ASHLAND CARE CENTER INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
ASHLAND CARE CENTER INC (EIN 34-1528045)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201913199349317011
Schema version
2018v3.1
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)
Return2019-11-15T15:02:03-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202126956PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341528045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASHLBusinessNameControlTxt
Phone4192811111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELANIE MILLERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4192811111PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN W IRWIN CPAPreparerPersonNm
PTINP00337085PTIN
Phone4192812811PhoneNum
Preparation2019-11-15PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.144.176.92IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-15IPDt
IP Tm15:02:03IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4A8A26B19E9059B246B33CAF741283B3C3F0A469AtSubmissionCreationDeviceId
At Submission Filing Device IdCA3C34931035C3FCBD5BF28412C97B807C9E5956AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMELANIE MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$256,943GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASHLANDCARECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTHE ASHLAND PREGNANCY CARE CENTER IS A CHRIST-CENTERED MINISTRY OFFERING COMPASSION, HOPE, AND HELP TO WOMEN AND MEN FACING CRITICAL PREGNANCY DECISIONS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$144,242PYContributionsGrantsAmt
CY Contributions Grants$167,507CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$13PYInvestmentIncomeAmt
CY Investment Income$8CYInvestmentIncomeAmt
PY Other Revenue$84,639PYOtherRevenueAmt
CY Other Revenue$58,738CYOtherRevenueAmt
PY Total Revenue$228,894PYTotalRevenueAmt
CY Total Revenue$226,253CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$126,199PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$118,549CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,033CYTotalFundraisingExpenseAmt
PY Other Expenses$96,932PYOtherExpensesAmt
CY Other Expenses$88,519CYOtherExpensesAmt
PY Total Expenses$223,131PYTotalExpensesAmt
CY Total Expenses$207,068CYTotalExpensesAmt
PY Revenues Less Expenses$5,763PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,185CYRevenuesLessExpensesAmt
Total Assets BOY$321,233TotalAssetsBOYAmt
Total Assets EOY$332,217TotalAssetsEOYAmt
Total Liabilities BOY$94,818TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,617TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$226,415NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$245,600NetAssetsOrFundBalancesEOYAmt
MissionTHE ASHLAND PREGNANCY CARE CENTER IS A CHRIST-CENTERED MINISTRY OFFERING COMPASSION, HOPE, AND HELP TO WOMEN AND MEN FACING CRITICAL PREGNANCY DECISIONS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$121,298ExpenseAmt
DescSUPPORTING WOMEN AND MEN WITH UNPLANNED PREGNANCIES BY PROVIDING FREE PREGNANCY TESTS, COUNSELING, EDUCATION, AND REFERRALS. THE ORGANIZATION SERVED 281 CLIENTS DURING 2017.Desc
Total Program Service Expenses$121,298TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 ActivitiesYes (true)FundraisingActivitiesInd
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document5IRPDocumentCnt
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
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4192812811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MELANIE MILLER
EXECUTIVE DI40.00Yes (X)Yes (X)$44,923$0$0
AARON BATES
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
JOYCE MANSFIELD
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
ADREA TENNANT
SECRETARY1.00Yes (X)Yes (X)$0$0$0
KATELYN EDWARDS
TREASURER1.00Yes (X)Yes (X)$0$0$0
LORIN WEAVER
TRUSTEE1.00Yes (X)$0$0$0
ERIC ABEL
TRUSTEE1.00Yes (X)$0$0$0
RENEE MAGGELET
TRUSTEE1.00Yes (X)$0$0$0
TRAVIS MCKENZIE
TRUSTEE1.00Yes (X)$0$0$0
JOAN SCOTT
TRUSTEE1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$44,923TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$167,507AllOtherContributionsAmt
Total Contributions$167,507TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8TotalRevenueColumnAmt
Exclusion$8ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$89,428FundraisingGrossIncomeAmt
Fundraising Direct Expenses$30,690FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,738TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$226,253TotalRevenueColumnAmt
Exclusion$8ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$118,389TotalAmt
Program Services$65,114ProgramServicesAmt
Management And General$53,275ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$160TotalAmt
Program Services$88ProgramServicesAmt
Management And General$72ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,090TotalAmt
Management And General$6,090ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,983TotalAmt
Program Services$6,785ProgramServicesAmt
Fundraising$1,198FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,265TotalAmt
Program Services$3,499ProgramServicesAmt
Management And General$7,149ManagementAndGeneralAmt
Fundraising$617FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,336TotalAmt
Program Services$8,060ProgramServicesAmt
Management And General$853ManagementAndGeneralAmt
Fundraising$1,423FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,833TotalAmt
Program Services$10,266ProgramServicesAmt
Management And General$2,567ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,028TotalAmt
Management And General$3,028ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,446TotalAmt
Program Services$4,393ProgramServicesAmt
Management And General$1,053ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$620TotalAmt
Program Services$620ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,018TotalAmt
Program Services$8,960ProgramServicesAmt
Management And General$1,058ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,358TotalAmt
Program Services$7,455ProgramServicesAmt
Management And General$903ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CLIENT SERVICES$6,008$6,008
FUNDRAISING EXPENSES$2,795$2,795
MISC. EXPENSES$2,052$2,052
BANK SERVICE CHARGES$1,487$1,487

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Program Services$50ProgramServicesAmt
Management And General$150ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$207,068TotalAmt
Program Services$121,298ProgramServicesAmt
Management And General$79,737ManagementAndGeneralAmt
Fundraising$6,033FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$27,274BOYAmt
EOY$46,377EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$77,728BOYAmt
EOY$77,736EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$266,758LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$60,545LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$216,231BOYAmt
EOY$206,213EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$1,891EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$321,233BOYAmt
EOY$332,217EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,868BOYAmt
EOY$2,247EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$90,950BOYAmt
EOY$84,370EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$94,818BOYAmt
EOY$86,617EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$226,415BOYAmt
EOY$245,600EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$226,415BOYAmt
EOY$245,600EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$321,233BOYAmt
EOY$332,217EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$19,185ReconcilationRevenueExpnssAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
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$147,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,775CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$136,003CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,242CurrentTaxYearMinus1YearAmt
Current Tax Year$167,507CurrentTaxYearAmt
Total$696,696TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$147,169CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$101,775CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$136,003CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$144,242CurrentTaxYearMinus1YearAmt
Current Tax Year$167,507CurrentTaxYearAmt
Total$696,696TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$696,696PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Current Tax Year$8CurrentTaxYearAmt
Total$53TotalAmt
FieldValueIRS element (for citing)
Total Support$696,749TotalSupportAmt
Gross Receipts Rltd Activities$196,291GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
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$88,112OtherCostOrOtherBasisAmt
Book Value$88,112BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,536OtherCostOrOtherBasisAmt
Depreciation$37,852DepreciationAmt
Book Value$94,684BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,110OtherCostOrOtherBasisAmt
Depreciation$22,693DepreciationAmt
Book Value$23,417BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$206,213TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL BANQUETEvent1Nm
Gross Receipts Event1$69,055GrossReceiptsEvent1Amt
Gross Revenue Event1$69,055GrossRevenueEvent1Amt
Other Direct Expenses Event1$26,622OtherDirectExpensesEvent1Amt
Event2LIFE WALKEvent2Nm
Gross Receipts Event2$20,373GrossReceiptsEvent2Amt
Gross Revenue Event2$20,373GrossRevenueEvent2Amt
Other Direct Expenses Event2$4,068OtherDirectExpensesEvent2Amt
Gross Receipts Total$89,428GrossReceiptsTotalAmt
Gross Revenue Total Events$89,428GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$30,690OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,690DirectExpenseSummaryEventsAmt
Net Income Summary$58,738NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMIKE HLAVATY FORMER OFFICERPersonNm
Loan PurposePURCHASE OF REAL ESTATELoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$136,000OriginalPrincipalAmt
Balance Due$84,370BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$84,370TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORMER BOARD MEMBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
TransactionNOTE PAYABLETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PROVIDED TO THE GOVERNING BOARD MEMBERS FOR REVIEW AND APPROVAL. PRIOR TO FILING, QUESTIONS AND COMMENTS OF THE MEMBERS ARE RESPONDED TO AND INCORPORATED INTO THE TAX FILING AS NECESSARY.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAVE READ AND UNDERSTANDS THE POLICY, HAVE AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS SETS EXECUTIVE DIRECTOR COMPENSATION IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS SETS STAFF PAY RATES IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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