THE FOUNTAIN CHARITABLE FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE FOUNTAIN CHARITABLE FOUNDATION (EIN 47-2554837)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-06-26
IRS object ID
201801779349100515
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)
Return2018-06-26T13:19:54-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN822826945PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AllenMitchell LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1109 E Main StAddressLine1Txt
CityWashingtonCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52353ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN472554837EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FOUNTAIN CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone3196564122PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15195 FARMERS AVEAddressLine1Txt
CityKALONACityNm
State AbbreviationIAStateAbbreviationCd
ZIP52247ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM E EVANSPersonNm
Person TitlePresidentPersonTitleTxt
Signature2018-06-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMITCHELL D BILLUPSPreparerPersonNm
PTINP00950559PTIN
Phone3195918770PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$217,984FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$96,605ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$22InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$22InterestOnSavNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$1,423NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,051GrossSalesPriceAmt
Other Income Rev And Expnss$33,693OtherIncomeRevAndExpnssAmt
Other Income Adj Net Incm$33,693OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$128,897TotalRevAndExpnssAmt
Total Net Invst Incm$22TotalNetInvstIncmAmt
Total Adj Net Incm$33,693TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$21,960CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Adj Net Incm$7,297CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$14,663CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$28,583OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Adj Net Incm$9,497OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$19,086OthEmplSlrsWgsDsbrsChrtblAmt
Legal Fees Rev And Expnss$1,029LegalFeesRevAndExpnssAmt
Legal Fees Adj Net Incm$342LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$687LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$898AccountingFeesRevAndExpnssAmt
Accounting Fees Adj Net Incm$298AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$600AccountingFeesChrtblPrpsAmt
Deprec And Dpltn Rev And Expnss$3,935DeprecAndDpltnRevAndExpnssAmt
Occupancy Rev And Expnss$15,316OccupancyRevAndExpnssAmt
Occupancy Adj Net Incm$5,089OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$10,227OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,132TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Adj Net Incm$376TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$756TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$32,485OtherExpensesRevAndExpnssAmt
Other Expenses Adj Net Incm$10,794OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$21,691OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$105,338TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$33,693TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$67,710TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$28,757ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$28,757ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$134,095TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$33,693TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$96,467TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$5,198ExcessRevenueOverExpensesAmt
Net Investment Income$22NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$41,885CashBOYAmt
Cash EOY$34,127CashEOYAmt
Cash EOYFMV$34,127CashEOYFMVAmt
Sav And Temp Cash Invst EOY$707SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$107SavAndTempCashInvstEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$171,750LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,557LandBldgEquipAccumDeprecAmt
Land BOY$164,128LandBOYAmt
Land EOY$160,193LandEOYAmt
Land EOYFMV$183,750LandEOYFMVAmt
Total Assets BOY$206,013TotalAssetsBOYAmt
Total Assets EOY$195,027TotalAssetsEOYAmt
Total Assets EOYFMV$217,984TotalAssetsEOYFMVAmt
Accounts Payable BOY$6,750AccountsPayableBOYAmt
Accounts Payable EOY$962AccountsPayableEOYAmt
Total Liabilities BOY$6,750TotalLiabilitiesBOYAmt
Total Liabilities EOY$962TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$29,263UnrestrictedBOYAmt
Unrestricted EOY$24,065UnrestrictedEOYAmt
Permanently Restricted BOY$170,000PermanentlyRestrictedBOYAmt
Permanently Restricted EOY$170,000PermanentlyRestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$199,263TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$194,065TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$206,013TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$195,027TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$199,263TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$5,198ExcessRevenueOverExpensesAmt
Subtotal$194,065SubtotalAmt
Tot Net Ast Or Fund Balances EOY$194,065TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyVARIOUS CARS PURCHASED FOR RESALEPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2017-01-01AcquiredDt
Sold2017-01-01SoldDt
Gross Sales Price$3,051GrossSalesPriceAmt
Cost Or Other Basis$4,474CostOrOtherBasisAmt
Gain Or Loss-$1,423GainOrLossAmt
Gains Minus Excess Or Losses-$1,423GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$1,423CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$1,423NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedfalseSection508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (true)PrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM EVANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3196562350PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11125 ORANGE AVEAddressLine1Txt
CityKALONACityNm
State AbbreviationIAStateAbbreviationCd
ZIP52247ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
WILLIAM E EVANS
1125 ORANGE AVEKALONAIA52247President5.00$0
REBEKAH WARD
507 D AVEKALONAIA52247Director5.00$0
MICHAEL EVANS
507 3RD STKALONAIA52247Director40.00$21,960
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1IMPROVING THE LIVES OF AT-RISK YOUTH AND YOUNG ADULTS AND THEIR FAMILIES IN EASTERN IOWA BY PROVIDING COMMUNITY SUPPORT, GROWTH AND DEVELOPMENT, SAFE ENVIRONMENTS FOR INDIVIDUALS TO LIVE AND LEARN AND POSITIVE OPPORTUNITIES FOR GROWTH AND ADVANCEMENTDescription1Txt
Expenses1$130,160Expenses1Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$16,098AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$16,098TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$16,098AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$241CashDeemedCharitableAmt
Net Vl Noncharitable Assets$15,857NetVlNoncharitableAssetsAmt
Minimum Investment Return$793MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$96,467ExpensesAndContributionsAmt
Qualifying Distributions$96,467QualifyingDistributionsAmt
Adjusted Qualifying Distri$96,467AdjustedQualifyingDistriAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Private Operating Fndtn Ruling2016-03-11PrivateOperatingFndtnRulingDt
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$13Year1Amt
Year2$18Year2Amt
Total$31TotalAmt

Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp

FieldValueIRS element (for citing)
Year1$11Year1Amt
Year2$15Year2Amt
Total$26TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$96,467CurrentYearAmt
Year1$110,754Year1Amt
Year2$33,820Year2Amt
Total$241,041TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$96,467CurrentYearAmt
Year1$110,754Year1Amt
Year2$33,820Year2Amt
Total$241,041TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Current Year$217,984CurrentYearAmt
Year1$225,635Year1Amt
Year2$182,000Year2Amt
Year3$182,000Year3Amt
Total$807,619TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Current Year$217,984CurrentYearAmt
Year1$225,635Year1Amt
Year2$182,000Year2Amt
Year3$182,000Year3Amt
Total$807,619TotalAmt

Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerWILLIAM E EVANSContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (29 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BOYS AND GIRLS CLUB OF CEDAR RAPIDS
420 6TH ST SE SUITE 240CEDAR RAPIDSIA52401NONEPCFISH O'RAMA FUNDRAISER, RASIE MONEY FOR BOYS AND GIRLS CLUB IN COMMUNITY$500
BREAST FRIEND ANGELS
IOWA CITYIOWA CITYIA52246NONEPCRAISE MONEY FOR CANCER RESEARCH$150
IC COMPASSION
1035 WADE STIOWA CITYIA52240NONEPCREFUGE SUMMIT FOOD & MONETARY DONATION$500
CHILD HOPE
1225 COAST VILLAGE RDSANTA BARBARACA93108PCCARE FOR ORPHANED CHILDREN IN HAITI$1,250
FAMILY CARE FOUNDATION
1373 MARRON VALLEY RDDULZURACA91917PCHUMANITARIAN SERVICES IN DEVELOPING COUNTRIES$1,700
FIRE INTERNATIONAL
6509 HUDSPETH RDHARRISBURGNC28075PCSUPPORT OF MISSIONARY WORK ALL OVER THE WORLD$2,500
RADIUS INTERNATIONAL
PO BOX 530279SAN DIEGOCA92153PCMISSIONARY TRAINING AND CROSS-CULTURAL TRAINING TO ESTABLISH CHURCHES AMONG UNREACHED PEOPLE$2,950
UPPER DEER CREEK CHURCH
3369 320TH STWELLMANIA52356PCSUPPORT CHURCH MISSION TRIP$5,000
CITY OF KALONA
PO BOX 1213KALONAIA52247GOVVETERANS MEMORIAL FUND DONATION$425
DEBRA WAGAMON
206 N HARRISONBRIGHTONIA52540IASSIST WITH MEDICAL EXPENSES$1,000
DOMESTIC VIOLENCE INTERVENTION PROG
1105 S GILBERT COURT SUITE 300IOWA CITYIA52240PCPURCHASE OF NEEDED ITEMS FOR FAMILIES RELOCATED DUE TO DOMESTIC VIOLENCE$500
MID PRAIRIE FOUNDATION
PO BOX 175WELLMANIA52356PCSUPPORT OF THE FEED THE KIDS BACKPACK TO SCHOOL PROGRAM PROVIDING FOOD TO NEEDY CHILDREN$250
HACAP
1515 HAWKEYE DRIVEHIAWATHAIA52233PCPURCHASE BOOKS & EDUCATIONAL PROGRAMS FOR KIDS$500
HOUSE OF HOPE
1744 2ND AVE SECEDAR RAPIDSIA52403PCASSIST WITH HOUSEHOLD NEEDS FOR WOMEN AND CHILDREN$500
INFORMED CHOICE OF IOWA
821 S GILBERT STIOWA CITYIA52240PCSUPPORT THE WALK FOR LIFE TO END ABORTION$150
JOHNSON COUNTY AGRICULTURAL
4261 OAK CREST HILL RD SWIOWA CITYIA52246PCSUPPORT COUNTY FAIR$372
LOWER DEER CREEK
1408 540TH ST SWKALONAIA52247PCSUPPORT OF THE RED RIBBON EVENT$150
MID PRAIRIE FOUNDATION
PO BOX 389KALONAIA52247PCSCHOLARSHIPS FOR STUDENTS IN THE COMMUNITY$2,910
NEW LIFE WELLMAN COMM CHURCH
525 13TH STWELLMANIA52356PCSUPPORT FOR HURRICANE IRMA RELIEF$500
SAFE HAVEN OF IOWA COUNTY
2783 HWY 6SOUTH AMANAIA52334PCANIMAL CARE$100
WASHINGTON CO 4H
2223 250TH STWASHINGTONIA52353PCFOOD FOR LIL HANDS ON THE FARM$100
WATER FOR LIFE
PO BOX 456KALONAIA52247PCBUILD WELLS IN HAITI$750
WASHINGTON ECONOMIC DEVL GROUP
205 W MAIN STWASHINGTONIA52353PCSUPPORT WASHINGTON MAIN STREET & ECONOMIC DEVELOPMENT OF WASHINGTON COUNTY$750
YMCA OF WASHINGTON CO
PO BOX 622KALONAIA52247PCSCHOLARSHIP$1,000
SARAH COUNTER
708 3RD STWELLMANIA52356ISUPPORT MEDICAL HARDSHIP$1,000
SHAWN BIBLE
4410 F STREETAMANAIA52203ISUPPORT MEDICAL HARDSHIP$1,000
KEVIN BAUGHMAN
508 SOUTH HAMILTON STREETKEOTAIA52248ISUPPORT MEDICAL HARDSHIP$750
CLARENCE ROSS
PO BOX 59KALONAIA52247ISUPPORT MEDICAL HARDSHIPS$750
MARCUS PLANK
807 14TH STREETWELLMANIA52356ISUPPORT MEDICAL HARDHSIP$750
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$28,757TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)

DescDescRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
REHAB PROGRAM FEES$7,057
WORKFORCE REHABILITATION$26,636

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion$22ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion1ExclusionCd
Exclusion-$1,423ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion-$1,401ExclusionAmt
Related Or Exempt Function Incm$33,693RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$32,292TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
1AREHABILITATION PROGRAMS REQUIRE HOUSING, THERAPY AND SUPPLIES FOR THE STAY OF THE PROGRAM, THIS REHABILITATION PROGRAM FEE COVERS THE COST OF THE FULL IN-HOUSE REHABILITATION PROCESS.
1BIN ORDER FOR OUR PROGRAM PARTICIPANTS TO RE-ENTER THE WORLD, THEY NEED TO BE ABLE TO ENTER THE WORKFORCE. COMPANIES PARTER WITH US AND PAY A FEE IN EXCHANGE FOR EACH PARTICIPANTS LABOR. THE LABOR PROVIDES WORK SKILLS AND GIVES OUR PARTICIPANTS A MEANS OF STAYING BUSY AS WELL AS SKILLS TO ASSIST THEM WITH ENTERING THE WORKFORCE ONCE THEY ARE FINISHED WITH REHABILITATION.

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
BILL EVANS
11125 ORANGE AVEKALONAIA52247$47,945Yes (X)
ON HIS PATH
2604 NORTH PARKWAY STWAYLANDIA52654$25,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATIONCategoryTxt
Amt$898Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$298AdjustedNetIncomeAmt
Disbursements Charitable Prps$600DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (2 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtPrior Year DepreciationPriorYearDepreciationAmtComputation MethodComputationMethodTxtLifeLifeRtCurrent Year ExpenseCurrentYearExpenseAmt
507 3RD STREET, KALONA IA2014-12-31$150,400$7,520SL40.0000$3,760
VAN2016-06-04$1,750$102SL10.0000$175

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (2 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
Machinery and Equipment$1,750$277$1,473$1,750
Buildings$170,000$11,280$158,720$182,000

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp (2 entries)

CategoryCategoryTxtLegal FeesLegalFeesAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BUSINESS REGISTRATION FEES$37$0$12$25
LEGAL FEES$992$0$330$662

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (13 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK CHARGES$244$81$163
BOOKS, SUBSCRIPTIONS, ETC.$50$17$33
CONTRACT LABOR$340$113$227
DUES$221$73$148
EQUIPMENT REPAIRS & MAINT$2,464$819$1,645
FOOD/MEALS$3,096$1,029$2,067
FUEL$3,671$1,220$2,451
INSURANCE$11,038$3,668$7,370
MARKETING AND PUBLICATIONS$1,327$441$886
MISCELLANEOUS$437$144$293
OTHER PROGRAM EXPENSES$722$240$482
SUPPLIES$8,185$2,720$5,465
TELEPHONE$690$229$461

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
REHAB PROGRAM FEES$7,057$7,057
WORKFORCE REHABILITATION$26,636$26,636

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