KATIES HOUSE INCORPORATED: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- KATIES HOUSE INCORPORATED (EIN 22-3789299)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-03-03
- IRS object ID
- 202000639349301600
- Schema version
- 2019v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-03-03T16:57:56-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 222903370 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH L GOMERINGER CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 487 | AddressLine1Txt |
| City | CHESTER | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 079300487 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223789299 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATIE'S HOUSE INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O EVELYN DUDZIEC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KATI | BusinessNameControlTxt |
| Phone | 9733833221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 MORAN STREET | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07860 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRACEY DE WAAL | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 9733833221 | PhoneNum |
| Signature | 2020-02-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH L GOMERINGER | PreparerPersonNm |
| PTIN | P01337434 | PTIN |
| Phone | 9088797603 | PhoneNum |
| Preparation | 2020-02-25 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.254.70.121 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-03-03 | IPDt |
| IP Tm | 16:57:56 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9D0E94D6810CA92E7253B325C89C363A45EF379B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9D0E94D6810CA92E7253B325C89C363A45EF379B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | EVELYN DUDZIEC | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 WITT LANE | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07860 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $222,653 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SECURE, INDEPENDENT ASSISTED LIVING HOMES WITH HOUSE PARENTS TO OVERSEE THE DAILY NEEDS OF SPECIAL NEEDS ADULTS, I.E., ADULTS WHOSE DEVELOPMENTAL OR PHYSICAL DISABILITIES PREVENT THEM FROM LIVING INDEPENDENTLY WITHOUT SUPERVISION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $181,305 | PYContributionsGrantsAmt |
| CY Contributions Grants | $194,195 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $770 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $71 | PYInvestmentIncomeAmt |
| CY Investment Income | $53 | CYInvestmentIncomeAmt |
| PY Other Revenue | $39,586 | PYOtherRevenueAmt |
| CY Other Revenue | $23,018 | CYOtherRevenueAmt |
| PY Total Revenue | $221,732 | PYTotalRevenueAmt |
| CY Total Revenue | $217,266 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,822 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,374 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $196,537 | PYOtherExpensesAmt |
| CY Other Expenses | $198,229 | CYOtherExpensesAmt |
| PY Total Expenses | $209,359 | PYTotalExpensesAmt |
| CY Total Expenses | $211,603 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,373 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,663 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,059,022 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,048,464 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $573,043 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $556,822 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $485,979 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $491,642 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE SECURE, INDEPENDENT ASSISTED LIVING HOMES WITH HOUSE PARENTS TO OVERSEE THE DAILY NEEDS OF SPECIAL NEEDS ADULTS, I.E., ADULTS WHOSE DEVELOPMENTAL OR PHYSICAL DISABILITIES PREVENT THEM FROM LIVING INDEPENDENTLY WITHOUT SUPERVISION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $172,690 | ExpenseAmt |
| Desc | OPERATING AND ACTIVITY EXPENSES TO OPERATE THE VARIOUS RESIDENCES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $24,929 | ExpenseAmt |
| Desc | CENTER FOR ADVANCEMENT EDUCATIONAL/REHABILITATION CLASSES AND GROUP SOCIAL ACTIVITIES FOR PERSONS WITH PHYSICAL AND DEVELOPMENTAL DISABILITIES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $197,619 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 7 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | EVELYN DUDZIEC | PersonNm |
| Phone | 9733833221 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 WITT LANE | AddressLine1Txt |
| City | NEWTON | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07860 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Institutional TrusteeInstitutionalTrusteeInd |
|---|---|---|---|---|---|---|
| CHARLES CASEY | ||||||
| TREASURER | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| EVELYN DUDZIEC | ||||||
| EXECUTIVE DI | Yes (X) | $0 | $0 | $0 | ||
| GLENN DUDZIEC | ||||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| AMANDA MAJOR | ||||||
| SECRETARY | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TRACEY DE WAAL | ||||||
| VICE PRESIDE | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANCIS LIGHT MD | ||||||
| EMERITUS BOA | $0 | $0 | $0 | Yes (X) | ||
| DENNIS ZIOBER | ||||||
| BOARD TRUSTE | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $23,975 | FundraisingAmt |
| Government Grants | $108,453 | GovernmentGrantsAmt |
| All Other Contributions | $61,767 | AllOtherContributionsAmt |
| Total Contributions | $194,195 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $28,405 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $23,975 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,387 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,018 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $217,266 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,179 | TotalAmt |
| Program Services | $12,179 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,195 | TotalAmt |
| Program Services | $1,195 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,881 | TotalAmt |
| Management And General | $1,881 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $587 | TotalAmt |
| Program Services | $587 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374 | TotalAmt |
| Program Services | $374 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,724 | TotalAmt |
| Management And General | $4,724 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,074 | TotalAmt |
| Program Services | $23,074 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,045 | TotalAmt |
| Program Services | $22,045 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,028 | TotalAmt |
| Program Services | $22,028 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,744 | TotalAmt |
| Program Services | $8,744 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOUSE IMPROVE/UPKEEP | $57,154 | $57,154 | |
| FOOD | $23,498 | $23,498 | |
| OTHER HOUSEHOLD EXPENSES | $8,817 | $8,817 | |
| DONATIONS | $7,379 | $7,379 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,924 | TotalAmt |
| Program Services | $17,924 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,603 | TotalAmt |
| Program Services | $197,619 | ProgramServicesAmt |
| Management And General | $13,984 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,225 | BOYAmt |
| EOY | $21,629 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,835 | BOYAmt |
| EOY | $80,901 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,135,178 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $189,244 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $967,962 | BOYAmt |
| EOY | $945,934 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,059,022 | BOYAmt |
| EOY | $1,048,464 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572 | BOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $572,471 | BOYAmt |
| EOY | $556,822 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,043 | BOYAmt |
| EOY | $556,822 | 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 | $485,979 | BOYAmt |
| EOY | $491,642 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $485,979 | BOYAmt |
| EOY | $491,642 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,059,022 | BOYAmt |
| EOY | $1,048,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,663 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
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 | $79,676 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $181,305 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $194,195 | CurrentTaxYearAmt |
| Total | $704,388 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $79,676 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $116,873 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,339 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $181,305 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $194,195 | CurrentTaxYearAmt |
| Total | $704,388 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $704,388 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $52 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $71 | CurrentTaxYearMinus1YearAmt |
| Total | $123 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $704,511 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $130,266 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99980 | 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 | $255,181 | OtherCostOrOtherBasisAmt |
| Book Value | $255,181 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $879,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $189,244 | DepreciationAmt |
| Book Value | $690,753 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $945,934 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FUNDRAISING | Event1Nm |
| Gross Receipts Event1 | $52,380 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $23,975 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,405 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $550 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,800 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $425 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $2,612 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Total | $52,380 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $23,975 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $28,405 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $550 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $1,800 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $425 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,612 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,387 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $23,018 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE SECURE, INDEPENDENT ASSISTED LIVING HOMES WITH HOUSE PARENTS TO OVERSEE THE DAILY NEEDS OF SPECIAL NEEDS ADULTS, I.E., ADULTS WHOSE DEVELOPMENTAL OR PHYSICAL DISABILITIES PREVENT THEM FROM LIVING INDEPENDENTLY WITHOUT SUPERVISION. |
| FORM 990, PAGE 6, PART VI, LINE 2 | EVELYN DUDZIEC GLENN DUDZIEC EXEC DIR PRESIDENT BROTHER AND SISTER |
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST AND IS ALSO ON GUIDESTAR ONLINE |
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