FAMILY CONCERN COUNSELING INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FAMILY CONCERN COUNSELING INC (EIN 35-2087048)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-09
IRS object ID
201823139349303462
Schema version
2017v2.2
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)
Return2018-11-09T13:20:00-08:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Premier Tax ServicesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1124 Main StAddressLine1Txt
CityHobartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46342ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352087048EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Family Concern Counseling IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAMIBusinessNameControlTxt
Phone2194775646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12004 Valparaiso StAddressLine1Txt
CityValparaisoCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAY SATTERBLOMPersonNm
Person TitleBUSINESS MANAGERPersonTitleTxt
Phone2194775646PhoneNum
Signature2018-11-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES PAPPAS EAPreparerPersonNm
PTINP00194339PTIN
Phone2199426280PhoneNum
Preparation2018-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address50.79.204.57IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-09IPDt
IP Tm13:19:46IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF65F878491430A55323DDF187BE5F16F489886DEAtSubmissionCreationDeviceId
At Submission Filing Device IdF65F878491430A55323DDF187BE5F16F489886DEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRAY SATTERBLOMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12004 Valparaiso StAddressLine1Txt
CityValparaisoCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,129,373GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PROVIDE MENTAL HEALTHCARE AND COUNSELING PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$18,392PYContributionsGrantsAmt
CY Contributions Grants$10,075CYContributionsGrantsAmt
PY Program Service Revenue$985,536PYProgramServiceRevenueAmt
CY Program Service Revenue$1,119,260CYProgramServiceRevenueAmt
PY Investment Income$18PYInvestmentIncomeAmt
CY Investment Income$38CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,003,946PYTotalRevenueAmt
CY Total Revenue$1,129,373CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$822,046PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$944,223CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$113,606PYOtherExpensesAmt
CY Other Expenses$111,014CYOtherExpensesAmt
PY Total Expenses$935,652PYTotalExpensesAmt
CY Total Expenses$1,055,237CYTotalExpensesAmt
PY Revenues Less Expenses$68,294PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,136CYRevenuesLessExpensesAmt
Total Assets BOY$439,772TotalAssetsBOYAmt
Total Assets EOY$479,368TotalAssetsEOYAmt
Total Liabilities BOY$220,820TotalLiabilitiesBOYAmt
Total Liabilities EOY$186,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$218,952NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$293,088NetAssetsOrFundBalancesEOYAmt
MissionTo provide mental healthcare and counseling programs.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$964,773ExpenseAmt
Revenue$1,129,335RevenueAmt
DescFAMILY CONCERN COUNSELING IS COMMITTED TO OFFERING COMFORT AND HOPE THROUGH COUNSELING, CONSULTATION AND EDUCATION. SERVICES ARE PROVIDED BY PROFESSIONLLY TRAINED CLINICIANS AND EDUCATORS WHO STRIVE TO INTEGRATE BIBLICAL TRUTH AND PRINCIPLES OF PSYCHOLOGICAL HEALTH.Desc
Total Program Service Expenses$964,773TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee23EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRAY SATTERBLOMPersonNm
Phone2194775646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12004 Valparaiso StAddressLine1Txt
CityValparaisoCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRANDON RUDD
Chairman0.00Yes (X)$0$0$0
ANNMARIE SEVERSON
Vice Chairman0.00Yes (X)$0$0$0
DEAN BUCHER
Board Member0.00$0$0$0Yes (X)
MARCIA BRIGGS
Counselor40.00$120,424$0$0Yes (X)
LAUREN BLASKO
Counselor40.00$101,425$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$221,849TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$10,075AllOtherContributionsAmt
Total Contributions$10,075TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCounselingDesc
Business624100BusinessCd
Total Revenue Column$1,119,260TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,119,260TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,129,373TotalRevenueColumnAmt
Related Or Exempt Func Income$1,119,298RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$864,521TotalAmt
Program Services$782,288ProgramServicesAmt
Management And General$82,233ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,603TotalAmt
Program Services$15,603ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$64,099TotalAmt
Program Services$58,002ProgramServicesAmt
Management And General$6,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,355TotalAmt
Program Services$14,355ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,906TotalAmt
Program Services$1,906ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,338TotalAmt
Program Services$19,204ProgramServicesAmt
Management And General$2,134ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$30,606TotalAmt
Program Services$30,606ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,736TotalAmt
Program Services$4,736ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,092TotalAmt
Program Services$1,092ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,206TotalAmt
Program Services$10,206ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,971TotalAmt
Program Services$10,971ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,503TotalAmt
Program Services$7,503ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Bank Charges$91$91$0$0
Licenses & Fees$220$220$0$0
Telephone$6,557$6,557$0$0
Supplies$1,433$1,433$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,055,237TotalAmt
Program Services$964,773ProgramServicesAmt
Management And General$90,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$92,918BOYAmt
EOY$137,290EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$397,769LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,691LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$346,854BOYAmt
EOY$342,078EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$439,772BOYAmt
EOY$479,368EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$220,820BOYAmt
EOY$186,202EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$78EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$220,820BOYAmt
EOY$186,280EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$218,952BOYAmt
EOY$293,088EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$218,952BOYAmt
EOY$293,088EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$439,772BOYAmt
EOY$479,368EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$74,136ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,783CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,392CurrentTaxYearMinus1YearAmt
Current Tax Year$10,075CurrentTaxYearAmt
Total$125,537TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$505,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$600,034CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$726,095CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$985,554CurrentTaxYearMinus1YearAmt
Current Tax Year$1,119,260CurrentTaxYearAmt
Total$3,936,558TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$541,759CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$635,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$751,878CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,003,946CurrentTaxYearMinus1YearAmt
Current Tax Year$1,129,335CurrentTaxYearAmt
Total$4,062,095TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,062,095PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15CurrentTaxYearMinus2YearsAmt
Current Tax Year$38CurrentTaxYearAmt
Total$71TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15CurrentTaxYearMinus2YearsAmt
Current Tax Year$38CurrentTaxYearAmt
Total$71TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$4,062,166TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99970PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.00030InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,000OtherCostOrOtherBasisAmt
Book Value$20,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,254OtherCostOrOtherBasisAmt
Depreciation$46,172DepreciationAmt
Book Value$314,082BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,635OtherCostOrOtherBasisAmt
Depreciation$4,181DepreciationAmt
Book Value$7,454BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,880OtherCostOrOtherBasisAmt
Depreciation$5,338DepreciationAmt
Book Value$542BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$342,078TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPayroll Taxes PayableDesc
Amt$78Amt
FieldValueIRS element (for citing)
Total Liability$78TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePt VI, Line 11bFormAndLineReferenceDesc
ExplanationNo formal review is conducted.ExplanationTxt

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