PINES OF PEACE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PINES OF PEACE INC (EIN 16-1531479)
Tax period
2016-11-01 to 2017-10-31
Filed
2018-05-15
IRS object ID
201821359349301727
Schema version
2016v3.0
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)
Return2018-05-15T06:53:02-07:00ReturnTs
Tax Period End2017-10-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JEFFERS & BIRNIE CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line131 N UNION STAddressLine1Txt
CitySPENCERPORTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14559ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-11-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161531479EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PINES OF PEACE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPINEBusinessNameControlTxt
Phone3155242388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12378 RIDGE ROAD PO BOX 238AddressLine1Txt
CityONTARIOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14519ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoan MillerPersonNm
Person TitlePresidentPersonTitleTxt
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott A Birnie CPAPreparerPersonNm
PTINP00400967PTIN
Phone5853522900PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$277,685GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttp://www.pinesofpeace.org/WebsiteAddressTxt
Activity Or MissionCost-Free Care of Terminally IllActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$218,029PYContributionsGrantsAmt
CY Contributions Grants$175,943CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$11,794PYInvestmentIncomeAmt
CY Investment Income$14,201CYInvestmentIncomeAmt
PY Other Revenue$31,647PYOtherRevenueAmt
CY Other Revenue$38,810CYOtherRevenueAmt
PY Total Revenue$261,470PYTotalRevenueAmt
CY Total Revenue$228,954CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$152,290PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$143,067CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$43,811PYOtherExpensesAmt
CY Other Expenses$46,129CYOtherExpensesAmt
PY Total Expenses$196,101PYTotalExpensesAmt
CY Total Expenses$189,196CYTotalExpensesAmt
PY Revenues Less Expenses$65,369PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$39,758CYRevenuesLessExpensesAmt
Total Assets BOY$470,277TotalAssetsBOYAmt
Total Assets EOY$542,984TotalAssetsEOYAmt
Total Liabilities BOY$3,477TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,180TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$466,800NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$537,804NetAssetsOrFundBalancesEOYAmt
MissionCost-Free Care of Terminally IllMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$145,549ExpenseAmt
DescProvides the community a 24-hour staffed comfort care home as well as medication and food for the cost-free care of the terminally ill.Desc
Total Program Service Expenses$145,549TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee13EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSherry VerstraetePersonNm
Phone3155242388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12378 Ridge RoadAddressLine1Txt
CityOntarioCityNm
State AbbreviationNYStateAbbreviationCd
ZIP145199558ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Barbara Adams
Board Member0.000.00Yes (X)$0$0$0
Wendy Herbert
Board Member0.000.00Yes (X)$0$0$0
Cheryl Gravelle
Board Member0.000.00Yes (X)$0$0$0
Richard Doyle
Board Member0.000.00Yes (X)$0$0$0
Kate Miller
Board Member0.000.00Yes (X)$0$0$0
Brian Smith
Board Member0.000.00Yes (X)$0$0$0
Joan Miller
President0.000.00$0$0$0Yes (X)
Patrick Wright
Vice President0.000.00$0$0$0Yes (X)
Sherry Verstraete
Secretary40.000.00$53,945$0$0Yes (X)
Dr James Wood
Medical Directo0.000.00$0$0$0Yes (X)
Donna Cairns
Treasurer0.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$53,945TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$175,943AllOtherContributionsAmt
Total Contributions$175,943TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,928TotalRevenueColumnAmt
Exclusion$5,928ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$45,513SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$37,240SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,273SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,273TotalRevenueColumnAmt
Related Or Exempt Func Income$8,273RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$50,301FundraisingGrossIncomeAmt
Fundraising Direct Expenses$11,491FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,810TotalRevenueColumnAmt
Exclusion$38,810ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,954TotalRevenueColumnAmt
Related Or Exempt Func Income$8,273RelatedOrExemptFuncIncomeAmt
Exclusion$44,738ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$53,945TotalAmt
Program Services$26,973ProgramServicesAmt
Management And General$26,972ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$78,065TotalAmt
Program Services$78,065ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,057TotalAmt
Program Services$8,735ProgramServicesAmt
Management And General$2,322ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,719TotalAmt
Management And General$3,719ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$403TotalAmt
Management And General$403ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,760TotalAmt
Management And General$2,760ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,914TotalAmt
Program Services$6,222ProgramServicesAmt
Management And General$692ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$44TotalAmt
Management And General$44ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,774TotalAmt
Program Services$5,774ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,950TotalAmt
Program Services$8,955ProgramServicesAmt
Management And General$995ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Repairs and Maintenance$3,125$3,125
Staff Support$2,580$2,580
Cable Service$2,021$2,021
Investment Advisory Fee$2,002$2,002

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,837TotalAmt
Program Services$3,099ProgramServicesAmt
Management And General$3,738ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$189,196TotalAmt
Program Services$145,549ProgramServicesAmt
Management And General$43,647ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29BOYAmt
EOY$39EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$121,326BOYAmt
EOY$139,536EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$232,485LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$126,566LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$100,604BOYAmt
EOY$105,919EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$248,318BOYAmt
EOY$297,490EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$470,277BOYAmt
EOY$542,984EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,477BOYAmt
EOY$5,180EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,477BOYAmt
EOY$5,180EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$256,753BOYAmt
EOY$268,694EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,749BOYAmt
EOY$1,749EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$208,298BOYAmt
EOY$267,361EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$466,800BOYAmt
EOY$537,804EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$470,277BOYAmt
EOY$542,984EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$39,758ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$35,946NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$4,700OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$112,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$162,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$218,029CurrentTaxYearMinus1YearAmt
Current Tax Year$175,943CurrentTaxYearAmt
Total$809,921TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$162,057CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$141,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$218,029CurrentTaxYearMinus1YearAmt
Current Tax Year$175,943CurrentTaxYearAmt
Total$809,921TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$809,921PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,209CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$47,892CurrentTaxYearMinus1YearAmt
Current Tax Year$14,201CurrentTaxYearAmt
Total$82,080TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$892,001TotalSupportAmt
Public Support CY1700.90800PublicSupportCY170Pct
Public Support PY1700.91480PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$228,623BeginningYearBalanceAmt
Investment Earnings Or Losses$40,246InvestmentEarningsOrLossesAmt
Administrative Expenses$1,506AdministrativeExpensesAmt
End Year Balance$267,363EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$223,726BeginningYearBalanceAmt
Investment Earnings Or Losses$6,220InvestmentEarningsOrLossesAmt
Administrative Expenses$1,323AdministrativeExpensesAmt
End Year Balance$228,623EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,207BeginningYearBalanceAmt
Investment Earnings Or Losses$5,803InvestmentEarningsOrLossesAmt
Administrative Expenses$1,284AdministrativeExpensesAmt
End Year Balance$223,726EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$203,402BeginningYearBalanceAmt
Investment Earnings Or Losses$17,145InvestmentEarningsOrLossesAmt
Administrative Expenses$1,340AdministrativeExpensesAmt
End Year Balance$219,207EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$174,984BeginningYearBalanceAmt
Investment Earnings Or Losses$29,561InvestmentEarningsOrLossesAmt
Administrative Expenses$1,143AdministrativeExpensesAmt
End Year Balance$203,402EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,000OtherCostOrOtherBasisAmt
Book Value$24,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,000OtherCostOrOtherBasisAmt
Depreciation$43,368DepreciationAmt
Book Value$42,632BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,930OtherCostOrOtherBasisAmt
Depreciation$47,896DepreciationAmt
Book Value$39,034BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,555OtherCostOrOtherBasisAmt
Depreciation$35,302DepreciationAmt
Book Value$253BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$105,919TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPayroll WithholdingsDesc
Amt$5,180Amt
FieldValueIRS element (for citing)
Total Liability$5,180TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$269,600TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$35,946NetUnrealizedGainsInvstAmt
Other Revenue$4,700OtherRevenueAmt
Revenue Not Reported$40,646RevenueNotReportedAmt
Revenue Subtotal$228,954RevenueSubtotalAmt
Total Revenue Per Form990$228,954TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$189,196TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$189,196ExpensesSubtotalAmt
Total Expenses Per Form990$189,196TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990FormAndLineReferenceDesc
ExplanationDifference in cost basis book vs tax $4700ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$22,447GrossReceiptsEvent1Amt
Gross Revenue Event1$22,447GrossRevenueEvent1Amt
Other Direct Expenses Event1$7,045OtherDirectExpensesEvent1Amt
Event2AuctionEvent2Nm
Gross Receipts Event2$14,196GrossReceiptsEvent2Amt
Gross Revenue Event2$14,196GrossRevenueEvent2Amt
Other Direct Expenses Event2$2,880OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$13,658GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$13,658GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$1,566OthDirectExpnssOtherEventsAmt
Gross Receipts Total$50,301GrossReceiptsTotalAmt
Gross Revenue Total Events$50,301GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$11,491OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,491DirectExpenseSummaryEventsAmt
Net Income Summary$38,810NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 reviewed by the president, executive director and treasurer before filing of return.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableCopies available upon written request to the organization.
Other Changes In Net Assets Or Fund Balances - Other DecreasesDifference in cost basis book vs tax = -$4700

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