FAMILY PROMISE OF COBB COUNTY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FAMILY PROMISE OF COBB COUNTY (EIN 46-0531824)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-13
IRS object ID
202122869349301487
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)
Return2021-10-13T13:08:44-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRISEWOOD ACCOUNTING TAX SERVICEBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15058 LAVISTA RDAddressLine1Txt
CityTUCKERCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30084ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460531824EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAMILY PROMISE OF COBB COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAMIBusinessNameControlTxt
Phone6785943150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 BLACKWELL RDAddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30066ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCAMILLA L WORRELLPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6785943150PhoneNum
Signature2021-09-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCAMILLAPersonFirstNm
Person LastWORRELLPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES N LEWIS III EAPreparerPersonNm
PTINP01756278PTIN
Phone6789371715PhoneNum
Preparation2021-09-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCAMILLA L WORRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 BLACKWELL RDAddressLine1Txt
CityMARIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30066ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$291,730GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FAMILYPROMISECOBBCOUNTY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionFAMILY PROMISE OF COBB COUNTY IS COMMITTED TO ASSISTING FAMILIES WITH CHILDREN ACHIEVE ADEQUATE AND CONSISTENT INCOME, STABLE HOUSING, AND LASTING INDEPENDENCE BY MOBILIZING OUR LOCAL INTERFAITH COMMUNITY TO PROVIDE TEMPORARY MEALS, SHELTER, COMPASSIONATE HOSPITALITY, AND PROFESSIONAL SOCIAL SERVICES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers800TotalVolunteersCnt
Total Gross UBI$45TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$242,543PYContributionsGrantsAmt
CY Contributions Grants$263,749CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$45CYInvestmentIncomeAmt
PY Other Revenue$36,310PYOtherRevenueAmt
CY Other Revenue$27,222CYOtherRevenueAmt
PY Total Revenue$278,853PYTotalRevenueAmt
CY Total Revenue$291,016CYTotalRevenueAmt
CY Grants And Similar Paid$125CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,746PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$89,382CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,420CYTotalFundraisingExpenseAmt
PY Other Expenses$178,006PYOtherExpensesAmt
CY Other Expenses$192,782CYOtherExpensesAmt
PY Total Expenses$266,752PYTotalExpensesAmt
CY Total Expenses$282,289CYTotalExpensesAmt
PY Revenues Less Expenses$12,101PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,727CYRevenuesLessExpensesAmt
Total Assets BOY$88,171TotalAssetsBOYAmt
Total Assets EOY$139,764TotalAssetsEOYAmt
Total Liabilities BOY$2,339TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,511TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$85,832NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$137,253NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO ASSIST HOMELESS FAMILIES WITH CHILDREN ACHIEVE ADEQUATE AND CONSISTENT INCOME, STABLE HOUSING, AND LASTING INDEPENDENCE BY MOBILIZING OUR LOCAL INTERFAITH COMMUNITY TO PROVIDE TEMPORARY MEALS, SHELTER, COMPASSIONATE HOSPITALITY, AND PROFESSIONAL SOCIAL SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$162,304ExpenseAmt
Grant$32,948GrantAmt
Revenue$230,801RevenueAmt
DescFAMILY PROMISE OF COBB COUNTY IS A NON-TRADITIONAL SHELTER FOR HOMELESS FAMILIES. SERVICES PROVIDED TO FAMILIES IN THE PROGRAM INCLUDE ALL OF THE FOLLOWING: OVERNIGHT LODGING, HOME COOKED DINNER, LUNCH, AND BREAKFAST EVERY DAY, ACCESS TO FREE LAUNDRY FACILITIES, CASE MANAGEMENT SERVICES, TOILETRY ITEMS AND DIAPERS, PHONE AND INTERNET ACCESS, ASSISTANCE WITH HOUSING SEARCHES, BUDGET MANAGEMENT, EMPLOYMENT SEARCHES, RESUME REVIEW AND EDITING, CLOTHING, FURNITURE, AND HOUSEHOLD ITEMS.Desc
Total Program Service Expenses$162,304TotalProgramServiceExpensesAmt
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 StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJILL PRAGERPersonNm
Phone6785943150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 BLACKWELL RDAddressLine1Txt
CityMARRIETTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30066ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CAMILLA L WORRELL
EXECUTIVE DIR40.00Yes (X)Yes (X)$48,000$0$0
MARK RIGGANS
PRESIDENT3.00Yes (X)Yes (X)$0$0$0
BRUCE PERRY
VICE PRESIDENT3.00Yes (X)Yes (X)$0$0$0
EILEEN HILBURN
SECRETARY3.00Yes (X)Yes (X)$0$0$0
JEAN M EARLY
TREASURER3.00Yes (X)Yes (X)$0$0$0
KATHERINE CULLOM
TRUSTEE2.00Yes (X)$0$0$0
TOM HUNTER
TRUSTEE2.00Yes (X)$0$0$0
JEFF JONES
TRUSTEE2.00Yes (X)$0$0$0
ED NICHOLS
TRUSTEE2.00Yes (X)$0$0$0
RHONDA ROBINSON
TRUSTEE2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$32,948GovernmentGrantsAmt
All Other Contributions$230,801AllOtherContributionsAmt
Noncash Contributions$100,203NoncashContributionsAmt
Total Contributions$263,749TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45TotalRevenueColumnAmt
Unrelated Business Revenue$45UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$27,936FundraisingGrossIncomeAmt
Fundraising Direct Expenses$714FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,222TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$27,222ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$291,016TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$45UnrelatedBusinessRevenueAmt
Exclusion$27,222ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,000TotalAmt
Program Services$0ProgramServicesAmt
Management And General$48,000ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,030TotalAmt
Program Services$0ProgramServicesAmt
Management And General$35,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,352TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,352ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$895TotalAmt
Program Services$0ProgramServicesAmt
Management And General$895ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$785TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$785FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$369TotalAmt
Program Services$0ProgramServicesAmt
Management And General$369ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$497TotalAmt
Program Services$0ProgramServicesAmt
Management And General$497ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,500TotalAmt
Program Services$0ProgramServicesAmt
Management And General$5,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,532TotalAmt
Program Services$2,532ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,647TotalAmt
Program Services$11,439ProgramServicesAmt
Management And General$3,208ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
IN KIND PROGRAM SERVICE EXP$100,203$100,203$0$0
PROGRAM EXPENSES$48,005$48,005$0$0
DUES & SUBSCRIPTIONS$1,847$0$1,847$0
POSTAGE & SHIPPING$1,635$0$0$1,635

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,867TotalAmt
Program Services$0ProgramServicesAmt
Management And General$15,867ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$282,289TotalAmt
Program Services$162,304ProgramServicesAmt
Management And General$117,565ManagementAndGeneralAmt
Fundraising$2,420FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$71,062BOYAmt
EOY$113,295EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,036BOYAmt
EOY$21,928EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$47,983LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$43,942LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,573BOYAmt
EOY$4,041EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$88,171BOYAmt
EOY$139,764EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,339BOYAmt
EOY$2,511EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,339BOYAmt
EOY$2,511EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$85,832BOYAmt
EOY$115,306EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$21,947EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,832BOYAmt
EOY$137,253EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$88,171BOYAmt
EOY$139,764EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,727ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Other Support Sum$0OtherSupportSumAmt
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$156,160CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$129,640CurrentTaxYearMinus1YearAmt
Current Tax Year$163,546CurrentTaxYearAmt
Total$705,648TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$156,160CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$129,640CurrentTaxYearMinus1YearAmt
Current Tax Year$163,546CurrentTaxYearAmt
Total$705,648TotalAmt

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$705,648PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$705,648TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,185OtherCostOrOtherBasisAmt
Depreciation$11,319DepreciationAmt
Book Value$2,866BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,686OtherCostOrOtherBasisAmt
Depreciation$22,517DepreciationAmt
Book Value$169BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,112OtherCostOrOtherBasisAmt
Depreciation$10,106DepreciationAmt
Book Value$1,006BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,041TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CREDIT CARD PAYABLE$559
FOOD BOX FUND$1,800
GUEST DEPOSITS$0
SCHOOL FUND SUPPLY$152
FieldValueIRS element (for citing)
Total Liability$2,511TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$27,936GrossReceiptsEvent1Amt
Gross Revenue Event1$27,936GrossRevenueEvent1Amt
Food And Beverage Event1$714FoodAndBeverageEvent1Amt
Gross Receipts Total$27,936GrossReceiptsTotalAmt
Gross Revenue Total Events$27,936GrossRevenueTotalEventsAmt
Food And Beverage Total Events$714FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events$714DirectExpenseSummaryEventsAmt
Net Income Summary$27,222NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Noncash Contributions Rpt F990$20,654NoncashContributionsRptF990Amt

Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)

DescDescNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
ROTATIONAL HOUSING$63,490
TRANSITIONAL HOUSING$16,000
MATERIALS/SUPPLIES$59
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bREVIEW THE FORM WITH THE OFFICERS BEFORE FILING THE TAX RETURN
Pt VI, Line 12cOFFICERS AND DIRECTORS SIGN A WRITTEN CONFLICT OF INTEREST POLICY EACH YEAR. PLUS ALL OFFICERS AND DIRECTORS MUST DISCLOSE WHETHER THEY HAVE A CONFLICT OF INTEREST WHENEVER IT OCCURS DURING THE YEAR.
Pt VI, Line 15aA GROUP OF OFFICERS AND DIRECTORS REVIEW THE COMPENSATION OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS. ALSO THIS GROUP COMPLETES A PERFORMANCE REVIEW OF THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS.
Pt VI, Line 19GOVERNING DOCUMENTS, FINANCIAL STATEMENTS/REPORTS, POLICIES/PROCEDURES, AND TAX RETURNS ARE PROVIDED UPON REQUEST.
Pt VI, Line 15bA GROUP OF OFFICERS AND DIRECTORS REVIEW THE COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES ON AN ANNUAL BASIS. ALSO THIS GROUP COMPLETES A PERFORMANCE REVIEW OF OTHER OFFICERS OR KEY EMPLOYEES ON AN ANNUAL BASIS.

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