LAKE NORMAN HUMANE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
LAKE NORMAN HUMANE INC (EIN 86-1160840)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-18
IRS object ID
202133229349300503
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)
Return2021-11-18T07:56:14-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561220683PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POTTER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1106 WELTON WAYAddressLine1Txt
CityMOORESVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN861160840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lake Norman Humane IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone7046333330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3937AddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMaria Haughton RobersonPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7046633330PhoneNum
Signature2021-10-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMariaPersonFirstNm
Person LastHaughton RobersonPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert W Taylor CPAPreparerPersonNm
PTINP00030911PTIN
Phone7046623146PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMaria Haughton RobersonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3937AddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$741,024GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lakenormanhumane.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo rescue, rehabilitate and rehome homeless pets.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$839,539PYContributionsGrantsAmt
CY Contributions Grants$683,268CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$23,585PYInvestmentIncomeAmt
CY Investment Income$2,107CYInvestmentIncomeAmt
PY Other Revenue$112,278PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$975,402PYTotalRevenueAmt
CY Total Revenue$685,375CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,710PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,209CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,601CYTotalFundraisingExpenseAmt
PY Other Expenses$287,048PYOtherExpensesAmt
CY Other Expenses$314,381CYOtherExpensesAmt
PY Total Expenses$443,758PYTotalExpensesAmt
CY Total Expenses$531,590CYTotalExpensesAmt
PY Revenues Less Expenses$531,644PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$153,785CYRevenuesLessExpensesAmt
Total Assets BOY$3,359,829TotalAssetsBOYAmt
Total Assets EOY$3,290,230TotalAssetsEOYAmt
Total Liabilities BOY$1,260,636TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,037,252TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,099,193NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,252,978NetAssetsOrFundBalancesEOYAmt
MissionTO RESCUE, REHABILITATE AND REHOME HOMELESS PETSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$368,880ExpenseAmt
DescRESPONSIBLE PET OWNERSHIP, SPAY/NEUTER SERVICES,ADOPTION OF HOMELESS PETSDesc
Total Program Service Expenses$368,880TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Maria Haughton RobersonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7046633330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12106 Charlotte HwyAddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Josh Tucker
President2.00Yes (X)Yes (X)$0$0$0
Kevin Donaldson
Vice President2.00Yes (X)Yes (X)$0$0$0
MARIA Roberson
Treasurer2.00Yes (X)Yes (X)$0$0$0
Jonathan ZULMAN
Secretary2.00Yes (X)Yes (X)$0$0$0
GREG BIFFLE
Board Member2.00Yes (X)$0$0$0
Cristina Grossu
Board Member2.00Yes (X)$0$0$0
Lisa Oden
Board Member2.00Yes (X)$0$0$0
Jeffery Carbone
Board Member2.00Yes (X)$0$0$0
Mick Longo
Board Member2.00Yes (X)$0$0$0
Knox Peake
Board Member2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$30,685GovernmentGrantsAmt
All Other Contributions$652,583AllOtherContributionsAmt
Noncash Contributions$55,649NoncashContributionsAmt
Total Contributions$683,268TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$607TotalRevenueColumnAmt
Exclusion$607ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$57,149SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$55,649SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,500SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,500TotalRevenueColumnAmt
Related Or Exempt Func Income$1,500RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$685,375TotalRevenueColumnAmt
Related Or Exempt Func Income$1,500RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$607ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$202,108TotalAmt
Program Services$151,581ProgramServicesAmt
Management And General$30,316ManagementAndGeneralAmt
Fundraising$20,211FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,101TotalAmt
Program Services$11,326ProgramServicesAmt
Management And General$2,265ManagementAndGeneralAmt
Fundraising$1,510FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$862TotalAmt
Management And General$862ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,225TotalAmt
Management And General$3,225ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$756TotalAmt
Management And General$756ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,049TotalAmt
Program Services$7,049ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$517TotalAmt
Program Services$517ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,864TotalAmt
Program Services$11,148ProgramServicesAmt
Management And General$2,230ManagementAndGeneralAmt
Fundraising$1,486FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$475TotalAmt
Management And General$475ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$53,364TotalAmt
Program Services$40,023ProgramServicesAmt
Management And General$8,005ManagementAndGeneralAmt
Fundraising$5,336FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$80,887TotalAmt
Management And General$80,887ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,575TotalAmt
Program Services$17,575ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
animal care and expense$110,660$110,660
reapirs & maintenance$15,412$11,559$2,312$1,541
BANK AND PAYPAL FEES$5,173$3,880$776$517
miscellaneous$3,562$3,562

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$531,590TotalAmt
Program Services$368,880ProgramServicesAmt
Management And General$132,109ManagementAndGeneralAmt
Fundraising$30,601FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,063BOYAmt
EOY$52,377EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$96,862BOYAmt
EOY$31,451EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,320,496LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$116,670LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,254,592BOYAmt
EOY$3,203,826EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$3,312BOYAmt
EOY$2,576EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,359,829BOYAmt
EOY$3,290,230EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,006BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$42,500BOYAmt
EOY$42,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,200,000BOYAmt
EOY$988,304EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,130BOYAmt
EOY$6,448EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,260,636BOYAmt
EOY$1,037,252EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,099,193BOYAmt
EOY$2,252,978EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,099,193BOYAmt
EOY$2,252,978EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,359,829BOYAmt
EOY$3,290,230EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$153,785ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$645,099CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$839,539CurrentTaxYearMinus1YearAmt
Current Tax Year$652,583CurrentTaxYearAmt
Total$2,850,550TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year$30,685CurrentTaxYearAmt
Total$30,685TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$405,920CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$645,099CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$839,539CurrentTaxYearMinus1YearAmt
Current Tax Year$683,268CurrentTaxYearAmt
Total$2,881,235TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,881,235PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$953CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,361CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,316CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,585CurrentTaxYearMinus1YearAmt
Current Tax Year$2,107CurrentTaxYearAmt
Total$33,322TotalAmt
FieldValueIRS element (for citing)
Total Support$2,914,557TotalSupportAmt
Gross Receipts Rltd Activities$230,051GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98860PublicSupportCY170Pct
Public Support PY1700.98630PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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)
Other Cost Or Other Basis$327,000OtherCostOrOtherBasisAmt
Book Value$327,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,950,938OtherCostOrOtherBasisAmt
Depreciation$103,894DepreciationAmt
Book Value$2,847,044BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,558OtherCostOrOtherBasisAmt
Depreciation$12,776DepreciationAmt
Book Value$29,782BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,203,826TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$6,448Amt
FieldValueIRS element (for citing)
Total Liability$6,448TotalLiabilityAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMaria H RobersonPersonNm
Relationship With OrgLoan was made by an Officer.RelationshipWithOrgTxt
Loan PurposeLoan was made to Org. in order to help with new buidling construction.LoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$42,500OriginalPrincipalAmt
Balance Due$42,500BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$42,500TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution2ContributionCnt
Noncash Contributions Rpt F990$55,649NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMV date rec'dMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bDRAFT OF PREPARED 990 RETURN EMAILED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING
Form 990, Part VI, Section B, line 12cBOARD MEMBERS ARE ASKED ABOUT ANY CONFLICTS OF INTEREST WHEN THEY JOIN THE BOARD
Form 990, Part VI, Section B, line 15aEXECUTIVE DIRECTOR'S SALARY WAS NEGOTIATED BY BOARD OF DIRECTORS WITH A MAXIMUM SALARY SET BY THE BOARD.ALL RAISES ARE APPROVED BY BOARD OF DIRECTORS.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW AT ORGANIZATION OFFICES UPON REQUEST. ORGANIZATIONAL DOCUMENTS ARE AVAILABLE AT HTTP://WWW.SECRETARY.STATE.NC.US

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