ASHLAND CARE CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ASHLAND CARE CENTER INC (EIN 34-1528045)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202023189349307637
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)
Return2020-11-13T13:22:43-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202126956PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341528045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASHLBusinessNameControlTxt
Phone4192811111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELANIE MILLERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4192811111PhoneNum
Signature2020-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN W IRWIN CPAPreparerPersonNm
PTINP00337085PTIN
Phone4192812811PhoneNum
Preparation2020-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.144.176.92IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-13IPDt
IP Tm13:22:43IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA5FDD711D6E045AEB22108A560571CA50DAF2832AtSubmissionCreationDeviceId
At Submission Filing Device IdC6BC341B23157856B6C85A529E19F5248F083730AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMELANIE MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$331,397GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASHLANDCARECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE ASHLAND PREGNANCY CARE CENTER IS A CHRIST-CENTERED MINISTRY OFFERING COMPASSION, HOPE, AND HELP TO WOMEN AND MEN FACING CRITICAL PREGNANCY DECISIONS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers76TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$167,507PYContributionsGrantsAmt
CY Contributions Grants$172,306CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8PYInvestmentIncomeAmt
CY Investment Income-$78CYInvestmentIncomeAmt
PY Other Revenue$58,738PYOtherRevenueAmt
CY Other Revenue$121,599CYOtherRevenueAmt
PY Total Revenue$226,253PYTotalRevenueAmt
CY Total Revenue$293,827CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$118,549PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$146,723CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,890CYTotalFundraisingExpenseAmt
PY Other Expenses$88,519PYOtherExpensesAmt
CY Other Expenses$106,541CYOtherExpensesAmt
PY Total Expenses$207,068PYTotalExpensesAmt
CY Total Expenses$253,264CYTotalExpensesAmt
PY Revenues Less Expenses$19,185PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$40,563CYRevenuesLessExpensesAmt
Total Assets BOY$332,217TotalAssetsBOYAmt
Total Assets EOY$363,460TotalAssetsEOYAmt
Total Liabilities BOY$86,617TotalLiabilitiesBOYAmt
Total Liabilities EOY$77,297TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$245,600NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$286,163NetAssetsOrFundBalancesEOYAmt
MissionTHE ASHLAND PREGNANCY CARE CENTER IS A CHRIST-CENTERED MINISTRY OFFERING COMPASSION, HOPE, AND HELP TO WOMEN AND MEN FACING CRITICAL PREGNANCY DECISIONS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$160,456ExpenseAmt
DescSUPPORTING WOMEN AND MEN WITH UNPLANNED PREGNANCIES BY PROVIDING FREE PREGNANCY TESTS, COUNSELING, EDUCATION, AND REFERRALS. THE ORGANIZATION SERVED 228 CLIENTS AT 2,195 VISITS DURING 2019.Desc
Total Program Service Expenses$160,456TotalProgramServiceExpensesAmt
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 StmtfalseIndependentAuditFinclStmtInd
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 OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4192812811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MELANIE MILLER
EXECUTIVE DI40.00Yes (X)Yes (X)$49,904$0$1,445
ERIC ABEL
TRUSTEE1.00Yes (X)$0$0$0
AARON BATES
TRUSTEE1.00Yes (X)$0$0$0
RENEE MAGGELET
TRUSTEE1.00Yes (X)$0$0$0
JOYCE MANSFIELD
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TRAVIS MCKENZIE
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
JOAN SCOTT
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ADREA TENNANT
TRUSTEE1.00Yes (X)$0$0$0
LORIN WEAVER
TREASURER1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$49,904TotalReportableCompFromOrgAmt
Total Other Compensation$1,445TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$172,306AllOtherContributionsAmt
Total Contributions$172,306TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28TotalRevenueColumnAmt
Exclusion$28ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$106OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$106OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$106TotalRevenueColumnAmt
Related Or Exempt Func Income-$106RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,063FundraisingGrossIncomeAmt
Fundraising Direct Expenses$37,464FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,599TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$293,827TotalRevenueColumnAmt
Related Or Exempt Func Income-$106RelatedOrExemptFuncIncomeAmt
Exclusion$28ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$49,904TotalAmt
Program Services$27,447ProgramServicesAmt
Management And General$17,466ManagementAndGeneralAmt
Fundraising$4,991FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$81,864TotalAmt
Program Services$62,217ProgramServicesAmt
Management And General$19,647ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,792TotalAmt
Program Services$2,882ProgramServicesAmt
Management And General$910ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,163TotalAmt
Program Services$8,484ProgramServicesAmt
Management And General$2,679ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,790TotalAmt
Management And General$12,790ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,465TotalAmt
Program Services$4,645ProgramServicesAmt
Fundraising$820FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,664TotalAmt
Program Services$4,463ProgramServicesAmt
Management And General$6,426ManagementAndGeneralAmt
Fundraising$775FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,757TotalAmt
Program Services$7,798ProgramServicesAmt
Management And General$1,583ManagementAndGeneralAmt
Fundraising$1,376FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,371TotalAmt
Program Services$11,497ProgramServicesAmt
Management And General$2,874ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,954TotalAmt
Management And General$5,954ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,480TotalAmt
Program Services$1,842ProgramServicesAmt
Management And General$1,638ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$425TotalAmt
Program Services$425ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,129TotalAmt
Program Services$9,128ProgramServicesAmt
Management And General$1,001ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,574TotalAmt
Program Services$6,278ProgramServicesAmt
Management And General$1,296ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CLIENT SERVICES$13,350$13,350
FUNDRAISING EXPENSES$5,928$5,928
MISC. EXPENSES$2,531$2,531
BANK SERVICE CHARGES$2,023$2,023

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Management And General$100ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$253,264TotalAmt
Program Services$160,456ProgramServicesAmt
Management And General$78,918ManagementAndGeneralAmt
Fundraising$13,890FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$46,377BOYAmt
EOY$71,444EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$77,736BOYAmt
EOY$77,764EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$267,042LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,847LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$206,213BOYAmt
EOY$199,195EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,891BOYAmt
EOY$15,057EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$332,217BOYAmt
EOY$363,460EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,247BOYAmt
EOY$35EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$84,370BOYAmt
EOY$77,262EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,617BOYAmt
EOY$77,297EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$245,600BOYAmt
EOY$286,163EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$245,600BOYAmt
EOY$286,163EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$332,217BOYAmt
EOY$363,460EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$40,563ReconcilationRevenueExpnssAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
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$101,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136,003CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,242CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$167,507CurrentTaxYearMinus1YearAmt
Current Tax Year$172,306CurrentTaxYearAmt
Total$721,833TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$101,775CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$136,003CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,242CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$167,507CurrentTaxYearMinus1YearAmt
Current Tax Year$172,306CurrentTaxYearAmt
Total$721,833TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$721,833PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8CurrentTaxYearMinus1YearAmt
Current Tax Year$28CurrentTaxYearAmt
Total$78TotalAmt
FieldValueIRS element (for citing)
Total Support$721,911TotalSupportAmt
Gross Receipts Rltd Activities$355,354GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
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$88,112OtherCostOrOtherBasisAmt
Book Value$88,112BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,535OtherCostOrOtherBasisAmt
Depreciation$41,218DepreciationAmt
Book Value$91,317BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,728OtherCostOrOtherBasisAmt
Depreciation$11,900DepreciationAmt
Book Value$6,828BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,667OtherCostOrOtherBasisAmt
Depreciation$14,729DepreciationAmt
Book Value$12,938BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$199,195TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL BANQUETEvent1Nm
Gross Receipts Event1$138,031GrossReceiptsEvent1Amt
Gross Revenue Event1$138,031GrossRevenueEvent1Amt
Other Direct Expenses Event1$33,364OtherDirectExpensesEvent1Amt
Event2LIFE WALKEvent2Nm
Gross Receipts Event2$21,032GrossReceiptsEvent2Amt
Gross Revenue Event2$21,032GrossRevenueEvent2Amt
Other Direct Expenses Event2$4,100OtherDirectExpensesEvent2Amt
Gross Receipts Total$159,063GrossReceiptsTotalAmt
Gross Revenue Total Events$159,063GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$37,464OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,464DirectExpenseSummaryEventsAmt
Net Income Summary$121,599NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMIKE HLAVATY FORMER OFFICERPersonNm
Loan PurposePURCHASE OF REAL ESTATELoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$136,000OriginalPrincipalAmt
Balance Due$77,262BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$77,262TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORMER BOARD MEMBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
TransactionNOTE PAYABLETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PROVIDED TO THE GOVERNING BOARD MEMBERS FOR REVIEW AND APPROVAL. PRIOR TO FILING, QUESTIONS AND COMMENTS OF THE MEMBERS ARE RESPONDED TO AND INCORPORATED INTO THE TAX FILING AS NECESSARY.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAVE READ AND UNDERSTANDS THE POLICY, HAVE AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS SETS EXECUTIVE DIRECTOR COMPENSATION IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS SETS STAFF PAY RATES IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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