CHILDRENS ADVOCACY CENTER FOR THE PIKES PEAK REGION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CHILDRENS ADVOCACY CENTER FOR THE PIKES PEAK REGION INC (EIN 84-1241767)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2021-11-08
IRS object ID: 202143129349302684
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-08T11:59:32-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	840636698	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	OSBORNE PARSONS & ROSACKER LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	601 NORTH NEVADA AVENUE	AddressLine1Txt
City	COLORADO SPRINGS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	809031005	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841241767	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHILDREN'S ADVOCACY CENTER FOR THE	BusinessNameLine1Txt
Business Name Line2	PIKES PEAK REGION INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CHIL	BusinessNameControlTxt
Phone	7196362460	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	423 S CASCADE AVE	AddressLine1Txt
City	COLORADO SPRINGS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80903	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MAUREEN BASENBERG	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	7196362460	PhoneNum
Signature	2021-11-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MAUREEN	PersonFirstNm
Person Last	BASENBERG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MITCHELL DOWNS CPA	PreparerPersonNm
PTIN	P00831972	PTIN
Phone	7196362321	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SAFE PASSAGE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MAUREEN BASENBERG	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	423 S CASCADE AVE	AddressLine1Txt
City	COLORADO SPRINGS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80903	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,107,139	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SAFEPASSAGECAC.ORG	WebsiteAddressTxt
Type Of Organization Trust	Yes (X)	TypeOfOrganizationTrustInd
Formation	1993	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or Mission	SAFE PASSAGE GIVES ABUSED CHILDREN A VOICE AND ENABLES THE HEALING PROCESS BY ACTING AS THE SINGLE SOURCE OF CONTACT FOR MEDICAL, INVESTIGATIVE, AND LEGAL SERVICES. SAFE PASSAGE SERVES CHILDREN FROM BIRTH TO THE AGE OF 18, AS WELL AS DEVELOPMENTALLY DISABLED ADULTS, WHO ARE VICTIMS OF SEXUAL OR PHYSICAL ABUSE AND/OR ARE WITNESSES TO HOMICIDE OR DOMESTIC VIOLENCE.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	8	TotalEmployeeCnt
Total Volunteers	36	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$667,829	PYContributionsGrantsAmt
CY Contributions Grants	$2,048,519	CYContributionsGrantsAmt
PY Program Service Revenue	$1,200	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,200	CYProgramServiceRevenueAmt
PY Investment Income	$2,617	PYInvestmentIncomeAmt
CY Investment Income	$797	CYInvestmentIncomeAmt
PY Other Revenue	-$6,417	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$665,229	PYTotalRevenueAmt
CY Total Revenue	$2,050,516	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$440,881	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$419,638	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$91,265	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,674	PYOtherExpensesAmt
CY Other Expenses	$230,635	CYOtherExpensesAmt
PY Total Expenses	$619,555	PYTotalExpensesAmt
CY Total Expenses	$650,273	CYTotalExpensesAmt
PY Revenues Less Expenses	$45,674	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,400,243	CYRevenuesLessExpensesAmt
Total Assets BOY	$992,996	TotalAssetsBOYAmt
Total Assets EOY	$2,389,946	TotalAssetsEOYAmt
Total Liabilities BOY	$93,690	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$90,396	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$899,306	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,299,550	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SAFE PASSAGE GIVES ABUSED CHILDREN A VOICE AND ENABLES THE HEALING PROCESS BY ACTING AS THE SINGLE SOURCE OF CONTACT FOR MEDICAL, INVESTIGATIVE, AND LEGAL SERVICES. SAFE PASSAGE SERVES CHILDREN FROM BIRTH TO THE AGE OF 18, AS WELL AS DEVELOPMENTALLY DISABLED ADULTS, WHO ARE VICTIMS OF SEXUAL OR PHYSICAL ABUSE AND/OR ARE WITNESSES TO HOMICIDE OR DOMESTIC VIOLENCE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$519,946	ExpenseAmt
Revenue	$1,200	RevenueAmt
Desc	SAFE PASSAGE: IS AT THE CENTER OF AN INTER-AGENCY COLLABORATIVE EFFORT THAT MINIMIZES THE TRAUMA TO VICTIMS OF CHILD ABUSE BY CENTRALIZING SERVICES IN ONE, CHILD-FRIENDLY LOCATION. WE ACT AS TEAM LEADER, COORDINATING THE RESPONSES OF OUR TEAM PARTNERS IN THE MEDICAL, INVESTIGATIVE, SOCIAL SERVICE, LEGAL, AND MENTAL HEALTH ARENAS.	Desc
Total Program Service Expenses	$519,946	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	8	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MAUREEN BASENBERG	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7196362460	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	423 SOUTH CASCADE AVENUE	AddressLine1Txt
City	COLORADO SPRINGS	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
GEOFF HEIM
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
ANGIE HESSELBERG
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
THE HONORABLE PETER BOOTH RETIRED
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ANNA DE WIT
VICE-PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER FLUEGGE
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DIANA MAY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
JAE SANDERS
SECRETARY	1.00	Yes (X)	Yes (X)	$0	$0	$0
HANNA SILVER
DIRECTOR	1.00	Yes (X)		$0	$0	$0
IME LOPEZ ESQ
DIRECTOR	1.00	Yes (X)		$0	$0	$0
KIM WATTS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MAUREEN BASENBERG
EXECUTIVE DIRECTOR	40.00		Yes (X)	$91,735	$0	$6,057

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$91,735	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$6,057	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Fundraising	$14,448	FundraisingAmt
Government Grants	$366,233	GovernmentGrantsAmt
All Other Contributions	$1,667,838	AllOtherContributionsAmt
Noncash Contributions	$15,474	NoncashContributionsAmt
Total Contributions	$2,048,519	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	MEDICAL EXAMS	Desc
Business	624100	BusinessCd
Total Revenue Column	$1,200	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,200	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,200	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$797	TotalRevenueColumnAmt
Exclusion	$797	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$53,392	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$53,392	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$3,231	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$14,448	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$3,231	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,050,516	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,200	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$797	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$115,872	TotalAmt
Program Services	$96,174	ProgramServicesAmt
Management And General	$11,587	ManagementAndGeneralAmt
Fundraising	$8,111	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$263,721	TotalAmt
Program Services	$213,706	ProgramServicesAmt
Management And General	$1,494	ManagementAndGeneralAmt
Fundraising	$48,521	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,587	TotalAmt
Program Services	$10,187	ProgramServicesAmt
Management And General	$9	ManagementAndGeneralAmt
Fundraising	$2,391	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$27,458	TotalAmt
Program Services	$22,410	ProgramServicesAmt
Management And General	$916	ManagementAndGeneralAmt
Fundraising	$4,132	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$15,784	TotalAmt
Program Services	$8,711	ProgramServicesAmt
Management And General	$4,271	ManagementAndGeneralAmt
Fundraising	$2,802	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$9,440	TotalAmt
Program Services	$5,210	ProgramServicesAmt
Management And General	$2,554	ManagementAndGeneralAmt
Fundraising	$1,676	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$35,757	TotalAmt
Program Services	$19,733	ProgramServicesAmt
Management And General	$9,675	ManagementAndGeneralAmt
Fundraising	$6,349	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,362	TotalAmt
Program Services	$810	ProgramServicesAmt
Management And General	$890	ManagementAndGeneralAmt
Fundraising	$4,662	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,022	TotalAmt
Program Services	$5,969	ProgramServicesAmt
Management And General	$351	ManagementAndGeneralAmt
Fundraising	$702	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,258	TotalAmt
Program Services	$7,019	ProgramServicesAmt
Management And General	$413	ManagementAndGeneralAmt
Fundraising	$826	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,067	TotalAmt
Program Services	$10,257	ProgramServicesAmt
Management And General	$603	ManagementAndGeneralAmt
Fundraising	$1,207	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,663	TotalAmt
Program Services	$700	ProgramServicesAmt
Fundraising	$1,963	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,723	TotalAmt
Management And General	$1,723	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,013	TotalAmt
Program Services	$17,011	ProgramServicesAmt
Management And General	$1,001	ManagementAndGeneralAmt
Fundraising	$2,001	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$12,811	TotalAmt
Program Services	$10,889	ProgramServicesAmt
Management And General	$641	ManagementAndGeneralAmt
Fundraising	$1,281	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SERVICES	$39,264	$39,264
DONATED GOODS	$15,474	$15,474
TELEPHONE	$11,340	$9,639	$567	$1,134
UTILITIES	$8,591	$7,302	$430	$859

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$24,066	TotalAmt
Program Services	$19,481	ProgramServicesAmt
Management And General	$1,937	ManagementAndGeneralAmt
Fundraising	$2,648	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$650,273	TotalAmt
Program Services	$519,946	ProgramServicesAmt
Management And General	$39,062	ManagementAndGeneralAmt
Fundraising	$91,265	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$218,033	BOYAmt
EOY	$193,280	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$413,076	BOYAmt
EOY	$280,277	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$44,883	BOYAmt
EOY	$41,084	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$27,568	BOYAmt
EOY	$420,087	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,637	BOYAmt
EOY	$16,778	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,726,762	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$288,322	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$271,799	BOYAmt
EOY	$1,438,440	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$992,996	BOYAmt
EOY	$2,389,946	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$37,624	BOYAmt
EOY	$75,549	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$2,000	BOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$54,066	BOYAmt
EOY	$14,847	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,690	BOYAmt
EOY	$90,396	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	$823,748	BOYAmt
EOY	$1,822,135	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,558	BOYAmt
EOY	$477,415	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$899,306	BOYAmt
EOY	$2,299,550	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$992,996	BOYAmt
EOY	$2,389,946	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,400,243	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	$1	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,173,109	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$508,242	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$606,964	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$667,829	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,048,519	CurrentTaxYearAmt
Total	$5,004,663	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,173,109	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$508,242	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$606,964	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$667,829	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,048,519	CurrentTaxYearAmt
Total	$5,004,663	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$5,004,663	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,644	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,863	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,601	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,617	CurrentTaxYearMinus1YearAmt
Current Tax Year	$797	CurrentTaxYearAmt
Total	$9,522	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,915	CurrentTaxYearMinus4YearsAmt
Total	$6,915	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$5,021,100	TotalSupportAmt
Gross Receipts Rltd Activities	$37,016	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.99670	PublicSupportCY170Pct
Public Support PY170	0.99410	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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)
Other Cost Or Other Basis	$168,496	OtherCostOrOtherBasisAmt
Book Value	$168,496	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$433,170	OtherCostOrOtherBasisAmt
Depreciation	$253,107	DepreciationAmt
Book Value	$180,063	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,596	OtherCostOrOtherBasisAmt
Depreciation	$35,215	DepreciationAmt
Book Value	$33,381	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,056,500	OtherCostOrOtherBasisAmt
Book Value	$1,056,500	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,438,440	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	LINE OF CREDIT	Desc
Amt	$14,847	Amt

Field	Value	IRS element (for citing)
Total Liability	$14,847	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,140,347	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$86,600	DonatedServicesAndUseFcltsAmt
Other Revenue	$3,231	OtherRevenueAmt
Revenue Not Reported	$89,831	RevenueNotReportedAmt
Revenue Subtotal	$2,050,516	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,050,516	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$740,104	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$86,600	DonatedServicesUseFcltsAmt
Other Expenses Included	$3,231	OtherExpensesIncludedAmt
Expenses Not Reported	$89,831	ExpensesNotReportedAmt
Expenses Subtotal	$650,273	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$650,273	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE DATE THEY ARE FILED. AS OF JUNE 30, 2021, THE INFORMATION RETURNS FOR THE THREE PRIOR YEARS ARE CONSIDERED OPEN FOR INTERNAL REVENUE SERVICE EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL EVENT EXPENSES
PART XII, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	ANNUAL FUNDRAISER	Event1Nm
Gross Receipts Event1	$17,679	GrossReceiptsEvent1Amt
Charitable Contri Event1	$14,448	CharitableContriEvent1Amt
Gross Revenue Event1	$3,231	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$3,231	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$17,679	GrossReceiptsTotalAmt
Charitable Contributions Tot	$14,448	CharitableContributionsTotAmt
Gross Revenue Total Events	$3,231	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$3,231	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$3,231	DirectExpenseSummaryEventsAmt
Net Income Summary	$0	NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS REVIEW A DRAFT COPY OF THE 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION REQUIRES THAT ALL EMPLOYEES, BOARD MEMBERS AND/OR COMMITTEE MEMBER DISCLOSE ANY POSSIBLE CONFLICT OF INTEREST UPON SIGNING THE CONFLICT OF INTEREST DOCUMENT IMMEDIATELY AND ON AN ANNUAL BASIS THEREAFTER.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED AND APPROVED ON AN ANNUAL BASIS BY THE GOVERNING BODY.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ONLY UPON REQUEST.
PART XII, LINE 2C	THE PROCESS HAS NOT CHANGED FROM THAT OF PRIOR YEAR.