FIREFIGHTERS FOR HEALING: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FIREFIGHTERS FOR HEALING (EIN 80-0717709)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-15
IRS object ID
201821359349311227
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)
Return2018-05-15T16:16:49-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN411431613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGANKDV LTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 PARK AVE SOUTHAddressLine1Txt
CityST CLOUDCityNm
State AbbreviationMNStateAbbreviationCd
ZIP56301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800717709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FIREFIGHTERS FOR HEALINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFIREBusinessNameControlTxt
Phone6127015055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJACOB LAFERRIEREPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6127015055PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARIE A SCHMITZ CPAPreparerPersonNm
PTINP01272184PTIN
Phone3202517010PhoneNum
Preparation2018-05-15PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerJACOB LAFERRIEREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$593,517GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FIREFIGHTERSFORHEALING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateMNLegalDomicileStateCd
Activity Or MissionIDENTIFY AND SUPPORT FAMILIES AND INDIVIDUALS IMPACTED BY FIRES, VIA FINANCIAL ASSISTANCE AND PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$94,446PYContributionsGrantsAmt
CY Contributions Grants$416,616CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$76PYInvestmentIncomeAmt
CY Investment Income$154CYInvestmentIncomeAmt
PY Other Revenue$46,839PYOtherRevenueAmt
CY Other Revenue$50,520CYOtherRevenueAmt
PY Total Revenue$141,361PYTotalRevenueAmt
CY Total Revenue$467,290CYTotalRevenueAmt
PY Grants And Similar Paid$24,130PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$32,155CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$41,506PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$43,299CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,680CYTotalFundraisingExpenseAmt
PY Other Expenses$33,171PYOtherExpensesAmt
CY Other Expenses$86,788CYOtherExpensesAmt
PY Total Expenses$98,807PYTotalExpensesAmt
CY Total Expenses$162,242CYTotalExpensesAmt
PY Revenues Less Expenses$42,554PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$305,048CYRevenuesLessExpensesAmt
Total Assets BOY$201,894TotalAssetsBOYAmt
Total Assets EOY$510,900TotalAssetsEOYAmt
Total Liabilities BOY$9,875TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,833TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$192,019NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$497,067NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT CHILDREN AND BURN SURVIVORS IN WAYS THAT INSURANCE COMPANIES AND CARETAKERS ARE UNABLE TO.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$76,145ExpenseAmt
Grant$387GrantAmt
DescCAMP RED IS AN OVERNIGHT CAMP FOR BURN SURVIVORS BETWEEN 6 - 16 YEARS OF AGE WHO WANT TO HAVE THE OPPORTUNITY TO LIVE BEYOND THE SCARS AND TO BE KIDS. CAMP RED OFFERS A VARIETY OF ACTIVE AND PASSIVE ACTIVITIES IN THE MOST BEAUTIFUL SETTING, INCLUDING CANOEING, ARCHERY, TRUST, SWIMMING, BOATING, HORSEBACK RIDING AND MORE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$44,320ExpenseAmt
Grant$31,768GrantAmt
DescFINANCIAL SUPPORT AND AID OUTSIDE OF INSURANCE TO REGIONAL BURN UNITS, BURN SURVIVORS AND THEIR FAMILIES BY PROVIDING HOUSING, TRANSITIONAL CARE, NECESSITIES, AND TRANSPORTATION AS INDIVIDUALS ARE BEING TREATED AND RECOVERING FROM BURNS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$120,465TotalProgramServiceExpensesAmt
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 ActivitiesYes (1)GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Document3IRPDocumentCnt
IRP Document W2 G1IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJACOB LAFERRIEREPersonNm
Phone6127015055PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 374AddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JACOB LAFERRIERE
CHAIR/EXECUTIVE DIRECTOR50.00Yes (X)Yes (X)$40,000$0$0
CHRIS DUNKER
VICE CHAIR25.00Yes (X)Yes (X)$0$0$0
JAKE HONMYHR
SECRETARY5.00Yes (X)Yes (X)$0$0$0
KATIE LANDWEHR
TREASURER5.00Yes (X)Yes (X)$0$0$0
RON MEUSER
DIRECTOR3.00Yes (X)$0$0$0
GRANT BERNARDY
DIRECTOR3.00Yes (X)$0$0$0
ANGIE HUNTER
DIRECTOR5.00Yes (X)$0$0$0
JENNA COLVIN
DIRECTOR5.00Yes (X)$0$0$0
JOHN SCOTT
DIRECTOR1.00Yes (X)$0$0$0
RON JOHNSON
DIRECTOR1.00Yes (X)$0$0$0
LAURIE RENGEL
DIRECTOR1.00Yes (X)$0$0$0
PAULA WILHELM
DIRECTOR10.00Yes (X)$0$0$0
SARAH MOHR
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$40,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$109,550FundraisingAmt
All Other Contributions$307,066AllOtherContributionsAmt
Noncash Contributions$21,499NoncashContributionsAmt
Total Contributions$416,616TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$154TotalRevenueColumnAmt
Exclusion$154ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$156,817FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$109,550ContriRptFundraisingEventAmt
Fundraising Direct Expenses$113,690FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,127TotalRevenueColumnAmt
Exclusion$43,127ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$19,930GamingGrossIncomeAmt
Gaming Direct Expenses$12,537GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,393TotalRevenueColumnAmt
Exclusion$7,393ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,290TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$50,674ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$27,394TotalAmt
Program Services$27,394ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$4,761TotalAmt
Program Services$4,761ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$40,000TotalAmt
Program Services$20,000ProgramServicesAmt
Management And General$6,000ManagementAndGeneralAmt
Fundraising$14,000FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,299TotalAmt
Program Services$2,027ProgramServicesAmt
Management And General$326ManagementAndGeneralAmt
Fundraising$946FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,299TotalAmt
Program Services$170ProgramServicesAmt
Management And General$1,129ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,500TotalAmt
Program Services$6,500ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,684TotalAmt
Program Services$10,164ProgramServicesAmt
Management And General$76ManagementAndGeneralAmt
Fundraising$5,444FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,579TotalAmt
Program Services$13,004ProgramServicesAmt
Management And General$1,274ManagementAndGeneralAmt
Fundraising$5,301FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,149TotalAmt
Program Services$5,682ProgramServicesAmt
Management And General$448ManagementAndGeneralAmt
Fundraising$3,019FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,876TotalAmt
Program Services$3,321ProgramServicesAmt
Management And General$1,585ManagementAndGeneralAmt
Fundraising$1,970FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$234TotalAmt
Management And General$234ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,350TotalAmt
Program Services$1,350ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM RENTAL$26,062$26,062
TAXES AND LICENSES$55$30$25$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$162,242TotalAmt
Program Services$120,465ProgramServicesAmt
Management And General$11,097ManagementAndGeneralAmt
Fundraising$30,680FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$201,894BOYAmt
EOY$329,689EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$151,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$6,046EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$21,499EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,400LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$234LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,166EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$201,894BOYAmt
EOY$510,900EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,875BOYAmt
EOY$13,833EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,875BOYAmt
EOY$13,833EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$192,019BOYAmt
EOY$315,067EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$182,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$192,019BOYAmt
EOY$497,067EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$201,894BOYAmt
EOY$510,900EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$305,048ReconcilationRevenueExpnssAmt
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 Minus2 Years$64,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,446CurrentTaxYearMinus1YearAmt
Current Tax Year$416,616CurrentTaxYearAmt
Total$575,470TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$64,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$94,446CurrentTaxYearMinus1YearAmt
Current Tax Year$416,616CurrentTaxYearAmt
Total$575,470TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$78,059SubstantialContributorsTotAmt
Public Support Total170$497,411PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$43CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76CurrentTaxYearMinus1YearAmt
Current Tax Year$154CurrentTaxYearAmt
Total$273TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$88,626CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,839CurrentTaxYearMinus1YearAmt
Current Tax Year$50,520CurrentTaxYearAmt
Total$185,985TotalAmt
FieldValueIRS element (for citing)
Total Support$761,728TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,400OtherCostOrOtherBasisAmt
Depreciation$234DepreciationAmt
Book Value$2,166BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,166TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1RED TIE GALAEvent1Nm
Gross Receipts Event1$247,867GrossReceiptsEvent1Amt
Charitable Contri Event1$109,550CharitableContriEvent1Amt
Gross Revenue Event1$138,317GrossRevenueEvent1Amt
Non Cash Prizes Event1$15,359NonCashPrizesEvent1Amt
Rent Facility Costs Event1$48,376RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,479FoodAndBeverageEvent1Amt
Entertainment Event1$4,375EntertainmentEvent1Amt
Other Direct Expenses Event1$41,006OtherDirectExpensesEvent1Amt
Event2BP GOLF OUTINGEvent2Nm
Gross Receipts Event2$18,500GrossReceiptsEvent2Amt
Gross Revenue Event2$18,500GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,095OtherDirectExpensesEvent2Amt
Gross Receipts Total$266,367GrossReceiptsTotalAmt
Charitable Contributions Tot$109,550CharitableContributionsTotAmt
Gross Revenue Total Events$156,817GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$15,359NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$48,376RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,479FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,375EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$44,101OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$113,690DirectExpenseSummaryEventsAmt
Net Income Summary$43,127NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Gross Revenue Other Gaming$19,930GrossRevenueOtherGamingAmt
Cash Prizes Other Gaming$10,000CashPrizesOtherGamingAmt
Oth Direct Expnss Other Gaming$2,537OthDirectExpnssOtherGamingAmt
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming$19,930GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$10,000CashPrizesTotalGamingAmt
Oth Direct Expnss Total Gaming$2,537OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$12,537DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$7,393NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedMNStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With NonmembersYes (1)GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksJACOB LAFERRIEREIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line112104 YUKON AVENUE NAddressLine1Txt
CityCHAMPLINCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55316ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmt
CHRISTMAS BLESSING55$6,455
HOTEL STAYS19$2,916
GIFTS FOR FAMILIES65$18,023

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationASSISTANCE IS GIVEN BASED ON NEED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE TREASURER BEFORE FILING TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD REVIEWS AND VOTES ON THE EXECUTIVE DIRECTOR'S COMPENSATION ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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