MISSION HOUSE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MISSION HOUSE INC (EIN 59-3376704)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-07-06
IRS object ID
201811879349300666
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)
Return2018-07-06T12:15:12-04:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592026532PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JAMES KNUTZEN & ASSOC CPA'S PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15150 BELFORT RD BLDG 300AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593376704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone9042416767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORI DELGADO ANDERSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9042416767PhoneNum
Signature2018-06-08SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARGARET R DODSONPreparerPersonNm
PTINP01238640PTIN
Phone9047255832PhoneNum
Preparation2018-07-06PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOYCE KRAMZERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,676,072GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MISSIONHOUSEJAX.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers505TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$849,767PYContributionsGrantsAmt
CY Contributions Grants$1,538,291CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$20,870PYInvestmentIncomeAmt
CY Investment Income$32,189CYInvestmentIncomeAmt
PY Other Revenue$66,462PYOtherRevenueAmt
CY Other Revenue$79,780CYOtherRevenueAmt
PY Total Revenue$937,099PYTotalRevenueAmt
CY Total Revenue$1,650,260CYTotalRevenueAmt
PY Grants And Similar Paid$353,039PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$402,897PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$485,360CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,919CYTotalFundraisingExpenseAmt
PY Other Expenses$151,597PYOtherExpensesAmt
CY Other Expenses$851,251CYOtherExpensesAmt
PY Total Expenses$907,533PYTotalExpensesAmt
CY Total Expenses$1,336,611CYTotalExpensesAmt
PY Revenues Less Expenses$29,566PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$313,649CYRevenuesLessExpensesAmt
Total Assets BOY$1,859,310TotalAssetsBOYAmt
Total Assets EOY$2,219,235TotalAssetsEOYAmt
Total Liabilities BOY$23,548TotalLiabilitiesBOYAmt
Total Liabilities EOY$33,070TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,835,762NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,186,165NetAssetsOrFundBalancesEOYAmt
MissionTO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,235,417ExpenseAmt
DescMAINTENANCE OF BUILDING & AMENITIES IN ORDER TO PREPARE & SERVE FOOD & PROVIDE EMERGENCY ASSISTANCE IN THE FORM OF HOUSING, HEAT, TRANSPORTATION, LODGING, MEDICAL CARE & JOB PREPAREDNESS TO THE HOMELESS AND NEEDY. SECURING SAFE TEMPORARY HOUSING FOR HOMELESS INDIVIDUALS WITH THE GOAL OF SUCCESSFULLY TRANSITIONING INTO THE MAINSTREAM OF COMMUNITY LIFE. DURING 2017, 25,492 MEALS WERE SERVED, CLIENT VISITS TOTALLED 3,073, THERE WERE 3,023 MEDICAL PRESCRIPTIONS FILLED EMPLOYMENT WAS FOUND FOR 42 INDIVIDUALS AND HOUSING WAS FOUND FOR 94 INDIVIDUALS. THE CLINIC SAW A TOTAL OF 1,576 PATIENTS OF WHICH 220 WERE FIRST TIME RECIPIENTS. OVERALL VOLUNTEER HOURS TOTALLED 3,340.Desc
Total Program Service Expenses$1,235,417TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLORI DELGADO ANDERSONPersonNm
Phone9042416767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DIANA MCCANN
DIRECTOR2.00Yes (X)$0$0$0
ROB STURSBERG
DIRECTOR2.00Yes (X)$0$0$0
STEPHANIE REICHLE
DIRECTOR2.00Yes (X)$0$0$0
TOM PERRY
PAST PRESIDE2.00Yes (X)$0$0$0Yes (X)
HELEN SHORT
TREASURER4.00Yes (X)$0$0$0Yes (X)
JOYCE KRAMZER
PRESIDENT4.00Yes (X)$0$0$0Yes (X)
JESSICA DUMAS
DIRECTOR2.00Yes (X)$0$0$0
BETH MEHAFFEY
VICE PRESIDE3.00Yes (X)$0$0$0Yes (X)
JULIE MCKAY
DIRECTOR2.00Yes (X)$0$0$0
MIKE TRIGLIA
DIRECTOR2.00Yes (X)$0$0$0
LORI DELGADO ANDERSON
EXECUTIVE DI40.00$86,591$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$86,591TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$113,634GovernmentGrantsAmt
All Other Contributions$1,424,657AllOtherContributionsAmt
Noncash Contributions$598,471NoncashContributionsAmt
Total Contributions$1,538,291TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,189TotalRevenueColumnAmt
Related Or Exempt Func Income$30,475RelatedOrExemptFuncIncomeAmt
Exclusion$1,714ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$105,592FundraisingGrossIncomeAmt
Fundraising Direct Expenses$25,812FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$79,780TotalRevenueColumnAmt
Exclusion$61,760ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,650,260TotalRevenueColumnAmt
Related Or Exempt Func Income$30,475RelatedOrExemptFuncIncomeAmt
Exclusion$63,474ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$86,591TotalAmt
Program Services$43,296ProgramServicesAmt
Management And General$38,966ManagementAndGeneralAmt
Fundraising$4,329FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$335,305TotalAmt
Program Services$325,542ProgramServicesAmt
Management And General$9,763ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$31,975TotalAmt
Program Services$27,810ProgramServicesAmt
Management And General$3,837ManagementAndGeneralAmt
Fundraising$328FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$31,489TotalAmt
Program Services$27,529ProgramServicesAmt
Management And General$3,637ManagementAndGeneralAmt
Fundraising$323FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Program Services$4,250ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$132,505TotalAmt
Program Services$132,505ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,967TotalAmt
Management And General$7,984ManagementAndGeneralAmt
Fundraising$7,983FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$20,674TotalAmt
Program Services$8,641ProgramServicesAmt
Management And General$3,075ManagementAndGeneralAmt
Fundraising$8,958FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$37,221TotalAmt
Program Services$37,221ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,133TotalAmt
Program Services$31,563ProgramServicesAmt
Management And General$5,570ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,151TotalAmt
Program Services$5,151ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
FOOD$465,966$465,966
CLIENT SERVICES$101,375$101,375
DUES AND LICENSES$12,133$11,683$450
MAINTENANCE & REPAIRS$9,724$9,724

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,152TotalAmt
Program Services$3,161ProgramServicesAmt
Management And General$4,443ManagementAndGeneralAmt
Fundraising$1,548FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,336,611TotalAmt
Program Services$1,235,417ProgramServicesAmt
Management And General$77,275ManagementAndGeneralAmt
Fundraising$23,919FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$452,128BOYAmt
EOY$397,046EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,538BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,107BOYAmt
EOY$7,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,014,891LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$288,480LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$743,899BOYAmt
EOY$726,411EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$631,638BOYAmt
EOY$1,088,147EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,859,310BOYAmt
EOY$2,219,235EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,980BOYAmt
EOY$14,360EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$21,568BOYAmt
EOY$18,710EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$23,548BOYAmt
EOY$33,070EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,756,336BOYAmt
EOY$1,851,296EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,426BOYAmt
EOY$97,817EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$237,052EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,835,762BOYAmt
EOY$2,186,165EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,859,310BOYAmt
EOY$2,219,235EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$313,649ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$36,754NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$397,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$960,361CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$849,767CurrentTaxYearMinus1YearAmt
Current Tax Year$1,538,291CurrentTaxYearAmt
Total$4,522,162TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$23,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$32,343CurrentTaxYearMinus1YearAmt
Current Tax Year$51,388CurrentTaxYearAmt
Total$107,007TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$397,761CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$775,982CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$983,637CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$882,110CurrentTaxYearMinus1YearAmt
Current Tax Year$1,589,679CurrentTaxYearAmt
Total$4,629,169TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,629,169PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,995CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$584CurrentTaxYearMinus1YearAmt
Current Tax Year$1,714CurrentTaxYearAmt
Total$30,338TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,733CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,995CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,312CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$584CurrentTaxYearMinus1YearAmt
Current Tax Year$1,714CurrentTaxYearAmt
Total$30,338TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$64,966CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$65,445CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$62,477CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$55,423CurrentTaxYearMinus1YearAmt
Current Tax Year$60,760CurrentTaxYearAmt
Total$309,071TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$471,460CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$858,422CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,048,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$938,117CurrentTaxYearMinus1YearAmt
Current Tax Year$1,652,153CurrentTaxYearAmt
Total$4,968,578TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93170PublicSupportCY509Pct
Public Support PY5090.91710PublicSupportPY509Pct
Investment Income CY0.01000InvestmentIncomeCYPct
Investment Income PY0.02000InvestmentIncomePYPct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,500OtherCostOrOtherBasisAmt
Book Value$37,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$792,343OtherCostOrOtherBasisAmt
Depreciation$190,695DepreciationAmt
Book Value$601,648BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,048OtherCostOrOtherBasisAmt
Depreciation$97,785DepreciationAmt
Book Value$87,263BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$726,411TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,687,014TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$36,754NetUnrealizedGainsInvstAmt
Revenue Not Reported$36,754RevenueNotReportedAmt
Revenue Subtotal$1,650,260RevenueSubtotalAmt
Total Revenue Per Form990$1,650,260TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,336,611TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,336,611ExpensesSubtotalAmt
Total Expenses Per Form990$1,336,611TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1OTHER FUNDRAISEEvent1Nm
Gross Receipts Event1$20,913GrossReceiptsEvent1Amt
Gross Revenue Event1$20,913GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,893OtherDirectExpensesEvent1Amt
Event2FALL FUNDRAISEREvent2Nm
Gross Receipts Event2$84,679GrossReceiptsEvent2Amt
Gross Revenue Event2$84,679GrossRevenueEvent2Amt
Other Direct Expenses Event2$22,919OtherDirectExpensesEvent2Amt
Gross Receipts Total$105,592GrossReceiptsTotalAmt
Gross Revenue Total Events$105,592GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$25,812OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$25,812DirectExpenseSummaryEventsAmt
Net Income Summary$79,780NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$598,471NoncashContributionsRptF990Amt
Method Of Determining RevenuesFEEDING AMERICA PER LB.MethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS ASSIST WITH FOOD SERVICE, CLOTHING DISTRIBUTION, OFFICE DUTIES AND FUNDRAISING EVENTS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER, AND THEN SIGNED BY THE EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 12CPOSSIBLE CONFLICTS OF INTEREST ARE DISCUSSED AT EITHER THE BOARD MEETINGS OR EXECUTIVE COMMITTEE MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR MEETS WITH THE BOARD PRESIDENT AND AT LEAST ONE OTHER BOARD OFFICER FOR AN ANNUAL REVIEW. AN ASSESSMENT OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DISCUSSED AT THE REVIEW. THE COMPENSATION IS THEN TAKEN TO THE FULL BOARD FOR A VOTE.
FORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST.

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