PREGNANCY AID-SOUTH SUBURBS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY AID-SOUTH SUBURBS INC (EIN 36-3345840)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-04-21
IRS object ID
202021129349300327
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)
Return2020-04-21T11:39:22-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Lambert H Kamp CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110741 W Winterset DrAddressLine1Txt
CityOrland ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363345840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY AID SOUTH SUBURBSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVENUEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEVEN JELLEMAPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7086149777PhoneNum
Signature2020-04-21SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLambert H KampPreparerPersonNm
PTINP01281484PTIN
Phone7083499494PhoneNum
Preparation2020-04-16PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.194.84.183IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-21IPDt
IP Tm11:39:12IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id166F859CC540117EBDF02B753FFF920B03AC0DDEAtSubmissionCreationDeviceId
At Submission Filing Device IdC57E7129060A4E692DB06D36FA8F1544CE9E16EBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVEN JELLEMAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$453,120GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPASSNETWORKFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$418,634PYContributionsGrantsAmt
CY Contributions Grants$409,042CYContributionsGrantsAmt
PY Program Service Revenue$12,810PYProgramServiceRevenueAmt
CY Program Service Revenue$13,655CYProgramServiceRevenueAmt
PY Investment Income$22PYInvestmentIncomeAmt
CY Investment Income$92CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$431,466PYTotalRevenueAmt
CY Total Revenue$422,789CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$277,226PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$287,891CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$53,649CYTotalFundraisingExpenseAmt
PY Other Expenses$174,740PYOtherExpensesAmt
CY Other Expenses$140,466CYOtherExpensesAmt
PY Total Expenses$451,966PYTotalExpensesAmt
CY Total Expenses$428,357CYTotalExpensesAmt
PY Revenues Less Expenses-$20,500PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,568CYRevenuesLessExpensesAmt
Total Assets BOY$474,692TotalAssetsBOYAmt
Total Assets EOY$468,884TotalAssetsEOYAmt
Total Liabilities BOY$11,537TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,297TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$463,155NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$457,587NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION, AND RESTORATION.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$333,893ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.Desc
Total Program Service Expenses$333,893TotalProgramServiceExpensesAmt
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 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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STEVEN JELLEMABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE VERHAGEN
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MIKE GLENN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
SHARON WILKO
SECRETARY2.00Yes (X)Yes (X)$0$0$0
ROBERT WORKMAN JR
TREASURER2.00Yes (X)Yes (X)$0$0$0
DEBBIE BURK
TRUSTEE1.00Yes (X)$0$0$0
MIKE BRADY
TRUSTEE1.00Yes (X)$0$0$0
DAVE NOVOSEL
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$86,494FundraisingAmt
All Other Contributions$322,548AllOtherContributionsAmt
Noncash Contributions$38,877NoncashContributionsAmt
Total Contributions$409,042TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescIMPACT PRESENTATIONSDesc
Business624190BusinessCd
Total Revenue Column$13,655TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,655TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$92TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$92ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$30,331FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$86,494ContriRptFundraisingEventAmt
Fundraising Direct Expenses$30,331FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$422,789TotalRevenueColumnAmt
Related Or Exempt Func Income$13,655RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$92ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$267,665TotalAmt
Program Services$201,401ProgramServicesAmt
Management And General$28,347ManagementAndGeneralAmt
Fundraising$37,917FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,226TotalAmt
Program Services$15,219ProgramServicesAmt
Management And General$2,142ManagementAndGeneralAmt
Fundraising$2,865FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$15TotalAmt
Program Services$0ProgramServicesAmt
Management And General$15ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,920TotalAmt
Program Services$11,920ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,396TotalAmt
Program Services$6,087ProgramServicesAmt
Management And General$1,585ManagementAndGeneralAmt
Fundraising$7,724FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,878TotalAmt
Program Services$1,626ProgramServicesAmt
Management And General$1,626ManagementAndGeneralAmt
Fundraising$1,626FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$31,247TotalAmt
Program Services$28,123ProgramServicesAmt
Management And General$1,562ManagementAndGeneralAmt
Fundraising$1,562FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$401TotalAmt
Program Services$384ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$17FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,014TotalAmt
Program Services$1,014ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,961TotalAmt
Program Services$17,965ProgramServicesAmt
Management And General$998ManagementAndGeneralAmt
Fundraising$998FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,070TotalAmt
Program Services$8,162ProgramServicesAmt
Management And General$454ManagementAndGeneralAmt
Fundraising$454FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND FEES$2,272$1,300$486$486
EDUCATIONAL LITERATURE$1,815$1,815$0$0
BENEVOLENCE$38,877$38,877$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$428,357TotalAmt
Program Services$333,893ProgramServicesAmt
Management And General$40,815ManagementAndGeneralAmt
Fundraising$53,649FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,663BOYAmt
EOY$43,922EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,373BOYAmt
EOY$24,017EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,907BOYAmt
EOY$2,157EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$732,434LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$333,646LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$418,749BOYAmt
EOY$398,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$474,692BOYAmt
EOY$468,884EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,537BOYAmt
EOY$11,297EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,537BOYAmt
EOY$11,297EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$462,155BOYAmt
EOY$456,587EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$463,155BOYAmt
EOY$457,587EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$474,692BOYAmt
EOY$468,884EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,568ReconcilationRevenueExpnssAmt
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
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$342,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$445,246CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$365,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$418,634CurrentTaxYearMinus1YearAmt
Current Tax Year$409,042CurrentTaxYearAmt
Total$1,981,023TotalAmt

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$342,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$445,246CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$365,368CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$418,634CurrentTaxYearMinus1YearAmt
Current Tax Year$409,042CurrentTaxYearAmt
Total$1,981,023TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$97,538SubstantialContributorsTotAmt
Public Support Total170$1,883,485PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22CurrentTaxYearMinus1YearAmt
Current Tax Year$92CurrentTaxYearAmt
Total$136TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$72,778CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$45,618CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$61,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$180,392TotalAmt
FieldValueIRS element (for citing)
Total Support$2,161,551TotalSupportAmt
Public Support CY1700.87140PublicSupportCY170Pct
Public Support PY1700.79760PublicSupportPY170Pct
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: SPECIAL EVENTS 2015: 72778. 2016: 45618. 2017: 61996. 2018: 0. 2019: 0.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$19,147OtherCostOrOtherBasisAmt
Book Value$19,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$579,982OtherCostOrOtherBasisAmt
Depreciation$228,596DepreciationAmt
Book Value$351,386BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$133,305OtherCostOrOtherBasisAmt
Depreciation$105,050DepreciationAmt
Book Value$28,255BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$398,788TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$579,200TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$126,080DonatedServicesAndUseFcltsAmt
Other Revenue$30,331OtherRevenueAmt
Revenue Not Reported$156,411RevenueNotReportedAmt
Revenue Subtotal$422,789RevenueSubtotalAmt
Total Revenue Per Form990$422,789TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$584,768TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$126,080DonatedServicesUseFcltsAmt
Other Expenses Included$30,331OtherExpensesIncludedAmt
Expenses Not Reported$156,411ExpensesNotReportedAmt
Expenses Subtotal$428,357ExpensesSubtotalAmt
Total Expenses Per Form990$428,357TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dFUNDRAISING EVENT EXPENSES
Pt XII, Line 2dFUNDRAISING EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HIKE FOR LIFEEvent1Nm
Gross Receipts Event1$65,816GrossReceiptsEvent1Amt
Charitable Contri Event1$55,408CharitableContriEvent1Amt
Gross Revenue Event1$10,408GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,429NonCashPrizesEvent1Amt
Other Direct Expenses Event1$8,979OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$51,009GrossReceiptsEvent2Amt
Charitable Contri Event2$31,086CharitableContriEvent2Amt
Gross Revenue Event2$19,923GrossRevenueEvent2Amt
Rent Facility Costs Event2$12,706RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$7,217OtherDirectExpensesEvent2Amt
Gross Receipts Total$116,825GrossReceiptsTotalAmt
Charitable Contributions Tot$86,494CharitableContributionsTotAmt
Gross Revenue Total Events$30,331GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,429NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$12,706RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$16,196OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,331DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$38,877NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Pt VI, Line 15aBOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR SALARY.
Pt VI, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.

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