CUISINE FOR HEALING: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CUISINE FOR HEALING (EIN 20-8858735)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202233129349304203
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-08T15:04:09-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 752393478 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WHITLEY PENN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 640 TAYLOR STREET SUITE 2200 | AddressLine1Txt |
| City | FT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76102 | 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 | 208858735 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CUISINE FOR HEALING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CUIS | BusinessNameControlTxt |
| Phone | 8179212377 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 MISTLETOE BLVD | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI HENSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8179212377 | PhoneNum |
| Signature | 2022-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LORI | PersonFirstNm |
| Person Last | HENSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILY LANDRY | PreparerPersonNm |
| PTIN | P01614538 | PTIN |
| Phone | 8172599100 | PhoneNum |
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 | LORI HENSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 MISTLETOE BLVD | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $421,235 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CUISINEFORHEALING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | CUISINE FOR HEALING IS A NONPROFIT ORGANIZATION COMMITTED TO PROMOTING THE HEALING POWER OF FOOD BY COOKING ORGANIC, NUTRITIOUS, DELICIOUS MEALS READILY AVAILABLE TO PEOPLE COMBATING LIFE-THREATENING DISEASES, AND OFFERING EDUCATIONAL RESOURCES TO ENABLE THE INDIVIDUALS TO MAKE LIFESTYLE CHANGES TO IMPROVE THEIR WELL-BEING AND LONG-TERM HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 13 | TotalEmployeeCnt |
| Total Volunteers | 72 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $435,604 | PYContributionsGrantsAmt |
| CY Contributions Grants | $364,265 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11 | PYInvestmentIncomeAmt |
| CY Investment Income | $412 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$15,867 | PYOtherRevenueAmt |
| CY Other Revenue | -$38,286 | CYOtherRevenueAmt |
| PY Total Revenue | $419,748 | PYTotalRevenueAmt |
| CY Total Revenue | $326,391 | 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 | $196,237 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $216,277 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,849 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $86,312 | PYOtherExpensesAmt |
| CY Other Expenses | $94,648 | CYOtherExpensesAmt |
| PY Total Expenses | $282,549 | PYTotalExpensesAmt |
| CY Total Expenses | $310,925 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $137,199 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,466 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,032,860 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,051,085 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $618,553 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $621,312 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $414,307 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $429,773 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | CUISINE FOR HEALING IS A NONPROFIT ORGANIZATION COMMITTED TO PROMOTING THE HEALING POWER OF FOOD BY COOKING ORGANIC, NUTRITIOUS, DELICIOUS MEALS READILY AVAILABLE TO PEOPLE COMBATING LIFE-THREATENING DISEASES, AND OFFERING EDUCATIONAL RESOURCES TO ENABLE THE INDIVIDUALS TO MAKE LIFESTYLE CHANGES TO IMPROVE THEIR WELL-BEING AND LONG-TERM HEALTH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $210,346 | ExpenseAmt |
| Desc | IN 2021, CFH SERVED 13,169 MEALS TO MORE THAN 2,100 CLIENTS. OUR RECIPES, INGREDIENTS, AND NUTRITIONAL VALUES ARE REVIEWED AND RESEARCHED FOR OPTIMAL HEALTH. CUISINE'S MEALS AND PACKAGING DO NOT INVOLVE PREPARATION METHODS SCIENTIFICALLY LINKED WITH SERIOUS ILLNESSES. WE UPDATE OUR MENU SEASONALLY, OFFERING AN EXTENSIVE MENU THAT NOW INCLUDES BREAKFAST, ENTREES, SNACKS, SIDES AND DESSERTS, ALONG WITH VEGETARIAN, GLUTEN AND DAIRY-FREE OPTIONS. | Desc |
| Total Program Service Expenses | $210,346 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 13 | 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 |
| 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8179212377 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1614 MISTLETOE BLVD | AddressLine1Txt |
| City | FORT WORTH | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 76104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| CAMERON BROWN | ||||||
| CHAIR PERSON | 0.46 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KYLE CROSS | ||||||
| TREASURER | 0.58 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PRECIOUS HARRIS | ||||||
| SECRETARY | 0.67 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| HEATH BARKER | ||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |
| PATRICK CLOVEN | ||||||
| DIRECTOR | 1.33 | Yes (X) | $0 | $0 | $0 | |
| KRISTI EVANS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DARLA GREENE | ||||||
| DIRECTOR | 0.81 | Yes (X) | $0 | $0 | $0 | |
| ASHLEY PEEDERS | ||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |
| JESSICA RANGEL | ||||||
| DIRECTOR | 0.19 | Yes (X) | $0 | $0 | $0 | |
| HEATHER SANCHEZ | ||||||
| DIRECTOR | 0.40 | Yes (X) | $0 | $0 | $0 | |
| SHAWN SNELL | ||||||
| DIRECTOR | 0.31 | Yes (X) | $0 | $0 | $0 | |
| ASHLEY TINSLEY | ||||||
| DIRECTOR | 0.92 | Yes (X) | $0 | $0 | $0 | |
| LAURA WEBER | ||||||
| DIRECTOR | 0.31 | Yes (X) | $0 | $0 | $0 | |
| TIM WENDT | ||||||
| DIRECTOR | 0.31 | Yes (X) | $0 | $0 | $0 | |
| LISA WESSELS | ||||||
| DIRECTOR | 0.35 | Yes (X) | $0 | $0 | $0 | |
| AMY YUDISKI | ||||||
| DIRECTOR | 0.19 | Yes (X) | $0 | $0 | $0 | |
| CARI FREEMAN | ||||||
| PAST BOARD CHAIR | 0.44 | Yes (X) | $0 | $0 | $0 | |
| LORI HENSON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $28,080 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $28,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | 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 |
| Fundraising | $60,400 | FundraisingAmt |
| Government Grants | $45,000 | GovernmentGrantsAmt |
| All Other Contributions | $258,865 | AllOtherContributionsAmt |
| Total Contributions | $364,265 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $412 | TotalRevenueColumnAmt |
| Exclusion | $412 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $17,492 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $60,400 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $36,710 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,218 | TotalRevenueColumnAmt |
| Exclusion | -$19,218 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $39,066 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $58,134 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,068 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$19,068 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $326,391 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$19,068 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$18,806 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,080 | TotalAmt |
| Management And General | $28,080 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,140 | TotalAmt |
| Program Services | $129,470 | ProgramServicesAmt |
| Management And General | $32,670 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,093 | TotalAmt |
| Program Services | $1,543 | ProgramServicesAmt |
| Management And General | $550 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,377 | TotalAmt |
| Program Services | $7,415 | ProgramServicesAmt |
| Management And General | $1,704 | ManagementAndGeneralAmt |
| Fundraising | $258 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,587 | TotalAmt |
| Program Services | $10,471 | ProgramServicesAmt |
| Management And General | $4,116 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,134 | TotalAmt |
| Management And General | $7,134 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,429 | TotalAmt |
| Program Services | $1,091 | ProgramServicesAmt |
| Management And General | $113 | ManagementAndGeneralAmt |
| Fundraising | $225 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,814 | TotalAmt |
| Program Services | $847 | ProgramServicesAmt |
| Fundraising | $3,967 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,351 | TotalAmt |
| Program Services | $5,442 | ProgramServicesAmt |
| Management And General | $1,732 | ManagementAndGeneralAmt |
| Fundraising | $1,177 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,249 | TotalAmt |
| Program Services | $1,574 | ProgramServicesAmt |
| Management And General | $225 | ManagementAndGeneralAmt |
| Fundraising | $450 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,991 | TotalAmt |
| Program Services | $28,919 | ProgramServicesAmt |
| Management And General | $4,024 | ManagementAndGeneralAmt |
| Fundraising | $8,048 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,295 | TotalAmt |
| Management And General | $5,295 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,780 | TotalAmt |
| Program Services | $20,780 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470 | TotalAmt |
| Program Services | $470 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BANK AND CREDIT CARD FE | $2,081 | $1,420 | $62 | $599 |
| MEMBERSHIP & DUES | $690 | $540 | $25 | $125 |
| REGISTRATION FEES | $364 | $364 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,925 | TotalAmt |
| Program Services | $210,346 | ProgramServicesAmt |
| Management And General | $85,730 | ManagementAndGeneralAmt |
| Fundraising | $14,849 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,579 | BOYAmt |
| EOY | $69,128 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $116,110 | BOYAmt |
| EOY | $138,204 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,772 | BOYAmt |
| EOY | $3,887 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303 | BOYAmt |
| EOY | $3,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $888,934 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $52,202 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $849,096 | BOYAmt |
| EOY | $836,732 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,032,860 | BOYAmt |
| EOY | $1,051,085 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,843 | BOYAmt |
| EOY | $7,298 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,580 | BOYAmt |
| EOY | $25,301 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $612,130 | BOYAmt |
| EOY | $588,713 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $618,553 | BOYAmt |
| EOY | $621,312 | 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 | $414,307 | BOYAmt |
| EOY | $429,773 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $414,307 | BOYAmt |
| EOY | $429,773 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,032,860 | BOYAmt |
| EOY | $1,051,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $15,466 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 | $271,345 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $588,595 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $360,349 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $435,604 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $364,265 | CurrentTaxYearAmt |
| Total | $2,020,158 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $63,973 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,152 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,195 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,066 | CurrentTaxYearAmt |
| Total | $245,337 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,318 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $639,546 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $421,501 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $465,799 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,331 | CurrentTaxYearAmt |
| Total | $2,265,495 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $241,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $130,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $235,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,500 | CurrentTaxYearAmt |
| Total | $806,845 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $241,269 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $130,076 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $235,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,500 | CurrentTaxYearAmt |
| Total | $806,845 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,458,650 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $131 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $412 | CurrentTaxYearAmt |
| Total | $716 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $131 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $412 | CurrentTaxYearAmt |
| Total | $716 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $335,319 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $639,707 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $421,632 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $465,810 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $403,743 | CurrentTaxYearAmt |
| Total | $2,266,211 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.64370 | PublicSupportCY509Pct |
| Public Support PY509 | 0.64350 | PublicSupportPY509Pct |
| Investment Income CY | 0.00030 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $420,000 | OtherCostOrOtherBasisAmt |
| Book Value | $420,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $446,168 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,715 | DepreciationAmt |
| Book Value | $416,453 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,487 | DepreciationAmt |
| Book Value | $279 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $836,732 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SURVIVORS IN STYLE | Event1Nm |
| Gross Receipts Event1 | $60,025 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $49,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $11,025 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $434 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $13,397 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,429 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $530 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,941 | OtherDirectExpensesEvent1Amt |
| Event2 | ANNUAL GOLF TOURNAMENT | Event2Nm |
| Gross Receipts Event2 | $13,752 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $11,400 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $2,352 | GrossRevenueEvent2Amt |
| Cash Prizes Event2 | $787 | CashPrizesEvent2Amt |
| Non Cash Prizes Event2 | $166 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $3,350 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $30 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $425 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $73,777 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $60,400 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $13,377 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,221 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $166 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $16,747 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $5,459 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $530 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,366 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $27,489 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$14,112 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY MANAGEMENT AND THEN SUBMITTED TO THE BOARD BEFORE IT IS FILED ALLOWING TIME FOR COMMENTS OR QUESTIONS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REQUIRES ANNUAL WRITTEN AFFIRMATION OF THE INDEPENDENCE OF EACH MEMBER OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE ORGANIZATION'S EXECUTIVE DIRECTOR WAS DETERMINED THROUGH A COMPARABILITY STUDY OF OTHER ORGANIZATIONS IN THE AREA. |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES, FINANCIAL STATEMENTS, AND OTHER RECORDS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Comments