BETA

K9S 4 MOBILITY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
K9S 4 MOBILITY (EIN 45-4748121)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202143199349319589
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)
Return2021-11-15T15:04:35-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN830331229PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGEE HEARNE & PAIZ LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1088AddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82003ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454748121EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1K9'S 4 MOBILITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlK9S4BusinessNameControlTxt
Phone3072141248PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE WOERNERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3072141248PhoneNum
Signature2021-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastWOERNERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRANDY MARROUPreparerPersonNm
PTINP01204639PTIN
Phone3076342151PhoneNum
Preparation2021-11-15PreparationDt

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 OfficerMICHELLE WOERNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$216,772GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.K9S4MOBILITY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateWYLegalDomicileStateCd
Activity Or MissionK9S 4 MOBILITY, INC. IS DEDICATED TO ENRICHING THE LIVES OF OTHERS THROUGH THE TRAINING, PLACEMENT AND SUPPORT OF ASSISTANCE DOG PARTNERSHIPS BY ENHANCING MOBILITY, INCREASING INDEPENDENCE AND CONFIDENCE, AND PROVIDING DEVOTED COMPANIONSHIP. K9S 4 MOBILITY, INC. PLACES FOUR TO SIX ASSISTANCE DOG TEAMS PER YEAR, AND AIMS TO INCREASE ASSISTANCE DOG TEAM PLACEMENTS.K9S 4 MOBILITY, INC. HAS ALSO ESTABLISHED AN OWNER-TRAINED ASSISTANCE DOG TRAINING PROGRAM THAT IS OFFERED TO THOSE WISHING TO TRAIN THEIR OWN ASSISTANCE DOG UNDER THE SUPERVISION OF A CERTIFIED ASSISTANCE DOG TRAINER. ONCE ACCEPTED INTO THE OWNER-TRAINED PROGRAM, THE PERSON MUST BE WILLING TO TRAVEL TO K9S 4 MOBILITY'S TRAINING FACILITY MULTIPLE TIMES BEFORE CERTIFICATION OF THE TEAM.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$177,791PYContributionsGrantsAmt
CY Contributions Grants$127,992CYContributionsGrantsAmt
PY Program Service Revenue$23,783PYProgramServiceRevenueAmt
CY Program Service Revenue$27,307CYProgramServiceRevenueAmt
PY Investment Income$86PYInvestmentIncomeAmt
CY Investment Income$9,240CYInvestmentIncomeAmt
PY Other Revenue$52,486PYOtherRevenueAmt
CY Other Revenue$12,406CYOtherRevenueAmt
PY Total Revenue$254,146PYTotalRevenueAmt
CY Total Revenue$176,945CYTotalRevenueAmt
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$71,254PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,690CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,180CYTotalFundraisingExpenseAmt
PY Other Expenses$84,159PYOtherExpensesAmt
CY Other Expenses$76,335CYOtherExpensesAmt
PY Total Expenses$155,413PYTotalExpensesAmt
CY Total Expenses$161,025CYTotalExpensesAmt
PY Revenues Less Expenses$98,733PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,920CYRevenuesLessExpensesAmt
Total Assets BOY$641,540TotalAssetsBOYAmt
Total Assets EOY$711,398TotalAssetsEOYAmt
Total Liabilities BOY$1,965TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,557TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$639,575NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$708,841NetAssetsOrFundBalancesEOYAmt
MissionK9S 4 MOBILITY, INC. IS DEDICATED TO ENRICHING THE LIVES OF OTHERS THROUGH THE TRAINING, PLACEMENT AND SUPPORT OF ASSISTANCE DOG PARTNERSHIPS BY ENHANCING MOBILITY, INCREASING INDEPENDENCE AND CONFIDENCE, AND PROVIDING DEVOTED COMPANIONSHIP.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$126,259ExpenseAmt
Revenue$27,307RevenueAmt
DescTRAIN AND PARTNER ASSISTANCE DOGS WITH PEOPLE WHO HAVE A DISABILITYDesc
Total Program Service Expenses$126,259TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
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
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHELLE WOERNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3072141248PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MICHELLE WOERNER
EXECUTIVE DIRECTOR40.00Yes (X)$48,367$0$0
HEATHER ROE DAY
CHAIR2.00Yes (X)$0$0$0Yes (X)
CAROL RIESER
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
JESS RYAN
SECRETARY2.00Yes (X)$0$0$0Yes (X)
DAWN CULPEPPER
TREASURER2.00Yes (X)$0$0$0Yes (X)
CHRIS BASS
BOARD MEMBER1.00$0$0$0Yes (X)
LAURIE FARKAS
BOARD MEMBER1.00$0$0$0Yes (X)
TRACIE CALLER
BOARD MEMBER1.00$0$0$0Yes (X)
JOANNA VILOS
BOARD MEMBER1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,367TotalReportableCompFromOrgAmt
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$25,696GovernmentGrantsAmt
All Other Contributions$102,296AllOtherContributionsAmt
Noncash Contributions$1,248NoncashContributionsAmt
Total Contributions$127,992TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$27,307TotalRevenueColumnAmt
Related Or Exempt Func Income$27,307RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$27,307TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,611TotalRevenueColumnAmt
Exclusion$10,611ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,400RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$419RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,981RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,981TotalRevenueColumnAmt
Exclusion$1,981ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$17,218SecuritiesAmt
Other$20,069OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,115SecuritiesAmt
Other$20,543OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$897SecuritiesAmt
Other-$474OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,371TotalRevenueColumnAmt
Exclusion-$1,371ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,175FundraisingGrossIncomeAmt
Fundraising Direct Expenses$750FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,425TotalRevenueColumnAmt
Exclusion$10,425ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,945TotalRevenueColumnAmt
Related Or Exempt Func Income$27,307RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,646ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,368TotalAmt
Program Services$38,694ProgramServicesAmt
Management And General$4,837ManagementAndGeneralAmt
Fundraising$4,837FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,665TotalAmt
Program Services$28,656ProgramServicesAmt
Management And General$528ManagementAndGeneralAmt
Fundraising$481FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,657TotalAmt
Program Services$5,745ProgramServicesAmt
Management And General$458ManagementAndGeneralAmt
Fundraising$454FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,550TotalAmt
Management And General$2,550ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,915TotalAmt
Management And General$3,915ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$883TotalAmt
Fundraising$883FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,806TotalAmt
Program Services$2,245ProgramServicesAmt
Management And General$561ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$54TotalAmt
Management And General$54ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$88TotalAmt
Management And General$88ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,885TotalAmt
Program Services$11,337ProgramServicesAmt
Management And General$548ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$913TotalAmt
Program Services$822ProgramServicesAmt
Management And General$91ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DOG SUPPLIES AND EQUIPM$15,486$15,486
UTITLITIES$10,299$9,269$1,030
COMPUTER & SOFTWARE EXP$6,397$6,397
VET CARE$4,790$4,790

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,269TotalAmt
Program Services$9,215ProgramServicesAmt
Management And General$6,529ManagementAndGeneralAmt
Fundraising$525FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$161,025TotalAmt
Program Services$126,259ProgramServicesAmt
Management And General$27,586ManagementAndGeneralAmt
Fundraising$7,180FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$75,898BOYAmt
EOY$106,954EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$51,297BOYAmt
EOY$25,821EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$175,298LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,370LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$126,762BOYAmt
EOY$132,928EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$387,583BOYAmt
EOY$445,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$641,540BOYAmt
EOY$711,398EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,965BOYAmt
EOY$2,557EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,965BOYAmt
EOY$2,557EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$425,398BOYAmt
EOY$494,664EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$639,575BOYAmt
EOY$708,841EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$641,540BOYAmt
EOY$711,398EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$15,920ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$52,596NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$750DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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$132,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$316,488CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$128,022CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,791CurrentTaxYearMinus1YearAmt
Current Tax Year$78,476CurrentTaxYearAmt
Total$833,315TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$132,538CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$316,488CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$128,022CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,791CurrentTaxYearMinus1YearAmt
Current Tax Year$78,476CurrentTaxYearAmt
Total$833,315TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$833,315PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,687CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,847CurrentTaxYearMinus1YearAmt
Current Tax Year$13,010CurrentTaxYearAmt
Total$34,144TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$675CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$19,249CurrentTaxYearMinus1YearAmt
Total$19,924TotalAmt
FieldValueIRS element (for citing)
Total Support$887,383TotalSupportAmt
Gross Receipts Rltd Activities$99,431GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93910PublicSupportCY170Pct
Public Support PY1700.95320PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$387,583BeginningYearBalanceAmt
Investment Earnings Or Losses$61,887InvestmentEarningsOrLossesAmt
Administrative Expenses$3,775AdministrativeExpensesAmt
End Year Balance$445,695EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$119,199OtherCostOrOtherBasisAmt
Depreciation$15,984DepreciationAmt
Book Value$103,215BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,489OtherCostOrOtherBasisAmt
Depreciation$5,968DepreciationAmt
Book Value$5,521BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,110OtherCostOrOtherBasisAmt
Depreciation$17,918DepreciationAmt
Book Value$24,192BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,500OtherCostOrOtherBasisAmt
Depreciation$2,500DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$132,928TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B990 IS PROVIDED TO THE BOARD PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. COMPLIANCE WITH THE POLICY IS MONITORED BY THE BOARD OF DIRECTORS PRESIDENT AND EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 15ATHE CEO'S PERFORMANCE AND ATTAINMENT OF PREVIOUSLY ESTABLISHED GOALS IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS. THE RESULTS ARE THEN UTILIZED TO ESTABLISH THE EXECUTIVE DIRECTOR'S COMPENSATION FOR THE FOLLOWING YEAR.
FORM 990, PART VI, SECTION C, LINE 19ALL PUBLIC DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 24EVEHICLE EXPENSE: PROGRAM SERVICE EXPENSES 3,152. MANAGEMENT AND GENERAL EXPENSES 788. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,940. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,506. MANAGEMENT AND GENERAL EXPENSES 389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,895. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,274. MEALS & ENTERTAINMENT: PROGRAM SERVICE EXPENSES 1,530. MANAGEMENT AND GENERAL EXPENSES 383. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,913. TELEPHONE AND INTERNET: PROGRAM SERVICE EXPENSES 825. MANAGEMENT AND GENERAL EXPENSES 825. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,650. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,400. FUNDRAISING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 428. TOTAL EXPENSES 428. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 385. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 385. CERTIFICATIONS: PROGRAM SERVICE EXPENSES 160. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160. IN-KIND SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 82. TOTAL EXPENSES 82. CONTINUING EDUCATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 68. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68. PROPERTY TAXES: PROGRAM SERVICE EXPENSES 42. MANAGEMENT AND GENERAL EXPENSES 5. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47. EVENT REGISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 15. TOTAL EXPENSES 15. LATE FEES AND PENALTIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12.

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