BETA

JOHN HENRY FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
JOHN HENRY FOUNDATION (EIN 33-0399549)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-05
IRS object ID
202023109349302352
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)
Return2020-11-05T14:22:44-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341885304PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DRIVE SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330399549EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN HENRY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone7144800025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STREETAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEONARD KRANSERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7144800025PhoneNum
Signature2020-10-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVERLON MCKAYPreparerPersonNm
PTINP00186204PTIN
Phone9494504400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.221.96.220IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-30IPDt
IP Tm16:59:21IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id3EFBB94227F81417ED2761B9FCDD1C937FD45E65AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLEONARD KRANSERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,795,085GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOHNHENRY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$258,602PYContributionsGrantsAmt
CY Contributions Grants$212,407CYContributionsGrantsAmt
PY Program Service Revenue$1,364,540PYProgramServiceRevenueAmt
CY Program Service Revenue$1,526,181CYProgramServiceRevenueAmt
PY Investment Income$600,398PYInvestmentIncomeAmt
CY Investment Income$12,333CYInvestmentIncomeAmt
PY Other Revenue$1,739PYOtherRevenueAmt
CY Other Revenue$3,597CYOtherRevenueAmt
PY Total Revenue$2,225,279PYTotalRevenueAmt
CY Total Revenue$1,754,518CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$932,090PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,063,525CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$21,702CYTotalFundraisingExpenseAmt
PY Other Expenses$600,354PYOtherExpensesAmt
CY Other Expenses$653,775CYOtherExpensesAmt
PY Total Expenses$1,532,444PYTotalExpensesAmt
CY Total Expenses$1,717,300CYTotalExpensesAmt
PY Revenues Less Expenses$692,835PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$37,218CYRevenuesLessExpensesAmt
Total Assets BOY$4,193,083TotalAssetsBOYAmt
Total Assets EOY$4,227,975TotalAssetsEOYAmt
Total Liabilities BOY$55,249TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,923TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,137,834NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,175,052NetAssetsOrFundBalancesEOYAmt
MissionPROVIDED MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,334,453ExpenseAmt
Revenue$1,529,778RevenueAmt
DescPROVIDES AFFORDABLE HOUSING OPPORTUNITIES, MEDICAL TREATMENT, COUNSELING AND A DEVELOPMENT REHABILITATION PROGRAM FOR ADULTS WITH SERIOUS-MENTAL ILLNESS, PROVIDE VOCATIONAL TRAINING AND FINANCIAL PLANNING TO TRAIN AND EMPLOY ADULTS WITH SERIOUS MENTAL ILLNESSDesc
Total Program Service Expenses$1,334,453TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee21EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZMHMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9494504400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DR SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TERRENCE KENNEDY
CHAIRMAN6.00Yes (X)Yes (X)$0$0$0
MARY ELLEN STUART
SECRETARY6.00Yes (X)Yes (X)$0$0$0
CHRISTINE SCHAEFER
MEMBER6.00Yes (X)Yes (X)$0$0$0
LEONARD KRANSER
TREASURER6.00Yes (X)Yes (X)$0$0$0
SARAH HAMMARSTROM
MEMBER6.00Yes (X)$0$0$0
MINDY ANDREWS
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$111,775$0$0
ANDREW KAMI
EMPLOYEE40.00$109,800$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$221,575TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$152,613FundraisingAmt
All Other Contributions$59,794AllOtherContributionsAmt
Total Contributions$212,407TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business623990BusinessCd
Total Revenue Column$1,526,181TotalRevenueColumnAmt
Related Or Exempt Func Income$1,526,181RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,526,181TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,333TotalRevenueColumnAmt
Exclusion$12,333ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$40,567FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$152,613ContriRptFundraisingEventAmt
Fundraising Direct Expenses$40,567FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business623990BusinessCd
Total Revenue Column$3,597TotalRevenueColumnAmt
Related Or Exempt Func Income$3,597RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,597OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,754,518TotalRevenueColumnAmt
Related Or Exempt Func Income$1,529,778RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,333ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$111,775TotalAmt
Program Services$87,185ProgramServicesAmt
Management And General$23,473ManagementAndGeneralAmt
Fundraising$1,117FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$754,552TotalAmt
Program Services$487,970ProgramServicesAmt
Management And General$259,034ManagementAndGeneralAmt
Fundraising$7,548FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$125,025TotalAmt
Program Services$99,989ProgramServicesAmt
Management And General$23,786ManagementAndGeneralAmt
Fundraising$1,250FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$72,173TotalAmt
Program Services$57,738ProgramServicesAmt
Management And General$13,713ManagementAndGeneralAmt
Fundraising$722FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,020TotalAmt
Management And General$31,020ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$341,476TotalAmt
Program Services$339,540ProgramServicesAmt
Management And General$1,936ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$49,739TotalAmt
Program Services$49,375ProgramServicesAmt
Management And General$364ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$135,188TotalAmt
Program Services$133,340ProgramServicesAmt
Management And General$1,848ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$23,248TotalAmt
Program Services$20,271ProgramServicesAmt
Management And General$2,977ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
PROGRAM$20,923$20,923
OTHER$20,259$9,194$11,065
RESIDENT ACTIVITIES AND$14,602$14,602
VEHICLE MAINTENANCE AND$11,996$11,996

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,324TotalAmt
Program Services$2,330ProgramServicesAmt
Management And General$2,994ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,717,300TotalAmt
Program Services$1,334,453ProgramServicesAmt
Management And General$361,145ManagementAndGeneralAmt
Fundraising$21,702FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,000BOYAmt
EOY$2,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$596,614BOYAmt
EOY$443,675EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,059BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$32,028BOYAmt
EOY$29,328EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,165,790LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,036,606LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,139,070BOYAmt
EOY$3,129,184EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$406,312BOYAmt
EOY$623,788EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,193,083BOYAmt
EOY$4,227,975EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$55,249BOYAmt
EOY$52,923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,249BOYAmt
EOY$52,923EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,137,834BOYAmt
EOY$4,175,052EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,137,834BOYAmt
EOY$4,175,052EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,193,083BOYAmt
EOY$4,227,975EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$37,218ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$359,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$411,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$487,344CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,448CurrentTaxYearMinus1YearAmt
Current Tax Year$252,974CurrentTaxYearAmt
Total$1,810,531TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$359,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$411,278CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$487,344CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$299,448CurrentTaxYearMinus1YearAmt
Current Tax Year$252,974CurrentTaxYearAmt
Total$1,810,531TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,810,531PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,705CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$11,448CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$290CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,459CurrentTaxYearMinus1YearAmt
Current Tax Year$12,333CurrentTaxYearAmt
Total$45,235TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$600,218CurrentTaxYearMinus1YearAmt
Total$600,218TotalAmt
FieldValueIRS element (for citing)
Total Support$2,455,984TotalSupportAmt
Public Support CY1700.73720PublicSupportCY170Pct
Public Support PY1700.96890PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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)
Other Cost Or Other Basis$400,711OtherCostOrOtherBasisAmt
Book Value$400,711BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$778,277OtherCostOrOtherBasisAmt
Depreciation$415,835DepreciationAmt
Book Value$362,442BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,765,170OtherCostOrOtherBasisAmt
Depreciation$432,426DepreciationAmt
Book Value$2,332,744BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$221,632OtherCostOrOtherBasisAmt
Depreciation$188,345DepreciationAmt
Book Value$33,287BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,129,184TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CASH HELD FOR LONG TERM PURPOSES$618,958
GIFT CARDS$4,830
FieldValueIRS element (for citing)
Total Book Value Other Assets$623,788TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,754,518TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,754,518RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,754,518TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,717,300TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,717,300ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,717,300TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISING EVENTEvent1Nm
Gross Receipts Event1$193,180GrossReceiptsEvent1Amt
Charitable Contri Event1$152,613CharitableContriEvent1Amt
Gross Revenue Event1$40,567GrossRevenueEvent1Amt
Other Direct Expenses Event1$40,567OtherDirectExpensesEvent1Amt
Gross Receipts Total$193,180GrossReceiptsTotalAmt
Charitable Contributions Tot$152,613CharitableContributionsTotAmt
Gross Revenue Total Events$40,567GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$40,567OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,567DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BBOARD MEMBERS WILL REVIEW AND APPROVE 990 TAX RETURN BEFORE MAILING TO THE IRS
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS DISCUSS DURING BOARD MEETINGS CONFLICT OF INTEREST POLICY ON A YEARLY BASIS
FORM 990, PART VI, SECTION B, LINE 1515A BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE EXECUTIVE DIRECTOR'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY 15B BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE PERSONNEL'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST VIA EMAIL, FAX OR IN PERSON
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST VIA EMAIL, FAX, OR IN PERSON
FORM 990, PART IX, LINE 11GREPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 42,431. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,431. CONSTITUENTS FOOD: PROGRAM SERVICE EXPENSES 154,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 154,037. UTILITIES: PROGRAM SERVICE EXPENSES 70,127. MANAGEMENT AND GENERAL EXPENSES 1,782. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 71,909. PSYCHIATRIC SERVICES: PROGRAM SERVICE EXPENSES 46,615. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 46,615. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 15,834. MANAGEMENT AND GENERAL EXPENSES 154. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,988. MEDICAL: PROGRAM SERVICE EXPENSES 10,496. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,496.
FORM 990 PART XII LINE 2CNO CHANGES FROM PRIOR YEAR

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