K9S 4 MOBILITY: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
K9S 4 MOBILITY (EIN 45-4748121)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-15
IRS object ID
201943199349303929
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)
Return2019-11-15T09:08:22-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN830331229PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGEE HEARNE & PAIZ LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1088AddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82003ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454748121EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1K9'S 4 MOBILITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlK9S4BusinessNameControlTxt
Phone3072141248PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE WOERNERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3072141248PhoneNum
Signature2019-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRANDY MARROUPreparerPersonNm
PTINP01204639PTIN
Phone3076342151PhoneNum
Preparation2019-11-12PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.144.123.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-12IPDt
IP Tm14:25:41IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id5AE9CD5D70E50B006E1765EAFB9F1DC40839A364AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHELLE WOERNERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$186,721GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.K9S4MOBILITY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateWYLegalDomicileStateCd
Activity Or MissionK9S 4 MOBILITY, INC. IS DEDICATED TO ENRICHING THE LIVES OF OTHERS THROUGH THE TRAINING, PLACEMENT AND SUPPORT OF ASSISTANCE DOG PARTNERSHIPS BY ENHANCING MOBILITY, INCREASING INDEPENDENCE AND CONFIDENCE, AND PROVIDING DEVOTED COMPANIONSHIP. K9S 4 MOBILITY, INC. PLACES FOUR TO SIX ASSISTANCE DOG TEAMS PER YEAR, AND AIMS TO INCREASE ASSISTANCE DOG TEAM PLACEMENTS.K9S 4 MOBILITY, INC. HAS ALSO ESTABLISHED AN OWNER-TRAINED ASSISTANCE DOG TRAINING PROGRAM THAT IS OFFERED TO THOSE WISHING TO TRAIN THEIR OWN ASSISTANCE DOG UNDER THE SUPERVISION OF A CERTIFIED ASSISTANCE DOG TRAINER. ONCE ACCEPTED INTO THE OWNER-TRAINED PROGRAM, THE PERSON MUST BE WILLING TO TRAVEL TO K9S 4 MOBILITY'S TRAINING FACILITY MULTIPLE TIMES BEFORE CERTIFICATION OF THE TEAM.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$316,488PYContributionsGrantsAmt
CY Contributions Grants$128,022CYContributionsGrantsAmt
PY Program Service Revenue$14,172PYProgramServiceRevenueAmt
CY Program Service Revenue$16,192CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$5,726CYInvestmentIncomeAmt
PY Other Revenue$51,996PYOtherRevenueAmt
CY Other Revenue$26,793CYOtherRevenueAmt
PY Total Revenue$382,656PYTotalRevenueAmt
CY Total Revenue$176,733CYTotalRevenueAmt
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$57,109PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,316CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,153CYTotalFundraisingExpenseAmt
PY Other Expenses$69,188PYOtherExpensesAmt
CY Other Expenses$69,564CYOtherExpensesAmt
PY Total Expenses$126,297PYTotalExpensesAmt
CY Total Expenses$132,880CYTotalExpensesAmt
PY Revenues Less Expenses$256,359PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$43,853CYRevenuesLessExpensesAmt
Total Assets BOY$483,141TotalAssetsBOYAmt
Total Assets EOY$535,800TotalAssetsEOYAmt
Total Liabilities BOY$1,497TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,608TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$481,644NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$507,192NetAssetsOrFundBalancesEOYAmt
MissionK9S 4 MOBILITY, INC. IS DEDICATED TO ENRICHING THE LIVES OF OTHERS THROUGH THE TRAINING, PLACEMENT AND SUPPORT OF ASSISTANCE DOG PARTNERSHIPS BY ENHANCING MOBILITY, INCREASING INDEPENDENCE AND CONFIDENCE, AND PROVIDING DEVOTED COMPANIONSHIP.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$103,046ExpenseAmt
Revenue$16,192RevenueAmt
DescTRAIN AND PARTNER ASSISTANCE DOGS WITH PEOPLE WHO HAVE A DISABILITYDesc
Total Program Service Expenses$103,046TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3EmployeeCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3072141248PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111805 CAMPSTOOL ROADAddressLine1Txt
CityCHEYENNECityNm
State AbbreviationWYStateAbbreviationCd
ZIP82007ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
GREGG JONES
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
AMBER STILL
SECRETARY2.00Yes (X)Yes (X)$0$0$0
BRANDY MARROU
TREASURER2.00Yes (X)Yes (X)$0$0$0
JUDY SIFERS
BOARD MEMBER1.00Yes (X)$0$0$0
DERREK JERRED
BOARD MEMBER1.00Yes (X)$0$0$0
HEATHER ROE DAY
VICE PRESIDENT2.00Yes (X)Yes (X)$0$0$0
TRACIE CALLER
BOARD MEMBER1.00Yes (X)$0$0$0
JOANNA VILOS
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE WOERNER
EXECUTIVE DIRECTOR40.00Yes (X)$41,250$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$41,250TotalReportableCompFromOrgAmt
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
All Other Contributions$128,022AllOtherContributionsAmt
Noncash Contributions$8,005NoncashContributionsAmt
Total Contributions$128,022TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$16,192TotalRevenueColumnAmt
Related Or Exempt Func Income$16,192RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$16,192TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,487TotalRevenueColumnAmt
Exclusion$5,487ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$2,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,209RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$9RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9TotalRevenueColumnAmt
Exclusion-$9ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$6,181OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$5,942OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$239OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$239TotalRevenueColumnAmt
Exclusion$239ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$28,639FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,837FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,802TotalRevenueColumnAmt
Exclusion$26,802ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,733TotalRevenueColumnAmt
Related Or Exempt Func Income$16,192RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$32,519ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$41,250TotalAmt
Program Services$33,000ProgramServicesAmt
Management And General$4,125ManagementAndGeneralAmt
Fundraising$4,125FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,458TotalAmt
Program Services$15,066ProgramServicesAmt
Management And General$879ManagementAndGeneralAmt
Fundraising$513FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,608TotalAmt
Program Services$4,672ProgramServicesAmt
Management And General$486ManagementAndGeneralAmt
Fundraising$450FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,954TotalAmt
Management And General$1,954ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,089TotalAmt
Management And General$1,089ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,135TotalAmt
Fundraising$2,135FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,916TotalAmt
Program Services$3,933ProgramServicesAmt
Management And General$983ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,374TotalAmt
Program Services$10,379ProgramServicesAmt
Management And General$578ManagementAndGeneralAmt
Fundraising$417FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,286TotalAmt
Program Services$2,057ProgramServicesAmt
Management And General$229ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DOG SUPPLIES AND EQUIPM$16,895$16,895
UTITLITIES$8,069$6,810$1,259
COMPUTER & SOFTWARE EXP$5,271$5,271
VET CARE$5,125$5,125

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,450TotalAmt
Program Services$5,109ProgramServicesAmt
Management And General$3,828ManagementAndGeneralAmt
Fundraising$1,513FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$132,880TotalAmt
Program Services$103,046ProgramServicesAmt
Management And General$20,681ManagementAndGeneralAmt
Fundraising$9,153FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$358,611BOYAmt
EOY$160,890EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$50,430EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$168,308LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$29,490LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$124,530BOYAmt
EOY$138,818EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$185,662EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$483,141BOYAmt
EOY$535,800EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,497BOYAmt
EOY$1,117EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$27,491EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,497BOYAmt
EOY$28,608EOYAmt
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$267,467BOYAmt
EOY$293,015EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$481,644BOYAmt
EOY$507,192EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$483,141BOYAmt
EOY$535,800EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$43,853ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$18,305NetUnrlzdGainsLossesInvstAmt
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$151,282CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$316,488CurrentTaxYearMinus1YearAmt
Current Tax Year$128,022CurrentTaxYearAmt
Total$854,439TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$151,282CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,538CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$316,488CurrentTaxYearMinus1YearAmt
Current Tax Year$128,022CurrentTaxYearAmt
Total$854,439TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$854,439PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,200CurrentTaxYearMinus1YearAmt
Current Tax Year$7,687CurrentTaxYearAmt
Total$15,487TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$617CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$675CurrentTaxYearMinus2YearsAmt
Total$1,292TotalAmt
FieldValueIRS element (for citing)
Total Support$871,218TotalSupportAmt
Gross Receipts Rltd Activities$92,305GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98070PublicSupportCY170Pct
Public Support PY1700.98890PublicSupportPY170Pct
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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,861OtherCostOrOtherBasisAmt
Depreciation$10,275DepreciationAmt
Book Value$96,586BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,489OtherCostOrOtherBasisAmt
Depreciation$4,577DepreciationAmt
Book Value$6,912BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,458OtherCostOrOtherBasisAmt
Depreciation$12,173DepreciationAmt
Book Value$35,285BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,500OtherCostOrOtherBasisAmt
Depreciation$2,465DepreciationAmt
Book Value$35BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$138,818TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNSPENT INSURANCE PROCEEDSDesc
Amt$27,491Amt
FieldValueIRS element (for citing)
Total Liability$27,491TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ALL JAZZED UPEvent1Nm
Gross Receipts Event1$20,615GrossReceiptsEvent1Amt
Gross Revenue Event1$20,615GrossRevenueEvent1Amt
Other Direct Expenses Event1$1,153OtherDirectExpensesEvent1Amt
Gross Receipts Total$20,615GrossReceiptsTotalAmt
Gross Revenue Total Events$20,615GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,153OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,153DirectExpenseSummaryEventsAmt
Net Income Summary$19,462NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B990 IS PROVIDED TO THE BOARD PRIOR TO ITS FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS SIGN A CONFLICT OF INTEREST POLICY ANNUALLY. COMPLIANCE WITH THE POLICY IS MONITORED BY THE BOARD OF DIRECTORS PRESIDENT AND EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19ALL PUBLIC DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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