FIREFIGHTERS FOR HEALING: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- FIREFIGHTERS FOR HEALING (EIN 80-0717709)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202113199349323691
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T16:19:47-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411431613 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERGANKDV LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 PARK AVE S | AddressLine1Txt |
| City | ST CLOUD | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800717709 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIREFIGHTERS FOR HEALING | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FIRE | BusinessNameControlTxt |
| Phone | 6127015055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 374 | AddressLine1Txt |
| City | CHAMPLIN | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55316 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACOB LAFERRIERE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6127015055 | PhoneNum |
| Signature | 2021-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JACOB | PersonFirstNm |
| Person Last | LAFERRIERE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARIE A PRIMUS CPA | PreparerPersonNm |
| PTIN | P01272184 | PTIN |
| Phone | 3202517010 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JACOB LAFERRIERE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 374 | AddressLine1Txt |
| City | CHAMPLIN | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55316 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $879,334 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.FIREFIGHTERSFORHEALING.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | IDENTIFY AND SUPPORT FAMILIES AND INDIVIDUALS IMPACTED BY FIRES, VIA FINANCIAL ASSISTANCE AND PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Volunteers | 45 | TotalVolunteersCnt |
| Total Gross UBI | -$10,789 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $802,887 | PYContributionsGrantsAmt |
| CY Contributions Grants | $384,273 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $645 | PYInvestmentIncomeAmt |
| CY Investment Income | $995 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$174,066 | PYOtherRevenueAmt |
| CY Other Revenue | -$47,616 | CYOtherRevenueAmt |
| PY Total Revenue | $629,466 | PYTotalRevenueAmt |
| CY Total Revenue | $337,652 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $46,742 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $60,549 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,151 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $121,074 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $25,224 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $206,553 | PYOtherExpensesAmt |
| CY Other Expenses | $117,453 | CYOtherExpensesAmt |
| PY Total Expenses | $329,446 | PYTotalExpensesAmt |
| CY Total Expenses | $299,076 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $300,020 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $38,576 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,189,713 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,232,165 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,729 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $34,605 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,158,984 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,197,560 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SUPPORT CHILDREN AND BURN SURVIVORS IN WAYS THAT INSURANCE COMPANIES AND CARETAKERS ARE UNABLE TO. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $107,040 | ExpenseAmt |
| Grant | $257 | GrantAmt |
| Desc | FIREFIGHTERS FOR HEALING OFFERS THREE FULLY FURNISHED TRANSITIONAL, SHORT-TERM APARTMENTS TO INDIVIDUALS AND FAMILIES WHILE THEY OR THEIR LOVED ONES ARE TREATED FOR BURN INJURIES IN THE TWIN CITES AREA. FIREFIGHTERS TRAVELING TO THE TWIN CITIES AREA FOR MEDICAL ATTENTION ARE ALSO ALLOWED TO STAY IN THE UNITS WHILE RECEIVING TREATMENT. COSTS OF THE FACILITY, CLEANING FEES, AND BASIC NECESSITIES ARE ALL COVERED BY FIREFIGHTES FOR HEALING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $51,780 | ExpenseAmt |
| Grant | $102 | GrantAmt |
| Desc | CAMP RED IS AN OVERNIGHT CAMP FOR BURN SURVIVORS BETWEEN 6 - 16 YEARS OF AGE WHO WANT TO HAVE THE OPPORTUNITY TO LIVE BEYOND THE SCARS AND TO BE KIDS. CAMP RED OFFERS A VARIETY OF ACTIVE AND PASSIVE ACTIVITIES IN THE MOST BEAUTIFUL SETTING, INCLUDING CANOEING, ARCHERY, TRUST, SWIMMING, BOATING, HORSEBACK RIDING AND MORE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $89,011 | ExpenseAmt |
| Grant | $60,190 | GrantAmt |
| Desc | FINANCIAL SUPPORT AND AID OUTSIDE OF INSURANCE TO REGIONAL BURN UNITS, BURN SURVIVORS AND THEIR FAMILIES. WE PROVIDE ASSISTANCE TO FAMILIES WITH TEMPORARY OVERNIGHT STAYS IN HOTELS, BASIC TOILETRIES, AND ESSENTIALS WHILE THEIR LOVED ONES ARE BEING TREATED FOR BURN INJURIES AT TWIN CITIES HOSPITALS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | THE ASSOCIATION CONDUCTS CHARITABLE GAMBLING FOR THE PURPOSE OF MAKING LAWFUL PURPOSE DONATIONS IN ACCORDANCE WITH MINNESOTA STATE STATUTES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $247,831 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 16 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6127015055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 374 | AddressLine1Txt |
| City | CHAMPLIN | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55316 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| JACOB LAFERRIERE | ||||||
| PRESIDENT/EXECUTIVE DIRECTOR | 50.00 | Yes (X) | Yes (X) | $50,000 | $0 | $0 |
| PAULA WILHELM | ||||||
| DIRECTOR | 10.00 | Yes (X) | $23,375 | $0 | $0 | |
| RON JOHNSON | ||||||
| DIRECTOR | 10.00 | Yes (X) | $22,917 | $0 | $0 | |
| JEFF LARSON | ||||||
| DIRECTOR | 5.00 | Yes (X) | $17,875 | $0 | $0 | |
| CHRIS DUNKER | ||||||
| CHAIR | 25.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JENNA COLVIN | ||||||
| VICE CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATIE LANDWEHR | ||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STACY WADE | ||||||
| SECRETARY (PARTIAL YEAR) | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RON MEUSER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GRANT BERNARDY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGIE HUNTER | ||||||
| DIRECTOR | 5.00 | Yes (X) | $0 | $0 | $0 | |
| LANDON HARTVIGSEN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JASON SCHREIFELS | ||||||
| DIRECTOR (PARTIAL YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ELLEN KRUMHOLZ | ||||||
| DIRECTOR (PARTIAL YEAR) | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KELLEY DANIELSON | ||||||
| DIRECTOR (PARTIAL YEAR) | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROB HINRICHS | ||||||
| DIRECTOR (PARTIAL YEAR) | 2.00 | Yes (X) | $0 | $0 | $0 | |
| HOLLY SPEATH | ||||||
| DIRECTOR (PARTIAL YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN SCOTT | ||||||
| DIRECTOR (PARTIAL YEAR) | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $114,167 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $103,162 | FundraisingAmt |
| Government Grants | $1,000 | GovernmentGrantsAmt |
| All Other Contributions | $280,111 | AllOtherContributionsAmt |
| Total Contributions | $384,273 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $995 | TotalRevenueColumnAmt |
| Exclusion | $995 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $35,130 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $103,162 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $72,011 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$36,881 | TotalRevenueColumnAmt |
| Exclusion | -$36,881 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $458,936 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $469,671 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,735 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$10,789 | UnrelatedBusinessRevenueAmt |
| Exclusion | $54 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $337,652 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$10,789 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$35,832 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,757 | TotalAmt |
| Program Services | $23,757 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,792 | TotalAmt |
| Program Services | $36,792 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,167 | TotalAmt |
| Program Services | $76,511 | ProgramServicesAmt |
| Management And General | $27,917 | ManagementAndGeneralAmt |
| Fundraising | $9,739 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,485 | TotalAmt |
| Program Services | $1,485 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,422 | TotalAmt |
| Program Services | $4,413 | ProgramServicesAmt |
| Management And General | $277 | ManagementAndGeneralAmt |
| Fundraising | $732 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,000 | TotalAmt |
| Program Services | $19,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,840 | TotalAmt |
| Program Services | $850 | ProgramServicesAmt |
| Management And General | $3,529 | ManagementAndGeneralAmt |
| Fundraising | $461 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Program Services | $7,500 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,414 | TotalAmt |
| Program Services | $3,084 | ProgramServicesAmt |
| Fundraising | $6,330 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,981 | TotalAmt |
| Program Services | $10,678 | ProgramServicesAmt |
| Management And General | $5,815 | ManagementAndGeneralAmt |
| Fundraising | $6,488 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,840 | TotalAmt |
| Program Services | $37,840 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,955 | TotalAmt |
| Program Services | $4,155 | ProgramServicesAmt |
| Management And General | $400 | ManagementAndGeneralAmt |
| Fundraising | $400 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,140 | TotalAmt |
| Program Services | $2,960 | ProgramServicesAmt |
| Management And General | $4,775 | ManagementAndGeneralAmt |
| Fundraising | $405 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,780 | TotalAmt |
| Management And General | $4,780 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,386 | TotalAmt |
| Program Services | $1,432 | ProgramServicesAmt |
| Management And General | $1,420 | ManagementAndGeneralAmt |
| Fundraising | $534 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM EXPENSES | $17,374 | $17,374 | $0 | $0 |
| GAMBLING MGR OFFSET | -$22,917 | -$22,917 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
| Fundraising | $135 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,076 | TotalAmt |
| Program Services | $247,831 | ProgramServicesAmt |
| Management And General | $26,021 | ManagementAndGeneralAmt |
| Fundraising | $25,224 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,005 | BOYAmt |
| EOY | $1,168,236 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,602 | BOYAmt |
| EOY | $54,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,899 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,572 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,106 | BOYAmt |
| EOY | $9,327 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,189,713 | BOYAmt |
| EOY | $1,232,165 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,729 | BOYAmt |
| EOY | $5,059 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $29,546 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,729 | BOYAmt |
| EOY | $34,605 | 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 | $860,008 | BOYAmt |
| EOY | $868,611 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $298,976 | BOYAmt |
| EOY | $328,949 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,158,984 | BOYAmt |
| EOY | $1,197,560 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,189,713 | BOYAmt |
| EOY | $1,232,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $38,576 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,446 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $416,616 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $742,778 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $802,887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $384,273 | CurrentTaxYearAmt |
| Total | $2,441,000 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,446 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $416,616 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $742,778 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $802,887 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $384,273 | CurrentTaxYearAmt |
| Total | $2,441,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $215,249 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,225,751 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $76 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $154 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $443 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $995 | CurrentTaxYearAmt |
| Total | $2,313 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $46,839 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,520 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $97,359 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,540,672 | TotalSupportAmt |
| Public Support CY170 | 0.87600 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $23,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,572 | DepreciationAmt |
| Book Value | $9,327 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,327 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $138,292 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $103,162 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $35,130 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $39,268 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $11,385 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $138,292 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $103,162 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $35,130 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $39,268 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,385 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $50,653 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$15,523 | NetIncomeSummaryAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | $230 | GrossRevenueBingoAmt |
| Cash Prizes Bingo | $176 | CashPrizesBingoAmt |
| Volunteer Labor Bingo | 0 | VolunteerLaborBingoInd |
| Gross Revenue Pull Tabs | $412,996 | GrossRevenuePullTabsAmt |
| Cash Prizes Pull Tabs | $350,048 | CashPrizesPullTabsAmt |
| Rent Facility Costs Pull Tabs | $12,217 | RentFacilityCostsPullTabsAmt |
| Other Direct Expenses Pull Tabs | $98,237 | OtherDirectExpensesPullTabsAmt |
| Volunteer Labor Pull Tabs | 0 | VolunteerLaborPullTabsInd |
| Gross Revenue Other Gaming | $45,710 | GrossRevenueOtherGamingAmt |
| Non Cash Prizes Other Gaming | $8,983 | NonCashPrizesOtherGamingAmt |
| Oth Direct Expnss Other Gaming | $10 | OthDirectExpnssOtherGamingAmt |
| Volunteer Labor Other Gaming | 0 | VolunteerLaborOtherGamingInd |
| Gross Revenue Total Gaming | $458,936 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $350,224 | CashPrizesTotalGamingAmt |
| Non Cash Prizes Total Gaming | $8,983 | NonCashPrizesTotalGamingAmt |
| Rent Fclty Costs Total Gaming | $12,217 | RentFcltyCostsTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $98,247 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $469,671 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | -$10,735 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | MN | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | Yes (1) | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Gaming Other Facility | 1.00000 | GamingOtherFacilityPct |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAIR AND ASSOCIATES PLLP | BusinessNameLine1Txt |
Persons With Books US Address PersonsWithBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3570 LEXINGTON AVENUE N 300 | AddressLine1Txt |
| City | SHOREVIEW | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Gaming Manager Person | RON JOHNSON | GamingManagerPersonNm |
| Gaming Manager Compensation | $22,917 | GamingManagerCompensationAmt |
| Gaming Manager Services Prov | GAMBLING MANAGER | GamingManagerServicesProvTxt |
| Gaming Manager Is Employee | Yes (X) | GamingManagerIsEmployeeInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
| Distributed | $20,027 | DistributedAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENNEPIN HEALTHCARE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 701 PARK AVENUE LSB-3 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55415 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 410845733 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $20,000 | CashGrantAmt |
| Purpose Of Grant | HENNEPIN HEROES FUND | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| FAMILY ASSISTANCE | 503 | $27,177 |
| GIFTS TO FAMILIES, PATIENTS, AND NURSES | 1355 | $9,513 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ASSISTANCE IS GIVEN BASED ON NEED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY THE TREASURER BEFORE FILING TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD REVIEWS AND VOTES ON THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
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