KINSHIP HOUSE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
KINSHIP HOUSE (EIN 93-1180331)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-06-08
IRS object ID
201801599349300545
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)
Return2018-06-08T16:17:49-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930743240PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOFFMAN STEWART & SCHMIDT PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14900 MEADOWS ROAD STE 200AddressLine1Txt
CityLAKE OSWEGOCityNm
State AbbreviationORStateAbbreviationCd
ZIP970353295ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN931180331EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE KINSHIP HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKINSBusinessNameControlTxt
Phone5034602796PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 NE 8TH AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97212ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBETH ERICKSONPersonNm
Person TitleINTERIM OPERATIONS DIRECTORPersonTitleTxt
Phone5034602796PhoneNum
Signature2018-06-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAURA PIETILAPreparerPersonNm
PTINP01610806PTIN
Phone5032205900PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBETH ERICKSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 NE 8TH AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,350,580GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressKINSHIPHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTHE KINSHIP HOUSE PROVIDES A UNIQUE BLEND OF ESSENTIAL CHILD WELFARE AND MENTAL HEALTH SERVICES TO CHILDREN AND FAMILIES DURING ALL STAGES OF FOSTER CARE AND ADOPTION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$396,080PYContributionsGrantsAmt
CY Contributions Grants$341,380CYContributionsGrantsAmt
PY Program Service Revenue$964,835PYProgramServiceRevenueAmt
CY Program Service Revenue$965,423CYProgramServiceRevenueAmt
PY Investment Income$114PYInvestmentIncomeAmt
CY Investment Income$34CYInvestmentIncomeAmt
PY Other Revenue-$26,455PYOtherRevenueAmt
CY Other Revenue-$5,905CYOtherRevenueAmt
PY Total Revenue$1,334,574PYTotalRevenueAmt
CY Total Revenue$1,300,932CYTotalRevenueAmt
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$1,191,550PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,022,492CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$89,288CYTotalFundraisingExpenseAmt
PY Other Expenses$326,634PYOtherExpensesAmt
CY Other Expenses$432,243CYOtherExpensesAmt
PY Total Expenses$1,518,184PYTotalExpensesAmt
CY Total Expenses$1,454,735CYTotalExpensesAmt
PY Revenues Less Expenses-$183,610PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$153,803CYRevenuesLessExpensesAmt
Total Assets BOY$701,090TotalAssetsBOYAmt
Total Assets EOY$662,483TotalAssetsEOYAmt
Total Liabilities BOY$436,891TotalLiabilitiesBOYAmt
Total Liabilities EOY$552,087TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$264,199NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$110,396NetAssetsOrFundBalancesEOYAmt
MissionTHE KINSHIP HOUSE PROVIDES A UNIQUE BLEND OF ESSENTIAL CHILD WELFARE AND MENTAL HEALTH SERVICES TO CHILDREN AND FAMILIES DURING ALL STAGES OF FOSTER CARE AND ADOPTION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,062,801ExpenseAmt
Revenue$968,355RevenueAmt
DescTHE KINSHIP HOUSE PROVIDES MENTAL HEALTH COUNSELING FOR INDIVIDUAL CHILDREN AND THEIR FOSTER AND ADOPTIVE FAMILIES, IN ORDER TO HELP INCREASE THE CHANCES OF CHILDREN SETTLING INTO A STABLE, HEALTHY AND PERMANENT HOME. THE PROGRAM SERVICES RANGE FROM MENTAL HEALTH AND CHILD WELFARE ASSESSMENTS, INCLUDING SIBLING, PARENT-CHILD, PARENTING PERMANENCY AND NEEDS ASSESSMENTS, TO MEDICATION EVALUATION AND MANAGEMENT, AND ADOPTION TRANSITION PLANNING AND SUPPORTIVE SERVICES.Desc
Total Program Service Expenses$1,062,801TotalProgramServiceExpensesAmt
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 Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee28EmployeeCnt
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 ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETH ERICKSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5034602796PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11823 NE 8TH AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WADE HOPKINS
CHAIR3.00Yes (X)Yes (X)$0$0$0
DEBORAH NGAN
TREASURER1.50Yes (X)Yes (X)$0$0$0
TIMOTHY TRAVIS
SECRETARY1.50Yes (X)Yes (X)$0$0$0
CHARITY ADAMS
DIRECTOR1.50Yes (X)$0$0$0
ANGELA DEVITA
DIRECTOR1.50Yes (X)$0$0$0
JAMIE KILBERG
SECRETARY1.50Yes (X)Yes (X)$0$0$0
SHANNON CAREY
DIRECTOR1.50Yes (X)$0$0$0
JOSH KEELING
DIRECTOR1.50Yes (X)$0$0$0
CASSIE DIAMOND
DIRECTOR1.50Yes (X)$0$0$0
KAREN PIERSON
DIRECTOR1.50Yes (X)$0$0$0
BETH ERICKSON
INTERIM OPERATIONS DIRECTOR40.00Yes (X)$61,316$0$828
HEATHER JEFFERIS
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$56,603$0$7,768
FieldValueIRS element (for citing)
Total Reportable Comp From Org$117,919TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,596TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$30,795FundraisingAmt
All Other Contributions$310,585AllOtherContributionsAmt
Total Contributions$341,380TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
THERAPY624100$931,064$931,064
TRAINING AND MISCELLAN624100$33,697$33,697
COURT BILLINGS624100$662$662
FieldValueIRS element (for citing)
Total Program Service Revenue$965,423TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34TotalRevenueColumnAmt
Related Or Exempt Func Income$34RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$40,845FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$30,795ContriRptFundraisingEventAmt
Fundraising Direct Expenses$49,648FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,803TotalRevenueColumnAmt
Exclusion-$8,803ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRESTITUTION AND MISCELDesc
Business624100BusinessCd
Total Revenue Column$2,898TotalRevenueColumnAmt
Related Or Exempt Func Income$2,898RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,898OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,300,932TotalRevenueColumnAmt
Related Or Exempt Func Income$968,355RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$8,803ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$88,083TotalAmt
Program Services$21,593ProgramServicesAmt
Management And General$44,469ManagementAndGeneralAmt
Fundraising$22,021FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$769,065TotalAmt
Program Services$666,385ProgramServicesAmt
Management And General$55,134ManagementAndGeneralAmt
Fundraising$47,546FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,033TotalAmt
Program Services$17,859ProgramServicesAmt
Management And General$411ManagementAndGeneralAmt
Fundraising$763FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,635TotalAmt
Program Services$61,281ProgramServicesAmt
Management And General$6,362ManagementAndGeneralAmt
Fundraising$4,992FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$73,676TotalAmt
Program Services$59,567ProgramServicesAmt
Management And General$8,260ManagementAndGeneralAmt
Fundraising$5,849FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$978TotalAmt
Management And General$978ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,966TotalAmt
Management And General$15,966ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$123,380TotalAmt
Program Services$123,080ProgramServicesAmt
Management And General$300ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,807TotalAmt
Program Services$507ProgramServicesAmt
Management And General$5,323ManagementAndGeneralAmt
Fundraising$1,977FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,841TotalAmt
Program Services$2,185ProgramServicesAmt
Management And General$3,859ManagementAndGeneralAmt
Fundraising$1,797FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,251TotalAmt
Program Services$15,902ProgramServicesAmt
Management And General$10,415ManagementAndGeneralAmt
Fundraising$934FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$69,080TotalAmt
Program Services$14,532ProgramServicesAmt
Management And General$54,548ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,920TotalAmt
Program Services$1,718ProgramServicesAmt
Management And General$1,331ManagementAndGeneralAmt
Fundraising$871FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,438TotalAmt
Management And General$10,438ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,054TotalAmt
Management And General$19,054ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,542TotalAmt
Management And General$11,542ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS AND MAINTENANCE$38,997$15,510$23,477$10
WRITE-OFFS$34,223$34,223
UTILITIES$21,533$6,146$15,383$4
MISCELLANEOUS$21,126$4,638$13,964$2,524

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,107TotalAmt
Program Services$17,675ProgramServicesAmt
Management And General$1,432ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,454,735TotalAmt
Program Services$1,062,801ProgramServicesAmt
Management And General$302,646ManagementAndGeneralAmt
Fundraising$89,288FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$70,522BOYAmt
EOY$73,824EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,764BOYAmt
EOY$4,398EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,676BOYAmt
EOY$36,074EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,558BOYAmt
EOY$3,558EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$667,202LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$122,573LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$558,570BOYAmt
EOY$544,629EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$701,090BOYAmt
EOY$662,483EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,260BOYAmt
EOY$292,224EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$281,484BOYAmt
EOY$259,863EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$106,147BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$436,891BOYAmt
EOY$552,087EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$264,199BOYAmt
EOY$110,396EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$264,199BOYAmt
EOY$110,396EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$701,090BOYAmt
EOY$662,483EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$153,803ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$222,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,080CurrentTaxYearMinus1YearAmt
Current Tax Year$341,380CurrentTaxYearAmt
Total$1,458,072TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,941CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$218,016CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$222,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,080CurrentTaxYearMinus1YearAmt
Current Tax Year$341,380CurrentTaxYearAmt
Total$1,458,072TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,458,072PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$269CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$289CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$114CurrentTaxYearMinus1YearAmt
Current Tax Year$34CurrentTaxYearAmt
Total$869TotalAmt
FieldValueIRS element (for citing)
Total Support$1,458,941TotalSupportAmt
Gross Receipts Rltd Activities$4,278,355GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99940PublicSupportCY170Pct
Public Support PY1700.99930PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$280,342OtherCostOrOtherBasisAmt
Book Value$280,342BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$324,267OtherCostOrOtherBasisAmt
Depreciation$83,352DepreciationAmt
Book Value$240,915BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,593OtherCostOrOtherBasisAmt
Depreciation$39,221DepreciationAmt
Book Value$23,372BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$544,629TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNER AND AUCTIONEvent1Nm
Gross Receipts Event1$65,140GrossReceiptsEvent1Amt
Charitable Contri Event1$30,795CharitableContriEvent1Amt
Gross Revenue Event1$34,345GrossRevenueEvent1Amt
Non Cash Prizes Event1$7,400NonCashPrizesEvent1Amt
Rent Facility Costs Event1$35,316RentFacilityCostsEvent1Amt
Entertainment Event1$182EntertainmentEvent1Amt
Other Direct Expenses Event1$6,171OtherDirectExpensesEvent1Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$6,500GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$6,500GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$182OthDirectExpnssOtherEventsAmt
Gross Receipts Total$71,640GrossReceiptsTotalAmt
Charitable Contributions Tot$30,795CharitableContributionsTotAmt
Gross Revenue Total Events$40,845GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$7,400NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$35,316RentFcltyCostsTotalEventsAmt
Entertainment Total Events$182EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$6,353OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$49,251DirectExpenseSummaryEventsAmt
Net Income Summary-$8,406NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BALL BOARD MEMBERS ARE FURNISHED A COPY TO EXAMINE. THE EXECUTIVE DIRECTOR, TREASURER, AND FINANCE COMMITTEE EACH REVIEW AND APPROVE EACH LINE OF FORM 990 BEFORE IT IS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION IS REVIEWED AND APPROVED BY THE FULL BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE KEPT IN THE PRINCIPAL OFFICE AND ARE AVAILABLE UPON REQUEST.

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