INTERMOUNTAIN THERAPY ANIMALS: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
INTERMOUNTAIN THERAPY ANIMALS (EIN 87-0517629)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-05-11
IRS object ID
202011329349301751
Schema version
2019v5.1
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)
Return2020-05-11T08:45:03-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Premier CPAs IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17086 HIGHLAND DR Suite 200AddressLine1Txt
CitySALT LAKE CITYCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN870517629EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Intermountain Therapy AnimalsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone8012723439PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP841170201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKathy KlotzPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone8012723439PhoneNum
Signature2020-02-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDean G Duncan CPAPreparerPersonNm
PTINP00136552PTIN
Phone8019444020PhoneNum
Preparation2020-05-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.199.15.159IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-11IPDt
IP Tm08:44:57IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdB9AAE26328E10DB6E6566FD158A373C54E4D92A2AtSubmissionCreationDeviceId
At Submission Filing Device Id79C675287FC1A5A29A582EF0374C12E0DB12B2C3AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKathy KlotzPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP841170201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$532,088GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.therapyanimals.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateUTLegalDomicileStateCd
Activity Or MissionEnhancing quality of life through the human-animal bond.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers360TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$371,727PYContributionsGrantsAmt
CY Contributions Grants$435,095CYContributionsGrantsAmt
PY Program Service Revenue$81,728PYProgramServiceRevenueAmt
CY Program Service Revenue$41,545CYProgramServiceRevenueAmt
PY Investment Income$257PYInvestmentIncomeAmt
CY Investment Income$60CYInvestmentIncomeAmt
PY Other Revenue$17,892PYOtherRevenueAmt
CY Other Revenue$37,283CYOtherRevenueAmt
PY Total Revenue$471,604PYTotalRevenueAmt
CY Total Revenue$513,983CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$300,100PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$364,009CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,473CYTotalFundraisingExpenseAmt
PY Other Expenses$170,659PYOtherExpensesAmt
CY Other Expenses$210,300CYOtherExpensesAmt
PY Total Expenses$470,759PYTotalExpensesAmt
CY Total Expenses$574,309CYTotalExpensesAmt
PY Revenues Less Expenses$845PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$60,326CYRevenuesLessExpensesAmt
Total Assets BOY$155,999TotalAssetsBOYAmt
Total Assets EOY$107,891TotalAssetsEOYAmt
Total Liabilities BOY$54,373TotalLiabilitiesBOYAmt
Total Liabilities EOY$88,073TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,626NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,818NetAssetsOrFundBalancesEOYAmt
MissionEnhancing quality of life through the human-animal bond.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$400,716ExpenseAmt
Grant$0GrantAmt
Revenue$410,780RevenueAmt
DescIntermountain Therapy Animals ("ITA") -This Program Service includes all Activities for the local ITA operations. First, volunteer recruiting, screen, workshop training, team testing, mentoring, placement and monitoring of therapy team volunteers who provide the essential service of the organization. The organization's 350 plus team work in more than 100 healthcare and educational facilies. Second, community and professional education, including about 100 presentations each year to therapists, physicians, professional association conferences, community organications like Rotary and Eagles, and school classrooms to demostrate what the organization does and educate others as to the potential benefits.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$22,506ExpenseAmt
Grant$0GrantAmt
Revenue$61,217RevenueAmt
DescReading education assistance dogs ("R.E.A.D.") -This program has grown way beyond the organization's local service territory. The organization has trained and registered almost 6,000 volunteer therapy teams in all 50 states and 25 additional countries to provide reading support programs, utilizing therapy animals as reading companions, in school, libraries and other settings. The organization service includes training, facilitating and supporting all these teams around the country and the world.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,329ExpenseAmt
Grant$0GrantAmt
Revenue$36,106RevenueAmt
DescAssociates - because the organization has been very successful in its work and has standards that are now recognized around the country, the organization has had more than a dozen colleage therapy groups who have asked to make use of its training and testing protocols. The organization currently has 21 such groups in 17 other states. While supporting them does not take as much time as supporting its own teams, the organization does provide training manuals, travel to some locations to conduct workshops and team screenings, and otherwise provide facilitation and "customer support" to these groupsDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$429,551TotalProgramServiceExpensesAmt
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 StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Intermountain Therapy AnimalsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8012723438PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 17201AddressLine1Txt
CitySalt Lake CityCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84117ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Kathy Klotz
Ex. Director40.00Yes (X)$78,000$0$0
Amanda Choudhary
Trustee0.00Yes (X)$0$0$0
Peggy Chudd
Vice President0.00Yes (X)$0$0$0Yes (X)
Jane Lee Fischer
Chairman0.00Yes (X)$0$0$0Yes (X)
Becky Butler
Trustee0.00Yes (X)$0$0$0
Jane Peterson
Trustee0.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$78,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$54,640MembershipDuesAmt
Fundraising$94,863FundraisingAmt
All Other Contributions$285,592AllOtherContributionsAmt
Noncash Contributions$3,740NoncashContributionsAmt
Total Contributions$435,095TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Member Workshops611430$21,646$0$0
R.E.A.D. Program624100$19,899$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$41,545TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$60TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$60ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Personal$12,676PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Personal$12,676PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,676TotalRevenueColumnAmt
Related Or Exempt Func Income$12,676RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,628FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$104,491ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,200FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,428TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,428ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$32,649GrossSalesOfInventoryAmt
Cost Of Goods Sold$13,905CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,744TotalRevenueColumnAmt
Related Or Exempt Func Income$18,744RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$435TotalRevenueColumnAmt
Related Or Exempt Func Income$435RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$435OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$513,983TotalRevenueColumnAmt
Related Or Exempt Func Income$73,400RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,488ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$78,000TotalAmt
Program Services$70,200ProgramServicesAmt
Management And General$7,020ManagementAndGeneralAmt
Fundraising$780FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$227,325TotalAmt
Program Services$114,593ProgramServicesAmt
Management And General$110,459ManagementAndGeneralAmt
Fundraising$2,273FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,923TotalAmt
Program Services$26,931ProgramServicesAmt
Management And General$2,693ManagementAndGeneralAmt
Fundraising$299FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,761TotalAmt
Program Services$25,885ProgramServicesAmt
Management And General$2,588ManagementAndGeneralAmt
Fundraising$288FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$26,640TotalAmt
Program Services$23,976ProgramServicesAmt
Management And General$2,398ManagementAndGeneralAmt
Fundraising$266FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$5,802TotalAmt
Program Services$5,222ProgramServicesAmt
Management And General$522ManagementAndGeneralAmt
Fundraising$58FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,025TotalAmt
Program Services$5,423ProgramServicesAmt
Management And General$542ManagementAndGeneralAmt
Fundraising$60FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,334TotalAmt
Program Services$3,001ProgramServicesAmt
Management And General$300ManagementAndGeneralAmt
Fundraising$33FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,827TotalAmt
Program Services$10,645ProgramServicesAmt
Management And General$1,064ManagementAndGeneralAmt
Fundraising$118FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,331TotalAmt
Program Services$9,298ProgramServicesAmt
Management And General$930ManagementAndGeneralAmt
Fundraising$103FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$55,776TotalAmt
Program Services$50,198ProgramServicesAmt
Management And General$5,020ManagementAndGeneralAmt
Fundraising$558FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,896TotalAmt
Program Services$3,506ProgramServicesAmt
Management And General$351ManagementAndGeneralAmt
Fundraising$39FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,166TotalAmt
Program Services$2,849ProgramServicesAmt
Management And General$285ManagementAndGeneralAmt
Fundraising$32FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$8,182TotalAmt
Program Services$8,182ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,341TotalAmt
Program Services$4,807ProgramServicesAmt
Management And General$481ManagementAndGeneralAmt
Fundraising$53FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,475TotalAmt
Program Services$4,927ProgramServicesAmt
Management And General$493ManagementAndGeneralAmt
Fundraising$55FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Fees and Rental$8,348$7,514$751$83
Printing and Publications$8,328$7,495$750$83
Postage and Shipping$8,134$7,321$732$81
Volunteer Recognition$5,346$4,812$481$53

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$34,349TotalAmt
Program Services$32,766ProgramServicesAmt
Management And General$1,425ManagementAndGeneralAmt
Fundraising$158FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$574,309TotalAmt
Program Services$429,551ProgramServicesAmt
Management And General$139,285ManagementAndGeneralAmt
Fundraising$5,473FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$108,653BOYAmt
EOY$91,055EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,156BOYAmt
EOY-$257EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,866BOYAmt
EOY$7,041EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,425BOYAmt
EOY$2,425EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,636LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,009LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,743BOYAmt
EOY$7,627EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,156BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$155,999BOYAmt
EOY$107,891EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,373BOYAmt
EOY$88,073EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,373BOYAmt
EOY$88,073EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$101,626BOYAmt
EOY$19,818EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,626BOYAmt
EOY$19,818EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$155,999BOYAmt
EOY$107,891EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$60,326ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$346,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$289,705CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$300,602CurrentTaxYearMinus1YearAmt
Current Tax Year$343,972CurrentTaxYearAmt
Total$1,597,972TotalAmt

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$346,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$289,705CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,256CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$300,602CurrentTaxYearMinus1YearAmt
Current Tax Year$343,972CurrentTaxYearAmt
Total$1,597,972TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$308,614SubstantialContributorsTotAmt
Public Support Total170$1,289,358PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$69CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$127CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257CurrentTaxYearMinus1YearAmt
Current Tax Year$60CurrentTaxYearAmt
Total$543TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,598,515TotalSupportAmt
Public Support CY1700.80660PublicSupportCY170Pct
Public Support PY1700.78220PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,282OtherCostOrOtherBasisAmt
Depreciation$49,209DepreciationAmt
Book Value$6,073BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,354OtherCostOrOtherBasisAmt
Depreciation$36,800DepreciationAmt
Book Value$1,554BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,627TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$95,116GrossReceiptsEvent1Amt
Charitable Contri Event1$24,874CharitableContriEvent1Amt
Gross Revenue Event1$70,242GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,232RentFacilityCostsEvent1Amt
Food And Beverage Event1$12,452FoodAndBeverageEvent1Amt
Entertainment Event1$3,300EntertainmentEvent1Amt
Other Direct Expenses Event1$4,783OtherDirectExpensesEvent1Amt
Event2Family DogEvent2Nm
Gross Receipts Event2$12,856GrossReceiptsEvent2Amt
Charitable Contri Event2$180CharitableContriEvent2Amt
Gross Revenue Event2$12,676GrossRevenueEvent2Amt
Rent Facility Costs Event2$16,262RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$47OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$5,887GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$1,132CharitableContriOtherEventsAmt
Gross Revenue Other Events$4,755GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$558RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$861FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$829OthDirectExpnssOtherEventsAmt
Gross Receipts Total$113,859GrossReceiptsTotalAmt
Charitable Contributions Tot$26,186CharitableContributionsTotAmt
Gross Revenue Total Events$87,673GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$19,052RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,313FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,300EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$5,659OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$41,324DirectExpenseSummaryEventsAmt
Net Income Summary$46,349NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bThe executive committee members review the Form 990. Their approval is obtained before filing.
Pt VI, Line 12cAnnually a conflict of interest form is read, adherence to provision of the policy are noted on the form and it is signed and retained. The organization is so small that conflicts would be readily noticed and once noticed action to enforce the conflict would be taken by the Board.
Pt VI, Line 15aNot a formal process but the executive committee has discussion for the executive director who has the highest compensation. Other employee salaries are small and well within the range or below market in the agency's service area. Committee does comparison of director salary to those known but all is informal.
Pt VI, Line 15bSee answer to question 15a.
Pt VI, Line 19The charity always invites members annually, and at each volunteer orientation, to examine any governing docs, policies, and financial statements whenever they desire, but nothing has been published anywhere. Some charity monitoring groups have published the Form 990.

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