CHURCH MISSION OF HELP OF WESTERN NEW YORK INC: Form 990, tax year 2021
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- Organization
- CHURCH MISSION OF HELP OF WESTERN NEW YORK INC (EIN 16-0743964)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-31
- IRS object ID
- 202243049349302454
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-31T17:15:20-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 475544318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barbara A Hauser CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4535 Southwestern Blvd Suite 803B | AddressLine1Txt |
| City | Hamburg | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14075 | 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 | 160743964 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHURCH MISSION OF HELP OF WNY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHUR | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 WEST UTICA STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW MATTLE | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Phone | 7168847569 | PhoneNum |
| Signature | 2022-05-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ANDREW | PersonFirstNm |
| Person Last | MATTLE | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Barbara A Hauser | PreparerPersonNm |
| PTIN | P00060136 | PTIN |
| Phone | 7166498605 | PhoneNum |
| Preparation | 2022-10-31 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| 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 | AARON KAISER POMERANTZ | PrincipalOfficerNm |
| Gross Receipts | $873,285 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CMHCOUNSELING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | CHURCH MISSION OF HELP PROMOTES EMOTIONAL WELL-BEING THROUGH PROFESSIONAL COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES AND FAMILIES IN AN ENVIRONMENT DISTINGUISHED BY COMPASSION AND HOPE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 10 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $133,665 | PYContributionsGrantsAmt |
| CY Contributions Grants | $98,181 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $509,780 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $573,363 | CYProgramServiceRevenueAmt |
| PY Investment Income | $45,169 | PYInvestmentIncomeAmt |
| CY Investment Income | $43,362 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $688,614 | PYTotalRevenueAmt |
| CY Total Revenue | $714,906 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $390,983 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $452,583 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $668 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $169,076 | PYOtherExpensesAmt |
| CY Other Expenses | $176,659 | CYOtherExpensesAmt |
| PY Total Expenses | $560,059 | PYTotalExpensesAmt |
| CY Total Expenses | $629,242 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $128,555 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $85,664 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,041,459 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,167,881 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,222 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,852 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,024,237 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,149,029 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CHURCH MISSION OF HELP PROMOTES EMOTIONAL WELL-BEING THROUGH PROFESSIONAL COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES AND FAMILIES IN AN ENVIRONMENT DISTINGUISHED BY COMPASSION AND HOPE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $502,909 | ExpenseAmt |
| Revenue | $573,363 | RevenueAmt |
| Desc | PROVIDE COUNSELING AND TREATMENT OF INDIVIDUALS, COUPLES, AND FAMILIES | Desc |
| Total Program Service Expenses | $502,909 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 10 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHELLY HORAN | PersonNm |
| Phone | 7168847569 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 WEST UTICA STREET | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14222 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| ANDREW MATTLE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $43,041 | $0 | $0 | |
| RICHARD HIGGINS | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MARSHA BUHL | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| HOGARTH DE L PLANTE | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| ANGELA PALMER | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| REV STEPHEN LANE | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| JOSEPH REKRUT | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| KATHRYN DIEBOLD | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| RICHARD GEHRING | |||||||
| DIRECTOR | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| HOLLY HAHN-BAKER | |||||||
| SECRETARY | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| AARON KAISER POMERANTZ | |||||||
| PRESIDENT | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| EMILIE ROSENBLUTH | |||||||
| VICE PRESIDENT | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN CZARNECKI | |||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $43,041 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $1,596 | FederatedCampaignsAmt |
| Fundraising | $33,266 | FundraisingAmt |
| All Other Contributions | $63,319 | AllOtherContributionsAmt |
| Total Contributions | $98,181 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEE FOR SERVICE | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $573,363 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $573,363 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $573,363 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $28,186 | TotalRevenueColumnAmt |
| Exclusion | $28,186 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $173,555 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $158,379 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,176 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,176 | TotalRevenueColumnAmt |
| Exclusion | $15,176 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $33,266 | ContriRptFundraisingEventAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $714,906 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $573,363 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $43,362 | 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 | $105,401 | TotalAmt |
| Program Services | $84,323 | ProgramServicesAmt |
| Management And General | $21,078 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,613 | TotalAmt |
| Program Services | $222,484 | ProgramServicesAmt |
| Management And General | $69,129 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,014 | TotalAmt |
| Program Services | $12,375 | ProgramServicesAmt |
| Management And General | $3,639 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,194 | TotalAmt |
| Program Services | $7,878 | ProgramServicesAmt |
| Management And General | $2,316 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,361 | TotalAmt |
| Program Services | $22,690 | ProgramServicesAmt |
| Management And General | $6,671 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,900 | TotalAmt |
| Management And General | $3,900 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,225 | TotalAmt |
| Management And General | $4,225 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,050 | TotalAmt |
| Program Services | $92,050 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,898 | TotalAmt |
| Program Services | $15,377 | ProgramServicesAmt |
| Management And General | $4,521 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,850 | TotalAmt |
| Program Services | $13,022 | ProgramServicesAmt |
| Management And General | $3,828 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $947 | TotalAmt |
| Program Services | $947 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,094 | TotalAmt |
| Program Services | $3,164 | ProgramServicesAmt |
| Management And General | $930 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,774 | TotalAmt |
| Program Services | $19,425 | ProgramServicesAmt |
| Management And General | $3,349 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM MATERIALS | $9,174 | $9,174 | ||
| PAYROLL PREP SERVICE | $2,079 | $2,079 | ||
| FUNDRAISING COSTS | $668 | $668 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $629,242 | TotalAmt |
| Program Services | $502,909 | ProgramServicesAmt |
| Management And General | $125,665 | ManagementAndGeneralAmt |
| Fundraising | $668 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,629 | BOYAmt |
| EOY | $126,994 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,294 | BOYAmt |
| EOY | $60,419 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,949 | BOYAmt |
| EOY | $8,710 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $269,525 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $199,812 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,807 | BOYAmt |
| EOY | $69,713 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $812,780 | BOYAmt |
| EOY | $902,045 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,459 | BOYAmt |
| EOY | $1,167,881 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,222 | BOYAmt |
| EOY | $18,852 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,222 | BOYAmt |
| EOY | $18,852 | 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 | $868,973 | BOYAmt |
| EOY | $976,988 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,264 | BOYAmt |
| EOY | $172,041 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,024,237 | BOYAmt |
| EOY | $1,149,029 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,041,459 | BOYAmt |
| EOY | $1,167,881 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $85,664 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $52,076 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$12,948 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $164,603 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $80,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,987 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133,665 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $98,181 | CurrentTaxYearAmt |
| Total | $537,636 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $504,856 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $452,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $467,281 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $509,780 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $573,363 | CurrentTaxYearAmt |
| Total | $2,507,464 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $669,459 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $532,384 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $528,268 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $643,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $671,544 | CurrentTaxYearAmt |
| Total | $3,045,100 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,045,100 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,896 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,617 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,186 | CurrentTaxYearAmt |
| Total | $112,541 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,315 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,896 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,617 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,186 | CurrentTaxYearAmt |
| Total | $112,541 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $683,774 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $550,280 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $546,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $677,062 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $699,730 | CurrentTaxYearAmt |
| Total | $3,157,641 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96440 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96860 | PublicSupportPY509Pct |
| Investment Income CY | 0.04000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03000 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $812,780 | BeginningYearBalanceAmt |
| Contributions | $11,000 | ContributionsAmt |
| Investment Earnings Or Losses | $82,490 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $4,225 | AdministrativeExpensesAmt |
| End Year Balance | $902,045 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $753,250 | BeginningYearBalanceAmt |
| Contributions | $45,000 | ContributionsAmt |
| Investment Earnings Or Losses | $60,760 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $42,652 | OtherExpendituresAmt |
| Administrative Expenses | $3,578 | AdministrativeExpensesAmt |
| End Year Balance | $812,780 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $663,236 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $96,058 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,044 | OtherExpendituresAmt |
| End Year Balance | $753,250 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $703,933 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$31,568 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,836 | OtherExpendituresAmt |
| Administrative Expenses | $3,293 | AdministrativeExpensesAmt |
| End Year Balance | $663,236 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $564,415 | BeginningYearBalanceAmt |
| Contributions | $80,567 | ContributionsAmt |
| Investment Earnings Or Losses | $67,547 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,077 | OtherExpendituresAmt |
| Administrative Expenses | $2,519 | AdministrativeExpensesAmt |
| End Year Balance | $703,933 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.81000 | BoardDesignatedBalanceEOYPct |
| Term Endowment Balance EOY | 0.19000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,000 | OtherCostOrOtherBasisAmt |
| Book Value | $35,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,037 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,037 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,970 | OtherCostOrOtherBasisAmt |
| Depreciation | $94,970 | DepreciationAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $123,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $88,805 | DepreciationAmt |
| Book Value | $34,713 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,713 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $749,809 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $52,076 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,228 | OtherRevenueAmt |
| Revenue Not Reported | $54,304 | RevenueNotReportedAmt |
| Revenue Subtotal | $695,505 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $4,225 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $15,176 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $19,401 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $714,906 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $625,017 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $625,017 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $4,225 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $4,225 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $629,242 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other revenues not included on Form 990 (Part XI, line 2d) | REALIZED GAIN FMV $2,228 |
| Other revenues included on Form 990 (Part XI, line 4b) | REALIZED GAIN - COST BASIS $15,176 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL FUNDR | Event1Nm |
| Gross Receipts Event1 | $20,520 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $20,520 | GrossRevenueEvent1Amt |
| Event2 | HOLIDAY GIVI | Event2Nm |
| Gross Receipts Event2 | $12,746 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $12,746 | GrossRevenueEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Total | $33,266 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $33,266 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $33,266 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | GOVERNING BOARD PROVIDED COPIES. PRIOR TO SIGNING, IT WILL BE REVIEWED. |
| Governing documents etc available to public Part VI line 19 | NO FORMAL PLANNED DISCLOSURE AT THIS TIME |
| Explanation of other changes in net assets or fund balances Part XI line 9 | INVESTMENTS BASIS IS FAIR MARKET VALUE ON FINANCIAL STATEMENT AND COST BASIS FOR THE TAX RETURN.REALIZED GAIN (LOSS) FINANCIALS FMV BASIS $ 2,228REALIZED GAIN TAX RETURN COST BASIS ($ 15,176)NET ($ 12,948) |
| List of other fees for services expenses Part IX line 11g | CONTRACTED MENTAL HEALTH PROFESSIONALS $92,050 |
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