BETHESDA INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BETHESDA INC (EIN 23-7122182)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-09-11
IRS object ID
202012559349300221
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)
Return2020-09-11T08:19:42-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Busby & CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1170 E Connecticut AveAddressLine1Txt
CitySouthern PinesCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28387ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237122182EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 N PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9109447700PhoneNum
Signature2020-09-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ L BUSBYPreparerPersonNm
PTINP00181010PTIN
Phone9106921040PhoneNum
Preparation2020-09-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.191.6.124IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-09-11IPDt
IP Tm08:19:35IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBBAA2C853FDA014522CA68DAA6837CCD87B20B3DAtSubmissionCreationDeviceId
At Submission Filing Device Id92BEBF902E92FC253242B18238337215AC990E09AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN GREENEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$289,123GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionALCOHOL AND DRUG REHABILITATIONActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$60,986PYContributionsGrantsAmt
CY Contributions Grants$54,757CYContributionsGrantsAmt
PY Program Service Revenue$239,461PYProgramServiceRevenueAmt
CY Program Service Revenue$184,039CYProgramServiceRevenueAmt
PY Investment Income$97PYInvestmentIncomeAmt
CY Investment Income$99CYInvestmentIncomeAmt
PY Other Revenue$6,976PYOtherRevenueAmt
CY Other Revenue$50,228CYOtherRevenueAmt
PY Total Revenue$307,520PYTotalRevenueAmt
CY Total Revenue$289,123CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$204,132PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$212,636CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$119,152PYOtherExpensesAmt
CY Other Expenses$100,922CYOtherExpensesAmt
PY Total Expenses$323,284PYTotalExpensesAmt
CY Total Expenses$313,558CYTotalExpensesAmt
PY Revenues Less Expenses-$15,764PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$24,435CYRevenuesLessExpensesAmt
Total Assets BOY$240,082TotalAssetsBOYAmt
Total Assets EOY$215,537TotalAssetsEOYAmt
Total Liabilities BOY$48,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,521TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,708NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$167,016NetAssetsOrFundBalancesEOYAmt
MissionDEDICATED TO THE CARE AND TREATMENT OF THE ALCOHOLIC AND RECOVERING ADDICT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$241,786ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescALCOHOL AND DRUG REHABILITATION-HALFWAY HOUSE WITH COUNSELING FOR MALE AND ADOLESCENTS. APPROXIMATELY 60 ADULTS AND 30 ADOLESCENTS SERVED.Desc
Total Program Service Expenses$241,786TotalProgramServiceExpensesAmt
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 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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
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
JOHN KIRKMAN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
STEVE YUSKEVICH
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
JOHN RUCONICH
SECRETARY-TREASURER2.00Yes (X)Yes (X)$0$0$0
CHARLES ALLRED
DIRECTOR2.00Yes (X)$0$0$0
KATHLEEN EATON
DIRECTOR2.00Yes (X)$0$0$0
RICHARD MABRY
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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
Government Grants$1,427GovernmentGrantsAmt
All Other Contributions$53,330AllOtherContributionsAmt
Total Contributions$54,757TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
SANDHILLS MENTAL HEALTH623990$148,947$0$0
CLIENT ROOM AND BOARD623990$35,092$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$184,039TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$99TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$99ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$47,730RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$47,730RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,730TotalRevenueColumnAmt
Related Or Exempt Func Income$47,730RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900000BusinessCd
Total Revenue Column$2,498TotalRevenueColumnAmt
Related Or Exempt Func Income$2,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,498OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$289,123TotalRevenueColumnAmt
Related Or Exempt Func Income$234,267RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$99ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$179,748TotalAmt
Program Services$127,621ProgramServicesAmt
Management And General$52,127ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,108TotalAmt
Program Services$10,299ProgramServicesAmt
Management And General$3,809ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,984TotalAmt
Program Services$2,908ProgramServicesAmt
Management And General$1,076ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,796TotalAmt
Program Services$10,505ProgramServicesAmt
Management And General$4,291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,325TotalAmt
Program Services$3,325ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,401TotalAmt
Program Services$1,828ProgramServicesAmt
Management And General$573ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,003TotalAmt
Program Services$22,503ProgramServicesAmt
Management And General$2,500ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$183TotalAmt
Program Services$165ProgramServicesAmt
Management And General$18ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,040TotalAmt
Program Services$20,736ProgramServicesAmt
Management And General$2,304ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,208TotalAmt
Program Services$12,787ProgramServicesAmt
Management And General$1,421ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
FOOD AND PROVISIONS$16,527$16,527$0$0
REPAIRS AND MAINTENANCE$3,779$3,401$378$0
SUPPLIES AND MATERIALS$7,350$4,586$2,764$0
VEHICLE OPERATIONS$3,799$3,419$380$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,307TotalAmt
Program Services$1,176ProgramServicesAmt
Management And General$131ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$313,558TotalAmt
Program Services$241,786ProgramServicesAmt
Management And General$71,772ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,757BOYAmt
EOY$922EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$17,882BOYAmt
EOY$20,864EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,668BOYAmt
EOY$1,084EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,562BOYAmt
EOY$5,751EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$665,187LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$480,083LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$208,144BOYAmt
EOY$185,104EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,069BOYAmt
EOY$1,812EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$240,082BOYAmt
EOY$215,537EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,193BOYAmt
EOY$31,922EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$140EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,181BOYAmt
EOY$16,459EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,374BOYAmt
EOY$48,521EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,708BOYAmt
EOY$167,016EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,708BOYAmt
EOY$167,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$240,082BOYAmt
EOY$215,537EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$24,435ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$257NetUnrlzdGainsLossesInvstAmt
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$67,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,251CurrentTaxYearMinus1YearAmt
Current Tax Year$54,757CurrentTaxYearAmt
Total$325,249TotalAmt

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$67,693CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$69,569CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,979CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,251CurrentTaxYearMinus1YearAmt
Current Tax Year$54,757CurrentTaxYearAmt
Total$325,249TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$325,249PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$91CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$93CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$97CurrentTaxYearMinus1YearAmt
Current Tax Year$99CurrentTaxYearAmt
Total$465TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$35,012CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,778CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,932CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,711CurrentTaxYearMinus1YearAmt
Current Tax Year$2,498CurrentTaxYearAmt
Total$47,931TotalAmt
FieldValueIRS element (for citing)
Total Support$373,645TotalSupportAmt
Gross Receipts Rltd Activities$898,682GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87050PublicSupportCY170Pct
Public Support PY1700.87360PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: OTHER 2015: 35012. 2016: 2778. 2017: 2932. 2018: 4711. 2019: 2498.ExplanationTxt

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
Other Cost Or Other Basis$16,500OtherCostOrOtherBasisAmt
Book Value$16,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$451,334OtherCostOrOtherBasisAmt
Depreciation$312,541DepreciationAmt
Book Value$138,793BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,353OtherCostOrOtherBasisAmt
Depreciation$167,542DepreciationAmt
Book Value$29,811BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$185,104TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$288,866TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$257NetUnrealizedGainsInvstAmt
Revenue Not Reported-$257RevenueNotReportedAmt
Revenue Subtotal$289,123RevenueSubtotalAmt
Total Revenue Per Form990$289,123TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$313,558TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$313,558ExpensesSubtotalAmt
Total Expenses Per Form990$313,558TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS GIVEN TO EACH BOARD MEMBER FOR REVIEW AT THE MEETING FOLLOWING COMPLETION OF FORM 990. ONCE REVIEW OF THE FORM IS COMPLETED BY BOARD MEMBERS AND ANY ISSUES ARE ADDRESSED, FORM 990 IS SUBMITTED.
Pt VI, Line 15aTHE EXECUTIVE DIRECTOR HAS AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

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