CHOICES PREGNANCY RESOURCE CLINIC INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHOICES PREGNANCY RESOURCE CLINIC INC (EIN 58-2035622)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202023219349312842
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)
Return2020-11-16T15:04:30-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN710809470PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARY M SCHWARTZ CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line120 ROLLING RIVER LNAddressLine1Txt
CityRussellvilleCityNm
State AbbreviationARStateAbbreviationCd
ZIP72802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN582035622EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHOICES PREGNANCY RESOURCE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHOIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 394AddressLine1Txt
CityRUSSELLVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP728110394ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTY RENFROEPersonNm
Person TitleEXECUTIVE DIRECPersonTitleTxt
Phone4799672255PhoneNum
Signature2020-11-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY M SCHWARTZPreparerPersonNm
PTINP00411894PTIN
Phone4792647950PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address97.114.152.168IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm15:05:39IPTm
Federal Original Submission Id71040620203213m0h54zFederalOriginalSubmissionId
Federal Original Submission Id2020-11-16FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEFA547CC64BA0C150B3624930831F28BA7D27263AtSubmissionCreationDeviceId
At Submission Filing Device IdEFA547CC64BA0C150B3624930831F28BA7D27263AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTY RENFROEPrincipalOfficerNm
Gross Receipts$241,299GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionCRISIS PREGNANCY COUNSELING AND CLINICActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$218,069PYContributionsGrantsAmt
CY Contributions Grants$241,274CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$30PYInvestmentIncomeAmt
CY Investment Income$25CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$218,099PYTotalRevenueAmt
CY Total Revenue$241,299CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,516PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$137,275CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,884CYTotalFundraisingExpenseAmt
PY Other Expenses$106,366PYOtherExpensesAmt
CY Other Expenses$103,811CYOtherExpensesAmt
PY Total Expenses$222,882PYTotalExpensesAmt
CY Total Expenses$241,086CYTotalExpensesAmt
PY Revenues Less Expenses-$4,783PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$213CYRevenuesLessExpensesAmt
Total Assets BOY$27,275TotalAssetsBOYAmt
Total Assets EOY$29,876TotalAssetsEOYAmt
Total Liabilities BOY$2,348TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,736TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$24,927NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,140NetAssetsOrFundBalancesEOYAmt
MissionCRISIS PREGNANCY COUNSELING AND CLINICMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$159,890ExpenseAmt
Desc1,220 CLIENT VISITS, PROVIDED FREE PREGNANCY TESTS & ULTRASOUNDS,PARENTING & INCENTIVE PROGRAMS, TANGIBLE NEEDS FOR MOTHERS & BABIES SUCH AS OVER 21,000 DIAPERS, OTHER BABY ITEMS, CLOTHING & FORMULA. MORE THAN 60 BABIES WERE BORN TO WOMEN WE SERVED THIS YEAR.Desc
Total Program Service Expenses$159,890TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members8GoverningBodyVotingMembersCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHRISTY RENFROEPersonNm
Phone4799672255PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 394AddressLine1Txt
CityRUSSELLVILLECityNm
State AbbreviationARStateAbbreviationCd
ZIP728110394ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
MARY M SCHWARTZ
DIRECTOR2.000.00Yes (X)$0$0$0
DON STILES
DIRECTOR1.000.00Yes (X)$0$0$0
CASSITY HOGINS
DIRECTOR1.000.00Yes (X)$0$0$0
JEFF WALCHSHAUSER
VICE PRESIDENT1.000.00Yes (X)$0$0$0Yes (X)
JOSH TOBEN
PRESIDENT2.000.00Yes (X)$0$0$0Yes (X)
SHELLI JOHNSON
TREASURER3.000.00Yes (X)$0$0$0Yes (X)
SARAH HICKMAN
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
CHRISTY RENFROE
EXECUTIVE DIRECTOR40.000.00$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$241,274AllOtherContributionsAmt
Total Contributions$241,274TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$25TotalRevenueColumnAmt
Related Or Exempt Func Income$25RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$241,299TotalRevenueColumnAmt
Related Or Exempt Func Income$25RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$26,000TotalAmt
Program Services$18,200ProgramServicesAmt
Management And General$5,200ManagementAndGeneralAmt
Fundraising$2,600FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,848TotalAmt
Program Services$55,423ProgramServicesAmt
Management And General$37,998ManagementAndGeneralAmt
Fundraising$6,427FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,800TotalAmt
Management And General$1,800ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,627TotalAmt
Program Services$5,632ProgramServicesAmt
Management And General$3,305ManagementAndGeneralAmt
Fundraising$690FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$645TotalAmt
Management And General$645ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$196TotalAmt
Management And General$196ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,106TotalAmt
Program Services$8,085ProgramServicesAmt
Fundraising$2,021FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,385TotalAmt
Program Services$10,203ProgramServicesAmt
Management And General$5,024ManagementAndGeneralAmt
Fundraising$3,158FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,524TotalAmt
Program Services$1,262ProgramServicesAmt
Fundraising$1,262FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,902TotalAmt
Program Services$18,832ProgramServicesAmt
Management And General$5,380ManagementAndGeneralAmt
Fundraising$2,690FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$356TotalAmt
Program Services$249ProgramServicesAmt
Management And General$71ManagementAndGeneralAmt
Fundraising$36FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$25,269TotalAmt
Program Services$25,269ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$55TotalAmt
Management And General$55ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$885TotalAmt
Program Services$885ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,260TotalAmt
Program Services$2,497ProgramServicesAmt
Management And General$763ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,994TotalAmt
Program Services$5,374ProgramServicesAmt
Management And General$1,620ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
REPAIR AND MAINTENANCE$255$255
CLIENT ASST MEDICAL SUPP$5,789$5,789
STAFF VOLUNTEER EXPENSE$2,190$2,190

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$241,086TotalAmt
Program Services$159,890ProgramServicesAmt
Management And General$62,312ManagementAndGeneralAmt
Fundraising$18,884FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$22,438BOYAmt
EOY$26,438EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$35,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,168LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,837BOYAmt
EOY$3,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,275BOYAmt
EOY$29,876EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,348BOYAmt
EOY$4,736EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,348BOYAmt
EOY$4,736EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$20,090BOYAmt
EOY$21,702EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$4,837BOYAmt
EOY$3,438EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$24,927BOYAmt
EOY$25,140EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,275BOYAmt
EOY$29,876EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$213ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$181,756CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$211,435CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$218,069CurrentTaxYearMinus1YearAmt
Current Tax Year$241,274CurrentTaxYearAmt
Total$1,056,374TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$181,756CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$211,435CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$218,069CurrentTaxYearMinus1YearAmt
Current Tax Year$241,274CurrentTaxYearAmt
Total$1,056,374TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$30,323SubstantialContributorsTotAmt
Public Support Total170$1,026,051PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$46CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30CurrentTaxYearMinus1YearAmt
Current Tax Year$25CurrentTaxYearAmt
Total$197TotalAmt
FieldValueIRS element (for citing)
Total Support$1,056,571TotalSupportAmt
Public Support CY1700.97110PublicSupportCY170Pct
Public Support PY1700.95060PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,606OtherCostOrOtherBasisAmt
Depreciation$32,168DepreciationAmt
Book Value$3,438BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,438TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$1,710FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
STATE WITHHOLDING$221
CREDIT CARD BALANCE$2,805
FieldValueIRS element (for citing)
Total Liability$4,736TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11A COPY OF THE FORM 990 WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING.
Form 990 availability to public Part VI line 18GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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