SOULS HARBOR INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOULS HARBOR INC (EIN 75-1190109)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-04-02
IRS object ID
202140929349300809
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)
Return2021-04-02T06:22:01-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH & SMITH CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1901 W Bardin rd Suite 101AddressLine1Txt
CityArlingtonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP76017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN751190109EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOULS HARBOR INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOULBusinessNameControlTxt
Phone9722861940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 360455AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75336ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRENT BURMASTERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9722861940PhoneNum
Signature2021-03-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstBRENTPersonFirstNm
Person LastBURMASTERPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephen D Smith CPAPreparerPersonNm
PTINP00392938PTIN
Phone8174669333PhoneNum
Preparation2021-04-02PreparationDt

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 OfficerBRENT BURMASTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line113124 NILE DRAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75336ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$836,386GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1956FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionHOUSING AND REHABILITATION TO ASSIST INDIGENT, HOMELESS, LOCAL OR TRANSIENT MEN WHOSE BASIC PROBLEM IS ALCOHOL.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$11,652TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$241,901PYContributionsGrantsAmt
CY Contributions Grants$212,677CYContributionsGrantsAmt
PY Program Service Revenue$42,141PYProgramServiceRevenueAmt
CY Program Service Revenue$50,533CYProgramServiceRevenueAmt
PY Investment Income-$1,624PYInvestmentIncomeAmt
CY Investment Income$3,526CYInvestmentIncomeAmt
PY Other Revenue$502,106PYOtherRevenueAmt
CY Other Revenue$569,650CYOtherRevenueAmt
PY Total Revenue$784,524PYTotalRevenueAmt
CY Total Revenue$836,386CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$93,801PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$107,968CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$10,400CYTotalFundraisingExpenseAmt
PY Other Expenses$626,682PYOtherExpensesAmt
CY Other Expenses$667,344CYOtherExpensesAmt
PY Total Expenses$720,483PYTotalExpensesAmt
CY Total Expenses$775,312CYTotalExpensesAmt
PY Revenues Less Expenses$64,041PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$61,074CYRevenuesLessExpensesAmt
Total Assets BOY$1,054,894TotalAssetsBOYAmt
Total Assets EOY$1,431,687TotalAssetsEOYAmt
Total Liabilities BOY$5,194TotalLiabilitiesBOYAmt
Total Liabilities EOY$320,913TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,049,700NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,110,774NetAssetsOrFundBalancesEOYAmt
MissionHOUSING AND REHABILITATION TO ASSIST INDIGENT, HOMELESS, LOCAL OR TRANSIENT MEN WHOSE BASIC PROBLEM IS ALCOHOL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$457,779ExpenseAmt
Grant$0GrantAmt
Revenue$263,210RevenueAmt
DescWE HAVE PROVIDED FOOD, SHELTER, MEDICINE, CLOTHING AND REHABILITATION TO HOMELESS AND ALCOHOLIC MEN. THE FACILITIES PROVIDE FOR UP TO 65 MEN AT A TIME.Desc
Total Program Service Expenses$457,779TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRENT BURMASTERPersonNm
Phone9722861940PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113124 NILE DRAddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75336ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRENT BURMASTER
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$53,000$0$0
DENNIS O'HAGAN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
ROGER SIVERSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
MICHAEL LOSAWYER
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN BOYKIN
BOARD MEMBER1.00Yes (X)$0$0$0
DANNY WILSON
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID STEPHENSON
BOARD MEMBER1.00Yes (X)$0$0$0
COYLE BEARD
BOARD MEMBER1.00Yes (X)$0$0$0Yes (X)
JUAN JASSO
BOARD MEMBER1.00Yes (X)$0$0$0
JIM SINGER
BOARD MEMBER1.00Yes (X)$0$0$0
DAVID MUNSON
BOARD MEMBER1.00Yes (X)$0$0$0
CHERYL O'HAGAN
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN STACK
BOARD MEMBER1.00Yes (X)$0$0$0
ROSEMARY McGINN
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$53,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$212,677AllOtherContributionsAmt
Total Contributions$212,677TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
ROOM AND BOARD900099$42,335$0$0
SCRAP SALES900099$8,198$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$50,533TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,526TotalRevenueColumnAmt
Unrelated Business Revenue$3,108UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$561,106GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$561,106TotalRevenueColumnAmt
Related Or Exempt Func Income$561,106RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
UNREALIZED GAIN ON SECURITIES900099$8,544$0$8,544$0
Reimbursements/Returns and Allowances900099$0$0$0$0
FieldValueIRS element (for citing)
Other Revenue Total$8,544OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$836,386TotalRevenueColumnAmt
Related Or Exempt Func Income$612,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$11,652UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$53,000TotalAmt
Program Services$53,000ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$47,170TotalAmt
Program Services$47,170ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,798TotalAmt
Program Services$7,798ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$11,250TotalAmt
Program Services$11,250ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,760TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,760ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,475TotalAmt
Program Services$2,475ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,985TotalAmt
Program Services$0ProgramServicesAmt
Management And General$30,985ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$124,753TotalAmt
Program Services$124,753ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,105TotalAmt
Program Services$0ProgramServicesAmt
Management And General$16,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,544TotalAmt
Program Services$0ProgramServicesAmt
Management And General$53,544ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,322TotalAmt
Program Services$0ProgramServicesAmt
Management And General$36,322ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bank Charges$9,337$0$9,337$0
Dues & Subscriptions$6,172$0$6,172$0
Taxes - Other$6,463$0$6,463$0
Vehicle Expense$25,572$0$25,572$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$342,606TotalAmt
Program Services$211,333ProgramServicesAmt
Management And General$120,873ManagementAndGeneralAmt
Fundraising$10,400FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$775,312TotalAmt
Program Services$457,779ProgramServicesAmt
Management And General$307,133ManagementAndGeneralAmt
Fundraising$10,400FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$131,658BOYAmt
EOY$169,743EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$48,310BOYAmt
EOY$3,343EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$4,802EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,557,223LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$618,400LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$569,841BOYAmt
EOY$938,823EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$305,085BOYAmt
EOY$314,976EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,054,894BOYAmt
EOY$1,431,687EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,194BOYAmt
EOY$6,292EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$314,621EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,194BOYAmt
EOY$320,913EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,049,700BOYAmt
EOY$1,110,774EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,049,700BOYAmt
EOY$1,110,774EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,054,894BOYAmt
EOY$1,431,687EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$61,074ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$208,843CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$217,776CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$199,991CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$241,901CurrentTaxYearMinus1YearAmt
Current Tax Year$212,677CurrentTaxYearAmt
Total$1,081,188TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$492,280CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$561,106CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$526,367CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$559,262CurrentTaxYearMinus1YearAmt
Current Tax Year$611,639CurrentTaxYearAmt
Total$2,750,654TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$701,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$778,882CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$726,358CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$801,163CurrentTaxYearMinus1YearAmt
Current Tax Year$824,316CurrentTaxYearAmt
Total$3,831,842TotalAmt

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$3,831,842PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,712CurrentTaxYearMinus1YearAmt
Current Tax Year$12,070CurrentTaxYearAmt
Total$27,139TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,712CurrentTaxYearMinus1YearAmt
Current Tax Year$12,070CurrentTaxYearAmt
Total$27,139TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$3,858,981TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99300PublicSupportCY509Pct
Public Support PY5090.99590PublicSupportPY509Pct
Investment Income CY0.00700InvestmentIncomeCYPct
Investment Income PY0.00410InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,000OtherCostOrOtherBasisAmt
Book Value$8,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,225,591OtherCostOrOtherBasisAmt
Book Value$1,225,591BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$323,632OtherCostOrOtherBasisAmt
Book Value$323,632BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,557,223TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bThe 990 is presented to the board of directors, who review and approve it.
Pt VI, Line 19Made available upon request
Form 990, Part IX, Line 24eCONTRACT LABOR 1800. 1800. 0. 0.
Form 990, Part IX, Line 24eDrug Testing Supplies 8043. 0. 8043. 0.
Form 990, Part IX, Line 24eMISC & OTHER EXPENSE 4800. 0. 4800. 0.
Form 990, Part IX, Line 24eDelivery 0. 0. 0. 0.
Form 990, Part IX, Line 24eSupplies 99418. 99418. 0. 0.
Form 990, Part IX, Line 24eSECURITY 480. 0. 480. 0.
Form 990, Part IX, Line 24eREPAIRS & MAINTENANCE 63688. 0. 63688. 0.
Form 990, Part IX, Line 24eTRASH MAINTENANCE 43862. 0. 43862. 0.
Form 990, Part IX, Line 24eCONTINUING EDUCATION 1600. 1600. 0. 0.
Form 990, Part IX, Line 24eFINES & TICKETS 0. 0. 0. 0.
Form 990, Part IX, Line 24ePermits 0. 0. 0. 0.
Form 990, Part IX, Line 24eFuel 70462. 70462. 0. 0.
Form 990, Part IX, Line 24ePatient Rehab 38053. 38053. 0. 0.
Form 990, Part IX, Line 24eMeals 0. 0. 0. 0.
Form 990, Part IX, Line 24eGrant Writing 10400. 0. 0. 10400.

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