BRISTOL HUMANE SOCIETY: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- BRISTOL HUMANE SOCIETY (EIN 54-0927975)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202133199349319638
- 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 | 2021-11-15T13:09:25-08:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLACKLEY OLINGER & ASSOCIATES PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 VOLUNTEER PKWY SUITE C | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37620 | 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 | 540927975 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRISTOL HUMANE SOCIETY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRIS | BusinessNameControlTxt |
| Phone | 2765915790 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16222 LEE HIGHWAY | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24202 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JENNIFER MCCALL KETRON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2765915790 | PhoneNum |
| Signature | 2021-10-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JENNIFER MCCALL | PersonFirstNm |
| Person Last | KETRON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUDY S OLINGER CPA | PreparerPersonNm |
| PTIN | P00259343 | PTIN |
| Phone | 4239893387 | PhoneNum |
| Preparation | 2021-11-15 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| 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 | JENNIFER MCCALL KETRON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16222 LEE HIGHWAY | AddressLine1Txt |
| City | BRISTOL | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $932,918 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | TO RAISE FUNDS TO SUPPORT AND SUSTAIN THE MARGARET B. MITCHELL SPAY/NEUTER CLINIC IN THE EFFORT TO CONTROL THE SURPLUS PET POPULATION THROUGH SPAYING AND NEUTER OF CATS AND DOGS. TO | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 2 | VotingMembersIndependentCnt |
| Total Employee | 19 | TotalEmployeeCnt |
| Total Volunteers | 42 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $96,321 | PYContributionsGrantsAmt |
| CY Contributions Grants | $167,288 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,047,021 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $702,027 | CYProgramServiceRevenueAmt |
| PY Investment Income | $13,339 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,131 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,167 | PYOtherRevenueAmt |
| CY Other Revenue | $25,123 | CYOtherRevenueAmt |
| PY Total Revenue | $1,192,848 | PYTotalRevenueAmt |
| CY Total Revenue | $919,569 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $686,866 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $629,510 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $23,976 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $454,031 | PYOtherExpensesAmt |
| CY Other Expenses | $358,134 | CYOtherExpensesAmt |
| PY Total Expenses | $1,140,897 | PYTotalExpensesAmt |
| CY Total Expenses | $987,644 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $51,951 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$68,075 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,088,966 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,150,772 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $33,476 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $163,357 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,055,490 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $987,415 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO RAISE FUNDS TO SUPPORT AND SUSTAIN THE MARGARET B. MITCHELL SPAY/NEUTER CLINIC IN THE EFFORT TO CONTROL THE SURPLUS PET POPULATION THROUGH SPAYING AND NEUTER OF CATS AND DOGS. TO | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $859,537 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $702,027 | RevenueAmt |
| Desc | PROVIDE SPAY AND NEUTER SERVICES TO THE COUNTIES OF BUCHANAN, DICKENSON, LEE, RUSSELL, SCOTT, SMYTH, TAZEWELL, WASHINGTON AND WISE; THE CITIES OF BRISTOL AND NORTON, VIRGINIA; AND THE CITY OF BRISTOL AND COUNTY OF SULLIVAN IN TENNESSEE, HOWEVER, ANIMALS ARE ACCEPTED FROM OTHER COUNTIES AS AVAILABILITY PERMITS. | Desc |
| Total Program Service Expenses | $859,537 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 19 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 2 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HBC Certified Public Accountants | PersonNm |
| Phone | 2766281123 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 Valley St NE | AddressLine1Txt |
| City | ABINGDON | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24210 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| TERESA DOCKERY | |||||||
| PRESIDENT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAWN CALDWELL | |||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DR JENNIFER MCCALL KETRON | |||||||
| VICE PRESIDENT | 35.00 | Yes (X) | Yes (X) | $71,908 | $0 | $0 | Yes (X) |
| SUSAN TAYLOR | |||||||
| DEVELOPMENT DIRECTOR | 30.00 | Yes (X) | Yes (X) | $34,058 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $105,966 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $167,288 | AllOtherContributionsAmt |
| Total Contributions | $167,288 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLINIC FEES | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $702,027 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $702,027 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,306 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,306 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,235 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,410 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,825 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,825 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $17,825 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $27,062 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $1,939 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,123 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $25,123 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $919,569 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $702,027 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,254 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,966 | TotalAmt |
| Program Services | $35,006 | ProgramServicesAmt |
| Management And General | $53,931 | ManagementAndGeneralAmt |
| Fundraising | $17,029 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,387 | TotalAmt |
| Program Services | $461,791 | ProgramServicesAmt |
| Management And General | $11,424 | ManagementAndGeneralAmt |
| Fundraising | $5,172 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,157 | TotalAmt |
| Program Services | $37,905 | ProgramServicesAmt |
| Management And General | $5,477 | ManagementAndGeneralAmt |
| Fundraising | $1,775 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,950 | TotalAmt |
| Program Services | $11,962 | ProgramServicesAmt |
| Management And General | $3,988 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $920 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $920 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $736 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $736 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,335 | TotalAmt |
| Program Services | $4,001 | ProgramServicesAmt |
| Management And General | $1,334 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,022 | TotalAmt |
| Program Services | $31,178 | ProgramServicesAmt |
| Management And General | $6,844 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,947 | TotalAmt |
| Program Services | $63,947 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| UTILITIES | $10,461 | $8,892 | $1,569 | $0 |
| REPAIRS & MAINTENANCE | $17,302 | $14,707 | $2,595 | $0 |
| CLINIC SUPPLIES | $174,727 | $174,727 | $0 | $0 |
| CLEANING SUPPLIES | $1,174 | $998 | $176 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,560 | TotalAmt |
| Program Services | $14,423 | ProgramServicesAmt |
| Management And General | $15,137 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $987,644 | TotalAmt |
| Program Services | $859,537 | ProgramServicesAmt |
| Management And General | $104,131 | ManagementAndGeneralAmt |
| Fundraising | $23,976 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,753 | BOYAmt |
| EOY | $194,802 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,465 | BOYAmt |
| EOY | $24,714 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,412 | BOYAmt |
| EOY | $29,965 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,536 | BOYAmt |
| EOY | $8,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,236,753 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $573,853 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $699,871 | BOYAmt |
| EOY | $662,900 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,929 | BOYAmt |
| EOY | $230,002 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,088,966 | BOYAmt |
| EOY | $1,150,772 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,016 | BOYAmt |
| EOY | $17,204 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,460 | BOYAmt |
| EOY | $146,153 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,476 | BOYAmt |
| EOY | $163,357 | 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 | $1,055,490 | BOYAmt |
| EOY | $933,819 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $53,596 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,490 | BOYAmt |
| EOY | $987,415 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,088,966 | BOYAmt |
| EOY | $1,150,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$68,075 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $96,464 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,492 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,562 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $96,321 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $182,870 | CurrentTaxYearAmt |
| Total | $435,709 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $711,086 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $753,238 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $909,940 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,047,021 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $702,027 | CurrentTaxYearAmt |
| Total | $4,123,312 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $807,550 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $775,730 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $947,502 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,143,342 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $884,897 | CurrentTaxYearAmt |
| Total | $4,559,021 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $4,559,021 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,915 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,549 | CurrentTaxYearAmt |
| Total | $58,448 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,915 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,339 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,549 | CurrentTaxYearAmt |
| Total | $58,448 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,617,469 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98730 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98220 | PublicSupportPY509Pct |
| Investment Income CY | 0.01270 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01780 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $174,000 | OtherCostOrOtherBasisAmt |
| Book Value | $174,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $800,222 | OtherCostOrOtherBasisAmt |
| Depreciation | $328,412 | DepreciationAmt |
| Book Value | $471,810 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $188,556 | DepreciationAmt |
| Book Value | $13,755 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,885 | DepreciationAmt |
| Book Value | $3,335 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $662,900 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (6 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| DEUTSCHE GLOBAL INFRAST. FUND | $30,700 | F |
| LOOMIS SAYLES STRATEGIC | $37,399 | F |
| FT-FRANKLIN INCOME C | $35,162 | F |
| CORPORATE & TREASURY BOND | $103,466 | F |
| CERTIFICATE OF DEPOSITS | $0 | F |
| PRIVATE EUITY SECURITIES | $23,275 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $230,002 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED SALARIES & WAGES | $14,000 |
| ACCRUED PAYROLL TAX LIABILITIES | $1,153 |
| PPP LOAN - FORGIVEN 2021 | $131,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $146,153 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $919,569 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $15,899 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,939 | OtherRevenueAmt |
| Revenue Not Reported | $17,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $901,731 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $901,731 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | -$68,075 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | -$68,075 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | -$68,075 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt XI, Line 2d | FUNDRAISING EXPENSES $1,939 |
| Pt XII, Line 2d | FUNDRAISING EXPENSES $1,939 |
| Pt X, Line 2 | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION |
| Pt X, Line 2 | 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Christmas appeal | Event1Nm |
| Gross Receipts Event1 | $13,870 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $13,870 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $896 | OtherDirectExpensesEvent1Amt |
| Event2 | OTHERS | Event2Nm |
| Gross Receipts Event2 | $13,192 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $13,192 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $1,043 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $27,062 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $27,062 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,939 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $1,939 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $25,123 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | A SCANNED COPY OF THE FORM 990 AND SUPPLEMENTAL SCHEDULES WAS EMAILED TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO THE RETURN BEING SUBMITTED. |
| Pt VI, Line 12c | CURRENTLY, ONLY BOARD MEMBERS ARE REQUIRED TO REPORT CONFLICTS OF INTEREST. |
| Pt XI | ROUNDING 1 |
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