FIVE STAR LIFE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
FIVE STAR LIFE (EIN 46-3463430)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-04
IRS object ID
202013099349301961
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)
Return2020-11-04T02:41:28-00:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Weaver DeFreese CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1616 W Bristol StAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46514ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463463430EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Five Star Life IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIVEBusinessNameControlTxt
Phone5742664038PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12204 California RdAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46514ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEmilia ShafferPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2020-11-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJulie M DeFreesePreparerPersonNm
Phone5742647599PhoneNum
Preparation2020-11-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.212.175.30IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-04IPDt
IP Tm17:16:39IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id33E26F0812C3833D4D4A6407358A3530AEC4EEF0AtSubmissionCreationDeviceId
At Submission Filing Device Id33E26F0812C3833D4D4A6407358A3530AEC4EEF0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Seth MaustBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12204 California RdAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46514ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$743,718GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.fivestarlife.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionFive Star Life is changing the face of education by changing the mindsets of students by providing social emotional learning through video curriculum, sports and experiential learning throughout the country.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee20TotalEmployeeCnt
Total Volunteers250TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$309,805PYContributionsGrantsAmt
CY Contributions Grants$319,349CYContributionsGrantsAmt
PY Program Service Revenue$255,728PYProgramServiceRevenueAmt
CY Program Service Revenue$198,978CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$61,765PYOtherRevenueAmt
CY Other Revenue$134,571CYOtherRevenueAmt
PY Total Revenue$627,299PYTotalRevenueAmt
CY Total Revenue$652,898CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$307,881PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$327,577CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$393,500PYOtherExpensesAmt
CY Other Expenses$348,612CYOtherExpensesAmt
PY Total Expenses$701,381PYTotalExpensesAmt
CY Total Expenses$676,189CYTotalExpensesAmt
PY Revenues Less Expenses-$74,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$23,291CYRevenuesLessExpensesAmt
Total Assets BOY$107,880TotalAssetsBOYAmt
Total Assets EOY$84,589TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$107,880NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$84,589NetAssetsOrFundBalancesEOYAmt
MissionFive Star Life is changing the face of education by changing the mindsets of students.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$600,785ExpenseAmt
Revenue$198,978RevenueAmt
DescFive Star Life provides social emotional learning, character education, sports programming, and experiential learning opportunities to students. educators, and groups throughout the country.Desc
Total Program Service Expenses$600,785TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee20EmployeeCnt
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
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonFive Star Life IncPersonNm
Phone5742664038PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12204 California RdAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46514ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Seth Maust
President040.00Yes (X)$63,650$0$0
Emilia Shaffer
VP/Sec/Treas040.00Yes (X)$0$0$0
Joel Mecklenburg
Board Member005.00Yes (X)$0$0$0
Doug Smith
Board Member005.00Yes (X)$0$0$0
Reese Van Dalton
Board Member005.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$63,650TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$319,349AllOtherContributionsAmt
Total Contributions$319,349TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescLeadership Club ProgramDesc
Business611710BusinessCd
Total Revenue Column$198,978TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$198,978TotalProgramServiceRevenueAmt
Fundraising Gross Income$225,391FundraisingGrossIncomeAmt
Fundraising Direct Expenses$90,820FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,571TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$652,898TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$63,650TotalAmt
Program Services$63,650ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$245,171TotalAmt
Program Services$209,473ProgramServicesAmt
Management And General$35,698ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,756TotalAmt
Program Services$16,516ProgramServicesAmt
Management And General$2,240ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,803TotalAmt
Management And General$3,803ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$57,948TotalAmt
Program Services$57,587ProgramServicesAmt
Management And General$361ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$60,547TotalAmt
Program Services$60,547ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,435TotalAmt
Program Services$9,322ProgramServicesAmt
Management And General$1,113ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$64,925TotalAmt
Program Services$45,448ProgramServicesAmt
Management And General$19,477ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$27,559TotalAmt
Program Services$21,852ProgramServicesAmt
Management And General$5,707ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,186TotalAmt
Program Services$2,826ProgramServicesAmt
Management And General$6,360ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,619TotalAmt
Program Services$1,409ProgramServicesAmt
Management And General$210ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Staff and Volunteer Training Hiring Expenses$8,556$8,556
Program Expenses$100,024$100,024
Dues and Fees$405$405
Miscellaneous$3,605$3,575$30

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$676,189TotalAmt
Program Services$600,785ProgramServicesAmt
Management And General$75,404ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,143BOYAmt
EOY$8,286EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,753BOYAmt
EOY$1,258EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$86,375LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,330LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,984BOYAmt
EOY$56,045EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$19,000BOYAmt
EOY$19,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,880BOYAmt
EOY$84,589EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$107,880BOYAmt
EOY$84,589EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,880BOYAmt
EOY$84,589EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,880BOYAmt
EOY$84,589EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$23,291ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$474,056CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$445,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$309,805CurrentTaxYearMinus1YearAmt
Current Tax Year$319,349CurrentTaxYearAmt
Total$2,021,118TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$474,056CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$445,522CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,386CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$309,805CurrentTaxYearMinus1YearAmt
Current Tax Year$319,349CurrentTaxYearAmt
Total$2,021,118TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,021,118PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$6CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Total$7TotalAmt
FieldValueIRS element (for citing)
Total Support$2,021,125TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct
Public Support CY5090.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct

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

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,942OtherCostOrOtherBasisAmt
Depreciation$368DepreciationAmt
Book Value$18,574BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,083OtherCostOrOtherBasisAmt
Depreciation$2,782DepreciationAmt
Book Value$16,301BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,350OtherCostOrOtherBasisAmt
Depreciation$27,180DepreciationAmt
Book Value$21,170BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$56,045TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescArtwork and Vintage AssetsDesc
Book Value$19,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$19,000TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFederal income taxesDesc

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf OutingEvent1Nm
Gross Receipts Event1$71,483GrossReceiptsEvent1Amt
Gross Revenue Event1$71,483GrossRevenueEvent1Amt
Rent Facility Costs Event1$8,235RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$24,923OtherDirectExpensesEvent1Amt
Event2RadiothonEvent2Nm
Gross Receipts Event2$149,393GrossReceiptsEvent2Amt
Gross Revenue Event2$149,393GrossRevenueEvent2Amt
Other Direct Expenses Event2$56,922OtherDirectExpensesEvent2Amt
Gross Receipts Total$220,876GrossReceiptsTotalAmt
Gross Revenue Total Events$220,876GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,235RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$81,845OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$90,080DirectExpenseSummaryEventsAmt
Net Income Summary$130,796NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bReturn review and signed by organization treasurer. Copies available to all board members at their request.
Form 990, Part VI, Section C, Line 19Documents are made available upon request.

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