INTERMOUNTAIN THERAPY ANIMALS: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
INTERMOUNTAIN THERAPY ANIMALS (EIN 87-0517629)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-04-29
IRS object ID
202131199349302268
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)
Return2021-04-29T17:19:19-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Premier CPAs IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17086 HIGHLAND DR Suite 200AddressLine1Txt
CitySALT LAKE CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN870517629EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Intermountain Therapy AnimalsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone8012723439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP841170201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKathy KlotzPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone8012723439PhoneNum
Signature2021-03-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKathyPersonFirstNm
Person LastKlotzPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDean G Duncan CPAPreparerPersonNm
PTINP00136552PTIN
Phone8019444020PhoneNum
Preparation2021-04-29PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
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 OfficerKathy KlotzPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP841170201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$545,720GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.therapyanimals.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionEnhancing quality of life through the human-animal bond.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers360TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$435,095PYContributionsGrantsAmt
CY Contributions Grants$484,955CYContributionsGrantsAmt
PY Program Service Revenue$41,545PYProgramServiceRevenueAmt
CY Program Service Revenue$17,622CYProgramServiceRevenueAmt
PY Investment Income$60PYInvestmentIncomeAmt
CY Investment Income$773CYInvestmentIncomeAmt
PY Other Revenue$37,283PYOtherRevenueAmt
CY Other Revenue$30,818CYOtherRevenueAmt
PY Total Revenue$513,983PYTotalRevenueAmt
CY Total Revenue$534,168CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$364,009PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$312,283CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,643CYTotalFundraisingExpenseAmt
PY Other Expenses$210,300PYOtherExpensesAmt
CY Other Expenses$181,931CYOtherExpensesAmt
PY Total Expenses$574,309PYTotalExpensesAmt
CY Total Expenses$494,214CYTotalExpensesAmt
PY Revenues Less Expenses-$60,326PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,954CYRevenuesLessExpensesAmt
Total Assets BOY$107,891TotalAssetsBOYAmt
Total Assets EOY$179,225TotalAssetsEOYAmt
Total Liabilities BOY$88,073TotalLiabilitiesBOYAmt
Total Liabilities EOY$101,244TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$19,818NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$77,981NetAssetsOrFundBalancesEOYAmt
MissionEnhancing quality of life through the human-animal bond.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$326,153ExpenseAmt
Grant$0GrantAmt
Revenue$511,564RevenueAmt
DescIntermountain Therapy Animals ("ITA") -This Program Service includes all Activities for the local ITA operations. First, volunteer recruiting, screen, workshop training, team testing, mentoring, placement and monitoring of therapy team volunteers who provide the essential service of the organization. The organization's 350 plus team work in more than 100 healthcare and educational facilies. Second, community and professional education, including about 100 presentations each year to therapists, physicians, professional association conferences, community organications like Rotary and Eagles, and school classrooms to demostrate what the organization does and educate others as to the potential benefits.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$62,191ExpenseAmt
Grant$0GrantAmt
Revenue$22,964RevenueAmt
DescReading education assistance dogs ("R.E.A.D.") -This program has grown way beyond the organization's local service territory. The organization has trained and registered almost 6,000 volunteer therapy teams in all 50 states and 25 additional countries to provide reading support programs, utilizing therapy animals as reading companions, in school, libraries and other settings. The organization service includes training, facilitating and supporting all these teams around the country and the world.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$23,377ExpenseAmt
Grant$0GrantAmt
Revenue$11,865RevenueAmt
DescAssociates - because the organization has been very successful in its work and has standards that are now recognized around the country, the organization has had more than a dozen colleage therapy groups who have asked to make use of its training and testing protocols. The organization currently has 21 such groups in 17 other states. While supporting them does not take as much time as supporting its own teams, the organization does provide training manuals, travel to some locations to conduct workshops and team screenings, and otherwise provide facilitation and "customer support" to these groupsDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$411,721TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 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 ContrifalseDeductibleNonCashContriInd
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
Employee8EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Intermountain Therapy AnimalsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8012723438PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84117ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Kathy Klotz
Ex. Director40.00Yes (X)$75,000$0$0
Amanda Choudhary
Trustee0.00Yes (X)$0$0$0
Peggy Chudd
Vice President0.00Yes (X)$0$0$0Yes (X)
Jane Lee Fischer
Chairman0.00Yes (X)$0$0$0Yes (X)
Becky Butler
Trustee0.00Yes (X)$0$0$0
Jane Peterson
Trustee0.00Yes (X)$0$0$0
Susan E Daynes
Trustee0.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$75,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$27,270MembershipDuesAmt
Fundraising$48,655FundraisingAmt
All Other Contributions$409,030AllOtherContributionsAmt
Noncash Contributions$675NoncashContributionsAmt
Total Contributions$484,955TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Member Workshops611430$8,700$0$0
R.E.A.D. Program624100$8,922$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$17,622TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$773TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$773ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$6,969PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal$6,969PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,969TotalRevenueColumnAmt
Related Or Exempt Func Income$6,969RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,257FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$48,655ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,808FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,449TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,449ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$23,144GrossSalesOfInventoryAmt
Cost Of Goods Sold$6,744CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,400TotalRevenueColumnAmt
Related Or Exempt Func Income$16,400RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$534,168TotalRevenueColumnAmt
Related Or Exempt Func Income$40,991RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8,222ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$75,000TotalAmt
Program Services$64,500ProgramServicesAmt
Management And General$9,750ManagementAndGeneralAmt
Fundraising$750FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$190,040TotalAmt
Program Services$150,131ProgramServicesAmt
Management And General$32,307ManagementAndGeneralAmt
Fundraising$7,602FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,200TotalAmt
Program Services$5,332ProgramServicesAmt
Management And General$806ManagementAndGeneralAmt
Fundraising$62FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$41,043TotalAmt
Program Services$35,297ProgramServicesAmt
Management And General$5,336ManagementAndGeneralAmt
Fundraising$410FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$25,050TotalAmt
Program Services$21,542ProgramServicesAmt
Management And General$3,257ManagementAndGeneralAmt
Fundraising$251FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,646TotalAmt
Program Services$4,856ProgramServicesAmt
Management And General$734ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,932TotalAmt
Program Services$1,662ProgramServicesAmt
Management And General$251ManagementAndGeneralAmt
Fundraising$19FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$159TotalAmt
Program Services$136ProgramServicesAmt
Management And General$21ManagementAndGeneralAmt
Fundraising$2FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,827TotalAmt
Program Services$10,171ProgramServicesAmt
Management And General$1,538ManagementAndGeneralAmt
Fundraising$118FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,800TotalAmt
Program Services$3,268ProgramServicesAmt
Management And General$494ManagementAndGeneralAmt
Fundraising$38FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$55,195TotalAmt
Program Services$47,468ProgramServicesAmt
Management And General$7,175ManagementAndGeneralAmt
Fundraising$552FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,176TotalAmt
Program Services$1,871ProgramServicesAmt
Management And General$283ManagementAndGeneralAmt
Fundraising$22FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$4,078TotalAmt
Program Services$3,507ProgramServicesAmt
Management And General$530ManagementAndGeneralAmt
Fundraising$41FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,308TotalAmt
Program Services$2,845ProgramServicesAmt
Management And General$430ManagementAndGeneralAmt
Fundraising$33FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,637TotalAmt
Program Services$4,848ProgramServicesAmt
Management And General$733ManagementAndGeneralAmt
Fundraising$56FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Fees and Rental$16,520$14,207$2,148$165
Printing and Publications$17,801$15,309$2,314$178
Postage and Shipping$3,488$3,000$453$35
Volunteer Recognition$1,271$1,093$165$13

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,043TotalAmt
Program Services$20,678ProgramServicesAmt
Management And General$3,125ManagementAndGeneralAmt
Fundraising$240FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$494,214TotalAmt
Program Services$411,721ProgramServicesAmt
Management And General$71,850ManagementAndGeneralAmt
Fundraising$10,643FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,055BOYAmt
EOY$166,105EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY-$257BOYAmt
EOY-$665EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,041BOYAmt
EOY$7,041EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,425BOYAmt
EOY$2,425EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,636LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$89,317LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,627BOYAmt
EOY$4,319EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,891BOYAmt
EOY$179,225EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$88,073BOYAmt
EOY$101,244EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$88,073BOYAmt
EOY$101,244EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$19,818BOYAmt
EOY$77,981EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$19,818BOYAmt
EOY$77,981EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,891BOYAmt
EOY$179,225EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$39,954ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$289,705CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$317,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$300,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,972CurrentTaxYearMinus1YearAmt
Current Tax Year$436,975CurrentTaxYearAmt
Total$1,688,510TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$289,705CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$317,256CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$300,602CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,972CurrentTaxYearMinus1YearAmt
Current Tax Year$436,975CurrentTaxYearAmt
Total$1,688,510TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$1,688,510PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$60CurrentTaxYearMinus1YearAmt
Current Tax Year$773CurrentTaxYearAmt
Total$1,247TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,689,757TotalSupportAmt
Public Support CY1700.99930PublicSupportCY170Pct
Public Support PY1700.80660PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,282OtherCostOrOtherBasisAmt
Depreciation$51,941DepreciationAmt
Book Value$3,341BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,354OtherCostOrOtherBasisAmt
Depreciation$37,376DepreciationAmt
Book Value$978BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,319TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$49,761GrossReceiptsEvent1Amt
Gross Revenue Event1$49,761GrossRevenueEvent1Amt
Rent Facility Costs Event1$78RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$5,626OtherDirectExpensesEvent1Amt
Event2Family DogEvent2Nm
Gross Receipts Event2$6,949GrossReceiptsEvent2Amt
Gross Revenue Event2$6,949GrossRevenueEvent2Amt
Rent Facility Costs Event2$17,054RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8OtherDirectExpensesEvent2Amt
Gross Receipts Total$56,710GrossReceiptsTotalAmt
Gross Revenue Total Events$56,710GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$17,132RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$5,634OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$22,766DirectExpenseSummaryEventsAmt
Net Income Summary$33,944NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bThe executive committee members review the Form 990. Their approval is obtained before filing.
Pt VI, Line 12cAnnually a conflict of interest form is read, adherence to provision of the policy are noted on the form and it is signed and retained. The organization is so small that conflicts would be readily noticed and once noticed action to enforce the conflict would be taken by the Board.
Pt VI, Line 15aNot a formal process but the executive committee has discussion for the executive director who has the highest compensation. Other employee salaries are small and well within the range or below market in the agency's service area. Committee does comparison of director salary to those known but all is informal.
Pt VI, Line 15bSee answer to question 15a.
Pt VI, Line 19The charity always invites members annually, and at each volunteer orientation, to examine any governing docs, policies, and financial statements whenever they desire, but nothing has been published anywhere. Some charity monitoring groups have published the Form 990.

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