FURP.ORG / PUBLIC DATA EXPLORER

HAINES ANIMAL RESCUE KENNEL: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HAINES ANIMAL RESCUE KENNEL (EIN 31-1748166)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349309975
Schema version
2017v2.3
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)
Return2018-11-15T13:27:53-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920127098PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ELGEE REHFELD LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19309 GLACIER HWY STE B-200AddressLine1Txt
CityJUNEAUCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311748166EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAINES ANIMAL RESCUE KENNEL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAINBusinessNameControlTxt
Phone9077663334PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1533AddressLine1Txt
CityHAINESCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99827ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAY CLEMENTSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9077663334PhoneNum
Signature2018-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT L REHFELDPreparerPersonNm
PTINP00104959PTIN
Phone9077893178PhoneNum
Preparation2018-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.237.150.107IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-11IPDt
IP Tm15:16:52IPTm
IP TimezoneASIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1A5B3B697C60EAB2C1B46810AC7F92DA644AFCD0AtSubmissionCreationDeviceId
At Submission Filing Device Id510C6B432879491EC91E0949A55B8ADDA694B7D8AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAY CLEMENTSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1533AddressLine1Txt
CityHAINESCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99827ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$584,414GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HARKALASKA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateAKLegalDomicileStateCd
Activity Or MissionTO PROVIDE KENNELING SERVICES TO THE RESIDENTS OF HAINES BOROUGH FOR LOST, STRAY, ABUSED, OR ABANDONED ANIMALS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$40,363TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$121,312PYContributionsGrantsAmt
CY Contributions Grants$37,990CYContributionsGrantsAmt
PY Program Service Revenue$41,980PYProgramServiceRevenueAmt
CY Program Service Revenue$36,182CYProgramServiceRevenueAmt
PY Investment Income$1,332PYInvestmentIncomeAmt
CY Investment Income$45CYInvestmentIncomeAmt
PY Other Revenue$26,313PYOtherRevenueAmt
CY Other Revenue$58,997CYOtherRevenueAmt
PY Total Revenue$190,937PYTotalRevenueAmt
CY Total Revenue$133,214CYTotalRevenueAmt
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$52,190PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$50,741CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,197PYOtherExpensesAmt
CY Other Expenses$44,062CYOtherExpensesAmt
PY Total Expenses$115,387PYTotalExpensesAmt
CY Total Expenses$94,803CYTotalExpensesAmt
PY Revenues Less Expenses$75,550PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,411CYRevenuesLessExpensesAmt
Total Assets BOY$449,431TotalAssetsBOYAmt
Total Assets EOY$504,040TotalAssetsEOYAmt
Total Liabilities BOY$11,848TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,046TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$437,583NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$475,994NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE HAINES ANIMAL RESCUE KENNEL IS A NON-PROFIT CORPORATION DEDICATED TO FINDING APPROPRIATE HOMES FOR UNWANTED AND HOMELESS ANIMALS, PROVIDING LOW-COST SPAY/NEUTER SERVICES AND EDUCATING THE PUBLIC ON RESPONSIBLE PET CARE. IT IS OUR GOAL TO PROVIDE SHELTER FOR STRAY AND ABANDONED ANIMALS WHILE THEY AWAIT PERMANENT ADOPTIONS, TO PROVIDE ACCESS TO VETERINARY CARE AND GROOMING FACILITIES AND TO OFFER EDUCATIONAL OPPORTUNITIES THAT FURTHER THE WELFARE OF PETS AND ANIMALS IN OUR COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$54,936ExpenseAmt
Revenue$9,276RevenueAmt
DescTHE HAINES ANIMAL RESCUE KENNEL (HARK) FINDS NEW HOMES FOR SURRENDERED, ABANDONED AND STRAY PETS. THIS SERVICE INCLUDES PROVIDING A SAFE AND SANITARY KENNEL ENVIRONMENT, MEETING APPROPRIATE NUTRITIONAL STANDARDS AND REGULAR EXERCISING OF EACH ANIMAL. IN 2017 WE PLACED 51 CATS AND DOGS INTO NEW HOMES THROUGHOUT SOUTHEAST ALASKA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$13,227ExpenseAmt
Revenue$4,336RevenueAmt
DescTHE HAINES ANIMAL RESCUE KENNEL (HARK) PROVIDES MEDICAL SERVICES FOR ALL ANIMALS WE ADOPT OUT INCLUDING SPAY/NEUTER SURGERIES AND RABIES VACCINATION. WE ALSO PROVIDE FINANCIAL ASSISTANCE TO COMMUNITY MEMBERS WHO CAN'T AFFORD NECESSARY MEDICAL PROCEDURES FOR THEIR PETS, INCLUDING TRANSPORT TO CLINICS OUTSIDE OF HAINES. IN 2017 WE ASSISTED IN THE SPAY/NEUTER OF APPROXIMATELY 100 DOGS AND CATS IN HAINES. WE ALSO PROVIDE EUTHANASIA SERVICE FOR INJURED AND SICK/DYING PETS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$7,437ExpenseAmt
Revenue$30,361RevenueAmt
DescTHE HAINES ANIMAL RESCUE KENNEL (HARK) PROVIDES ANIMAL CONTROL SERVICES FOR THE CITY OF HAINES. OUR DUTIES INCLUDE THE SAFE CAPTURE OF STRAY DOGS, REPORTING OF LOST ANIMALS, PATROLLING OF COMMUNITY FOR AT-LARGE DOGS, DISPOSAL OF DECEASED DOGS, MANAGEMENT OF DOG LICENSING AND IMPOUNDMENT/BOARDING OF AT-LARGE/DANGEROUS DOGS. IN 2017 WE DISTRIBUTED 180 DOG LICENSES, IMPOUNDED DOZENS OF DOGS AND PROVIDED OF BOARDING FOR IMPOUNDED ANIMALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$75,600TotalProgramServiceExpensesAmt
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 Activities0FundraisingActivitiesInd
Gaming ActivitiesYes (1)GamingActivitiesInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldAKStatesWhereCopyOfReturnIsFldCd
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)
Phone9077663334PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1533AddressLine1Txt
CityHAINESCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99827ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ELLA BREDTHAUER
BOARD PRESIDENT1.00Yes (X)Yes (X)$0$0$0
LEA HARRIS
BOARD VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CARRIE DURR
BOARD SECRETARY1.00Yes (X)Yes (X)$0$0$0
EMILY STEPHENS
BOARD TREASURER1.00Yes (X)Yes (X)$0$0$0
TARA BICKNELL
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA BREWER
BOARD MEMBER1.00Yes (X)$0$0$0
PATTY CAMPBELL
BOARD MEMBER1.00Yes (X)$0$0$0
BETSY LYONS
BOARD MEMBER1.00Yes (X)$0$0$0
KAY CLEMENTS
EXECUTIVE DIRECTOR10.00Yes (X)$6,156$0$0
TRACY MIKOWSKI
SHELTER MANAGER35.00Yes (X)$38,047$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$44,203TotalReportableCompFromOrgAmt
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$37,990AllOtherContributionsAmt
Noncash Contributions$14,647NoncashContributionsAmt
Total Contributions$37,990TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescANIMAL CONTROL/ADOPTIODesc
Business900099BusinessCd
Total Revenue Column$36,182TotalRevenueColumnAmt
Related Or Exempt Func Income$36,182RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$36,182TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$45TotalRevenueColumnAmt
Exclusion$45ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$10,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$10,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,000TotalRevenueColumnAmt
Exclusion$10,000ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$2,111FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,268FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$843TotalRevenueColumnAmt
Exclusion$843ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$491,075GamingGrossIncomeAmt
Gaming Direct Expenses$444,668GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,407TotalRevenueColumnAmt
Related Or Exempt Func Income$6,044RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$40,363UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$6,157GrossSalesOfInventoryAmt
Cost Of Goods Sold$5,264CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$893TotalRevenueColumnAmt
Related Or Exempt Func Income$893RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REFUNDSDesc
Business900099BusinessCd
Total Revenue Column$854TotalRevenueColumnAmt
Related Or Exempt Func Income$854RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$854OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,214TotalRevenueColumnAmt
Related Or Exempt Func Income$43,973RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$40,363UnrelatedBusinessRevenueAmt
Exclusion$10,888ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$44,203TotalAmt
Program Services$35,362ProgramServicesAmt
Management And General$8,841ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,494TotalAmt
Program Services$2,494ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,044TotalAmt
Program Services$3,278ProgramServicesAmt
Management And General$766ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,878TotalAmt
Management And General$1,878ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,496TotalAmt
Program Services$8,496ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$702TotalAmt
Management And General$702ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,573TotalAmt
Program Services$1,698ProgramServicesAmt
Management And General$2,875ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,410TotalAmt
Program Services$5,928ProgramServicesAmt
Management And General$1,482ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,045TotalAmt
Program Services$7,236ProgramServicesAmt
Management And General$1,809ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Program Services$3,400ProgramServicesAmt
Management And General$850ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SUPPLIES/FUEL$3,198$3,198
EQUIPMENT$2,886$2,886
COMMUNITY OUTREACH/EDUC$1,624$1,624

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$94,803TotalAmt
Program Services$75,600ProgramServicesAmt
Management And General$19,203ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$225,188BOYAmt
EOY$166,562EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$121,989EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,464BOYAmt
EOY$4,755EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$281,753LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,019LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$219,779BOYAmt
EOY$210,734EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$449,431BOYAmt
EOY$504,040EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,848BOYAmt
EOY$23,046EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,848BOYAmt
EOY$28,046EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$437,583BOYAmt
EOY$475,994EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$437,583BOYAmt
EOY$475,994EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$449,431BOYAmt
EOY$504,040EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$38,411ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,375CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$121,312CurrentTaxYearMinus1YearAmt
Current Tax Year$52,637CurrentTaxYearAmt
Total$308,470TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$59,765CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,625CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$59,706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$54,824CurrentTaxYearMinus1YearAmt
Current Tax Year$52,339CurrentTaxYearAmt
Total$288,259TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,617CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$104,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$119,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$176,136CurrentTaxYearMinus1YearAmt
Current Tax Year$104,976CurrentTaxYearAmt
Total$596,729TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,724CurrentTaxYearMinus1YearAmt
Current Tax Year$14,647CurrentTaxYearAmt
Total$103,294TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,969CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,195CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,759CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,724CurrentTaxYearMinus1YearAmt
Current Tax Year$14,647CurrentTaxYearAmt
Total$103,294TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$493,435PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,332CurrentTaxYearMinus1YearAmt
Current Tax Year$45CurrentTaxYearAmt
Total$1,377TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,332CurrentTaxYearMinus1YearAmt
Current Tax Year$45CurrentTaxYearAmt
Total$1,377TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$92,617CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$104,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$119,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$177,468CurrentTaxYearMinus1YearAmt
Current Tax Year$105,021CurrentTaxYearAmt
Total$598,106TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.82500PublicSupportCY509Pct
Public Support PY5090.83040PublicSupportPY509Pct
Investment Income CY0.00230InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,600OtherCostOrOtherBasisAmt
Book Value$62,600BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$183,108OtherCostOrOtherBasisAmt
Depreciation$48,298DepreciationAmt
Book Value$134,810BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,045OtherCostOrOtherBasisAmt
Depreciation$22,721DepreciationAmt
Book Value$13,324BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$210,734TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Pull Tabs$483,075GrossRevenuePullTabsAmt
Cash Prizes Pull Tabs$381,047CashPrizesPullTabsAmt
Other Direct Expenses Pull Tabs$61,665OtherDirectExpensesPullTabsAmt
Volunteer Labor Pull Tabs0VolunteerLaborPullTabsInd
Gross Revenue Other Gaming$8,000GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$1,750CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$206OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming1.00000VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$491,075GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$382,797CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$61,871OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$444,668DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$46,407NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedAKStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Own Facility0.20000GamingOwnFacilityPct
Gaming Other Facility0.80000GamingOtherFacilityPct
Individual With BooksKAY CLEMENTSIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1533AddressLine1Txt
CityHAINESCityNm
State AbbreviationAKStateAbbreviationCd
ZIP99827ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game RevYes (1)CntrctWith3rdPrtyForGameRevInd
Gaming Revenue Received By Org$30,495GamingRevenueReceivedByOrgAmt
Gaming Revenue Rtn By3 Prty$452,580GamingRevenueRtnBy3PrtyAmt

Third Party Business Name ThirdPartyBusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN MEINERS DBA LOYAL LADY ENTERPRISESBusinessNameLine1Txt

Third Party US Address ThirdPartyUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 92669AddressLine1Txt
CityANCHORAGECityNm
State AbbreviationAKStateAbbreviationCd
ZIP99509ZIPCd

Gaming Manager Business Name GamingManagerBusinessName

FieldValueIRS element (for citing)
Business Name Line1KEVIN MEINERSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Gaming Manager Services ProvOVERALL MANAGEMENT OF GAMING OPERATIONS.GamingManagerServicesProvTxt
Gaming Manager Is Ind CntrctYes (X)GamingManagerIsIndCntrctInd
Charitable Distribution RqrYes (1)CharitableDistributionRqrInd
Distributed$46,407DistributedAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S FORM 990 WILL BE REVIEWED BY THE BOARD TREASURER AND EXECUTIVE DIRECTOR PRIOR TO FILING. A COPY WILL BE PROVIDED TO THE FULL BOARD AT THEIR NEXT REGULAR MEETING.
FORM 990, PART VI, SECTION C, LINE 18ORGANIZATION MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19NO DOCUMENTS AVAILABLE.