LAKE NORMAN HUMANE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LAKE NORMAN HUMANE INC (EIN 86-1160840)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-28
IRS object ID
202033029349300108
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)
Return2020-10-28T07:49:20-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561220683PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POTTER & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1106 WELTON WAYAddressLine1Txt
CityMOORESVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN861160840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lake Norman Humane IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAKEBusinessNameControlTxt
Phone7046333330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3937AddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMaria Haughton RobersonPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7046633330PhoneNum
Signature2020-08-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert W Taylor CPAPreparerPersonNm
PTINP00030911PTIN
Phone7046623146PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address3.220.243.49IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-25IPDt
IP Tm16:42:33IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD6CA3E4FD539C4B301CFADC9F0D5540429090824AtSubmissionCreationDeviceId
At Submission Filing Device IdD6CA3E4FD539C4B301CFADC9F0D5540429090824AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMaria Haughton RobersonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 3937AddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,365,585GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lakenormanhumane.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTo rescue, rehabilitate and rehome homeless pets.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers137TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$645,099PYContributionsGrantsAmt
CY Contributions Grants$839,539CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,316PYInvestmentIncomeAmt
CY Investment Income$23,585CYInvestmentIncomeAmt
PY Other Revenue$6,554PYOtherRevenueAmt
CY Other Revenue$112,278CYOtherRevenueAmt
PY Total Revenue$653,969PYTotalRevenueAmt
CY Total Revenue$975,402CYTotalRevenueAmt
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$95,591PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$156,710CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,074CYTotalFundraisingExpenseAmt
PY Other Expenses$198,423PYOtherExpensesAmt
CY Other Expenses$287,048CYOtherExpensesAmt
PY Total Expenses$294,014PYTotalExpensesAmt
CY Total Expenses$443,758CYTotalExpensesAmt
PY Revenues Less Expenses$359,955PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$531,644CYRevenuesLessExpensesAmt
Total Assets BOY$2,170,435TotalAssetsBOYAmt
Total Assets EOY$3,359,829TotalAssetsEOYAmt
Total Liabilities BOY$602,886TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,260,636TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,567,549NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,099,193NetAssetsOrFundBalancesEOYAmt
MissionTO RESCUE, REHABILITATE AND REHOME HOMELESS PETSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$341,276ExpenseAmt
DescRESPONSIBLE PET OWNERSHIP, SPAY/NEUTER SERVICES,ADOPTION OF HOMELESS PETSDesc
Total Program Service Expenses$341,276TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 OutstandingYes (1)LoanOutstandingInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Maria Haughton RobersonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7046633330PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12106 Charlotte HwyAddressLine1Txt
CityMooresvilleCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28117ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Josh Tucker
President2.00Yes (X)Yes (X)$0$0$0
Kevin Donaldson
Vice President2.00Yes (X)Yes (X)$0$0$0
MARIA HAUGHTON Roberson
Treasurer2.00Yes (X)Yes (X)$0$0$0
Jonathan ZULMAN
Secretary2.00Yes (X)Yes (X)$0$0$0
GREG BIFFLE
Board Member2.00Yes (X)Yes (X)$0$0$0
Cristina Grossu
Board Member2.00Yes (X)Yes (X)$0$0$0
Lisa Oden
Board Member2.00Yes (X)Yes (X)$0$0$0
Jeffery Carbone
Board Member2.00Yes (X)Yes (X)$0$0$0
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 Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$839,539AllOtherContributionsAmt
Total Contributions$839,539TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,877TotalRevenueColumnAmt
Exclusion$1,877ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$400,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$378,292OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$21,708OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,708TotalRevenueColumnAmt
Related Or Exempt Func Income$21,708RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$124,169FundraisingGrossIncomeAmt
Fundraising Direct Expenses$11,891FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$112,278TotalRevenueColumnAmt
Exclusion$112,278ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$975,402TotalRevenueColumnAmt
Related Or Exempt Func Income$21,708RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$114,155ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$144,122TotalAmt
Program Services$108,092ProgramServicesAmt
Management And General$21,618ManagementAndGeneralAmt
Fundraising$14,412FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,588TotalAmt
Program Services$9,441ProgramServicesAmt
Management And General$1,888ManagementAndGeneralAmt
Fundraising$1,259FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,970TotalAmt
Management And General$2,970ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,850TotalAmt
Program Services$31,850ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$45TotalAmt
Management And General$45ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,611TotalAmt
Program Services$3,611ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,262TotalAmt
Program Services$2,262ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$45,118TotalAmt
Program Services$45,118ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$578TotalAmt
Management And General$578ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$22,743TotalAmt
Program Services$17,057ProgramServicesAmt
Management And General$3,413ManagementAndGeneralAmt
Fundraising$2,273FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,727TotalAmt
Management And General$31,727ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,086TotalAmt
Program Services$19,086ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
animal care and expense$104,424$104,424
BANK AND PAYPAL FEES$21,169$21,169
awards & trophies$761$761
Outside services$369$369

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$335TotalAmt
Program Services$335ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$443,758TotalAmt
Program Services$341,276ProgramServicesAmt
Management And General$83,408ManagementAndGeneralAmt
Fundraising$19,074FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$607BOYAmt
EOY$5,063EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$307,104BOYAmt
EOY$96,862EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,886BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,291,111LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,519LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$339,244BOYAmt
EOY$3,254,592EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$3,312EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,519,594BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,170,435BOYAmt
EOY$3,359,829EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$15,006EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$42,500EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$600,000BOYAmt
EOY$1,200,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,886BOYAmt
EOY$3,130EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$602,886BOYAmt
EOY$1,260,636EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,567,549BOYAmt
EOY$2,099,193EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,567,549BOYAmt
EOY$2,099,193EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,170,435BOYAmt
EOY$3,359,829EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$531,644ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$203,377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$405,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$307,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$645,099CurrentTaxYearMinus1YearAmt
Current Tax Year$839,539CurrentTaxYearAmt
Total$2,401,344TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$203,377CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$405,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$307,409CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$645,099CurrentTaxYearMinus1YearAmt
Current Tax Year$839,539CurrentTaxYearAmt
Total$2,401,344TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,401,344PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,171CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,361CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,316CurrentTaxYearMinus1YearAmt
Current Tax Year$23,585CurrentTaxYearAmt
Total$33,386TotalAmt
FieldValueIRS element (for citing)
Total Support$2,434,730TotalSupportAmt
Gross Receipts Rltd Activities$247,988GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98630PublicSupportCY170Pct
Public Support PY1700.99400PublicSupportPY170Pct
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$327,000OtherCostOrOtherBasisAmt
Book Value$327,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,944,128OtherCostOrOtherBasisAmt
Depreciation$28,309DepreciationAmt
Book Value$2,915,819BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,983OtherCostOrOtherBasisAmt
Depreciation$8,210DepreciationAmt
Book Value$11,773BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,254,592TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$3,130Amt
FieldValueIRS element (for citing)
Total Liability$3,130TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1New Building Grand Openning eventEvent1Nm
Gross Receipts Event1$36,651GrossReceiptsEvent1Amt
Gross Revenue Event1$36,651GrossRevenueEvent1Amt
Event2Gala FundraiserEvent2Nm
Gross Receipts Event2$87,518GrossReceiptsEvent2Amt
Gross Revenue Event2$87,518GrossRevenueEvent2Amt
Other Direct Expenses Event2$11,891OtherDirectExpensesEvent2Amt
Gross Receipts Total$124,169GrossReceiptsTotalAmt
Gross Revenue Total Events$124,169GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$11,891OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,891DirectExpenseSummaryEventsAmt
Net Income Summary$112,278NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMaria H RobersonPersonNm
Relationship With OrgLoan was made by an OfficerRelationshipWithOrgTxt
Loan PurposeLoan was made to Org. in order to help with new buidling construction.LoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$42,500OriginalPrincipalAmt
Balance Due$42,500BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$42,500TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bDRAFT OF PREPARED 990 RETURN EMAILED TO ALL BOARD MEMBERS FOR REVIEW AND APPROVAL PRIOR TO FILING
Form 990, Part VI, Section B, line 12cBOARD MEMBERS ARE ASKED ABOUT ANY CONFLICTS OF INTEREST WHEN THEY JOIN THE BOARD
Form 990, Part VI, Section B, line 15aEXECUTIVE DIRECTOR'S SALARY WAS NEGOTIATED BY BOARD OF DIRECTORS WITH A MAXIMUM SALARY SET BY THE BOARD.ALL RAISES ARE APPROVED BY BOARD OF DIRECTORS.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC REVIEW AT ORGANIZATION OFFICES UPON REQUEST. ORGANIZATIONAL DOCUMENTS ARE AVAILABLE AT HTTP://WWW.SECRETARY.STATE.NC.US

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