BETA

K9S 4 MOBILITY: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
K9S 4 MOBILITY (EIN 45-4748121)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201803199349313420
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)
Return2018-11-15T15:09:24-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRANDY MARROUPreparerPersonNm
PTINP01204639PTIN
Phone3076342151PhoneNum
Preparation2018-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address69.144.123.34IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-13IPDt
IP Tm17:24:24IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id01F285D37C432E993334EC086FAA9DAE70EECB6BAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

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$386,648GrossReceiptsAmt
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$132,538PYContributionsGrantsAmt
CY Contributions Grants$316,488CYContributionsGrantsAmt
PY Program Service Revenue$17,977PYProgramServiceRevenueAmt
CY Program Service Revenue$14,172CYProgramServiceRevenueAmt
PY Investment Income$2,400PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$3,803PYOtherRevenueAmt
CY Other Revenue$51,996CYOtherRevenueAmt
PY Total Revenue$149,112PYTotalRevenueAmt
CY Total Revenue$382,656CYTotalRevenueAmt
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$40,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$57,109CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,375CYTotalFundraisingExpenseAmt
PY Other Expenses$76,936PYOtherExpensesAmt
CY Other Expenses$69,188CYOtherExpensesAmt
PY Total Expenses$117,436PYTotalExpensesAmt
CY Total Expenses$126,297CYTotalExpensesAmt
PY Revenues Less Expenses$31,676PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$256,359CYRevenuesLessExpensesAmt
Total Assets BOY$214,711TotalAssetsBOYAmt
Total Assets EOY$483,141TotalAssetsEOYAmt
Total Liabilities BOY$534TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,497TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$214,177NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$481,644NetAssetsOrFundBalancesEOYAmt
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$100,183ExpenseAmt
Revenue$14,172RevenueAmt
DescTRAIN AND PARTNER ASSISTANCE DOGS WITH PEOPLE WHO HAVE A DISABILITYDesc
Total Program Service Expenses$100,183TotalProgramServiceExpensesAmt
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 Document3IRPDocumentCnt
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
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 DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JUDY SIFERS
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT JENSEN
PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GREGG JONES
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
BRANDY MARROU
TREASURER2.00Yes (X)$0$0$0Yes (X)
AMBER STILL
SECRETARY2.00Yes (X)$0$0$0Yes (X)
HEATHER ROE DAY
BOARD MEMBER1.00Yes (X)$0$0$0
DERREK JERRED
BOARD MEMBER1.00Yes (X)$0$0$0
PAM REIMAN
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE WOERNER
EXECUTIVE DIRECTOR40.00$41,050$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$41,050TotalReportableCompFromOrgAmt
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$316,488AllOtherContributionsAmt
Total Contributions$316,488TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM INCOMEDesc
Business900099BusinessCd
Total Revenue Column$14,172TotalRevenueColumnAmt
Related Or Exempt Func Income$14,172RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,172TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,590RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$390RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$390TotalRevenueColumnAmt
Exclusion-$390ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$53,788FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,402FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$52,386TotalRevenueColumnAmt
Exclusion$52,386ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,656TotalRevenueColumnAmt
Related Or Exempt Func Income$14,172RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$51,996ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$41,050TotalAmt
Program Services$41,050ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,538TotalAmt
Program Services$8,091ProgramServicesAmt
Management And General$2,447ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,521TotalAmt
Program Services$5,260ProgramServicesAmt
Management And General$261ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,041TotalAmt
Management And General$7,041ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,272TotalAmt
Fundraising$4,272FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,428TotalAmt
Program Services$2,742ProgramServicesAmt
Management And General$686ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,312TotalAmt
Program Services$8,252ProgramServicesAmt
Management And General$643ManagementAndGeneralAmt
Fundraising$417FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,521TotalAmt
Program Services$2,269ProgramServicesAmt
Management And General$252ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DOG SUPPLIES AND EQUIPM$10,980$10,980
UTITLITIES$7,913$6,616$1,297
VET CARE$6,437$6,437
VEHICLE EXPENSE$3,296$2,637$659

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,988TotalAmt
Program Services$5,849ProgramServicesAmt
Management And General$5,453ManagementAndGeneralAmt
Fundraising$2,686FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$126,297TotalAmt
Program Services$100,183ProgramServicesAmt
Management And General$18,739ManagementAndGeneralAmt
Fundraising$7,375FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,979BOYAmt
EOY$358,611EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$152,204LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,674LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$122,732BOYAmt
EOY$124,530EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$214,711BOYAmt
EOY$483,141EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$534BOYAmt
EOY$1,497EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$534BOYAmt
EOY$1,497EOYAmt
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$0BOYAmt
EOY$267,467EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$214,177BOYAmt
EOY$481,644EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$214,711BOYAmt
EOY$483,141EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$256,359ReconcilationRevenueExpnssAmt
Prior Period Adjustments$11,108PriorPeriodAdjustmentsAmt
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$86,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,538CurrentTaxYearMinus1YearAmt
Current Tax Year$316,488CurrentTaxYearAmt
Total$812,868TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,451CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$126,109CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$132,538CurrentTaxYearMinus1YearAmt
Current Tax Year$316,488CurrentTaxYearAmt
Total$812,868TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$812,868PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,400CurrentTaxYearMinus1YearAmt
Current Tax Year$2,200CurrentTaxYearAmt
Total$7,800TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$617CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$675CurrentTaxYearMinus1YearAmt
Total$1,292TotalAmt
FieldValueIRS element (for citing)
Total Support$821,960TotalSupportAmt
Gross Receipts Rltd Activities$80,963GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98890PublicSupportCY170Pct
Public Support PY1700.98630PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$106,861OtherCostOrOtherBasisAmt
Depreciation$7,535DepreciationAmt
Book Value$99,326BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,343OtherCostOrOtherBasisAmt
Depreciation$20,139DepreciationAmt
Book Value$25,204BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$124,530TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1THANKFUL THURSDAYEvent1Nm
Gross Receipts Event1$22,308GrossReceiptsEvent1Amt
Gross Revenue Event1$22,308GrossRevenueEvent1Amt
Other Direct Expenses Event1$640OtherDirectExpensesEvent1Amt
Event2STRANGE REMEDYEvent2Nm
Gross Receipts Event2$20,559GrossReceiptsEvent2Amt
Gross Revenue Event2$20,559GrossRevenueEvent2Amt
Other Direct Expenses Event2$762OtherDirectExpensesEvent2Amt
Gross Receipts Total$42,867GrossReceiptsTotalAmt
Gross Revenue Total Events$42,867GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,402OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,402DirectExpenseSummaryEventsAmt
Net Income Summary$41,465NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 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.
FORM 990, PART IX, LINE 24ECOMPUTER & SOFTWARE EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,068. ADI EXPENSE: PROGRAM SERVICE EXPENSES 1,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,889. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,806. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,806. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 1,596. MANAGEMENT AND GENERAL EXPENSES 177. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,773. FUNDRAISING EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 1,716. TOTAL EXPENSES 1,716. CERTIFICATIONS: PROGRAM SERVICE EXPENSES 1,500. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,500. DUES & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 959. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 959. MEALS & ENTERTAINMENT: PROGRAM SERVICE EXPENSES 742. MANAGEMENT AND GENERAL EXPENSES 185. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 927. POSTAGE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 217. FUNDRAISING EXPENSES 650. TOTAL EXPENSES 867. EVENT REGISTRATION: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 320. TOTAL EXPENSES 320. PROPERTY TAXES: PROGRAM SERVICE EXPENSES 122. MANAGEMENT AND GENERAL EXPENSES 14. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 136. MEETING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 27. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 27.

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