PICKAWAY COUNTY COMMUNITY FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PICKAWAY COUNTY COMMUNITY FOUNDATION (EIN 31-1777036)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-14
IRS object ID: 201823189349302247
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
Form 990
Schedule A
Schedule D
Schedule G
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-14T10:13:21-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	310962125	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	WHITED SEIGNEUR SAMS & RAHE CPAS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	213 SOUTH PAINT STREET	AddressLine1Txt
City	CHILLICOTHE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	456013828	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311777036	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PICKAWAY COUNTY COMMUNITY FOUNDATION INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PICK	BusinessNameControlTxt
Phone	7404776207	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	770 N COURT ST	AddressLine1Txt
City	CIRCLEVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43113	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL LINTON	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	7404776207	PhoneNum
Signature	2018-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JAY SEIGNEUR	PreparerPersonNm
PTIN	P01455483	PTIN
Phone	7407022600	PhoneNum
Preparation	2018-11-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	173.249.136.204	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-12	IPDt
IP Tm	08:28:21	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	55421540D0F21B7CEBD7E75D86A4F20E69CB751B	AtSubmissionCreationDeviceId
At Submission Filing Device Id	857C96843B5F65E28D0D41522C5317FE8E0D4281	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL LINTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	770 N COURT ST	AddressLine1Txt
City	CIRCLEVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43113	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$165,842	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://WWW.YOURPCCF.ORG/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2001	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	TO ENHANCE THE PICKAWAY COUNTY COMMUNITY THROUGH PHILANTHROPY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$111,742	PYContributionsGrantsAmt
CY Contributions Grants	$125,763	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$7,918	PYOtherRevenueAmt
CY Other Revenue	$31,132	CYOtherRevenueAmt
PY Total Revenue	$119,660	PYTotalRevenueAmt
CY Total Revenue	$156,895	CYTotalRevenueAmt
PY Grants And Similar Paid	$77,260	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$50,143	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$19,269	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,897	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$36,731	PYOtherExpensesAmt
CY Other Expenses	$64,468	CYOtherExpensesAmt
PY Total Expenses	$133,260	PYTotalExpensesAmt
CY Total Expenses	$148,508	CYTotalExpensesAmt
PY Revenues Less Expenses	-$13,600	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,387	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,098,443	TotalAssetsBOYAmt
Total Assets EOY	$11,283,651	TotalAssetsEOYAmt
Total Liabilities BOY	$2,415,780	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,199,430	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,682,663	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,084,221	NetAssetsOrFundBalancesEOYAmt
Mission	TO ENHANCE THE PICKAWAY COUNTY COMMUNITY THROUGH PHILANTHROPY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$95,406	ExpenseAmt
Grant	$50,143	GrantAmt
Revenue	$14,449	RevenueAmt
Desc	ADVANCING PHILANTHROPY	Desc
Total Program Service Expenses	$95,406	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	Yes (1)	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7404776207	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	770 N COURT ST	AddressLine1Txt
City	CIRCLEVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43113	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
MARIE GERHARDT
DIRECTOR	1.00	Yes (X)	$0	$0	$0
DAN LITZINGER
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
JERRY LEIST
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MATTHEW TOOTLE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MICHAEL LINTON
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
ROSE VARGO MCFARLAND
DIRECTOR	1.00	Yes (X)	$0	$0	$0
JEFFREY HARR
DIRECTOR	1.00	Yes (X)	$0	$0	$0
MICHAEL FREEMEN
DIRECTOR	1.00	Yes (X)	$0	$0	$0
NATALIE BLUE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ALAN SUTTONE
DIRECTOR	1.00	Yes (X)	$0	$0	$0
ROBERT SNEED
DIRECTOR	1.00	Yes (X)	$0	$0	$0
STEPHEN GARY
VICE CHAIR	1.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$125,763	AllOtherContributionsAmt
Total Contributions	$125,763	TotalContributionsAmt
Fundraising Gross Income	$25,630	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$8,947	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,683	TotalRevenueColumnAmt
Exclusion	$16,683	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INVESTMENT FEE INCOME	541900	$14,399	$14,399
OTHER/MISC. REVENUE	541900	$50	$50

Field	Value	IRS element (for citing)
Other Revenue Total	$14,449	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$156,895	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,449	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$16,683	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$50,143	TotalAmt
Program Services	$50,143	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$24,359	TotalAmt
Program Services	$12,180	ProgramServicesAmt
Management And General	$12,179	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,660	TotalAmt
Program Services	$4,995	ProgramServicesAmt
Management And General	$1,665	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,878	TotalAmt
Program Services	$1,590	ProgramServicesAmt
Management And General	$1,288	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,750	TotalAmt
Management And General	$4,750	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,978	TotalAmt
Management And General	$29,978	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,471	TotalAmt
Program Services	$6,471	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,025	TotalAmt
Program Services	$2,025	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,707	TotalAmt
Program Services	$7,707	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,535	TotalAmt
Program Services	$2,535	ProgramServicesAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	DUES	Desc
Total	$1,740	TotalAmt
Program Services	$1,740	ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,262	TotalAmt
Program Services	$6,020	ProgramServicesAmt
Management And General	$3,242	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$148,508	TotalAmt
Program Services	$95,406	ProgramServicesAmt
Management And General	$53,102	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,943	BOYAmt
EOY	$57,832	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$244,094	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,819	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$219,982	BOYAmt
EOY	$212,275	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$497,117	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$9,359,401	BOYAmt
EOY	$11,013,544	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,098,443	BOYAmt
EOY	$11,283,651	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$686	BOYAmt
EOY	$2,835	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,415,094	BOYAmt
EOY	$2,196,595	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,415,780	BOYAmt
EOY	$2,199,430	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,682,663	BOYAmt
EOY	$9,084,221	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,682,663	BOYAmt
EOY	$9,084,221	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,098,443	BOYAmt
EOY	$11,283,651	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,387	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$1,393,171	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$362,100	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$142,359	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$85,850	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$111,742	CurrentTaxYearMinus1YearAmt
Current Tax Year	$125,763	CurrentTaxYearAmt
Total	$827,814	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$362,100	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$142,359	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$85,850	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$111,742	CurrentTaxYearMinus1YearAmt
Current Tax Year	$125,763	CurrentTaxYearAmt
Total	$827,814	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$827,814	PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,079	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,439	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year	$7,918	CurrentTaxYearMinus1YearAmt
Current Tax Year	$31,132	CurrentTaxYearAmt
Total	$51,568	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$879,382	TotalSupportAmt
Public Support CY170	0.94140	PublicSupportCY170Pct
Public Support PY170	0.97220	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Org Leg Ctrl	Yes (1)	DisclosedOrgLegCtrlInd
Disclosed For Charitable Prps	Yes (1)	DisclosedForCharitablePrpsInd
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	0	InclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,904,431	BeginningYearBalanceAmt
End Year Balance	$1,904,431	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,800,078	BeginningYearBalanceAmt
Contributions	$104,353	ContributionsAmt
End Year Balance	$1,904,431	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,782,991	BeginningYearBalanceAmt
Contributions	$17,087	ContributionsAmt
End Year Balance	$1,800,078	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,620,817	BeginningYearBalanceAmt
Contributions	$162,174	ContributionsAmt
End Year Balance	$1,782,991	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,285,513	BeginningYearBalanceAmt
Contributions	$335,304	ContributionsAmt
End Year Balance	$1,620,817	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,671	OtherCostOrOtherBasisAmt
Book Value	$50,671	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$164,348	OtherCostOrOtherBasisAmt
Depreciation	$18,489	DepreciationAmt
Book Value	$145,859	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,625	OtherCostOrOtherBasisAmt
Depreciation	$4,200	DepreciationAmt
Book Value	$12,425	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,450	OtherCostOrOtherBasisAmt
Depreciation	$9,130	DepreciationAmt
Book Value	$3,320	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$212,275	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN ASSETS HELD BY OTHERS	Desc
Book Value	$11,013,544	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$11,013,544	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
AGENCY ENDOWMENT FUNDS	$2,165,403
FISCAL AGENT LIABILITY	$31,192

Field	Value	IRS element (for citing)
Total Liability	$2,196,595	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,819,985	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$1,654,143	OtherRevenueAmt
Revenue Not Reported	$1,654,143	RevenueNotReportedAmt
Revenue Subtotal	$165,842	RevenueSubtotalAmt
Other Revenues Not Included	-$8,947	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$8,947	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$156,895	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$418,427	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$260,972	OtherExpensesIncludedAmt
Expenses Not Reported	$260,972	ExpensesNotReportedAmt
Expenses Subtotal	$157,455	ExpensesSubtotalAmt
Other Expenses Not Included	-$8,947	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	-$8,947	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$148,508	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN BENEFICIAL INTEREST 1,654,143.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES NETTED AGAINST REVENUE -8,947.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	TRANSFERS TO AGENCY ENDOWMENTS 260,972.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES NETTED AGAINST REVENUE -8,947.
PART XI LINE 8	CHANGE IN BENEFICIAL INTEREST $1,720,160

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	FUNDRAISING	Event1Nm
Gross Receipts Event1	$25,630	GrossReceiptsEvent1Amt
Charitable Contri Event1	$0	CharitableContriEvent1Amt
Gross Revenue Event1	$25,630	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$8,947	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$25,630	GrossReceiptsTotalAmt
Gross Revenue Total Events	$25,630	GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events	$8,947	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$8,947	DirectExpenseSummaryEventsAmt
Net Income Summary	$16,683	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PICKAWAY ADDICTION ACTION COALITION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	110 N COURT ST	AddressLine1Txt
City	CIRCLEVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43113	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	311777036	RecipientEIN
Cash Grant	$12,530	CashGrantAmt
Purpose Of Grant	PROGRAM FUNDING	PurposeOfGrantTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE IRS FORM 990 IS GIVEN TO BOARD MEMBERS PRIOR TO FILING. THE RETURN IS DISCUSSED AT A BOARD MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	POLICIES ARE REVIEWED AT THE ANNUAL BOARD MEETING AND MEMBERS VERBALLY APPROVE CHANGES.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	OTHER CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,978.
FORM 990, PART XI, LINE 9:	CHANGE IN BENEFICIAL INTEREST 1,654,143. TRANSFERS TO AGENCY ENDOWMENTS -260,972.