PREGNANCY AID-SOUTH SUBURBS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY AID-SOUTH SUBURBS INC (EIN 36-3345840)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-04-29
IRS object ID
202141199349300439
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)
Return2021-04-29T08:12:11-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Lambert H Kamp CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110741 W Winterset DrAddressLine1Txt
CityOrland ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363345840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY AID SOUTH SUBURBSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVENUEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN JELLEMAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7086149777PhoneNum
Signature2021-04-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSTEVENPersonFirstNm
Person LastJELLEMAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLambert H KampPreparerPersonNm
PTINP01281484PTIN
Phone7083499494PhoneNum
Preparation2021-04-14PreparationDt
Self EmployedYes (X)SelfEmployedInd

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 OfficerSTEVEN JELLEMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$465,541GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPASSNETWORKFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$409,042PYContributionsGrantsAmt
CY Contributions Grants$448,425CYContributionsGrantsAmt
PY Program Service Revenue$13,655PYProgramServiceRevenueAmt
CY Program Service Revenue$6,435CYProgramServiceRevenueAmt
PY Investment Income$92PYInvestmentIncomeAmt
CY Investment Income$75CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$422,789PYTotalRevenueAmt
CY Total Revenue$454,935CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$287,891PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$274,587CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$71,233CYTotalFundraisingExpenseAmt
PY Other Expenses$140,466PYOtherExpensesAmt
CY Other Expenses$124,571CYOtherExpensesAmt
PY Total Expenses$428,357PYTotalExpensesAmt
CY Total Expenses$399,158CYTotalExpensesAmt
PY Revenues Less Expenses-$5,568PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$55,777CYRevenuesLessExpensesAmt
Total Assets BOY$468,884TotalAssetsBOYAmt
Total Assets EOY$518,532TotalAssetsEOYAmt
Total Liabilities BOY$11,297TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,168TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$457,587NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$513,364NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$293,459ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.Desc
Total Program Service Expenses$293,459TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee13EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN JELLEMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE VERHAGEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MIKE GLENN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SHARON WILKO
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ROBERT WORKMAN JR
TREASURER2.00Yes (X)Yes (X)$0$0$0
MIKE BRADY
TRUSTEE1.00Yes (X)$0$0$0
DAVE NOVOSEL
TRUSTEE1.00Yes (X)$0$0$0
SUSAN DAVINGER
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$80,571FundraisingAmt
Government Grants$57,512GovernmentGrantsAmt
All Other Contributions$310,342AllOtherContributionsAmt
Noncash Contributions$38,788NoncashContributionsAmt
Total Contributions$448,425TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescIMPACT PRESENTATIONSDesc
Business624190BusinessCd
Total Revenue Column$6,435TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,435TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$75ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$10,606FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$80,571ContriRptFundraisingEventAmt
Fundraising Direct Expenses$10,606FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$454,935TotalRevenueColumnAmt
Related Or Exempt Func Income$6,435RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$75ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$254,571TotalAmt
Program Services$175,389ProgramServicesAmt
Management And General$23,482ManagementAndGeneralAmt
Fundraising$55,700FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,016TotalAmt
Program Services$13,791ProgramServicesAmt
Management And General$1,846ManagementAndGeneralAmt
Fundraising$4,379FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,915TotalAmt
Program Services$2,915ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,618TotalAmt
Program Services$5,529ProgramServicesAmt
Management And General$1,953ManagementAndGeneralAmt
Fundraising$7,136FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,155TotalAmt
Program Services$26,242ProgramServicesAmt
Management And General$1,457ManagementAndGeneralAmt
Fundraising$1,456FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$642TotalAmt
Program Services$207ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$435FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$579TotalAmt
Program Services$579ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,960TotalAmt
Program Services$17,965ProgramServicesAmt
Management And General$998ManagementAndGeneralAmt
Fundraising$997FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,655TotalAmt
Program Services$8,690ProgramServicesAmt
Management And General$482ManagementAndGeneralAmt
Fundraising$483FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND FEES$1,970$675$648$647
EDUCATIONAL LITERATURE$2,689$2,689$0$0
BENEVOLENCE$38,788$38,788$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$399,158TotalAmt
Program Services$293,459ProgramServicesAmt
Management And General$34,466ManagementAndGeneralAmt
Fundraising$71,233FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,922BOYAmt
EOY$55,957EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,017BOYAmt
EOY$81,560EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,157BOYAmt
EOY$2,187EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$732,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$353,606LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$398,788BOYAmt
EOY$378,828EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$468,884BOYAmt
EOY$518,532EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,297BOYAmt
EOY$5,168EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,297BOYAmt
EOY$5,168EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$456,587BOYAmt
EOY$512,364EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$457,587BOYAmt
EOY$513,364EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$468,884BOYAmt
EOY$518,532EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$55,777ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$365,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$418,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$409,042CurrentTaxYearMinus1YearAmt
Current Tax Year$448,425CurrentTaxYearAmt
Total$2,086,715TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$445,246CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$365,368CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$418,634CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$409,042CurrentTaxYearMinus1YearAmt
Current Tax Year$448,425CurrentTaxYearAmt
Total$2,086,715TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$83,613SubstantialContributorsTotAmt
Public Support Total170$2,003,102PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$92CurrentTaxYearMinus1YearAmt
Current Tax Year$75CurrentTaxYearAmt
Total$210TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$45,618CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,996CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$107,614TotalAmt
FieldValueIRS element (for citing)
Total Support$2,194,539TotalSupportAmt
Public Support CY1700.91280PublicSupportCY170Pct
Public Support PY1700.87140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: SPECIAL EVENTS 2016: 45618. 2017: 61996. 2018: 0. 2019: 0. 2020: 0.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$19,147OtherCostOrOtherBasisAmt
Book Value$19,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,982OtherCostOrOtherBasisAmt
Depreciation$243,231DepreciationAmt
Book Value$336,751BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,305OtherCostOrOtherBasisAmt
Depreciation$110,375DepreciationAmt
Book Value$22,930BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$378,828TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$537,537TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$71,996DonatedServicesAndUseFcltsAmt
Other Revenue$10,606OtherRevenueAmt
Revenue Not Reported$82,602RevenueNotReportedAmt
Revenue Subtotal$454,935RevenueSubtotalAmt
Total Revenue Per Form990$454,935TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$481,760TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$71,996DonatedServicesUseFcltsAmt
Other Expenses Included$10,606OtherExpensesIncludedAmt
Expenses Not Reported$82,602ExpensesNotReportedAmt
Expenses Subtotal$399,158ExpensesSubtotalAmt
Total Expenses Per Form990$399,158TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dFUNDRAISING EVENT EXPENSES
Pt XII, Line 2dFUNDRAISING EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HIKE FOR LIFEEvent1Nm
Gross Receipts Event1$46,024GrossReceiptsEvent1Amt
Charitable Contri Event1$43,842CharitableContriEvent1Amt
Gross Revenue Event1$2,182GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,182OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$45,153GrossReceiptsEvent2Amt
Charitable Contri Event2$36,729CharitableContriEvent2Amt
Gross Revenue Event2$8,424GrossRevenueEvent2Amt
Other Direct Expenses Event2$8,424OtherDirectExpensesEvent2Amt
Gross Receipts Total$91,177GrossReceiptsTotalAmt
Charitable Contributions Tot$80,571CharitableContributionsTotAmt
Gross Revenue Total Events$10,606GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$10,606OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,606DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$38,788NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Pt VI, Line 15aBOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR SALARY.
Pt VI, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.

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