CAMPHILL HUDSON INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CAMPHILL HUDSON INC (EIN 26-4101808)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-27
- IRS object ID
- 202233009349300428
- 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 | 2022-10-27T08:22:20-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 141555429 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UHY ADVISORS NY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HUDSON CITY CENTRE SUITE 204 | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | 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 | 264101808 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMPHILL HUDSON INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CAMP | BusinessNameControlTxt |
| Phone | 5188283431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 WARREN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ONAT SANCHEZ-SCHWARTZ | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5188283431 | PhoneNum |
| Signature | 2022-10-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ONAT | PersonFirstNm |
| Person Last | SANCHEZ-SCHWARTZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | N THERESE WOLFE | PreparerPersonNm |
| PTIN | P00748483 | PTIN |
| Phone | 5188281565 | PhoneNum |
| Preparation | 2022-09-29 | PreparationDt |
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 |
| 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 | ONAT SANCHEZ-SCHWARTZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 WARREN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,706,176 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAMPHILLHUDSON.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 34 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $180,780 | PYContributionsGrantsAmt |
| CY Contributions Grants | $855,918 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,731,791 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,784,362 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,147 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,104 | CYInvestmentIncomeAmt |
| PY Other Revenue | $49,841 | PYOtherRevenueAmt |
| CY Other Revenue | $63,339 | CYOtherRevenueAmt |
| PY Total Revenue | $1,967,559 | PYTotalRevenueAmt |
| CY Total Revenue | $2,704,723 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,154,894 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,233,151 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $10,439 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $648,047 | PYOtherExpensesAmt |
| CY Other Expenses | $773,820 | CYOtherExpensesAmt |
| PY Total Expenses | $1,802,941 | PYTotalExpensesAmt |
| CY Total Expenses | $2,006,971 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $164,618 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $697,752 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,787,360 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,052,537 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $731,655 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $299,080 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,055,705 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,753,457 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $368,102 | ExpenseAmt |
| Revenue | $480,847 | RevenueAmt |
| Desc | RESIDENTIAL IRA PROGRAM INVOLVES LIVING IN EXTENDED-FAMILY TYPE HOUSEHOLDS, STAFF AND THEIR FAMILIES CREATE A HOME TOGETHER WITH ADULTS WITH DEVELOPMENTAL DISABILITIES. EACH PERSON CONTRIBUTES TO THE HOME LIFE TO THE BEST OF THEIR ABILITY. THIS FOSTERS BOTH INDEPENDENCE AND INTERDEPENDENCE WHERE RESIDENTS ARE ENCOURAGED TO REACH THEIR FULL POTENTIAL, CONTRIBUTE AS THEY ARE ABLE AND SEEK THEIR GOALS IN LIFE. APPROXIMATELY 1,825 UNITS WERE SERVED IN THE IRA PROGRAM DURING THE PERIOD. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $662,686 | ExpenseAmt |
| Revenue | $683,111 | RevenueAmt |
| Desc | CAMPHILL HUDSON PROVIDES FISCAL INTERMEDIARY SERVICES TO SELF DIRECTED SERVICES - INDIVIDUALS ACCESSING SELF-DIRECTED MEDICAID SERVICES. WE SUPPORT INDIVIDUALS IN MAKING DECISIONS ABOUT AND TAKING RESPONSIBILITY FOR MAINTAINING THEIR SERVICES. UTILIZING A PERSON-CENTERED PLANNING PROCESS, SELF-DIRECTION ALLOWS INDIVIDUALS FREEDOM TO CHOOSE SUPPORTS TAILORED TO THEIR NEEDS, AND TO TAKE RESPONSIBILITY FOR MANAGING RESOURCES ALLOCATED TO THEM. APPROXIMATELY 43,944 UNITS WERE SERVED IN THE SELF DIRECTED SERVICES PROGRAM DURING THE PERIOD. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $449,575 | ExpenseAmt |
| Revenue | $559,012 | RevenueAmt |
| Desc | THE DAY HABILITATION PROGRAM VALUES EACH INDIVIDUAL'S ABILITY TO MAKE A CONTRIBUTION TO THEIR WIDER WORLD; PARTICIPANTS HAVE A REGULAR AND RHYTHMICAL SCHEDULE BOTH IN THE CENTER FOR SOCIAL ARTS AND OUT IN THE HUDSON COMMUNITY. DAYS ARE SPENT COOKING LUNCH, ENGAGING IN CRAFT OR COMMUNITY SERVICE WORK AND PARTICIPATING IN A VIBRANT INTEGRATED THEATER PROGRAM. APPROXIMATELY 3,472 UNITS WERE SERVED IN THE DAY HABILITATION PROGRAM DURING THE PERIOD. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $78,420 | ExpenseAmt |
| Desc | CENTER FOR THE SOCIAL ARTS | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $78,420 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,558,783 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 34 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ONAT SANCHEZ-SCHWARTZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5188283431 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 WARREN STREET | AddressLine1Txt |
| City | HUDSON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12534 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| KAM BELLAMY | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEE EDWARDS | ||||||
| VICE - PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID LEWIS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PETER SPEAR | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERIKA LAURION | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROBERT NORRIS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHERYL ROBERTS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIM PAHOLAK | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALEX TURCHI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NATHAN MCLAUGHLIN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $87,196 | $0 | $22,140 | |
| JESSICA SACHS | ||||||
| CFO | 40.00 | Yes (X) | $65,748 | $0 | $21,844 | |
| MICHAEL HOY | ||||||
| ASSISTANT SECRETARY | 40.00 | Yes (X) | $40,131 | $0 | $13,353 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $193,075 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $57,337 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $707,750 | GovernmentGrantsAmt |
| All Other Contributions | $148,168 | AllOtherContributionsAmt |
| Total Contributions | $855,918 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 623990 | $1,722,970 | $1,722,970 |
| MAINTENANCE FEES | 623990 | $61,392 | $61,392 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,784,362 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,104 | TotalRevenueColumnAmt |
| Exclusion | $1,104 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $3,028 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,453 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,575 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,575 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 623990 | $48,100 | $48,100 |
| FOOD STAMP INCOME | 623990 | $13,664 | $13,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $61,764 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,704,723 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,847,701 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,104 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,075 | TotalAmt |
| Program Services | $59,321 | ProgramServicesAmt |
| Management And General | $125,938 | ManagementAndGeneralAmt |
| Fundraising | $7,816 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,276 | TotalAmt |
| Program Services | $581,928 | ProgramServicesAmt |
| Management And General | $124,348 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,028 | TotalAmt |
| Program Services | $14,892 | ProgramServicesAmt |
| Management And General | $6,934 | ManagementAndGeneralAmt |
| Fundraising | $202 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,602 | TotalAmt |
| Program Services | $155,062 | ProgramServicesAmt |
| Management And General | $76,810 | ManagementAndGeneralAmt |
| Fundraising | $1,730 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,170 | TotalAmt |
| Program Services | $55,235 | ProgramServicesAmt |
| Management And General | $22,326 | ManagementAndGeneralAmt |
| Fundraising | $609 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,750 | TotalAmt |
| Management And General | $19,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,804 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
| Management And General | $6,304 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,626 | TotalAmt |
| Program Services | $2,498 | ProgramServicesAmt |
| Management And General | $1,128 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,519 | TotalAmt |
| Program Services | $3,386 | ProgramServicesAmt |
| Management And General | $4,133 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,459 | TotalAmt |
| Program Services | $202,981 | ProgramServicesAmt |
| Management And General | $30,478 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,740 | TotalAmt |
| Program Services | $66,396 | ProgramServicesAmt |
| Management And General | $344 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,929 | TotalAmt |
| Program Services | $4,929 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,987 | TotalAmt |
| Program Services | $62,729 | ProgramServicesAmt |
| Management And General | $3,258 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,127 | TotalAmt |
| Program Services | $24,864 | ProgramServicesAmt |
| Management And General | $5,263 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CARE SERVICES | $92,595 | $92,595 | ||
| FOOD AND HOUSEHOLD SUPP | $84,506 | $84,506 | ||
| DUES AND SUBSCRIPTIONS | $42,118 | $36,837 | $5,224 | $57 |
| REPAIRS AND MAINTENANCE | $22,861 | $20,889 | $1,972 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,799 | TotalAmt |
| Program Services | $87,235 | ProgramServicesAmt |
| Management And General | $3,539 | ManagementAndGeneralAmt |
| Fundraising | $25 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,006,971 | TotalAmt |
| Program Services | $1,558,783 | ProgramServicesAmt |
| Management And General | $437,749 | ManagementAndGeneralAmt |
| Fundraising | $10,439 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,057,774 | BOYAmt |
| EOY | $817,820 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,114 | BOYAmt |
| EOY | $25,117 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,850 | BOYAmt |
| EOY | $493,035 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $258,291 | BOYAmt |
| EOY | $256,777 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,363 | BOYAmt |
| EOY | $8,993 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,806 | BOYAmt |
| EOY | $44,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,797,620 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $406,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,384,129 | BOYAmt |
| EOY | $1,391,492 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,033 | BOYAmt |
| EOY | $14,730 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,787,360 | BOYAmt |
| EOY | $3,052,537 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,083 | BOYAmt |
| EOY | $75,470 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,656 | BOYAmt |
| EOY | $892 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,500 | BOYAmt |
| EOY | $222,718 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,300 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $307,116 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $731,655 | BOYAmt |
| EOY | $299,080 | 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 | $2,045,705 | BOYAmt |
| EOY | $2,753,457 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,055,705 | BOYAmt |
| EOY | $2,753,457 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,787,360 | BOYAmt |
| EOY | $3,052,537 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $697,752 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $140,906 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $105,127 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,719 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $180,780 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $155,583 | CurrentTaxYearAmt |
| Total | $660,115 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,025,072 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,592,291 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,483,729 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,731,791 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,787,390 | CurrentTaxYearAmt |
| Total | $7,620,273 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,165,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,697,418 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,561,448 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,912,571 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,942,973 | CurrentTaxYearAmt |
| Total | $8,280,388 | 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 | $8,280,388 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $48 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,104 | CurrentTaxYearAmt |
| Total | $29,093 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $48 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,722 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,104 | CurrentTaxYearAmt |
| Total | $29,093 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,494 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,855 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $39,048 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,764 | CurrentTaxYearAmt |
| Total | $166,687 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,174,472 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,711,321 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,620,715 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,963,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,005,841 | CurrentTaxYearAmt |
| Total | $8,476,168 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97690 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98260 | PublicSupportPY509Pct |
| Investment Income CY | 0.00340 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00360 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 8,494. 2018 AMOUNT: $ 13,855. 2019 AMOUNT: $ 33,288. 2020 AMOUNT: $ 35,221. 2021 AMOUNT: $ 48,100. FOOD STAMP INCOME - 2019 AMOUNT: $ 5,760. 2020 AMOUNT: $ 8,305. 2021 AMOUNT: $ 13,664. | ExplanationTxt |
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 | $1,544,047 | OtherCostOrOtherBasisAmt |
| Depreciation | $244,810 | DepreciationAmt |
| Book Value | $1,299,237 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,661 | OtherCostOrOtherBasisAmt |
| Book Value | $46,661 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,213 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,747 | DepreciationAmt |
| Book Value | $13,466 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,571 | DepreciationAmt |
| Book Value | $32,128 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,391,492 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,704,723 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,704,723 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,704,723 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,006,971 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $2,006,971 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $2,006,971 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS EVALUATED ANY UNCERTAIN TAX POSITIONS AND RELATED INCOME TAX CONTINGENCIES AND DETERMINED UNCERTAIN POSITIONS, IF ANY, ARE NOT MATERIAL TO THE FINANCIAL STATEMENTS, ACCORDING TO FASB ASC 740-10. PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES ARE INCLUDED IN OPERATING EXPENSES, IF INCURRED. NONE OF THE ORGANIZATION'S RETURNS ARE CURRENTLY UNDER EXAMINATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS ARE REQUIRED TO FILL OUT CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15A | SALARIES ARE DETERMINED BASED ON JOB DESCRIPTION, YEARS OF EXPERIENCE, AND YEARS OF EDUCATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION GIVES THE PUBLIC THE OPTION TO RECEIVE ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS UPON REQUEST. |
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