BETA

JOHN HENRY FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
JOHN HENRY FOUNDATION (EIN 33-0399549)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201933179349308123
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)
Return2019-11-13T16:24:41-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341885304PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DRIVE SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330399549EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN HENRY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone7144800025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STREETAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEONARD KRANSERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7144800025PhoneNum
Signature2019-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVERLON MCKAYPreparerPersonNm
PTINP00186204PTIN
Phone9494504400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.221.96.220IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-13IPDt
IP Tm11:56:23IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdEB9CFD0D86CC47C89F76D6E4FCCDDDF5ED95F1BEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLEONARD KRANSERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,515,908GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOHNHENRY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$460,088PYContributionsGrantsAmt
CY Contributions Grants$258,602CYContributionsGrantsAmt
PY Program Service Revenue$1,241,526PYProgramServiceRevenueAmt
CY Program Service Revenue$1,364,540CYProgramServiceRevenueAmt
PY Investment Income$232PYInvestmentIncomeAmt
CY Investment Income$600,398CYInvestmentIncomeAmt
PY Other Revenue$59PYOtherRevenueAmt
CY Other Revenue$1,739CYOtherRevenueAmt
PY Total Revenue$1,701,905PYTotalRevenueAmt
CY Total Revenue$2,225,279CYTotalRevenueAmt
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$985,280PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$932,090CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$20,155CYTotalFundraisingExpenseAmt
PY Other Expenses$544,199PYOtherExpensesAmt
CY Other Expenses$600,354CYOtherExpensesAmt
PY Total Expenses$1,529,479PYTotalExpensesAmt
CY Total Expenses$1,532,444CYTotalExpensesAmt
PY Revenues Less Expenses$172,426PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$692,835CYRevenuesLessExpensesAmt
Total Assets BOY$3,566,827TotalAssetsBOYAmt
Total Assets EOY$4,193,083TotalAssetsEOYAmt
Total Liabilities BOY$121,828TotalLiabilitiesBOYAmt
Total Liabilities EOY$55,249TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,444,999NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,137,834NetAssetsOrFundBalancesEOYAmt
MissionPROVIDED MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,292,340ExpenseAmt
Revenue$1,966,497RevenueAmt
DescPROVIDES AFFORDABLE HOUSING OPPORTUNITIES, MEDICAL TREATMENT, COUNSELING AND A DEVELOPMENT REHABILITATION PROGRAM FOR ADULTS WITH SERIOUS-MENTAL ILLNESS, PROVIDE VOCATIONAL TRAINING AND FINANCIAL PLANNING TO TRAIN AND EMPLOY ADULTS WITH SERIOUS MENTAL ILLNESSDesc
Total Program Service Expenses$1,292,340TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee23EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZMHMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9494504400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DR SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRENCE KENNEDY
CHAIRMAN6.00Yes (X)Yes (X)$0$0$0
MARY ELLEN STUART
SECRETARY6.00Yes (X)Yes (X)$0$0$0
CHRISTINE SCHAEFER
MEMBER6.00Yes (X)Yes (X)$0$0$0
LEONARD KRANSER
TREASURER6.00Yes (X)Yes (X)$0$0$0
SARAH HAMMARSTROM
MEMBER6.00Yes (X)$0$0$0
MINDY ANDREWS
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$107,240$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$107,240TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$164,539FundraisingAmt
All Other Contributions$94,063AllOtherContributionsAmt
Total Contributions$258,602TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business623990BusinessCd
Total Revenue Column$1,364,540TotalRevenueColumnAmt
Related Or Exempt Func Income$1,364,540RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,364,540TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$180TotalRevenueColumnAmt
Exclusion$180ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$850,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$249,782OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$600,218OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$600,218TotalRevenueColumnAmt
Related Or Exempt Func Income$600,218RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$40,847FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$164,539ContriRptFundraisingEventAmt
Fundraising Direct Expenses$40,847FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business623990BusinessCd
Total Revenue Column$1,739TotalRevenueColumnAmt
Related Or Exempt Func Income$1,739RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,739OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,225,279TotalRevenueColumnAmt
Related Or Exempt Func Income$1,966,497RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$180ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$107,240TotalAmt
Program Services$85,792ProgramServicesAmt
Management And General$20,376ManagementAndGeneralAmt
Fundraising$1,072FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$650,828TotalAmt
Program Services$520,662ProgramServicesAmt
Management And General$123,656ManagementAndGeneralAmt
Fundraising$6,510FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$107,303TotalAmt
Program Services$85,842ProgramServicesAmt
Management And General$20,388ManagementAndGeneralAmt
Fundraising$1,073FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$66,719TotalAmt
Program Services$53,375ProgramServicesAmt
Management And General$12,677ManagementAndGeneralAmt
Fundraising$667FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$24,606TotalAmt
Management And General$24,606ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$299,653TotalAmt
Program Services$288,210ProgramServicesAmt
Management And General$11,443ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,189TotalAmt
Management And General$1,189ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,051TotalAmt
Program Services$40,051ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$123,624TotalAmt
Program Services$123,624ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,167TotalAmt
Program Services$22,650ProgramServicesAmt
Management And General$2,517ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM$25,593$25,593
OTHER$17,780$4,537$2,410$10,833
RESIDENT ACTIVITIES AND$14,131$14,131
VEHICLE MAINTENANCE AND$9,230$8,543$687

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,330TotalAmt
Program Services$19,330ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,532,444TotalAmt
Program Services$1,292,340ProgramServicesAmt
Management And General$219,949ManagementAndGeneralAmt
Fundraising$20,155FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,000BOYAmt
EOY$2,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$310,441BOYAmt
EOY$596,614EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$32,501BOYAmt
EOY$17,059EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,372BOYAmt
EOY$32,028EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,040,488LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$901,418LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,152,341BOYAmt
EOY$3,139,070EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,054,170BOYAmt
EOY$406,312EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,566,827BOYAmt
EOY$4,193,083EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$116,828BOYAmt
EOY$55,249EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$121,828BOYAmt
EOY$55,249EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,436,849BOYAmt
EOY$4,137,834EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,148BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,444,999BOYAmt
EOY$4,137,834EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,566,827BOYAmt
EOY$4,193,083EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$692,835ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$312,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$359,487CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$411,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$487,344CurrentTaxYearMinus1YearAmt
Current Tax Year$299,448CurrentTaxYearAmt
Total$1,870,131TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$312,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$359,487CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$411,278CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$487,344CurrentTaxYearMinus1YearAmt
Current Tax Year$299,448CurrentTaxYearAmt
Total$1,870,131TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,870,131PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,236CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,705CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,448CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290CurrentTaxYearMinus1YearAmt
Current Tax Year$2,459CurrentTaxYearAmt
Total$55,138TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,973CurrentTaxYearMinus4YearsAmt
Total$4,973TotalAmt
FieldValueIRS element (for citing)
Total Support$1,930,242TotalSupportAmt
Public Support CY1700.96890PublicSupportCY170Pct
Public Support PY1700.94340PublicSupportPY170Pct
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$400,711OtherCostOrOtherBasisAmt
Book Value$400,711BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$778,277OtherCostOrOtherBasisAmt
Depreciation$387,547DepreciationAmt
Book Value$390,730BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,664,461OtherCostOrOtherBasisAmt
Depreciation$334,838DepreciationAmt
Book Value$2,329,623BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,039OtherCostOrOtherBasisAmt
Depreciation$179,033DepreciationAmt
Book Value$18,006BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,139,070TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CASH HELD FOR LONG TERM PURPOSES$404,512
GIFT CARDS$1,800
FieldValueIRS element (for citing)
Total Book Value Other Assets$406,312TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$2,225,279TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,225,279RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,225,279TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,532,444TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,532,444ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,532,444TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISING EVENTEvent1Nm
Gross Receipts Event1$205,386GrossReceiptsEvent1Amt
Charitable Contri Event1$164,539CharitableContriEvent1Amt
Gross Revenue Event1$40,847GrossRevenueEvent1Amt
Other Direct Expenses Event1$40,847OtherDirectExpensesEvent1Amt
Gross Receipts Total$205,386GrossReceiptsTotalAmt
Charitable Contributions Tot$164,539CharitableContributionsTotAmt
Gross Revenue Total Events$40,847GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$40,847OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$40,847DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BBOARD MEMBERS WILL REVIEW AND APPROVE 990 TAX RETURN BEFORE MAILING TO THE IRS
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS DISCUSS DURING BOARD MEETINGS CONFLICT OF INTEREST POLICY ON A YEARLY BASIS
FORM 990, PART VI, SECTION B, LINE 1515A BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE EXECUTIVE DIRECTOR'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY 15B BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE PERSONNEL'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST VIA EMAIL, FAX OR IN PERSON
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST VIA EMAIL, FAX, OR IN PERSON
FORM 990, PART IX, LINE 11GREPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 33,433. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,433. CONSTITUENTS FOOD: PROGRAM SERVICE EXPENSES 130,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 130,688. UTILITIES: PROGRAM SERVICE EXPENSES 60,472. MANAGEMENT AND GENERAL EXPENSES 6,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 67,191. PSYCHIATRIC SERVICES: PROGRAM SERVICE EXPENSES 45,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,000. MEDICAL: PROGRAM SERVICE EXPENSES 11,027. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,027. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 7,590. MANAGEMENT AND GENERAL EXPENSES 4,724. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,314.
FORM 990 PART XII LINE 2CNO CHANGES FROM PRIOR YEAR

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