SALEM COMMUNITY PANTRY INC: Form 990EZ, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SALEM COMMUNITY PANTRY INC (EIN 27-1580088)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-14
IRS object ID
202042889349201359
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)
Return2020-10-14T15:27:29-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273672478PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1D T MOORE AND COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1217 N LINCOLN AVEAddressLine1Txt
CitySALEMCityNm
State AbbreviationOHStateAbbreviationCd
ZIP444602905ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271580088EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SALEM COMMUNITY PANTRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSALEBusinessNameControlTxt
Phone3308539010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 222AddressLine1Txt
CitySALEMCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44460ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACQUELINE BERTHOLDPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone3308539010PhoneNum
Signature2020-10-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACQUELINE R BERTHOLDEAPreparerPersonNm
PTINP00014761PTIN
Phone3303325336PhoneNum
Preparation2020-10-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address66.61.0.191IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-14IPDt
IP Tm15:27:29IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id275890EEF7EF7AF906BAB672D1DA8ADBDF8196CCAtSubmissionCreationDeviceId
At Submission Filing Device Id5AFD3DD855685E1430151C865FA3F5C44A262C2EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$66,369GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$66,369ContributionsGiftsGrantsEtcAmt
Total Revenue$66,369TotalRevenueAmt
Occupancy Rent Utlts And Maint$17,114OccupancyRentUtltsAndMaintAmt
Other Expenses Total$24,410OtherExpensesTotalAmt
Total Expenses$41,524TotalExpensesAmt
Excess Or Deficit For Year$24,845ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$56,083NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$80,928NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$56,083BOYAmt
EOY$80,928EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,083BOYAmt
EOY$80,928EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$56,083BOYAmt
EOY$80,928EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeCOMMUNITY FOOD PANTRYPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomFOOD 12,719.47, MISC EXP. 2974.02, RENT & UTILITES 17,113.38, MAINT 5928.69. WITH ABOUT 5100 FAMILY VISITS FOR A TOTAL OF OVER 18,000 INDIVIDUAL PEOPLE SERVED.DescriptionProgramSrvcAccomTxt
Program Service Expenses$15,693ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$15,693TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (13 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
JACQUELINE BERTHOLD
DIRECTOR25.00$0
TERESA ROBERTS
BOARD PRESID2.00$0
BRITNEY LEFFLER
SECRETARY/TR3.00$0
PATTY KEEFER
DIRECTOR2.00$0
JOHN BIASTRO
DIRECTOR0.25$0
TOM BECK
DIRECTOR5.00$0
AUSTIN FRENCH
DIRECTOR0.25$0
DEBBIE JOHNSON
DIRECTOR0.25$0
JOYCE HOUSHOUR
DIRECTOR15.00$0
KARLA MCCLAIN
DIRECTOR0.25$0
GEORGE SPACK
DIRECTOR0.25$0
AUDREY NULL
DIRECTOR0.25$0
MARY UTTERBACK
DIRECTOR3.50$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJACQUELINE R BERTHOLDPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 222AddressLine1Txt
CitySALEMCityNm
State AbbreviationOHStateAbbreviationCd
ZIP444600222ZIPCd
FieldValueIRS element (for citing)
Phone3308539010PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$89,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,556CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,728CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,144CurrentTaxYearMinus1YearAmt
Current Tax Year$66,369CurrentTaxYearAmt
Total$339,230TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$89,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,556CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,728CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,144CurrentTaxYearMinus1YearAmt
Current Tax Year$66,369CurrentTaxYearAmt
Total$339,230TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$339,230PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$89,433CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,556CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$51,728CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$65,144CurrentTaxYearMinus1YearAmt
Current Tax Year$66,369CurrentTaxYearAmt
Total$339,230TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES INSURANCE 2,788 FOOD 12,719 MAINT EXPENSES 5,929 SUPPLIES 2,974 TOTAL 24,410
FORM 990-EZ, PART II, LINE 2440,979 40,979 LESS ACCUMULATED DEPRECIATION 40,979 40,979 TOTAL 0 0

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