S L I MCLAUGHLIN HOUSE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
S L I MCLAUGHLIN HOUSE INC (EIN 04-3463779)
Tax period
2020-04-01 to 2021-03-31
Filed
2021-08-11
IRS object ID
202112239349302251
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2021-08-11T15:27:27-05:00ReturnTs
Tax Period End2021-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043097400PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KEVIN P MARTIN & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 FORBES ROADAddressLine1Txt
CityBRAINTREECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02184ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043463779EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SLI MCLAUGHLIN HOUSE INCBusinessNameLine1Txt
Business Name Line2C/O SUPPORTIVE LIVING INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSLIMBusinessNameControlTxt
Phone7819373199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST CUMMINGS PARK NO 6100AddressLine1Txt
CityWOBURNCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018016519ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER NOONANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7819373199PhoneNum
Signature2021-08-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPETERPersonFirstNm
Person LastNOONANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOLANTA TUCK CPAPreparerPersonNm
PTINP01340068PTIN
Phone7813803520PhoneNum
Preparation2021-08-02PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPETER NOONANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST CUMMINGS PARK NO 6100AddressLine1Txt
CityWOBURNCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018016519ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$195,685GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSUPPORTIVELIVINGINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionPROVIDE AFFORDABLE HOUSING TO BRAIN INJURED SURVIVORSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$131,566PYContributionsGrantsAmt
CY Contributions Grants$157,954CYContributionsGrantsAmt
PY Program Service Revenue$33,106PYProgramServiceRevenueAmt
CY Program Service Revenue$33,978CYProgramServiceRevenueAmt
PY Investment Income$45PYInvestmentIncomeAmt
CY Investment Income$5CYInvestmentIncomeAmt
PY Other Revenue$3,720PYOtherRevenueAmt
CY Other Revenue$3,748CYOtherRevenueAmt
PY Total Revenue$168,437PYTotalRevenueAmt
CY Total Revenue$195,685CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$198,098PYOtherExpensesAmt
CY Other Expenses$197,811CYOtherExpensesAmt
PY Total Expenses$198,098PYTotalExpensesAmt
CY Total Expenses$197,811CYTotalExpensesAmt
PY Revenues Less Expenses-$29,661PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,126CYRevenuesLessExpensesAmt
Total Assets BOY$695,472TotalAssetsBOYAmt
Total Assets EOY$678,953TotalAssetsEOYAmt
Total Liabilities BOY$858,242TotalLiabilitiesBOYAmt
Total Liabilities EOY$843,849TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$162,770NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$164,896NetAssetsOrFundBalancesEOYAmt
MissionTO CREATE APPROPRIATE AND AFFORDABLE LIFE-LONG SUPPORTIVE HOUSING OPTIONS THAT WILL ENABLE SURVIVORS OF BRAIN INJURY TO LIVE WITH DIGNITY AND ACHIEVE THEIR HIGHEST LEVEL OF INDEPENDENCE IN THE COMMUNITYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$131,898ExpenseAmt
Revenue$37,726RevenueAmt
DescOWN AND OPERATE A GROUP HOME CONSISTING OF EIGHT UNITS OF AFFORDABLE HOUSING FOR INDIVIDUALS THAT HAVE SUFFERED BRAIN INJURIES. TENANTS ARE REQUIRED TO MEET HUD ESTABLISHED GUIDELINES.Desc
Total Program Service Expenses$131,898TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPETER NOONANPersonNm
Phone7819373199PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 WEST CUMMINGS PARKAddressLine1Txt
CityWOBURNCityNm
State AbbreviationMAStateAbbreviationCd
ZIP018016519ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DARRYL FESS
DIRECTOR2.503.50Yes (X)$0$0$0
TIM KELLIHER MD
DIRECTOR2.503.50Yes (X)$0$0$0
KRYSTYN VAN VLIET
DIRECTOR2.503.50Yes (X)$0$0$0
CARROL STEPHENS
CHAIR2.5022.50Yes (X)$0$0$0Yes (X)
PETER ROBBINS
CLERK2.504.50Yes (X)$0$0$0Yes (X)
EDWARD RENDAL
TREASURER2.503.50Yes (X)$0$0$0Yes (X)
PETER NOONAN
PRESIDENT2.5042.50$0$104,831$8,113Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$104,831TotReportableCompRltdOrgAmt
Total Other Compensation$8,113TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$157,954GovernmentGrantsAmt
Total Contributions$157,954TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescTENANT RENTAL INCOMEDesc
Business531390BusinessCd
Total Revenue Column$33,978TotalRevenueColumnAmt
Related Or Exempt Func Income$33,978RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$33,978TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLAUNDRY & VENDING REVEDesc
Business531390BusinessCd
Total Revenue Column$3,748TotalRevenueColumnAmt
Related Or Exempt Func Income$3,748RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,748OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$195,685TotalRevenueColumnAmt
Related Or Exempt Func Income$37,726RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$14,470TotalAmt
Management And General$14,470ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,570TotalAmt
Management And General$14,570ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,628TotalAmt
Program Services$2,561ProgramServicesAmt
Management And General$20,067ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,806TotalAmt
Management And General$16,806ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$75,276TotalAmt
Program Services$75,276ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,881TotalAmt
Program Services$53,881ProgramServicesAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISC. TAXES, LICENSES,Desc
Total$180TotalAmt
Program Services$180ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$197,811TotalAmt
Program Services$131,898ProgramServicesAmt
Management And General$65,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,764BOYAmt
EOY$14,296EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,539BOYAmt
EOY$19,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,659,182LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,043,842LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$669,221BOYAmt
EOY$615,340EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$16,948BOYAmt
EOY$29,628EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$695,472BOYAmt
EOY$678,953EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$34,738BOYAmt
EOY$21,243EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$2,882BOYAmt
EOY$1,984EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$754,931BOYAmt
EOY$754,931EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,691BOYAmt
EOY$65,691EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$858,242BOYAmt
EOY$843,849EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$162,770BOYAmt
EOY-$164,896EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$162,770BOYAmt
EOY-$164,896EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$695,472BOYAmt
EOY$678,953EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,126ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$131,566CurrentTaxYearMinus1YearAmt
Current Tax Year$157,954CurrentTaxYearAmt
Total$289,520TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$123,355CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$136,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,106CurrentTaxYearMinus1YearAmt
Current Tax Year$33,978CurrentTaxYearAmt
Total$462,249TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$123,355CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$136,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,672CurrentTaxYearMinus1YearAmt
Current Tax Year$191,932CurrentTaxYearAmt
Total$751,769TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$751,769PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$146TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$31CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$146TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,720CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,560CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,720CurrentTaxYearMinus1YearAmt
Current Tax Year$3,748CurrentTaxYearAmt
Total$18,598TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$139,466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,931CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$139,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$168,437CurrentTaxYearMinus1YearAmt
Current Tax Year$195,685CurrentTaxYearAmt
Total$770,513TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97570PublicSupportCY509Pct
Public Support PY5090.97350PublicSupportPY509Pct
Investment Income CY0.00020InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationLAUNDRY MISCELLANEOUS INCOME - 2016 AMOUNT: $ 3,720. 2017 AMOUNT: $ 3,560. 2018 AMOUNT: $ 3,850. 2019 AMOUNT: $ 3,720. 2020 AMOUNT: $ 3,748.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$171,335OtherCostOrOtherBasisAmt
Book Value$171,335BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,237,379OtherCostOrOtherBasisAmt
Depreciation$889,675DepreciationAmt
Book Value$347,704BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,324OtherCostOrOtherBasisAmt
Depreciation$107,068DepreciationAmt
Book Value$90,256BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,144OtherCostOrOtherBasisAmt
Depreciation$47,099DepreciationAmt
Book Value$6,045BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$615,340TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLOAN PAYABLE - RELATED PARTYDesc
Amt$65,691Amt
FieldValueIRS element (for citing)
Total Liability$65,691TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$195,685TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$195,685RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$195,685TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$197,811TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$197,811ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$197,811TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ORGANIZATION REPORTED $2,254 IN TENANT/PATIENT DEPOSITS HELD IN TRUST AS OF MARCH 31, 2021.
PART X, LINE 2:MANAGEMENT HAS EVALUATED SIGNIFICANT TAX POSITIONS AGAINST THE CRITERIA ESTABLISHED BY PROFESSIONAL STANDARDS AND BELIEVES THERE ARE NO SUCH TAX POSITION REQUIRING ACCOUNTING RECOGNTION IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE ITS EVALUATION OF TAX POSITIONS WILL SIGNIFICANTLY CHANGE WITHIN 12 MONTHS OF MARCH 31, 2021. ANY CHANGES IN TAX POSITIONS WILL BE RECORDED WHEN THE ULTIMATE OUTCOME BECOMES KNOWN. THE CORPORATION'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES GENERALLY FOR THREE YEARS PRECEDING THE YEAR ENDED MARCH 31, 2021.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3PROPERTY MANAGEMENT SERVICES ARE PROVIDED BY SUPPORTIVE LIVING INC. (SLI) (THE SPONSOR) PURSUANT TO A MANAGEMENT AGREEMENT. THE AGREEMENT IS FOR A PERIOD OF AN INITIAL TERM OF ONE YEAR AND PROVIDES FOR AUTOMATIC ANNUAL RENEWALS THEREAFTER. THE MANAGEMENT FEE IS BASED ON 8.0% OF RESIDENTIAL INCOME COLLECTED. FOR THE YEAR ENDED MARCH 31, 2021, THE CORPORATION INCURRED PROPERTY MANAGEMENT FEES OF $14,470.
FORM 990, PART VI, SECTION A, LINE 8BALL BOARD MINUTES ARE DOCUMENTED
FORM 990, PART VI, SECTION B, LINE 11BONE OF THE OFFICERS OR DIRECTORS SIGNS THE FORM 990 AFTER IT IS REVIEWED BY BOTH THE TREASURER AND EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S OFFICE.
FORM 990, PART IX, LINE 11GMANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 2,561. MANAGEMENT AND GENERAL EXPENSES 20,067. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,628.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SUPPORTIVE LIVING INC
400 WEST CUMMINGS PARKWOBURNMA01801043119424PROVIDE AFFORDABLE HOUSING TO BRAIN INJURED SURVIVORSMA501(C)(3)LINE 11N/A0
SLI WARREN HOUSE INC
400 WEST CUMMINGS PARKWOBURNMA01801043261931PROVIDE AFFORDABLE HOUSING TO BRAIN INJURED SURVIVORSMA501(C)(3)LINE 110SUPPORTIVE LIVING INC
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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