CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | APAC | BusinessNameControlTxt |
| Phone | 5805882200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 107 | AddressLine1Txt |
| City | APACHE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73006 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RONALD ROBERTS | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5805882200 | PhoneNum |
| Signature | 2022-12-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | RONALD | PersonFirstNm |
| Person Last | ROBERTS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUANITA MYERS | PreparerPersonNm |
| PTIN | P00076183 | PTIN |
| Phone | 5805857329 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | 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 |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $65,947 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $24,054 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $41,858 | ProgramServiceRevenueAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Investment Income | $35 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $65,947 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $37,775 | SalariesOtherCompEmplBnftAmt |
| Occupancy Rent Utlts And Maint | $9,919 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $29,870 | OtherExpensesTotalAmt |
| Total Expenses | $77,564 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$11,617 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $91,279 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $79,662 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,891 | BOYAmt |
| EOY | $51,250 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,162 | BOYAmt |
| EOY | $29,410 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,053 | BOYAmt |
| EOY | $80,660 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774 | BOYAmt |
| EOY | $998 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,279 | BOYAmt |
| EOY | $79,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | PROVID NUTRITION AND SOCIAL INTERACTION SERVICES TO SENIORS 55 AND ABOVE, BY SERVING A NOON MEAL, ON A VOLUNTARY CONTRIBUTION BASIS (BOTH ON SITE AND HOME BOUND)MEALS | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)
| Description Program Srvc AccomDescriptionProgramSrvcAccomTxt | Grants And AllocationsGrantsAndAllocationsAmt | Program Service ExpensesProgramServiceExpensesAmt |
|---|---|---|
| SPONSORS BLOOD PRESSURE AND SUGAR MONITORING PROGRAMS,PROVIDE EDUCATION AND PROGRAMS VITAL TO SENIORS AS THEYBECOME AVAILABLE. | $0 | $77,545 |
| SOCIAL INTERACTIONS FOR COMMUNITY SENIORS THAT INCLUDEHOLIDAY EVENTS AND DAILY GAMES. | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $77,545 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| RON ROBERTS | ||||
| PRESIDENT | 30.00 | $0 | $0 | $0 |
| RHONDA ROULAIN | ||||
| VICE PRESIDENT | 5.00 | $0 | $0 | $0 |
| PAT LINSEY | ||||
| SECRETARY | 5.00 | $0 | $0 | $0 |
| BELINDA TOSH | ||||
| TREASURER | 5.00 | $0 | $0 | $9 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | APACHE SENIOR NUTRITION CENTER | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 107 | AddressLine1Txt |
| City | APACHE | CityNm |
| State Abbreviation | OK | StateAbbreviationCd |
| ZIP | 73006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5805882200 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,904 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $38,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,695 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,008 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $24,054 | CurrentTaxYearAmt |
| Total | $129,752 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $49,720 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,510 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,362 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,858 | CurrentTaxYearAmt |
| Total | $235,892 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,600 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,600 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,600 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,600 | CurrentTaxYearAmt |
| Total | $48,000 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $88,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,411 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,805 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,970 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $75,512 | CurrentTaxYearAmt |
| Total | $413,644 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $413,644 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $53 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35 | CurrentTaxYearAmt |
| Total | $229 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $53 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35 | CurrentTaxYearAmt |
| Total | $229 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $413,873 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99940 | PublicSupportPY509Pct |
| Investment Income CY | 0.00060 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990EZ, Part I, Line 16 | HEALTH SERVICE FEES 125. |
| Form 990EZ, Part I, Line 16 | TELEPHONE & COMMUNICATIONS 1130. |
| Form 990EZ, Part I, Line 16 | OTHER COSTS 20. |
| Form 990EZ, Part I, Line 16 | FOOD COSTS 28595. |
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