SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY (EIN 77-0518866)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201933189349312473
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)
Return2019-11-14T16:30:18-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN841723632PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MEISSER & RICCABONA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18030 SOQUEL AVENUE SUITE 100AddressLine1Txt
CitySANTA CRUZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95062ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770518866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIENA HOUSE MATERNITY HOME OFBusinessNameLine1Txt
Business Name Line2SANTA CRUZ COUNTYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSIENBusinessNameControlTxt
Phone8314265696PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 HIGH STREETAddressLine1Txt
CitySANTA CRUZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA MILLERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8314252229PhoneNum
Signature2019-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEVERETT MEISSER JR CPA MBAPreparerPersonNm
PTINP00166108PTIN
Phone8314651600PhoneNum
Preparation2019-11-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.249.100.246IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm12:27:46IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id367D7AB6258EF9EF6616C452E1683843AA80186FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONNA MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 HIGH STREETAddressLine1Txt
CitySANTA CRUZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$390,431GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSIENAHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionWE ARE DEDICATED TO HELPING WOMEN FIND POSITIVE SOLUTIONS FOR THEMSELVES AND THEIR CHILDREN, BEFORE AND AFTER BIRTH. WITH RESPECT FOR EACH WOMAN'S UNIQUE CIRCUMSTANCES, OUR STAFF, VOLUNTEERS, AND OUTSIDE AGENCIES WORK TOGETHER TO ASSIST IN EVERY FACET OF A PREGNANT WOMAN'S NEEDS. OUR SERVICES INCLUDE:- PRE AND POST-NATAL CARE- PARENTING AND LIVING SKILLS DEVELOPMENT-OPPORTUNITIES THROUGH REFERRALS, FOR EDUCATIONAL AND VOCATIONAL TRAINING AND COMMUNITY SERVICE INVOLVEMENT-PROFESSIONAL INDIVIDUAL COUNSELING AS WELL AS GROUP SUPPORT-SENSITIVE SUPPORT AND REFERRAL FOR COUNSELING FOR WOMEN CONSIDERING THE ADOPTION ALTERNATIVEActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$232,253PYContributionsGrantsAmt
CY Contributions Grants$376,538CYContributionsGrantsAmt
PY Program Service Revenue$9,184PYProgramServiceRevenueAmt
CY Program Service Revenue$10,675CYProgramServiceRevenueAmt
PY Investment Income$2,095PYInvestmentIncomeAmt
CY Investment Income$3,218CYInvestmentIncomeAmt
PY Other Revenue$95,206PYOtherRevenueAmt
CY Other Revenue-$36,632CYOtherRevenueAmt
PY Total Revenue$338,738PYTotalRevenueAmt
CY Total Revenue$353,799CYTotalRevenueAmt
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$152,751PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$132,621CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,746CYTotalFundraisingExpenseAmt
PY Other Expenses$113,172PYOtherExpensesAmt
CY Other Expenses$121,568CYOtherExpensesAmt
PY Total Expenses$265,923PYTotalExpensesAmt
CY Total Expenses$254,189CYTotalExpensesAmt
PY Revenues Less Expenses$72,815PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$99,610CYRevenuesLessExpensesAmt
Total Assets BOY$442,244TotalAssetsBOYAmt
Total Assets EOY$545,193TotalAssetsEOYAmt
Total Liabilities BOY$261TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,600TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$441,983NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$541,593NetAssetsOrFundBalancesEOYAmt
MissionSIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY IN THE SPIRIT OF GOD'S LOVE, PROVIDES AN ENVIRONMENT OF TOTAL SUPPORT FOR WOMEN EXPERIENCING A CRISIS PREGNANCY. SERVICES ARE PROVIDED BOTH BEFORE AND AFTER DELIVERY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$229,235ExpenseAmt
Revenue$10,675RevenueAmt
DescWE ARE DEDICATED TO HELPING WOMEN FIND POSITIVE SOLUTIONS FOR THEMSELVES AND THEIR CHILDREN, BEFORE AND AFTER BIRTH. WITH RESPECT FOR EACH WOMAN'S UNIQUE CIRCUMSTANCES, OUR STAFF, VOLUNTEERS, AND OUTSIDE AGENCIES WORK TOGETHER TO ASSIST IN EVERY FACET OF A PREGNANT WOMAN'S NEEDS. OUR SERVICES INCLUDE:- PRE AND POST-NATAL CARE- PARENTING AND LIVING SKILLS DEVELOPMENT-OPPORTUNITIES THROUGH REFERRALS, FOR EDUCATIONAL AND VOCATIONAL TRAINING AND COMMUNITY SERVICE INVOLVEMENT-PROFESSIONAL INDIVIDUAL COUNSELING AS WELL AS GROUP SUPPORT-SENSITIVE SUPPORT AND REFERRAL FOR COUNSELING FOR WOMEN CONSIDERING THE ADOPTION ALTERNATIVEDesc
Total Program Service Expenses$229,235TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee10EmployeeCnt
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARIA REAMESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8314409200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 HIGH STREETAddressLine1Txt
CitySANTA CRUZCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
WAYNE SHAFFER
DIRECTOR5.00Yes (X)$0$0$0
DR JEROME DECK
TREASURER2.00Yes (X)$0$0$0Yes (X)
MARGIE HAAS
SECRETARY2.00Yes (X)$0$0$0Yes (X)
DONNA MILLER
PRESIDENT, DIRECTOR5.00Yes (X)$0$0$0Yes (X)
ELAINE ALDRICH
DIRECTOR2.00Yes (X)$0$0$0
RANELL DURGAN
VICE PRESIDENT, DIRECTOR3.00Yes (X)$0$0$0Yes (X)
PAMELA MATHIESEN ESQ
DIRECTOR2.00Yes (X)$0$0$0
MARIA REAMES
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$162,719FundraisingAmt
All Other Contributions$213,819AllOtherContributionsAmt
Total Contributions$376,538TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT FEESDesc
Business721310BusinessCd
Total Revenue Column$10,675TotalRevenueColumnAmt
Related Or Exempt Func Income$10,675RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$10,675TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,218TotalRevenueColumnAmt
Exclusion$3,218ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$162,719ContriRptFundraisingEventAmt
Fundraising Direct Expenses$36,632FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$36,632TotalRevenueColumnAmt
Exclusion-$36,632ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$353,799TotalRevenueColumnAmt
Related Or Exempt Func Income$10,675RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$33,414ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$117,439TotalAmt
Program Services$117,439ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,958TotalAmt
Program Services$3,958ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,250TotalAmt
Program Services$2,250ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,974TotalAmt
Program Services$8,974ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$119TotalAmt
Program Services$119ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,823TotalAmt
Management And General$4,077ManagementAndGeneralAmt
Fundraising$6,746FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$429TotalAmt
Management And General$429ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,509TotalAmt
Program Services$53,509ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,633TotalAmt
Program Services$2,633ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$85TotalAmt
Management And General$85ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,965TotalAmt
Management And General$10,965ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD & HOUSEHOLD$18,641$18,641
OUTSIDE SERVICES$16,146$16,146
PROGRAM EXPENSE$5,566$5,566
DUES AND FEES$1,958$1,958

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$694TotalAmt
Management And General$694ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$254,189TotalAmt
Program Services$229,235ProgramServicesAmt
Management And General$18,208ManagementAndGeneralAmt
Fundraising$6,746FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$144,298BOYAmt
EOY$244,216EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$268,057BOYAmt
EOY$269,806EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,091LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,091LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

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

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$29,889BOYAmt
EOY$31,171EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$442,244BOYAmt
EOY$545,193EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$261BOYAmt
EOY$3,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$261BOYAmt
EOY$3,600EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$441,983BOYAmt
EOY$541,593EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$441,983BOYAmt
EOY$541,593EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$442,244BOYAmt
EOY$545,193EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$99,610ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$193,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$211,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$326,155CurrentTaxYearMinus1YearAmt
Current Tax Year$376,537CurrentTaxYearAmt
Total$1,310,614TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$193,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$203,484CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$211,248CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$326,155CurrentTaxYearMinus1YearAmt
Current Tax Year$376,537CurrentTaxYearAmt
Total$1,310,614TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$159,934SubstantialContributorsTotAmt
Public Support Total170$1,150,680PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,097CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$458CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,095CurrentTaxYearMinus1YearAmt
Current Tax Year$3,218CurrentTaxYearAmt
Total$8,189TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,619CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,339CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,989CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,184CurrentTaxYearMinus1YearAmt
Current Tax Year$10,675CurrentTaxYearAmt
Total$45,806TotalAmt
FieldValueIRS element (for citing)
Total Support$1,364,609TotalSupportAmt
Public Support CY1700.84320PublicSupportCY170Pct
Public Support PY1700.77800PublicSupportPY170Pct
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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$28,091InvestmentCostOrOtherBasisAmt
Depreciation$28,091DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AUCTIONEvent1Nm
Gross Receipts Event1$144,189GrossReceiptsEvent1Amt
Charitable Contri Event1$144,189CharitableContriEvent1Amt
Rent Facility Costs Event1$1,569RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,999FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$17,849OtherDirectExpensesEvent1Amt
Event2LADIES LUNCHEONEvent2Nm
Gross Receipts Event2$18,530GrossReceiptsEvent2Amt
Charitable Contri Event2$18,530CharitableContriEvent2Amt
Rent Facility Costs Event2$1,673RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,650FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,892OtherDirectExpensesEvent2Amt
Gross Receipts Total$162,719GrossReceiptsTotalAmt
Charitable Contributions Tot$162,719CharitableContributionsTotAmt
Rent Fclty Costs Total Events$3,242RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,649FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$20,741OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$36,632DirectExpenseSummaryEventsAmt
Net Income Summary-$36,632NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE DIRECTORS AND OFFICERS ARE PROVIDED WITH A DRAFT COPY OF FORM 990. THEY REVIEW IT IN DETAIL, AND REFER ANY CHANGE REQUESTS TO THE CPA / PREPARER. A FINAL REVIEW IS PERFORMED BY OFFICERS PRIOR TO FILING. THE RETURN IS FILED AFTER IT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CDISCUSSED AT BOARD OF DIRECTOR MEETINGS AND DOCUMENTED IN THE MINUTES AT LEAST ANNUALLY
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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