SOUL CARE LIFE SERVICES INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SOUL CARE LIFE SERVICES INC (EIN 82-3749050)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-09
IRS object ID
202233139349300103
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-09T01:17:41-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN412045009PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TYLER COLLIER ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 ROSS ST STE 110AddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN823749050EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUL CARE LIFE SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOULBusinessNameControlTxt
Phone4122146901PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15536 MARGARETTA STAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCYNTHIA ADAMSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4123526155PhoneNum
Signature2022-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCYNTHIAPersonFirstNm
Person LastADAMSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDELBERT D TYLER CPAPreparerPersonNm
PTINP00295080PTIN
Phone4124717060PhoneNum
Preparation2022-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCYNTHIA ADAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15536 MARGARETTA STAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,073,408GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSOULCARELIFESERVICES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2017FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE RESIDENTIAL CARE FOR MH/MR ADULTS.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee16TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$683,183PYProgramServiceRevenueAmt
CY Program Service Revenue$1,070,349CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$3,059CYOtherRevenueAmt
PY Total Revenue$683,183PYTotalRevenueAmt
CY Total Revenue$1,073,408CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$384,701PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$623,674CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$134,677PYOtherExpensesAmt
CY Other Expenses$249,811CYOtherExpensesAmt
PY Total Expenses$519,378PYTotalExpensesAmt
CY Total Expenses$873,485CYTotalExpensesAmt
PY Revenues Less Expenses$163,805PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$199,923CYRevenuesLessExpensesAmt
Total Assets BOY$120,810TotalAssetsBOYAmt
Total Assets EOY$263,695TotalAssetsEOYAmt
Total Liabilities BOY$149,206TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,168TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$28,396NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$171,527NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE RESIDENTIAL CARE FOR MH/MR ADULTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$767,048ExpenseAmt
DescPROVIDING RESIDENTIAL CARE FOR MH/MR ADULTS.Desc
Total Program Service Expenses$767,048TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 StmtfalseIndependentAuditFinclStmtInd
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 OutstandingYes (true)LoanOutstandingInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee16EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRYAN ADAMSPersonNm
Phone4123526155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15536 MARGARETTA STAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15206ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAN E ADAMS
PROGRAM SPEC40.00Yes (X)Yes (X)$88,942$0$0
RYAN ADAMS
FINANCIAL MA40.00Yes (X)Yes (X)$72,519$0$0
CYNTHIA ADAMS
EXECUTIVE DI40.00Yes (X)Yes (X)$27,712$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$189,173TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROMISE MARGARETTA$559,187$559,187
PROMISE DEARBORN$455,828$455,828
ROOM & BOARD$42,106$42,106
ROOM AND BOARD - DEARBORN$13,228$13,228
FieldValueIRS element (for citing)
Total Program Service Revenue$1,070,349TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER TYPES OF INCOME$1,945$1,945
CREDIT OR REIMBURSEMENT$1,114$1,114
FieldValueIRS element (for citing)
Other Revenue Total$3,059OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,073,408TotalRevenueColumnAmt
Related Or Exempt Func Income$1,073,408RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$189,173TotalAmt
Program Services$102,798ProgramServicesAmt
Management And General$86,375ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$348,457TotalAmt
Program Services$348,457ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,687TotalAmt
Program Services$14,009ProgramServicesAmt
Management And General$2,678ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$69,357TotalAmt
Program Services$58,215ProgramServicesAmt
Management And General$11,142ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Management And General$2,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,305TotalAmt
Program Services$13,305ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$73,376TotalAmt
Program Services$73,376ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,902TotalAmt
Program Services$19,902ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,602TotalAmt
Management And General$3,602ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,067TotalAmt
Program Services$1,067ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,593TotalAmt
Program Services$12,593ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
REPAIRS & MAINTENCE$63,582$63,582
TELEPHONE, TELECOMMUNICA$9,317$9,317
DEARBORN$9,040$9,040
CREDIT CARD EXPENSES$8,994$8,994

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$32,533TotalAmt
Program Services$32,393ProgramServicesAmt
Management And General$140ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$873,485TotalAmt
Program Services$767,048ProgramServicesAmt
Management And General$106,437ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$118,170BOYAmt
EOY$262,123EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$5,332LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,760LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,640BOYAmt
EOY$1,572EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,810BOYAmt
EOY$263,695EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$149,206BOYAmt
EOY$92,168EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$149,206BOYAmt
EOY$92,168EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$28,396BOYAmt
EOY$171,527EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$28,396BOYAmt
EOY$171,527EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,810BOYAmt
EOY$263,695EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$199,923ReconcilationRevenueExpnssAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$29,832CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,770CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$667,079CurrentTaxYearMinus1YearAmt
Current Tax Year$1,070,349CurrentTaxYearAmt
Total$2,044,030TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$29,832CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$276,770CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$667,079CurrentTaxYearMinus1YearAmt
Current Tax Year$1,070,349CurrentTaxYearAmt
Total$2,044,030TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,044,030PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$6,708CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,370CurrentTaxYearMinus1YearAmt
Current Tax Year$3,059CurrentTaxYearAmt
Total$13,137TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$29,832CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$283,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$670,449CurrentTaxYearMinus1YearAmt
Current Tax Year$1,073,408CurrentTaxYearAmt
Total$2,057,167TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99360PublicSupportCY509Pct
Public Support PY5090.98980PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART III, LINE 12FormAndLineReferenceDesc
Explanation13,137ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,293OtherCostOrOtherBasisAmt
Depreciation$2,196DepreciationAmt
Book Value$1,097BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,039OtherCostOrOtherBasisAmt
Depreciation$1,564DepreciationAmt
Book Value$475BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,572TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonCYNTHIA ADAMSPersonNm
Loan PurposeSTART UP OF BUSINESSLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$175,731OriginalPrincipalAmt
Balance Due$92,168BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$92,168TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 2RYAN ADAMS CYNTHIA ADAMS FIN MGR EXEC DIR NEPHEW/AUNT RYAN ADAMS JAN ADAMS FIN MGR PROG DIR SON/MOTHER CYNTHIA ADAMS JAN ADAMS EXEC DIR PROG DIR SIBLINGS
FORM 990, PAGE 6, PART VI, LINE 11BRETURN PROVIDED TO OFFICERS BEFORE FILING
FORM 990, PAGE 6, PART VI, LINE 15AUSE SALARIES FROM SIMILAR ORGANIZATIONS
FORM 990, PAGE 6, PART VI, LINE 15BREVIEW SALARIES FROM SIMILAR ORGANIZATIONS IN AREA
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE AT OFFICE UPON REQUEST.

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