JACKS BASKET: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- JACKS BASKET (EIN 81-4310519)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349313398
- 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 | 2022-11-15T13:02:39-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 341873282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CBIZ MHM LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 SOUTH 9TH STREET SUITE 1000 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | 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 | 814310519 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACK'S BASKET | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JACK | BusinessNameControlTxt |
| Phone | 6514568321 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1170 RED FOX RD | AddressLine1Txt |
| City | ARDEN HILLS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55112 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE TRAN PHELPS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6513080544 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHELLE | PersonFirstNm |
| Person Last | TRAN PHELPS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNE M LEDWEIN | PreparerPersonNm |
| PTIN | P00448677 | PTIN |
| Phone | 6123397811 | PhoneNum |
| Preparation | 2022-11-15 | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | MICHELLE TRAN PHELPS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1170 RED FOX RD | AddressLine1Txt |
| City | ARDEN HILLS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,033,309 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | JACKSBASKET.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | CELEBRATING BABIES WITH DOWN SYNDROME | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 175 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $473,095 | PYContributionsGrantsAmt |
| CY Contributions Grants | $880,382 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,580 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,001 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,138 | PYOtherRevenueAmt |
| CY Other Revenue | $15,026 | CYOtherRevenueAmt |
| PY Total Revenue | $483,813 | PYTotalRevenueAmt |
| CY Total Revenue | $897,409 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,100 | 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 | $151,843 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $221,009 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $101,238 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $265,030 | PYOtherExpensesAmt |
| CY Other Expenses | $322,574 | CYOtherExpensesAmt |
| PY Total Expenses | $418,973 | PYTotalExpensesAmt |
| CY Total Expenses | $543,583 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $64,840 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $353,826 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $562,517 | TotalAssetsBOYAmt |
| Total Assets EOY | $916,036 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,711 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,322 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $533,806 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $914,714 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | JACK'S BASKET IS A 501(C)3 NONPROFIT ORGANIZATION WITH A MISSION TO CELEBRATE BABIES WITH DOWN SYNDROME. WE SERVE EVERY BABY POSSIBLE WITH A PRIMARY FOCUS ON THOSE IN THE U.S. WE SUPPORT FAMILIES FROM TIME OF DIAGNOSIS TO BABY 1ST BIRTHDAY. WE DO THIS BETTER THAN ANY ORGANIZATION BY FOCUSING ON THREE PRIMARY ACTIVITIES: 1. ENGAGING, EDUCATING, AND EMPOWERING HEALTHCARE PROVIDERS TO COMMINICATE AND DISCUSS DOWN SYNDROME ACCURATELY WITHOUT BIAS, 2. INSPIRING AND CONNECTING NEW PARENTS WITH OTHER FAMILIES AND RECOURCES AND 3. BUILDING AWARENESS AND CHANGING THE NARRATIVE OF DOWN SYNDROME IN SOCIETY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $366,353 | ExpenseAmt |
| Desc | RESOURCES AND SUPPORT:JACK'S BASKET PROVIDES RESOURCES TO NEW FAMILIES AND AVENUES TO CONNECT WITHIN THE COMMUNITY. THEY PROVIDE INFORMATION FROM THE NATIONAL DOWN SYNDROME SOCIETY, HELP ME GROW, DOWN SYNDROME DIAGNOSIS NETWORK, DOWN SYNDROME ASSOCIATION OF MN, PACER MN, GIGI'S PLAYHOUSE, AND OTHER ORGANIZATIONS WITHIN THE COMMUNITY ALONG WITH BABY GIFTS IN CELEBRATION OF THE NEW BABY. NEW AND EXPECANT FAMILIES ARE PROVIDED THE RESOURCES BY WAY OF A BASKET CONTAINING A LETTER FROM JACK'S FAMILY, BROCHURES, BOOKS AND GIFTS TO CELEBRATE THEIR CHILD. DURING 2021, 1,326 BASKETS WERE DELIVERED THROUGHOUT THE UNITED STATES AND THE WORLD. SINCE INCEPTION NEARLY 5,000 BASKETS HAVE BEEN DELIVERED TO FAMILIES IN 50 STATES AND 12 COUNTRIES.JACK'S BASKET PROVIDES MEDICAL OUTREACH TO HEALTH CARE PROVIDERS THAT DELIVER A DIAGNOSIS OF DOWN SYNDROME TO NEW FAMILIES AND BEST PRACTICE WHEN SHARING THE UNEXPECTED NEWS. WE TRAIN AND PREPARE NURSES, GENETIC COUNSELORS, PHYSICIANS, SOCIAL WORKERS AND OTHER MEDICAL STAFF AT THE HOSPITAL AND CLINICS. | Desc |
| Total Program Service Expenses | $366,353 | 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 | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 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 | Yes (1) | 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 | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 7 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELLE TRAN PHELPS | PersonNm |
| Phone | 6512333740 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1170 RED FOX RD | AddressLine1Txt |
| City | ARDEN HILLS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55112 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| NIYATI PATEL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DR MICHELE OLSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR ERIN PLUMMER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DRE BARTHEL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GREG STALSBERG | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DR MICHAEL PITT | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SAM LACY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUSAN CORCORAN | ||||||
| CHAIR PERSON | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEAH ERICKSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE TRAN PHELPS | ||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CARISSA CARROLL | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $77,833 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $77,833 | 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 | $544,833 | FundraisingAmt |
| Government Grants | $25,000 | GovernmentGrantsAmt |
| All Other Contributions | $310,549 | AllOtherContributionsAmt |
| Noncash Contributions | $110,580 | NoncashContributionsAmt |
| Total Contributions | $880,382 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,001 | TotalRevenueColumnAmt |
| Exclusion | $2,001 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $120,238 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $544,833 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $135,900 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,662 | TotalRevenueColumnAmt |
| Exclusion | -$15,662 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $4,879 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,879 | TotalRevenueColumnAmt |
| Exclusion | $4,879 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| PPP FORGIVENESS | $25,000 | $25,000 |
| OTHER REVENUE | $809 | $809 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $25,809 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $897,409 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,027 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,834 | TotalAmt |
| Program Services | $23,350 | ProgramServicesAmt |
| Management And General | $15,567 | ManagementAndGeneralAmt |
| Fundraising | $38,917 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,886 | TotalAmt |
| Program Services | $107,541 | ProgramServicesAmt |
| Management And General | $8,247 | ManagementAndGeneralAmt |
| Fundraising | $5,098 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,634 | TotalAmt |
| Program Services | $4,113 | ProgramServicesAmt |
| Management And General | $877 | ManagementAndGeneralAmt |
| Fundraising | $1,644 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,655 | TotalAmt |
| Program Services | $7,827 | ProgramServicesAmt |
| Management And General | $3,914 | ManagementAndGeneralAmt |
| Fundraising | $3,914 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,712 | TotalAmt |
| Program Services | $370 | ProgramServicesAmt |
| Management And General | $1,391 | ManagementAndGeneralAmt |
| Fundraising | $951 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,584 | TotalAmt |
| Program Services | $5,396 | ProgramServicesAmt |
| Management And General | $20,308 | ManagementAndGeneralAmt |
| Fundraising | $13,880 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,049 | TotalAmt |
| Program Services | $688 | ProgramServicesAmt |
| Management And General | $2,591 | ManagementAndGeneralAmt |
| Fundraising | $1,770 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,167 | TotalAmt |
| Program Services | $3,797 | ProgramServicesAmt |
| Management And General | $360 | ManagementAndGeneralAmt |
| Fundraising | $13,010 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,993 | TotalAmt |
| Program Services | $4,453 | ProgramServicesAmt |
| Management And General | $7,229 | ManagementAndGeneralAmt |
| Fundraising | $5,311 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,725 | TotalAmt |
| Program Services | $9,324 | ProgramServicesAmt |
| Management And General | $2,446 | ManagementAndGeneralAmt |
| Fundraising | $1,955 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,890 | TotalAmt |
| Program Services | $17,747 | ProgramServicesAmt |
| Management And General | $3,227 | ManagementAndGeneralAmt |
| Fundraising | $5,916 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,516 | TotalAmt |
| Program Services | $4,107 | ProgramServicesAmt |
| Management And General | $2,452 | ManagementAndGeneralAmt |
| Fundraising | $5,957 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $713 | TotalAmt |
| Program Services | $471 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
| Fundraising | $156 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,805 | TotalAmt |
| Program Services | $2,512 | ProgramServicesAmt |
| Management And General | $457 | ManagementAndGeneralAmt |
| Fundraising | $836 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BASKET SUPPLIES | $132,600 | $132,600 | ||
| POSTAGE AND SHIPPING | $44,022 | $42,057 | $42 | $1,923 |
| MISCELLANEOUS | $6,798 | $6,798 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $543,583 | TotalAmt |
| Program Services | $366,353 | ProgramServicesAmt |
| Management And General | $75,992 | ManagementAndGeneralAmt |
| Fundraising | $101,238 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,537 | BOYAmt |
| EOY | $606,101 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,830 | BOYAmt |
| EOY | $256,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,372 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $713 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $5,659 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,150 | BOYAmt |
| EOY | $48,100 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,517 | BOYAmt |
| EOY | $916,036 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,711 | BOYAmt |
| EOY | $1,322 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,711 | BOYAmt |
| EOY | $1,322 | 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 | $533,806 | BOYAmt |
| EOY | $903,014 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $11,700 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $533,806 | BOYAmt |
| EOY | $914,714 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $562,517 | BOYAmt |
| EOY | $916,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $353,826 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $27,082 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| 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 | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $177,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,083 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $605,397 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $480,795 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $864,719 | CurrentTaxYearAmt |
| Total | $2,398,190 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $177,196 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $270,083 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $605,397 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $480,795 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $864,719 | CurrentTaxYearAmt |
| Total | $2,398,190 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $70,990 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,327,200 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $160 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,387 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,428 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,001 | CurrentTaxYearAmt |
| Total | $9,146 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,407,336 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $9,678 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96670 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95930 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $6,372 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $713 | DepreciationAmt |
| Book Value | $5,659 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,659 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| MERCHANDISE INVENTORY | $5,385 |
| OTHER PROGRAM ASSETS | $42,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $48,100 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CREDIT CARD PAYABLE | Desc |
| Amt | $1,322 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,322 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $897,408 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $897,408 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $897,408 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $537,790 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3,264 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3,264 | ExpensesNotReportedAmt |
| Expenses Subtotal | $534,526 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $9,057 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $9,057 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $543,583 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | CASH TO ACCRUAL ADJUSTMENTS FOR ACCOUNTS PAYABLE AND ACCRUED LIABILITIES |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CASH TO ACCRUAL ADJUSTMENTS RELATING TO PREPAID EXPENSES |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $647,975 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $535,237 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $112,738 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $18,750 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $21,469 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $26,278 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $66,695 | OtherDirectExpensesEvent1Amt |
| Event2 | BURGERS AND BASKET | Event2Nm |
| Gross Receipts Event2 | $17,096 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $9,596 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,500 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,709 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $665,071 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $544,833 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $120,238 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $18,750 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $21,469 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $26,278 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $69,404 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $135,901 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$15,663 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $53,843 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | AUCTION ITEMS | Desc |
| Contribution | 134 | ContributionCnt |
| Noncash Contributions Rpt F990 | $56,737 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COMPARABLE SALES | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | PRIOR TO FILING, A COPY OF FORM 990 IS REVIEWED BY THE TREASURER AND ANOTHER MEMBER OF THE BOARD. AFTER THE RETURN IS FILED, THE RETURN IS PRESENTED AT A BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY MONITORS THE CONFLICT OF INTEREST POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS REVIEWED PERIODICALLY BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES IT ARTICLES OF INCORPORATION, BYLAWS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER : PROGRAM SERVICE EXPENSES 688. MANAGEMENT AND GENERAL EXPENSES 2,591. FUNDRAISING EXPENSES 1,770. TOTAL EXPENSES 5,049. |
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