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APACHE SENIOR NUTRITION CENTER: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
APACHE SENIOR NUTRITION CENTER (EIN 46-0961533)
Tax period
2020-10-01 to 2021-09-30
Filed
2021-11-11
IRS object ID
202133159349200028
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)
Return2021-11-11T06:40:19-08:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Juanita Myers CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 468AddressLine1Txt
CityAPACHECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73006ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN460961533EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1APACHE SENIOR NUTRITION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAPACBusinessNameControlTxt
Phone5805882200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 107AddressLine1Txt
CityAPACHECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRONALD ROBERTSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5805882200PhoneNum
Signature2021-11-11SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRONALDPersonFirstNm
Person LastROBERTSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUANITA MYERSPreparerPersonNm
PTINP00076183PTIN
Phone5805857329PhoneNum
Self EmployedYes (X)SelfEmployedInd

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-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$70,404GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$28,008ContributionsGiftsGrantsEtcAmt
Program Service Revenue$42,362ProgramServiceRevenueAmt
Membership Dues$0MembershipDuesAmt
Investment Income$34InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$0GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$0SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Gross Profit Loss Sls Of Invntry$0GrossProfitLossSlsOfInvntryAmt
Total Revenue$70,404TotalRevenueAmt
Salaries Other Comp Empl Bnft$36,967SalariesOtherCompEmplBnftAmt
Occupancy Rent Utlts And Maint$9,013OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$23PrintingPublicationsPostageAmt
Other Expenses Total$30,509OtherExpensesTotalAmt
Total Expenses$76,512TotalExpensesAmt
Excess Or Deficit For Year-$6,108ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$97,387NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$91,279NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$71,407BOYAmt
EOY$62,891EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$27,412BOYAmt
EOY$29,162EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$98,819BOYAmt
EOY$92,053EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,432BOYAmt
EOY$774EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$97,387BOYAmt
EOY$91,279EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposePROVID NUTRITION AND SOCIAL INTERACTION SERVICES TO SENIORS 55 AND ABOVE, BY SERVING A NOON MEAL, ON A VOLUNTARY CONTRIBUTION BASIS (BOTH ON SITE AND HOME BOUND)MEALS FIVE DAYS A WEEK DURING THE FISCAL YEAR.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (2 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
SPONSORS BLOOD PRESSURE AND SUGAR MONITORING PROGRAMS,PROVIDE EDUCATION AND PROGRAMS VITAL TO SENIORS AS THEYBECOME AVAILABLE.$0$0
SOCIAL INTERACTIONS FOR COMMUNITY SENIORS THAT INCLUDEHOLIDAY EVENTS AND DAILY GAMES.$0$0
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
RON ROBERTS
PRESIDENT30.00$0$0$0
RHONDA ROULAIN
VICE PRESIDENT5.00$0$0$0
PAT LINSEY
SECRETARY5.00$0$0$0
BELINDA TOSH
TREASURER5.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAPACHE SENIOR NUTRITION CENTERPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 107AddressLine1Txt
CityAPACHECityNm
State AbbreviationOKStateAbbreviationCd
ZIP73006ZIPCd
FieldValueIRS element (for citing)
Phone5805882200PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

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$22,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$28,904CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$38,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,695CurrentTaxYearMinus1YearAmt
Current Tax Year$28,008CurrentTaxYearAmt
Total$128,351TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,442CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$49,720CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,510CurrentTaxYearMinus1YearAmt
Current Tax Year$42,362CurrentTaxYearAmt
Total$242,699TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,600CurrentTaxYearMinus1YearAmt
Current Tax Year$9,600CurrentTaxYearAmt
Total$48,000TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$80,918CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,946CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,411CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,805CurrentTaxYearMinus1YearAmt
Current Tax Year$79,970CurrentTaxYearAmt
Total$419,050TotalAmt

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$419,050PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$34CurrentTaxYearAmt
Total$241TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$47CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$43CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$53CurrentTaxYearMinus1YearAmt
Current Tax Year$34CurrentTaxYearAmt
Total$241TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$419,291TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99940PublicSupportCY509Pct
Investment Income CY0.00060InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990EZ, Part I, Line 16HEALTH SERVICE FEES 250.
Form 990EZ, Part I, Line 16TELEPHONE & COMMUNICATIONS 1037.
Form 990EZ, Part I, Line 16OTHER COSTS 2000.
Form 990EZ, Part I, Line 16FOOD COSTS 27222.

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