KIDS IN NEED OF DENTISTRY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
KIDS IN NEED OF DENTISTRY (EIN 84-6038681)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-04
IRS object ID
202113089349304601
Schema version
2020v4.0
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

FieldValueIRS element (for citing)
Return2021-11-04T17:38:31-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203746583PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TAYLOR ROTH AND COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 GRANT ST STE 205AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP802032944ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN846038681EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIDS IN NEED OF DENTISTRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKIDSBusinessNameControlTxt
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING ST STE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELLIE BURBEEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3037333710PhoneNum
Signature2021-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstELLIEPersonFirstNm
Person LastBURBEEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEN ROTHPreparerPersonNm
PTINP01389203PTIN
Phone3038308109PhoneNum
Preparation2021-11-04PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELLIE BURBEEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING SUITE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,079,824GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KINDSMILES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$400,415PYContributionsGrantsAmt
CY Contributions Grants$776,147CYContributionsGrantsAmt
PY Program Service Revenue$651,933PYProgramServiceRevenueAmt
CY Program Service Revenue$226,380CYProgramServiceRevenueAmt
PY Investment Income$2,775PYInvestmentIncomeAmt
CY Investment Income$2,930CYInvestmentIncomeAmt
PY Other Revenue$153,332PYOtherRevenueAmt
CY Other Revenue$45,438CYOtherRevenueAmt
PY Total Revenue$1,208,455PYTotalRevenueAmt
CY Total Revenue$1,050,895CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$862,706PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$766,155CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$46,138CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$139,409CYTotalFundraisingExpenseAmt
PY Other Expenses$331,305PYOtherExpensesAmt
CY Other Expenses$292,984CYOtherExpensesAmt
PY Total Expenses$1,194,011PYTotalExpensesAmt
CY Total Expenses$1,105,277CYTotalExpensesAmt
PY Revenues Less Expenses$14,444PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$54,382CYRevenuesLessExpensesAmt
Total Assets BOY$739,872TotalAssetsBOYAmt
Total Assets EOY$791,879TotalAssetsEOYAmt
Total Liabilities BOY$90,588TotalLiabilitiesBOYAmt
Total Liabilities EOY$196,977TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$649,284NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$594,902NetAssetsOrFundBalancesEOYAmt
MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$859,170ExpenseAmt
DescKIND PROVIDES PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES. DONATED DENTAL SERVICES, SUPPLIES AND FACILITIES USED IN THE PROGRAM IN 2020 TOTALED 270,969. IN TOTAL, 5,809 CHILDREN RECEIVED DENTAL CARE, 1,433 FAMILIES RECEIVED NEEDED DENTAL PRODUCTS VIA KIND CARES KITS, AND 541,000 IN FREE OR REDUCED PRICE DENTAL TREATMENT WAS PROVIDED IN 2020.Desc
Total Program Service Expenses$859,170TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee22EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELLIE BURBEEPersonNm
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING STREET SUITE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
PAUL JEREZ
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
ELLIOTT CARSON
VP/PRESIDENT2.00Yes (X)Yes (X)$0$0$0
MARK COLLIER
IMMEDIATE PA2.00Yes (X)Yes (X)$0$0$0
CLARISA HERNANDEZ
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JOSH AUSTIN
TREASURER2.00Yes (X)Yes (X)$0$0$0
DR ISAAC CHUNG DDS
MEMBER1.00Yes (X)$0$0$0
DR ELIZABETH CRESPI DDS
MEMBER1.00Yes (X)$0$0$0
JASON LANGLEY
MEMBER1.00Yes (X)$0$0$0
ROSA MELENDEZ-NGUYEN
MEMBER1.00Yes (X)$0$0$0
DR KEVIN PATTERSON DDS MD
MEMBER1.00Yes (X)$0$0$0
PAM SLETTEN
MEMBER1.00Yes (X)$0$0$0
STEPHEN STRECKER
MEMBER1.00Yes (X)$0$0$0
ELLIE BURBEE
EXECUTIVE DI40.00Yes (X)$114,882$0$5,651
FieldValueIRS element (for citing)
Total Reportable Comp From Org$114,882TotalReportableCompFromOrgAmt
Total Other Compensation$5,651TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$167,500GovernmentGrantsAmt
All Other Contributions$608,647AllOtherContributionsAmt
Noncash Contributions$37,029NoncashContributionsAmt
Total Contributions$776,147TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business621300BusinessCd
Total Revenue Column$226,380TotalRevenueColumnAmt
Related Or Exempt Func Income$226,380RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$226,380TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,930TotalRevenueColumnAmt
Exclusion$2,930ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$58,207FundraisingGrossIncomeAmt
Fundraising Direct Expenses$28,929FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,278TotalRevenueColumnAmt
Exclusion$29,278ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$16,160TotalRevenueColumnAmt
Related Or Exempt Func Income$16,160RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$16,160OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,050,895TotalRevenueColumnAmt
Related Or Exempt Func Income$242,540RelatedOrExemptFuncIncomeAmt
Exclusion$32,208ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$120,533TotalAmt
Program Services$107,315ProgramServicesAmt
Management And General$1,249ManagementAndGeneralAmt
Fundraising$11,969FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$568,585TotalAmt
Program Services$505,686ProgramServicesAmt
Management And General$5,170ManagementAndGeneralAmt
Fundraising$57,729FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,472TotalAmt
Program Services$16,763ProgramServicesAmt
Management And General$702ManagementAndGeneralAmt
Fundraising$1,007FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,565TotalAmt
Program Services$53,147ProgramServicesAmt
Management And General$2,226ManagementAndGeneralAmt
Fundraising$3,192FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$125TotalAmt
Program Services$125ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,593TotalAmt
Management And General$51,593ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$46,138TotalAmt
Fundraising$46,138FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$47,162TotalAmt
Program Services$43,662ProgramServicesAmt
Fundraising$3,500FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,928TotalAmt
Program Services$1,822ProgramServicesAmt
Management And General$215ManagementAndGeneralAmt
Fundraising$5,891FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$46,217TotalAmt
Program Services$33,593ProgramServicesAmt
Management And General$7,360ManagementAndGeneralAmt
Fundraising$5,264FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,922TotalAmt
Program Services$6,410ProgramServicesAmt
Management And General$646ManagementAndGeneralAmt
Fundraising$2,866FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,234TotalAmt
Program Services$11,460ProgramServicesAmt
Management And General$774ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,665TotalAmt
Program Services$1,510ProgramServicesAmt
Management And General$83ManagementAndGeneralAmt
Fundraising$72FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,259TotalAmt
Program Services$964ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt
Fundraising$153FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$883TotalAmt
Management And General$883ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,297TotalAmt
Management And General$30,297ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,002TotalAmt
Program Services$14,147ProgramServicesAmt
Management And General$2,428ManagementAndGeneralAmt
Fundraising$427FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM & OFFICE SUPPLIES$52,560$51,921$549$90
STAFF DEVELOPMENT$10,734$8,331$1,336$1,067
VOLUNTEERS$2,263$2,031$190$42
OTHER EXPENSES$1,140$283$855$2

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,105,277TotalAmt
Program Services$859,170ProgramServicesAmt
Management And General$106,698ManagementAndGeneralAmt
Fundraising$139,409FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$124,580BOYAmt
EOY$290,287EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$250,819BOYAmt
EOY$253,749EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$95,000BOYAmt
EOY$85,188EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$203,428BOYAmt
EOY$68,002EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$9,403BOYAmt
EOY$6,762EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$215,429LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$127,538LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$56,642BOYAmt
EOY$87,891EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$739,872BOYAmt
EOY$791,879EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,426BOYAmt
EOY$127,741EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$56,365EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,162BOYAmt
EOY$12,871EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,588BOYAmt
EOY$196,977EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$515,279BOYAmt
EOY$514,902EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$134,005BOYAmt
EOY$80,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$649,284BOYAmt
EOY$594,902EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$739,872BOYAmt
EOY$791,879EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$54,382ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$363,998CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$335,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$368,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$400,415CurrentTaxYearMinus1YearAmt
Current Tax Year$776,147CurrentTaxYearAmt
Total$2,245,499TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$363,998CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$335,974CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$368,965CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$400,415CurrentTaxYearMinus1YearAmt
Current Tax Year$776,147CurrentTaxYearAmt
Total$2,245,499TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$781SubstantialContributorsTotAmt
Public Support Total170$2,244,718PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,742CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,775CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,775CurrentTaxYearMinus1YearAmt
Current Tax Year$2,930CurrentTaxYearAmt
Total$14,012TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,090CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,121CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,466CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$153,332CurrentTaxYearMinus1YearAmt
Current Tax Year$45,438CurrentTaxYearAmt
Total$451,447TotalAmt
FieldValueIRS element (for citing)
Total Support$2,710,958TotalSupportAmt
Gross Receipts Rltd Activities$2,885,792GrossReceiptsRltdActivitiesAmt
Public Support CY1700.82800PublicSupportCY170Pct
Public Support PY1700.69850PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationSPECIAL EVENTS NET 386,074 ALL OTHER 30,998 INSURANCE PROCEEDS 34,375ExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,963OtherCostOrOtherBasisAmt
Depreciation$63,053DepreciationAmt
Book Value$70,910BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,732OtherCostOrOtherBasisAmt
Depreciation$20,833DepreciationAmt
Book Value$11,899BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,418OtherCostOrOtherBasisAmt
Depreciation$31,360DepreciationAmt
Book Value$1,058BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$83,867TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONDesc
Amt$12,871Amt
FieldValueIRS element (for citing)
Total Liability$12,871TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,306,278TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$255,383DonatedServicesAndUseFcltsAmt
Revenue Not Reported$255,383RevenueNotReportedAmt
Revenue Subtotal$1,050,895RevenueSubtotalAmt
Total Revenue Per Form990$1,050,895TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,360,660TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$255,383DonatedServicesUseFcltsAmt
Expenses Not Reported$255,383ExpensesNotReportedAmt
Expenses Subtotal$1,105,277ExpensesSubtotalAmt
Total Expenses Per Form990$1,105,277TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$58,207GrossReceiptsEvent1Amt
Gross Revenue Event1$58,207GrossRevenueEvent1Amt
Other Direct Expenses Event1$28,929OtherDirectExpensesEvent1Amt
Gross Receipts Total$58,207GrossReceiptsTotalAmt
Gross Revenue Total Events$58,207GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$28,929OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,929DirectExpenseSummaryEventsAmt
Net Income Summary$29,278NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMATERIALSDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$37,029NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 IS REVIEWED BY THE EXECUTIVE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 12CDIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY, AND ARE ASKED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15AEXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.

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