PINE RIVER GROUP HOME INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PINE RIVER GROUP HOME INC (EIN 41-1305200)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-07-14
IRS object ID
202011969349305906
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

FieldValueIRS element (for citing)
Return2020-07-14T19:36:55-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN474889790PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JUSTIN CLASEN & COMPANY LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 90AddressLine1Txt
CityPEQUOT LAKESCityNm
State AbbreviationMNStateAbbreviationCd
ZIP564720090ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN411305200EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PINE RIVER GROUP HOME INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPINEBusinessNameControlTxt
Phone2185874888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 96AddressLine1Txt
CityPINE RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56474ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBUTCH LUNDPersonNm
Person TitleCHAIRPERSONPersonTitleTxt
Phone2185874888PhoneNum
Signature2020-06-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAARON A STEGNERPreparerPersonNm
PTINP01802794PTIN
Phone2185685242PhoneNum
Preparation2020-07-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.49.69.82IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-07-14IPDt
IP Tm19:36:55IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1981E97E0B38D187BFFA1F9119841C8E05E669A8AtSubmissionCreationDeviceId
At Submission Filing Device Id1981E97E0B38D187BFFA1F9119841C8E05E669A8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBUTCH LUNDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 96AddressLine1Txt
CityPINE RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56474ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,123,584GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionTO ENHANCE THE COMMUNITY WELFARE THROUGH THE DEVELOPMENT OF GROUP HOMES FOR DEVELOPMENTALLY DISABLED RESIDENTS AND TO DEVELOP AND PROVIDE COMMUNITY BASED SERVICES FOR THESE RESIDENTS.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee89TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$710PYContributionsGrantsAmt
CY Contributions Grants$547CYContributionsGrantsAmt
PY Program Service Revenue$2,830,836PYProgramServiceRevenueAmt
CY Program Service Revenue$2,970,404CYProgramServiceRevenueAmt
PY Investment Income$6,906PYInvestmentIncomeAmt
CY Investment Income$119,824CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$2,838,452PYTotalRevenueAmt
CY Total Revenue$3,090,775CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,210,586PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,159,867CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$500,285PYOtherExpensesAmt
CY Other Expenses$529,339CYOtherExpensesAmt
PY Total Expenses$2,710,871PYTotalExpensesAmt
CY Total Expenses$2,689,206CYTotalExpensesAmt
PY Revenues Less Expenses$127,581PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$401,569CYRevenuesLessExpensesAmt
Total Assets BOY$2,437,811TotalAssetsBOYAmt
Total Assets EOY$2,725,796TotalAssetsEOYAmt
Total Liabilities BOY$206,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,852TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,230,987NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,632,944NetAssetsOrFundBalancesEOYAmt
MissionTO ENHANCE THE COMMUNITY WELFARE THROUGH THE DEVELOPMENT OF GROUP HOMES FOR DEVELOPMENTALLY DISABLED RESIDENTS AND TO DEVELOP AND PROVIDE COMMUNITY BASED SERVICES FOR THESE RESIDENTS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,388,344ExpenseAmt
DescPINE RIVER GROUP HOME, INC. CURRENTLY SUPPORTS 26 PERSONS WITH DEVELOPMENTAL AND OTHER DISABILITIES IN FIVE RESIDENTIAL HOMES AND FOUR APARTMENTS AND 20-25 INDIVIDUALS IN THEIR OWN HOMES IN THE PINE RIVER AREA.Desc
Total Program Service Expenses$2,388,344TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee89EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
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
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCARRIE GUIDAPersonNm
Phone2185874888PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 96AddressLine1Txt
CityPINE RIVERCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56474ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BUTCH LUND
CHAIRPERSON5.00Yes (X)Yes (X)$0$0$0
PENNY OLSON
VICE CHAIRPE1.00Yes (X)Yes (X)$0$0$0
BRUCE WINDER
TREASURER1.00Yes (X)Yes (X)$0$0$0
CRAIG ANDERSON
DIRECTOR1.00Yes (X)$0$0$0
DON PEDERSON
DIRECTOR1.00Yes (X)$0$0$0
BEVERLY WIGNES
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$547AllOtherContributionsAmt
Total Contributions$547TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENTSDesc
Business623990BusinessCd
Total Revenue Column$2,970,404TotalRevenueColumnAmt
Related Or Exempt Func Income$2,970,404RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,970,404TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,481TotalRevenueColumnAmt
Exclusion$14,481ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$138,152OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$32,809OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$105,343OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$105,343TotalRevenueColumnAmt
Related Or Exempt Func Income$105,343RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,090,775TotalRevenueColumnAmt
Related Or Exempt Func Income$3,075,747RelatedOrExemptFuncIncomeAmt
Exclusion$14,481ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,955,051TotalAmt
Program Services$1,824,520ProgramServicesAmt
Management And General$130,531ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$33,103TotalAmt
Program Services$30,893ProgramServicesAmt
Management And General$2,210ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$171,713TotalAmt
Program Services$160,248ProgramServicesAmt
Management And General$11,465ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,746TotalAmt
Management And General$19,746ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$985TotalAmt
Management And General$985ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,955TotalAmt
Management And General$20,955ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$53,704TotalAmt
Program Services$48,254ProgramServicesAmt
Management And General$5,450ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$109,921TotalAmt
Program Services$82,925ProgramServicesAmt
Management And General$26,996ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$77,121$77,121
MAINTENANCE PURCHASED SER$41,587$41,587
REPAIRS & MAINT EQUIPMENT$35,895$35,895
MILEAGE$32,006$32,006

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$137,419TotalAmt
Program Services$96,482ProgramServicesAmt
Management And General$40,937ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,689,206TotalAmt
Program Services$2,388,344ProgramServicesAmt
Management And General$300,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$262,698BOYAmt
EOY$476,660EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,773BOYAmt
EOY$338,163EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$353,194BOYAmt
EOY$344,351EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,425BOYAmt
EOY$16,835EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,733,638LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$832,144LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$988,000BOYAmt
EOY$901,494EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$618,447BOYAmt
EOY$647,879EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$274BOYAmt
EOY$414EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,437,811BOYAmt
EOY$2,725,796EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,980BOYAmt
EOY$13,345EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$173,844BOYAmt
EOY$79,507EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$206,824BOYAmt
EOY$92,852EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,230,987BOYAmt
EOY$2,632,944EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,230,987BOYAmt
EOY$2,632,944EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,437,811BOYAmt
EOY$2,725,796EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$401,569ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$33,628NetUnrlzdGainsLossesInvstAmt
Investment Expense-$3,295InvestmentExpenseAmt
Other Changes In Net Assets-$29,945OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$107CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$710CurrentTaxYearMinus1YearAmt
Current Tax Year$547CurrentTaxYearAmt
Total$1,940TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,895,887CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,911,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,829,084CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,830,836CurrentTaxYearMinus1YearAmt
Current Tax Year$2,970,404CurrentTaxYearAmt
Total$14,437,972TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,895,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,911,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,829,660CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,831,546CurrentTaxYearMinus1YearAmt
Current Tax Year$2,970,951CurrentTaxYearAmt
Total$14,439,912TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$14,439,912PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,279CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,629CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,180CurrentTaxYearMinus1YearAmt
Current Tax Year$14,481CurrentTaxYearAmt
Total$64,594TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,279CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,629CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,180CurrentTaxYearMinus1YearAmt
Current Tax Year$14,481CurrentTaxYearAmt
Total$64,594TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$8,625CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,409CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$22,247CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$5,275CurrentTaxYearMinus1YearAmt
Current Tax Year$30,333CurrentTaxYearAmt
Total$48,089TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,903,648CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,930,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,864,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,838,451CurrentTaxYearMinus1YearAmt
Current Tax Year$3,015,765CurrentTaxYearAmt
Total$14,552,595TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99230PublicSupportCY509Pct
Public Support PY5090.99440PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III, LINE 12GAIN (LOSS) ON INVESTMENTS 48,089
SUPPLEMENTAL INFORMATIONGAIN ON DISPOSAL OF ASSETS 105,343

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$33,685OtherCostOrOtherBasisAmt
Book Value$33,685BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,391,873OtherCostOrOtherBasisAmt
Depreciation$573,270DepreciationAmt
Book Value$818,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,026OtherCostOrOtherBasisAmt
Depreciation$230,820DepreciationAmt
Book Value$49,206BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,054OtherCostOrOtherBasisAmt
Depreciation$28,054DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$901,494TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED PTO$55,588
ACCRUED COMPENSATION$23,919
FieldValueIRS element (for citing)
Total Liability$79,507TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,121,108TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$30,333NetUnrealizedGainsInvstAmt
Revenue Not Reported$30,333RevenueNotReportedAmt
Revenue Subtotal$3,090,775RevenueSubtotalAmt
Total Revenue Per Form990$3,090,775TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,719,151TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,719,151ExpensesSubtotalAmt
Other Expenses Not Included-$29,945OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$29,945ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,689,206TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 4BFormAndLineReferenceDesc
ExplanationACA PENALTY -29,945ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED AND APPROVED AT A MONTHLY MEETING.
FORM 990, PAGE 6, PART VI, LINE 12CREVIEWED ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 15AANNUAL COMPENSATION REVIEW BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BANNUAL COMPENSATION REVIEW BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 18THESE DOCUMENTS ARE AVAILABLE ON REQUEST.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9ACA PENALTY -29,945

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