RACHELS HAVEN INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RACHELS HAVEN INC (EIN 20-2236485)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349304329
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)
Return2020-11-16T09:23:49-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN621690032PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RODEFER MOSS & CO PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1612 TRENT ST NEAddressLine1Txt
CityNORTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24273ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202236485EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RACHELS HAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRACHBusinessNameControlTxt
Phone2767964491PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 148AddressLine1Txt
CityPOUNDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24279ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE PAYNEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2767964491PhoneNum
Signature2020-11-05SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES F LAWSON CPAPreparerPersonNm
PTINP01208865PTIN
Phone2766792780PhoneNum
Preparation2020-11-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-16IPDt
IP Tm09:23:49IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id957E8AC28914A1C2105BC3C633BA20135F0B1090AtSubmissionCreationDeviceId
At Submission Filing Device Id957E8AC28914A1C2105BC3C633BA20135F0B1090AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANICE PAYNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17530 DAKOTA ROADAddressLine1Txt
CityWISECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24293ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,670,371GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee44TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,835,477PYContributionsGrantsAmt
CY Contributions Grants$1,670,371CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,835,478PYTotalRevenueAmt
CY Total Revenue$1,670,371CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,110,838PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,082,660CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$652,353PYOtherExpensesAmt
CY Other Expenses$500,875CYOtherExpensesAmt
PY Total Expenses$1,763,191PYTotalExpensesAmt
CY Total Expenses$1,583,535CYTotalExpensesAmt
PY Revenues Less Expenses$72,287PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$86,836CYRevenuesLessExpensesAmt
Total Assets BOY$300,827TotalAssetsBOYAmt
Total Assets EOY$375,991TotalAssetsEOYAmt
Total Liabilities BOY$21,600TotalLiabilitiesBOYAmt
Total Liabilities EOY$9,928TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$279,227NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$366,063NetAssetsOrFundBalancesEOYAmt
MissionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,412,917ExpenseAmt
DescTHE ORGANIZATION PROVIDES HOUSING FOR MENTALLY CHALLANGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.Desc
Total Program Service Expenses$1,412,917TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 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 OutstandingYes (true)LoanOutstandingInd
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 RequiredfalseScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G44IRPDocumentW2GCnt
Employee44EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANICE PAYNEPersonNm
Phone2767964491PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17503B ORBY CANTRELL HIGHWAYAddressLine1Txt
CityPOUNDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24279ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JODIE ADAMS
DIRECTORYes (X)$0$0$0
JANICE PAYNE
PRESIDENTYes (X)$0$0$0Yes (X)
TERRY PAYNE
VICE PRESIDEYes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,670,371AllOtherContributionsAmt
Total Contributions$1,670,371TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,670,371TotalRevenueColumnAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$954,069TotalAmt
Program Services$863,718ProgramServicesAmt
Management And General$90,351ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,869TotalAmt
Program Services$37,009ProgramServicesAmt
Management And General$15,860ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$75,722TotalAmt
Program Services$68,810ProgramServicesAmt
Management And General$6,912ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,750TotalAmt
Management And General$4,750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,913TotalAmt
Management And General$31,913ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$106,311TotalAmt
Program Services$106,311ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,503TotalAmt
Management And General$2,503ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,400TotalAmt
Program Services$17,400ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,025TotalAmt
Program Services$48,025ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEALS FOR RESIDENTS$75,111$75,111
REPAIRS & MAINTENANCE$58,512$58,512
UTILITIES$57,493$57,493
OTHER$47,577$47,577

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$51,280TotalAmt
Program Services$30,448ProgramServicesAmt
Management And General$20,832ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,583,535TotalAmt
Program Services$1,410,414ProgramServicesAmt
Management And General$173,121ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$98,312BOYAmt
EOY$105,077EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$80,542BOYAmt
EOY$68,190EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$38,380BOYAmt
EOY$28,680EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$922BOYAmt
EOY$922EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$327,261LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$154,139LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$82,671BOYAmt
EOY$173,122EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$300,827BOYAmt
EOY$375,991EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,600BOYAmt
EOY$9,928EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,600BOYAmt
EOY$9,928EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$279,227BOYAmt
EOY$366,063EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$279,227BOYAmt
EOY$366,063EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$300,827BOYAmt
EOY$375,991EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$86,836ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$1,302,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,371,855CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,720,649CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,835,477CurrentTaxYearMinus1YearAmt
Current Tax Year$1,670,371CurrentTaxYearAmt
Total$7,901,123TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,302,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,371,855CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,720,649CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,835,477CurrentTaxYearMinus1YearAmt
Current Tax Year$1,670,371CurrentTaxYearAmt
Total$7,901,123TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$7,901,123PublicSupportTotal170Amt
Total Support$7,901,123TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,000OtherCostOrOtherBasisAmt
Book Value$20,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,036OtherCostOrOtherBasisAmt
Depreciation$467DepreciationAmt
Book Value$55,569BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$251,225OtherCostOrOtherBasisAmt
Depreciation$153,672DepreciationAmt
Book Value$97,553BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$173,122TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
KIM SMITH
EMPLOYEEPERSONAL LOANYes (X)$27,000$17,100falseYes (true)Yes (true)
MELISSA OSBORNE
EMPLOYEEPERSONAL LOANYes (X)$15,980$11,580falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$28,680TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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