HEALTH OUTREACH FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH OUTREACH FOUNDATION (EIN 20-0869346)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202243199349311094
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T12:56:52-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 481142819 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEBUILDER TAX LEGAL SERVICES PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9325 PFLUMM RD | AddressLine1Txt |
| City | LENEXA | CityNm |
| State Abbreviation | KS | StateAbbreviationCd |
| ZIP | 662153347 | 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 | 200869346 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH OUTREACH FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 8163313057 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 481021 | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64148 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY SMITH | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8165609379 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JERRY | PersonFirstNm |
| Person Last | SMITH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KEVAN D ACORD | PreparerPersonNm |
| PTIN | P01074658 | PTIN |
| Phone | 9134926008 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
| 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 | JERRY SMITH | PrincipalOfficerNm |
| Gross Receipts | $161,009 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WORLDOUTREACHFOUNDATION.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | PROVIDED NEEDED HEALTH CARE AND DENTAL CARE TO THE HOMELESS OF KANSAS CITY AND IN REMOTE AREAS OF DEVELOPING AND ECONOMICALLY DEPRESSED COUNTRIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $278,711 | PYContributionsGrantsAmt |
| CY Contributions Grants | $144,613 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,158 | PYInvestmentIncomeAmt |
| CY Investment Income | $16,396 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$21,745 | PYOtherRevenueAmt |
| CY Other Revenue | -$57,073 | CYOtherRevenueAmt |
| PY Total Revenue | $267,124 | PYTotalRevenueAmt |
| CY Total Revenue | $103,936 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $97,100 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $92,027 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,048 | PYOtherExpensesAmt |
| CY Other Expenses | $52,979 | CYOtherExpensesAmt |
| PY Total Expenses | $215,148 | PYTotalExpensesAmt |
| CY Total Expenses | $145,006 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,976 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$41,070 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $403,899 | TotalAssetsBOYAmt |
| Total Assets EOY | $389,123 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,578 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,192 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $399,321 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $381,931 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PROVIDED NEEDED HEALTH CARE AND DENTAL CARE TO THE HOMELESS OF KANSAS CITY AND IN REMOTE AREAS OF DEVELOPING AND ECONOMICALLY DEPRESSED COUNTRIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $9,400 | ExpenseAmt |
| Desc | FUNDING AND ORGANIZATION OF MEDICAL AND HEALTH EDUCATION MISSION TRIPS TO UNDERSERVED COUNTRIES. ASSISTANCE THIS YEAR INCLUDED A MOBILE MEDICAL UNIT FOR MINOR MEDICAL CARE, DENTAL SURGERIES, AND CIRCUMCISIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $25,405 | ExpenseAmt |
| Desc | OPENED A MEDICAL CLINIC IN 2014 TO TREAT OUR LOCAL HOMELESS POPULATION, SERVING AROUND 1,000 PATIENTS PER YEAR, PROVIDING HEALTHCARE, PRESCRIPTIONS, DENTAL CARE AND DENTURE CARE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VARIOUS MISSION TRIP EXPENDITURES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $34,805 | 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 | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | 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 | false | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JERRY SMITH | PersonNm |
| Phone | 8165609379 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 481021 | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64148 | 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 |
|---|---|---|---|---|---|---|
| JERRY SMITH | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | Yes (X) | $63,276 | $0 | $17,988 |
| BOB BEARDSLEE | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRANDON CUSICK | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| JOHN FRYE | ||||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA HOPKINS | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| JOHN HUBBARD | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| MARIA KUNDSTADTER | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| CORAZAN ZAMORA RN | ||||||
| MEMBER | 10.00 | Yes (X) | $0 | $0 | $0 | |
| LEILA BUSCH RN | ||||||
| SECRETARY | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| TIMOTHY SMITH | ||||||
| MEMBER | 4.00 | Yes (X) | $0 | $0 | $0 | |
| RONDA WHITE | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $63,276 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $17,988 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $103,070 | FundraisingAmt |
| All Other Contributions | $41,543 | AllOtherContributionsAmt |
| Total Contributions | $144,613 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,024 | TotalRevenueColumnAmt |
| Exclusion | $8,024 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,372 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $8,372 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,372 | TotalRevenueColumnAmt |
| Exclusion | $8,372 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $103,070 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $57,073 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$57,073 | TotalRevenueColumnAmt |
| Exclusion | -$57,073 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $103,936 | TotalRevenueColumnAmt |
| Exclusion | -$40,677 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,264 | TotalAmt |
| Management And General | $81,264 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,428 | TotalAmt |
| Management And General | $4,428 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,335 | TotalAmt |
| Management And General | $6,335 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,363 | TotalAmt |
| Management And General | $6,363 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423 | TotalAmt |
| Management And General | $423 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,808 | TotalAmt |
| Management And General | $2,808 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755 | TotalAmt |
| Management And General | $755 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,443 | TotalAmt |
| Management And General | $4,443 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,400 | TotalAmt |
| Program Services | $9,400 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53 | TotalAmt |
| Program Services | $53 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,872 | TotalAmt |
| Program Services | $10,872 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $14,480 | $14,480 | |
| BANK FEES AND FINANCE CHA | $2,909 | $2,909 | |
| MISCELLANEOUS EXPENSE | $332 | $332 | |
| TRAINING AND DEVELOPMENT | $85 | $85 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31 | TotalAmt |
| Management And General | $31 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,006 | TotalAmt |
| Program Services | $34,805 | ProgramServicesAmt |
| Management And General | $110,201 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,556 | BOYAmt |
| EOY | $43,213 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,686 | BOYAmt |
| EOY | $11,686 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303 | BOYAmt |
| EOY | $1,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,512 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,465 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100 | BOYAmt |
| EOY | $47 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,254 | BOYAmt |
| EOY | $332,874 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,899 | BOYAmt |
| EOY | $389,123 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,578 | BOYAmt |
| EOY | $7,192 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,578 | BOYAmt |
| EOY | $7,192 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,621 | BOYAmt |
| EOY | $125,621 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,700 | BOYAmt |
| EOY | $256,310 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,321 | BOYAmt |
| EOY | $381,931 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,899 | BOYAmt |
| EOY | $389,123 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$41,070 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,547 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $2,133 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| 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 | $359,794 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $390,782 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $420,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $278,711 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,613 | CurrentTaxYearAmt |
| Total | $1,594,524 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50 | CurrentTaxYearMinus4YearsAmt |
| Total | $50 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $359,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $390,782 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $420,624 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $278,711 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,613 | CurrentTaxYearAmt |
| Total | $1,594,574 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $160,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $123,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,800 | CurrentTaxYearAmt |
| Total | $608,443 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $160,888 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $146,705 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $123,660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $102,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $74,800 | CurrentTaxYearAmt |
| Total | $608,443 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $986,131 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,024 | CurrentTaxYearAmt |
| Total | $35,895 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,532 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,024 | CurrentTaxYearAmt |
| Total | $35,895 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $364,123 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $399,314 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $428,417 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $285,978 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $152,637 | CurrentTaxYearAmt |
| Total | $1,630,469 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.60480 | PublicSupportCY509Pct |
| Public Support PY509 | 0.65160 | PublicSupportPY509Pct |
| Investment Income CY | 0.02000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | 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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,512 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,465 | DepreciationAmt |
| Book Value | $47 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $47 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| AMERICAN FUNDS - GENERAL ENDOWMENT F | $265,289 | F |
| AMERICAN FUNDS - UNREALIZED GAIN/LOS | $49,745 | F |
| AMERICAN FUNDS - HOPKINS ENDOWMENT | $9,965 | F |
| AMERICAN FUNDS | $4,823 | F |
| AMERICAN FUNDS - UNREALIZED GAIN/LOS | $3,052 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $332,874 | TotalBookValueSecuritiesAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF CLASSIC FU | Event1Nm |
| Gross Receipts Event1 | $101,870 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $101,870 | CharitableContriEvent1Amt |
| Cash Prizes Event1 | $2,700 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $34,799 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,422 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $10,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $8,152 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $101,870 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $101,870 | CharitableContributionsTotAmt |
| Cash Prizes Total Events | $2,700 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $34,799 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,422 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $10,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,152 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $57,073 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$57,073 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | VARIOUS MISSION TRIP EXPENDITURES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
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