JACKSONVILLE HISTORIC NAVAL SHIP ASSOCIATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JACKSONVILLE HISTORIC NAVAL SHIP ASSOCIATION INC (EIN 06-1834542)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201801359349305340
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)
Return2018-05-15T12:37:00-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061834542EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKSONVILLE HISTORIC NAVAL SHIP ASSOCIATION INCBusinessNameLine1Txt
Business Name Line2USS ADAMSBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% STANLEY F HALTERInCareOfNm
Business Name ControlJACKBusinessNameControlTxt
Phone9045631903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 INDEPENDENT DRIVE Ste 144AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTANLEY F HALTERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9045631903PhoneNum
Signature2018-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1USS ADAMSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTANLEY F HALTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 INDEPENDENT DR Ste 144AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$122,316GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADAMSCLASSMUSEUM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO ESTABLISH THE ADAMS CLASS NAVAL SHIP MUSEUMActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent29VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$339,779PYContributionsGrantsAmt
CY Contributions Grants$52,863CYContributionsGrantsAmt
PY Program Service Revenue$7,435PYProgramServiceRevenueAmt
CY Program Service Revenue$6,665CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$56,649PYOtherRevenueAmt
CY Other Revenue$48,225CYOtherRevenueAmt
PY Total Revenue$403,863PYTotalRevenueAmt
CY Total Revenue$107,753CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$4,396CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$95,074PYOtherExpensesAmt
CY Other Expenses$119,475CYOtherExpensesAmt
PY Total Expenses$95,074PYTotalExpensesAmt
CY Total Expenses$123,871CYTotalExpensesAmt
PY Revenues Less Expenses$308,789PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,118CYRevenuesLessExpensesAmt
Total Assets BOY$357,530TotalAssetsBOYAmt
Total Assets EOY$342,019TotalAssetsEOYAmt
Total Liabilities EOY$607TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$357,530NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$341,412NetAssetsOrFundBalancesEOYAmt
MissionESTABLISH THE ADAMS CLASS NAVAL SHIP MUSEUMMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$70,706ExpenseAmt
DescBRING THE CHARLES F. ADAMS NAVAL SHIP TO JACKSONVILLE FL TO ESTABLISH A MUSEUM WHICH WILL OFFER TOURS AND EDUCATIONAL PROGRAMS INCLUDING A STEM PROGRAM FOR UNDERPRIVILEGED CHILDREN.Desc
Total Program Service Expenses$70,706TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 ActivitiesYes (true)FundraisingActivitiesInd
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member29IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTANLEY F HALTERPersonNm
Phone9045631903PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12 INDEPENDENT DRIVE Ste 144AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32202ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DANIEL BEAN
PRESIDENT16Yes (X)Yes (X)$0$0$0
STANLEY HALTER
TREASURER16Yes (X)Yes (X)$0$0$0
TRACY RAULERSON
VICE PRESIDENT1Yes (X)Yes (X)$0$0$0
BETH FLEET
SECRETARY4Yes (X)Yes (X)$0$0$0
JOHN O'NEIL
EXECUTVE DIRECTOR24Yes (X)Yes (X)$0$0$0
HENRY MORELAND
BOARD MEMBER1Yes (X)$0$0$0
RICHARD TATE
BOARD MEMBER8Yes (X)$0$0$0
GILBERT WRIGHT
BOARD MEMBER2Yes (X)$0$0$0
CHRIS GUILLET
BOARD MEMBER1Yes (X)$0$0$0
JENNIFER KIFER
BOARD MEMBER1Yes (X)$0$0$0
MARY CRAWFORD
BOARD MEMBER1Yes (X)$0$0$0
MICHAEL ANANIA
BOARD MEMBER8Yes (X)$0$0$0
BRUCE FOURAKER
BOARD MEMBER8Yes (X)$0$0$0
ED MORALES
BOARD MEMBER8Yes (X)$0$0$0
CHRIS FLAGG
BOARD MEMBER1Yes (X)$0$0$0
JOE SNOWBERGER
BOARD MEMBER2Yes (X)$0$0$0
PAT STROUD
BOARD MEMBER8Yes (X)$14,718$0$0
ROBERT BRANCO
BOARD MEMBER2Yes (X)$0$0$0
BRENDA CAMPBELL
BOARD MEMBER2Yes (X)$0$0$0
GENE KENDALL
BOARD MEMBER2Yes (X)$0$0$0
WAYNE MISENAR
BOARD MEMBER2Yes (X)$0$0$0
JIM ALDRICH
BOARD MEMBER1Yes (X)$0$0$0
DAN LIBRA
BOARD MEMBER1Yes (X)$0$0$0
PAT GEER
BOARD MEMBER2Yes (X)$0$0$0
PATTY SCHUBERT
BOARD MEMBER2Yes (X)$0$0$0
CRAIG BERNAT
BOARD MEMBER4Yes (X)$0$0$0
PAUL GHIOTTO
BOARD MEMBER2Yes (X)$0$0$0
CHARLIE DAVIS
BOARD MEMBER2Yes (X)$0$0$0
ROBERT WHITKOP
BOARD MEMBER1Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,718TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$52,863AllOtherContributionsAmt
Noncash Contributions$104NoncashContributionsAmt
Total Contributions$52,863TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMembership duesDesc
Total Revenue Column$6,665TotalRevenueColumnAmt
Related Or Exempt Func Income$6,665RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,665TotalProgramServiceRevenueAmt
Fundraising Gross Income$34,730FundraisingGrossIncomeAmt
Fundraising Direct Expenses$11,873FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,857TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$28,058GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,690CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,368TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,753TotalRevenueColumnAmt
Related Or Exempt Func Income$6,665RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,868TotalAmt
Program Services$2,868ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,528TotalAmt
Program Services$1,528ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Management And General$50,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,810TotalAmt
Program Services$43,810ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,084TotalAmt
Program Services$2,084ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,725TotalAmt
Program Services$3,725ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,138TotalAmt
Program Services$14,138ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$767TotalAmt
Management And General$767ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$877TotalAmt
Program Services$877ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,438TotalAmt
Program Services$449ProgramServicesAmt
Management And General$989ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BANK AND CREDIT CARD FEES$1,133$1,133
DUES AND LICENSES$665$94$571
OTHER$175$175
MINOR EQUIPMENT$663$663

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$123,871TotalAmt
Program Services$70,706ProgramServicesAmt
Management And General$53,165ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$316,503BOYAmt
EOY$301,369EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$57,147LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,597LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,427BOYAmt
EOY$39,550EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$600BOYAmt
EOY$1,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$357,530BOYAmt
EOY$342,019EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$607EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$607EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$329,030BOYAmt
EOY$283,412EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$28,500BOYAmt
EOY$58,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,530BOYAmt
EOY$341,412EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$357,530BOYAmt
EOY$342,019EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$16,118ReconcilationRevenueExpnssAmt
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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$131,952CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$175,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$347,213CurrentTaxYearMinus1YearAmt
Current Tax Year$59,527CurrentTaxYearAmt
Total$802,584TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64,594CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$55,082CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$44,440CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$85,249CurrentTaxYearMinus1YearAmt
Current Tax Year$62,788CurrentTaxYearAmt
Total$312,153TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,546CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$231,024CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,390CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$432,462CurrentTaxYearMinus1YearAmt
Current Tax Year$122,315CurrentTaxYearAmt
Total$1,114,737TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,114,737PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4CurrentTaxYearMinus3YearsAmt
Total$16TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4CurrentTaxYearMinus3YearsAmt
Total$16TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,558CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$231,028CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,390CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$432,462CurrentTaxYearMinus1YearAmt
Current Tax Year$122,315CurrentTaxYearAmt
Total$1,114,753TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99999PublicSupportCY509Pct
Public Support PY5090.99999PublicSupportPY509Pct
Investment Income CY0.00001InvestmentIncomeCYPct
Investment Income PY0.00001InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlfalseDisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsfalseDisclosedForCharitablePrpsInd
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Section170h Rqr StsfdfalseSection170hRqrStsfdInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$8,688InvestmentCostOrOtherBasisAmt
Depreciation$1,952DepreciationAmt
Book Value$6,736BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$16,983InvestmentCostOrOtherBasisAmt
Depreciation$15,645DepreciationAmt
Book Value$1,338BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$31,476InvestmentCostOrOtherBasisAmt
Book Value$31,476BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$39,550TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDepositsDesc
Book Value$1,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,100TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL TAXESDesc
Amt$607Amt
FieldValueIRS element (for citing)
Total Liability$607TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1S2V 5K RACEEvent1Nm
Gross Receipts Event1$18,730GrossReceiptsEvent1Amt
Charitable Contri Event1$6,750CharitableContriEvent1Amt
Gross Revenue Event1$11,980GrossRevenueEvent1Amt
Non Cash Prizes Event1$374NonCashPrizesEvent1Amt
Food And Beverage Event1$75FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$11,283OtherDirectExpensesEvent1Amt
Event2BRICK SALESEvent2Nm
Gross Receipts Event2$16,000GrossReceiptsEvent2Amt
Gross Revenue Event2$16,000GrossRevenueEvent2Amt
Other Direct Expenses Event2$102OtherDirectExpensesEvent2Amt
Gross Receipts Total$34,730GrossReceiptsTotalAmt
Charitable Contributions Tot$6,750CharitableContributionsTotAmt
Gross Revenue Total Events$27,980GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$374NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$75FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$11,385OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,834DirectExpenseSummaryEventsAmt
Net Income Summary$16,146NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 11bTHE 990 IS PROVIDED TO BOARD MEMBERS VIA EMAIL FOR THEIR REVIEW AND
Part VI Line 11bAPPROVAL PRIOR TO SUBMISSION.
Part VI Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
Part IX Line 11gTotal expenses - $43810.00 Program service expenses - $43810.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00

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