CHILDREN MENDING HEARTS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CHILDREN MENDING HEARTS INC (EIN 26-4131176)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-16
IRS object ID
202043219349317714
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)
Return2020-11-16T13:40:45-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN274530259PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Taxcorp and Associates IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14100 W Alameda Ave Suite 373AddressLine1Txt
CityBurbankCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91505ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264131176EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHILDREN MENDING HEARTS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHILBusinessNameControlTxt
Phone8189403577PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 W ALAMEDA AVE SUITE 300AddressLine1Txt
CityBURBANKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91505ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSIOBHAIN O REILLY-HILLPersonNm
Person TitleEXECUTIVE DIRETORPersonTitleTxt
Signature2020-11-14SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDonald CuadraPreparerPersonNm
PTINP00769867PTIN
Phone3104820803PhoneNum
Preparation2020-11-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.50.41.79IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id9668002020193j000929FederalOriginalSubmissionId
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3489315FA5B70206751D13698AAA7BAC48B8324EAtSubmissionCreationDeviceId
At Submission Filing Device IdE1AB45C5857A3F9AB906F85B45A1552A65D1ADCBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLYSA HESLOVPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 W ALAMEDA AVE SUITE 300AddressLine1Txt
CityBURBANKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91505ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$382,087GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHILDRENMENDINGHEARTS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionDEDICATED TO COMBATING BULLYING AND INTOLERANCE BY INSPIRING EMPATHY IN CHILDREN THROUGH ART AND SERVICE LEARNING PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers75TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$495,615PYContributionsGrantsAmt
CY Contributions Grants$123,617CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$82,443PYOtherRevenueAmt
CY Other Revenue$237,239CYOtherRevenueAmt
PY Total Revenue$413,172PYTotalRevenueAmt
CY Total Revenue$360,856CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$107,791PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$210,409CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,684CYTotalFundraisingExpenseAmt
PY Other Expenses$196,821PYOtherExpensesAmt
CY Other Expenses$120,675CYOtherExpensesAmt
PY Total Expenses$304,612PYTotalExpensesAmt
CY Total Expenses$331,084CYTotalExpensesAmt
PY Revenues Less Expenses$108,560PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,772CYRevenuesLessExpensesAmt
Total Assets BOY$192,582TotalAssetsBOYAmt
Total Assets EOY$223,307TotalAssetsEOYAmt
Total Liabilities BOY$29,246TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,199TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$163,336NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$193,108NetAssetsOrFundBalancesEOYAmt
MissionCHILDREN MENDING HEARTS IS DEDICATED TO COMBATING BULLYING AND INTOLERANCE BY INSPIRING EMPATHY IN CHILDREN THROUGH ART AND SERVICE LEARNING PROGRAMS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$282,314ExpenseAmt
DescAFTER SCHOOL GLOBAL ARTS PROGRAM - A DYNAMIC ARTS-BASED ENRICHMENTDesc
Total Program Service Expenses$282,314TotalProgramServiceExpensesAmt
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 EquipmentfalseReportLandBuildingEquipmentInd
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 ActivitiesYes (true)GamingActivitiesInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3EmployeeCnt
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDONALD CUADRAPersonNm
Phone3104820803PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14100 W ALAMEDAAddressLine1Txt
CityBURBANKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91505ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JOE CILIC
PRESIDENT10Yes (X)Yes (X)$0$0$0
GRANT HESLOV
DIRECTOR10Yes (X)$0$0$0
MELANIE MURRAY
DIRECTOR10Yes (X)$0$0$0
KERI SELIG
DIRECTOR10Yes (X)$0$0$0
POONEH MOHAJER
DIRECTOR10Yes (X)$0$0$0
SIMON LEGNO
DIRECTOR10Yes (X)$0$0$0
ANDREW KIERNAN
DIRECTOR10Yes (X)$0$0$0
AUSTIN STOFFER
DIRECTOR10Yes (X)$0$0$0
KUJI CHAHAL
DIRECTOR10Yes (X)$0$0$0
DR LINNDA DURR
DIRECTOR10Yes (X)$0$0$0
RON BURKHARDT
DIRECTOR10Yes (X)$0$0$0
TAKASHI CHENG
DIRECTOR10Yes (X)$0$0$0
DR GERVAISE GE
DIRECTOR10Yes (X)$0$0$0
CARLOS JIMENEZ
DIRECTOR10Yes (X)$0$0$0
LINDSEY SIMS
DIRECTOR10Yes (X)$0$0$0
LYSA HESLOV
DIRECTOR10Yes (X)$0$0$0
SIOBHAIN O REL
EXECUTIVE DIRE400Yes (X)$98,180$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$98,180TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$72,432FundraisingAmt
All Other Contributions$51,185AllOtherContributionsAmt
Noncash Contributions$9,846NoncashContributionsAmt
Total Contributions$123,617TotalContributionsAmt
Fundraising Gross Income$219,413FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$72,432ContriRptFundraisingEventAmt
Fundraising Direct Expenses$5,175FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$214,238TotalRevenueColumnAmt
Exclusion$214,238ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$39,057GamingGrossIncomeAmt
Gaming Direct Expenses$16,056GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,001TotalRevenueColumnAmt
Exclusion$23,001ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$360,856TotalRevenueColumnAmt
Exclusion$237,239ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$98,180TotalAmt
Program Services$94,253ProgramServicesAmt
Management And General$2,945ManagementAndGeneralAmt
Fundraising$982FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$76,213TotalAmt
Program Services$73,165ProgramServicesAmt
Management And General$2,286ManagementAndGeneralAmt
Fundraising$762FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,016TotalAmt
Program Services$34,576ProgramServicesAmt
Management And General$1,080ManagementAndGeneralAmt
Fundraising$360FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,315TotalAmt
Management And General$14,315ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$18,240TotalAmt
Program Services$5,223ProgramServicesAmt
Management And General$7,502ManagementAndGeneralAmt
Fundraising$5,515FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,557TotalAmt
Program Services$7,793ProgramServicesAmt
Management And General$2ManagementAndGeneralAmt
Fundraising$1,762FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,793TotalAmt
Program Services$2,783ProgramServicesAmt
Management And General$10ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,744TotalAmt
Program Services$20,103ProgramServicesAmt
Management And General$1,641ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,843TotalAmt
Program Services$1,843ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,113TotalAmt
Program Services$4,113ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$186TotalAmt
Management And General$186ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,262TotalAmt
Program Services$5,792ProgramServicesAmt
Management And General$7,470ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

TotalTotalAmt
$16,473
$9,921
$1,541
$131

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,556TotalAmt
Program Services$5,791ProgramServicesAmt
Management And General$726ManagementAndGeneralAmt
Fundraising$39FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$331,084TotalAmt
Program Services$282,314ProgramServicesAmt
Management And General$39,086ManagementAndGeneralAmt
Fundraising$9,684FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$192,187BOYAmt
EOY$223,307EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$395BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$192,582BOYAmt
EOY$223,307EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,246BOYAmt
EOY$5,199EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,246BOYAmt
EOY$30,199EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$163,336BOYAmt
EOY$193,108EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$163,336BOYAmt
EOY$193,108EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,582BOYAmt
EOY$223,307EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$29,772ReconcilationRevenueExpnssAmt
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
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$372,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$387,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$495,615CurrentTaxYearMinus1YearAmt
Current Tax Year$123,617CurrentTaxYearAmt
Total$1,584,271TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$372,895CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$387,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$205,128CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$495,615CurrentTaxYearMinus1YearAmt
Current Tax Year$123,617CurrentTaxYearAmt
Total$1,584,271TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$64,045SubstantialContributorsTotAmt
Public Support Total170$1,520,226PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$278CurrentTaxYearMinus4YearsAmt
Total$278TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$18,823CurrentTaxYearMinus2YearsAmt
Total$18,823TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$9CurrentTaxYearMinus3YearsAmt
Total$9TotalAmt
FieldValueIRS element (for citing)
Total Support$1,603,381TotalSupportAmt
Public Support CY1700.94810PublicSupportCY170Pct
Public Support PY1700.86140PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, PART II, SECTION B, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME TAX YEAR 2016.ExplanationTxt

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISINGEvent1Nm
Gross Receipts Event1$291,845GrossReceiptsEvent1Amt
Charitable Contri Event1$72,432CharitableContriEvent1Amt
Gross Revenue Event1$219,413GrossRevenueEvent1Amt
Other Direct Expenses Event1$5,175OtherDirectExpensesEvent1Amt
Gross Receipts Total$291,845GrossReceiptsTotalAmt
Charitable Contributions Tot$72,432CharitableContributionsTotAmt
Gross Revenue Total Events$219,413GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$5,175OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$5,175DirectExpenseSummaryEventsAmt
Net Income Summary$214,238NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$39,057GrossRevenueOtherGamingAmt
Oth Direct Expnss Other Gaming$16,056OthDirectExpnssOtherGamingAmt
Volunteer Labor Other GamingfalseVolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$39,057GrossRevenueTotalGamingAmt
Oth Direct Expnss Total Gaming$16,056OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$16,056DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$23,001NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConductedCd
LicensedYes (true)LicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersYes (true)GamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonWEST LAKE POKERGamingManagerPersonNm
Gaming Manager Compensation$8,314GamingManagerCompensationAmt
Gaming Manager Services ProvRAN THE GAMING & PROVIDED ALL EQUIGamingManagerServicesProvTxt
Gaming Manager Is Ind CntrctYes (X)GamingManagerIsIndCntrctInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonGRANT HESLOVPersonNm
Relationship With OrgDIRECTORRelationshipWithOrgTxt
Loan PurposeCASH FLOWLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$25,000OriginalPrincipalAmt
Balance Due$25,000BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$25,000TotalBalanceDueAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART II LOANS TO AND FROM INTERSTED PERSONS.FormAndLineReferenceDesc
ExplanationA) NAME OF PERSON GRANT HESLOV C) PURPOSE CASH FLOWExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART 1, DESCRIPTION OF ORGANIZATION MISSIONSERVICE-LEARNING PROGRAMS
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBERS GRANT HESLOV AND LYSA HESLOV ARE RELATED BY MARRIAGE.
FORM 990, PART VI, SECTION B, LINE 11BALL BOARD MEMBERS REVIEW THE FORM 990, QUESTIONS ARE ANSWERED AND THE BOARD VOTES TO FILE THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS SIGN A CONFLICT OF INTEREST AND ANNUALLY REVIEW THE CONFLICT OF INTEREST BY COMPLETING A QUESTIONARE
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION'S FORM 990 IS AVAILABLE FOR PUBLIC INSPECTION ON WWW.GUIDESTAR.ORG
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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