CLUB PURE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CLUB PURE INC (EIN 46-3277220)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201822279349302452
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)
Return2018-08-15T13:18:13-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201277979PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERGER TOOMBS ELAM GAINES & FRANKBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 CITRUS AVENUE SUITE 200AddressLine1Txt
CityFT PIERCECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34950ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463277220EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLUB PURE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLUBBusinessNameControlTxt
Phone7724290031PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13731 OLEANDER AVENUEAddressLine1Txt
CityFORT PIERCECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34982ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMISTY KHOURYPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7724290031PhoneNum
Signature2018-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID MCGUIREPreparerPersonNm
PTINP00449927PTIN
Phone7724616120PhoneNum
Preparation2018-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMISTY KHOURYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13731 OLEANDER AVEAddressLine1Txt
CityFORT PIERCECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34982ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,588,950GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLUBPURE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionCLUB PURE IS COMMITTED TO REACH THE NEXT GENERATION THROUGH THE ARTS, OFFER PROGRAMS THAT ENCOURAGE PERSONAL DEVELOPMENT AND IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS OFFER SERVICES TO STRENGTHAN FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee73TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$165,358PYContributionsGrantsAmt
CY Contributions Grants$215,397CYContributionsGrantsAmt
PY Program Service Revenue$1,289,271PYProgramServiceRevenueAmt
CY Program Service Revenue$1,371,381CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$8,973PYOtherRevenueAmt
CY Other Revenue$2,172CYOtherRevenueAmt
PY Total Revenue$1,463,602PYTotalRevenueAmt
CY Total Revenue$1,588,950CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$728,605PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$807,113CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,008CYTotalFundraisingExpenseAmt
PY Other Expenses$654,696PYOtherExpensesAmt
CY Other Expenses$749,383CYOtherExpensesAmt
PY Total Expenses$1,383,301PYTotalExpensesAmt
CY Total Expenses$1,556,496CYTotalExpensesAmt
PY Revenues Less Expenses$80,301PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,454CYRevenuesLessExpensesAmt
Total Assets BOY$169,663TotalAssetsBOYAmt
Total Assets EOY$204,109TotalAssetsEOYAmt
Total Liabilities BOY$5,729TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,721TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$163,934NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$196,388NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCLUB PURE IS COMMITTED TO REACH THE NEXT GENERATION THROUGH THE ARTS, OFFER PROGRAMS THAT ENCOURAGE PERSONAL DEVELPMENT AND IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS OFFER SERVICES TO STRENGTHAN FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$893,758ExpenseAmt
Revenue$1,009,744RevenueAmt
DescAFTER SCHOOL CAREDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$111,486ExpenseAmt
Revenue$111,486RevenueAmt
DescPROJECT ROCKDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$320,097ExpenseAmt
Revenue$363,789RevenueAmt
DescOTHER YOUTH PROGRAMSDesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescOTHER YOUTH PROGRAMSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,325,341TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee73EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7724290031PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13731 OLEANDER AVEAddressLine1Txt
CityFORT PIERCECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34982ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MISTY KHOURY
PRESIDENT40.00Yes (X)Yes (X)$40,500$0$797
NICOLAS KHOURY
EXECUTIVE DIRECTOR40.00Yes (X)Yes (X)$67,500$0$999
WAYNE LOWE
DIRECTOR2.00Yes (X)Yes (X)$0$0$0
KEVIN KRUEGER
DIRECTOR2.00Yes (X)$0$0$0
EVELYN STOVER
DIRECTOR2.00Yes (X)$0$0$0
ALEXIS LOCKHART
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$108,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,796TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$117,713GovernmentGrantsAmt
All Other Contributions$97,684AllOtherContributionsAmt
Total Contributions$215,397TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business611600BusinessCd
Total Revenue Column$1,371,381TotalRevenueColumnAmt
Related Or Exempt Func Income$1,371,381RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,371,381TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$2,172TotalRevenueColumnAmt
Related Or Exempt Func Income$2,172RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,172OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,588,950TotalRevenueColumnAmt
Related Or Exempt Func Income$1,373,553RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$735,139TotalAmt
Program Services$619,354ProgramServicesAmt
Management And General$110,271ManagementAndGeneralAmt
Fundraising$5,514FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$71,974TotalAmt
Program Services$60,638ProgramServicesAmt
Management And General$10,796ManagementAndGeneralAmt
Fundraising$540FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,703TotalAmt
Program Services$7,333ProgramServicesAmt
Management And General$1,305ManagementAndGeneralAmt
Fundraising$65FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,435TotalAmt
Program Services$5,422ProgramServicesAmt
Management And General$965ManagementAndGeneralAmt
Fundraising$48FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$338,833TotalAmt
Program Services$285,467ProgramServicesAmt
Management And General$50,825ManagementAndGeneralAmt
Fundraising$2,541FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,074TotalAmt
Program Services$12,700ProgramServicesAmt
Management And General$2,261ManagementAndGeneralAmt
Fundraising$113FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,839TotalAmt
Program Services$18,399ProgramServicesAmt
Management And General$3,276ManagementAndGeneralAmt
Fundraising$164FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$38,755TotalAmt
Program Services$32,651ProgramServicesAmt
Management And General$5,813ManagementAndGeneralAmt
Fundraising$291FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$96,338$81,164$14,451$723
CAMP ACTIVITIES$88,855$88,855
REPAIRS AND MAINTENANCE$54,404$45,835$8,161$408
FOOD$22,261$18,755$3,339$167

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$57,886TotalAmt
Program Services$48,768ProgramServicesAmt
Management And General$8,684ManagementAndGeneralAmt
Fundraising$434FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,556,496TotalAmt
Program Services$1,325,341ProgramServicesAmt
Management And General$220,147ManagementAndGeneralAmt
Fundraising$11,008FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$61,380BOYAmt
EOY$55,265EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$185,690LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,846LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$108,283BOYAmt
EOY$148,844EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$169,663BOYAmt
EOY$204,109EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,729BOYAmt
EOY$7,721EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,729BOYAmt
EOY$7,721EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$163,934BOYAmt
EOY$196,388EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$163,934BOYAmt
EOY$196,388EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,663BOYAmt
EOY$204,109EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$32,454ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$723,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,425,699CurrentTaxYearMinus1YearAmt
Current Tax Year$1,588,950CurrentTaxYearAmt
Total$4,608,108TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$723,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,425,699CurrentTaxYearMinus1YearAmt
Current Tax Year$1,588,950CurrentTaxYearAmt
Total$4,608,108TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,608,108PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$723,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$870,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,425,699CurrentTaxYearMinus1YearAmt
Current Tax Year$1,588,950CurrentTaxYearAmt
Total$4,608,108TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$108,216InvestmentCostOrOtherBasisAmt
Depreciation$16,211DepreciationAmt
Book Value$92,005BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$77,474InvestmentCostOrOtherBasisAmt
Depreciation$20,635DepreciationAmt
Book Value$56,839BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$148,844TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,588,950TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,588,950RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,588,950TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,556,496TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,556,496ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,556,496TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationNO UNCERTAIN TAX POSITIONS TAKEN UNDER FIN 48.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COME AS YOU ARE CHURCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionHUSBAND OF DIRECTOR IS THE PASTOR AT COME AS YOU ARE CHURCHRelationshipDescriptionTxt
Transaction$314,084TransactionAmt
TransactionOCCUPANCY EXPENSESTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2TWO EMPLOYEES' SPOUSES ARE ON THE BOARD
Form 990, Part VI, Section B, line 11bA COPY IS FURNISHED TO EACH MEMBER OF THE BOARD FOR REVIEW BEFORE SUBMISSION.
Form 990, Part VI, Section B, line 12cALL BOARD MEMBERS DISCLOSE CONFLICTS OF INTEREST ANUALLY.
Form 990, Part VI, Section C, line 19UPON REQUEST

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CAYACBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13731 OLEANDER AVE 109AddressLine1Txt
CityFORT PIERCECityNm
State AbbreviationFLStateAbbreviationCd
ZIP34982ZIPCd
FieldValueIRS element (for citing)
EIN261652386EIN
Primary ActivitiesCHURCHPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Exempt Code Section501(C)ExemptCodeSectionTxt
Public Charity StatusLine 1PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CYACBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$314,084InvolvedAmt
Method Of Amount DeterminationOPERATING AGREEMENTMethodOfAmountDeterminationTxt

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