HEALING HOUSING INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALING HOUSING INC (EIN 47-3758041)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349317463
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

FieldValueIRS element (for citing)
Return2022-11-14T16:56:17-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN620713250PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KRAFTCPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 GREAT CIRCLE ROADAddressLine1Txt
CityNASHVILLECityNm
State AbbreviationTNStateAbbreviationCd
ZIP37228ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN473758041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALING HOUSING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone8884454325PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2385AddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37024ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTRACEY LEVINEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8884454325PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTRACEYPersonFirstNm
Person LastLEVINEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRANCES E LEAHYPreparerPersonNm
PTINP00713593PTIN
Phone6152427351PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTRACEY LEVINEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2385AddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37024ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$812,286GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALINGHOUSING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTO RESTORE PURPOSEFUL LIVING TO WOMEN IN RECOVERY FROM DRUG AND ALCOHOL ADDICTION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$28TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$368,548PYContributionsGrantsAmt
CY Contributions Grants$782,036CYContributionsGrantsAmt
PY Program Service Revenue$18,105PYProgramServiceRevenueAmt
CY Program Service Revenue$30,222CYProgramServiceRevenueAmt
PY Investment Income$64PYInvestmentIncomeAmt
CY Investment Income$28CYInvestmentIncomeAmt
PY Other Revenue-$6,518PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$380,199PYTotalRevenueAmt
CY Total Revenue$812,286CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$159,586PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$184,948CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$53,400CYTotalFundraisingExpenseAmt
PY Other Expenses$219,078PYOtherExpensesAmt
CY Other Expenses$287,665CYOtherExpensesAmt
PY Total Expenses$378,664PYTotalExpensesAmt
CY Total Expenses$472,613CYTotalExpensesAmt
PY Revenues Less Expenses$1,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$339,673CYRevenuesLessExpensesAmt
Total Assets BOY$200,826TotalAssetsBOYAmt
Total Assets EOY$552,421TotalAssetsEOYAmt
Total Liabilities BOY$38,361TotalLiabilitiesBOYAmt
Total Liabilities EOY$31,312TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$162,465NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$521,109NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO RESTORE PURPOSEFUL LIVING TO WOMEN IN RECOVERY FROM DRUG AND ALCOHOL ADDICTION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$362,719ExpenseAmt
Revenue$30,222RevenueAmt
DescHEALING HOUSING IS A NONPROFIT RESIDENTIAL RECOVERY PROGRAM SERVING WOMEN WITH LIMITED FINANCIAL RESOURCES THROUGHOUT MIDDLE TENNESSEE WHO ARE HEALING FROM ALCOHOL AND DRUG ADDICTION. SINCE OPENING IN 2017, WE'VE SERVED MORE THAN 400 WOMEN, PROVIDED HOUSING FOR OVER 120 PARTICIPANTS AND CELEBRATED MORE THAN 50 GRADUATIONS. 82% OF RESIDENTS HAVE REMAINED SOBER DURING THEIR PARTICIPATION. A NEW AFTERCARE PROGRAM AND A GROWING SISTERHOOD OF ALUMNAE ARE AVAILABLE TO PROVIDE ONGOING SUPPORT FOR LIFELONG RECOVERY. HEALING HOUSING PROVIDES RESIDENTS HOLISTIC SERVICES FOR WRAP-AROUND CARE, INCLUDING:* COMPLETE PSYCHOLOGICAL EVALUATION, * MEDICATION MANAGEMENT, * INDIVIDUAL THERAPY, * MEDICAL AND DENTAL CARE, * SPIRITUAL FORMATION CLASSES,* FEMALE-SPECIFIC INTENSIVE OUTPATIENT THERAPY, * COMPREHENSIVE VOCATIONAL TRAINING PROGRAM, * WORKSHOPS ON CRITICAL SUBJECTS SUCH AS TRAUMA AND GRIEF RECOVERY.Desc
Total Program Service Expenses$362,719TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TRACEY LEVINEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8884454325PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2385AddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37024ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TRACEY LEVINE
EXECUTIVE DIRECTOR40.00Yes (X)$48,123$0$0
DAVID JONES
CHAIR OF THE BOARD3.00Yes (X)$0$0$0Yes (X)
ANGELA DEANE
SECRETARY1.00Yes (X)$0$0$0Yes (X)
DAVID HETTINGER
TREASURER3.00Yes (X)$0$0$0Yes (X)
MIKE HARPER
DIRECTOR1.00$0$0$0Yes (X)
OLIVIA SMITH
DIRECTOR2.00$0$0$0Yes (X)
SHERRIE CAVIN
DIRECTOR1.00$0$0$0Yes (X)
LAURA BRANTLEY
DIRECTOR1.00$0$0$0Yes (X)
ANGELA GOODE
DIRECTOR2.00$0$0$0Yes (X)
JANE ROACH
DIRECTOR1.00$0$0$0Yes (X)
DOUG RALLS
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,123TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$782,036AllOtherContributionsAmt
Total Contributions$782,036TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPARTICIPANT FEESDesc
Business623990BusinessCd
Total Revenue Column$30,222TotalRevenueColumnAmt
Related Or Exempt Func Income$30,222RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$30,222TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28TotalRevenueColumnAmt
Unrelated Business Revenue$28UnrelatedBusinessRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$812,286TotalRevenueColumnAmt
Related Or Exempt Func Income$30,222RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$28UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,123TotalAmt
Program Services$22,523ProgramServicesAmt
Management And General$12,800ManagementAndGeneralAmt
Fundraising$12,800FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$127,053TotalAmt
Program Services$111,853ProgramServicesAmt
Fundraising$15,200FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,772TotalAmt
Program Services$7,496ProgramServicesAmt
Management And General$714ManagementAndGeneralAmt
Fundraising$1,562FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$618TotalAmt
Management And General$618ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,900TotalAmt
Program Services$2,626ProgramServicesAmt
Management And General$22,274ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,183TotalAmt
Program Services$3,655ProgramServicesAmt
Management And General$651ManagementAndGeneralAmt
Fundraising$5,877FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,679TotalAmt
Program Services$274ProgramServicesAmt
Management And General$1,834ManagementAndGeneralAmt
Fundraising$7,571FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,566TotalAmt
Program Services$17,127ProgramServicesAmt
Management And General$8,491ManagementAndGeneralAmt
Fundraising$2,948FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$108,088TotalAmt
Program Services$99,938ProgramServicesAmt
Management And General$6,315ManagementAndGeneralAmt
Fundraising$1,835FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,704TotalAmt
Program Services$1,339ProgramServicesAmt
Management And General$365ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$904TotalAmt
Program Services$454ProgramServicesAmt
Management And General$225ManagementAndGeneralAmt
Fundraising$225FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,414TotalAmt
Program Services$2,207ProgramServicesAmt
Management And General$2,207ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
PROGRAMMING EXPENSE$86,498$81,116$5,382
EVENTS$12,111$12,111

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$472,613TotalAmt
Program Services$362,719ProgramServicesAmt
Management And General$56,494ManagementAndGeneralAmt
Fundraising$53,400FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$181,322BOYAmt
EOY$535,579EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,768BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$3,018EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,736BOYAmt
EOY$6,964EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,580LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,720LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$860EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,000BOYAmt
EOY$6,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$200,826BOYAmt
EOY$552,421EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,583BOYAmt
EOY$12,552EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,778BOYAmt
EOY$18,760EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,361BOYAmt
EOY$31,312EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,697BOYAmt
EOY$519,091EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,768BOYAmt
EOY$2,018EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$162,465BOYAmt
EOY$521,109EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$200,826BOYAmt
EOY$552,421EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$339,673ReconcilationRevenueExpnssAmt
Prior Period Adjustments$18,971PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$250,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$318,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,177CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$368,548CurrentTaxYearMinus1YearAmt
Current Tax Year$782,036CurrentTaxYearAmt
Total$2,038,847TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$250,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$318,571CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$319,177CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$368,548CurrentTaxYearMinus1YearAmt
Current Tax Year$782,036CurrentTaxYearAmt
Total$2,038,847TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$744,610SubstantialContributorsTotAmt
Public Support Total170$1,294,237PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64CurrentTaxYearMinus1YearAmt
Current Tax Year$28CurrentTaxYearAmt
Total$250TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$291CurrentTaxYearMinus3YearsAmt
Total$291TotalAmt
FieldValueIRS element (for citing)
Total Support$2,039,388TotalSupportAmt
Gross Receipts Rltd Activities$30,222GrossReceiptsRltdActivitiesAmt
Public Support CY1700.63460PublicSupportCY170Pct
Public Support PY1700.86400PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,580OtherCostOrOtherBasisAmt
Depreciation$2,720DepreciationAmt
Book Value$860BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$860TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PARTICIPANT SAVINGS$17,242
PARTICIPANT GRANTS & SCHOLARSHIPS$1,518
FieldValueIRS element (for citing)
Total Liability$18,760TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$812,286TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$812,286RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$812,286TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$472,613TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$472,613ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$472,613TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION QUALIFIES AS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME TAXES ARE NOT PROVIDED. MANAGEMENT PERFORMS AN EVALUATION OF ALL INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE COURSE OF PREPARING THE ORGANIZATION'S INCOME TAX RETURNS TO DETERMINE WHETHER THE INCOME TAX POSITIONS MEET A "MORE LIKELY THAN NOT" STANDARD OF BEING SUSTAINED UNDER EXAMINATION BY THE APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS PERFORMED ITS EVALUATION OF ALL INCOME TAX POSITIONS TAKEN ON ALL OPEN INCOME TAX RETURNS AND HAS DETERMINED THAT THERE WERE NO POSITIONS TAKEN THAT DO NOT MEET THE "MORE LIKELY THAN NOT" STANDARD. ACCORDINGLY, THERE ARE NO PROVISIONS FOR INCOME TAXES, PENALTIES OR INTEREST RECEIVABLE OR PAYABLE RELATING TO UNCERTAIN INCOME TAX POSITIONS IN THE ACCOMPANYING FINANCIAL STATEMENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BREVIEWED BY DAVID HETTINGER AND TRACEY LEVINE PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEACH MEMBER OF THE BOARD OF DIRECTORS IS ASKED TO REVIEW THE CONFLICT OF INTEREST POLICY ANNUALLY AND DISCLOSE ANY CONFLICTS AND IDENTYING ANY CIRCUMSTANCES IN WHICH THE DIRECTOR BELIEVES COULD CONSITITUTE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWED SALARIES FOR EXECUTIVE DIRECTORS OF SIMILAR ORGANIZATIONS AND SET THE SALARY FOR THAT POSITION BASED ON COMPARABILITY AND BASED ON THE ORGANZATION'S CURRENT REVENUE LEVEL. THE ORGANIZATION HAS NO OTHER OFFICERS OR KEY EMPLOYEES EMPLOYED.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM PRIOR YEARS.

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