MOLLYS HOUSE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MOLLYS HOUSE INC (EIN 65-0407242)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-04
IRS object ID
201831249349301553
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)
Return2018-05-04T16:08:41-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN721396621PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line133 SW FLAGLER AVENUEAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650407242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLLY'S HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOLLBusinessNameControlTxt
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSHAUN E WILLIAMSPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7728077013PhoneNum
Signature2018-03-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE MYERSPreparerPersonNm
PTINP00404484PTIN
Phone7722832356PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSHAUN E WILLIAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$809,720GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOLLYSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVIDES A "HOME AWAY FROM HOME" TO FAMILIES AND PATIENTS RECEIVING HEALTHCARE ON THE TREASURE COAST.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers45TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$172,948PYContributionsGrantsAmt
CY Contributions Grants$311,155CYContributionsGrantsAmt
PY Program Service Revenue$32,730PYProgramServiceRevenueAmt
CY Program Service Revenue$32,684CYProgramServiceRevenueAmt
PY Investment Income$34,321PYInvestmentIncomeAmt
CY Investment Income$46,227CYInvestmentIncomeAmt
PY Other Revenue$41,045PYOtherRevenueAmt
CY Other Revenue$64,310CYOtherRevenueAmt
PY Total Revenue$281,044PYTotalRevenueAmt
CY Total Revenue$454,376CYTotalRevenueAmt
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$209,672PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$296,280CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$1,400PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$4,155CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$159,370CYTotalFundraisingExpenseAmt
PY Other Expenses$289,715PYOtherExpensesAmt
CY Other Expenses$296,995CYOtherExpensesAmt
PY Total Expenses$500,787PYTotalExpensesAmt
CY Total Expenses$597,430CYTotalExpensesAmt
PY Revenues Less Expenses-$219,743PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$143,054CYRevenuesLessExpensesAmt
Total Assets BOY$1,797,464TotalAssetsBOYAmt
Total Assets EOY$1,657,167TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,757TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,797,464NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,654,410NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES A "HOME AWAY FROM HOME" TO FAMILIES AND PATIENTS RECEIVING HEALTHCARE ON THE TREASURE COAST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$347,537ExpenseAmt
Revenue$32,684RevenueAmt
DescHOSPITAL HOSPITALITY HOUSE THAT PROVIDES TEMPORARY HOUSING AND SERVICES FOR PATIENTS AND FAMILIES IN A MEDICAL CRISIS. PROGRAMS INCLUDE CAREGIVER RESPITE, ADOPT A FAMILY AND ART AND HEALING.Desc
Total Program Service Expenses$347,537TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 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 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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
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 Members12GoverningBodyVotingMembersCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILL WESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RYAN FURTWANGLER
DIRECTOR1.00Yes (X)$0$0$0
SHAUN WILLIAMS
PRESIDENT4.00Yes (X)$0$0$0Yes (X)
PREETHI SEKHARAN
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINE MYERS
TREASURER1.00Yes (X)$0$0$0Yes (X)
JUDGE ALAN FORST
DIRECTOR1.00Yes (X)$0$0$0
JESSICA MCLAIN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
DAN PARZ
DIRECTOR1.00Yes (X)$0$0$0
KATHRYN F PRIEST
DIRECTOR1.00Yes (X)$0$0$0
BETSY HEROLD
VICE PRESIDENT1.00Yes (X)$0$0$0Yes (X)
TAMMY MATTHEWS
DIRECTOR1.00Yes (X)$0$0$0
LLOYD ROGERS
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM WEST
CHIEF EXECUTIVE OFFICER48.00Yes (X)$91,715$0$0Yes (X)
GEORGE SELINGA
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$91,715TotalReportableCompFromOrgAmt
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
All Other Contributions$311,155AllOtherContributionsAmt
Noncash Contributions$8,718NoncashContributionsAmt
Total Contributions$311,155TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTDesc
Business624100BusinessCd
Total Revenue Column$32,684TotalRevenueColumnAmt
Related Or Exempt Func Income$32,684RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$32,684TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,468TotalRevenueColumnAmt
Exclusion$18,468ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$313,653SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$285,894SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$27,759SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,759TotalRevenueColumnAmt
Exclusion$27,759ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$133,760FundraisingGrossIncomeAmt
Fundraising Direct Expenses$69,450FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,310TotalRevenueColumnAmt
Exclusion$64,310ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$454,376TotalRevenueColumnAmt
Related Or Exempt Func Income$32,684RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$110,537ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$91,715TotalAmt
Program Services$18,343ProgramServicesAmt
Management And General$36,686ManagementAndGeneralAmt
Fundraising$36,686FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$183,292TotalAmt
Program Services$102,109ProgramServicesAmt
Management And General$19,350ManagementAndGeneralAmt
Fundraising$61,833FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,273TotalAmt
Program Services$9,317ProgramServicesAmt
Management And General$4,335ManagementAndGeneralAmt
Fundraising$7,621FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,771TotalAmt
Program Services$7,794ProgramServicesAmt
Management And General$1,313ManagementAndGeneralAmt
Fundraising$1,664FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$4,155TotalAmt
Fundraising$4,155FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,808TotalAmt
Management And General$6,808ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,111TotalAmt
Program Services$34,111ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,199TotalAmt
Program Services$11,359ProgramServicesAmt
Management And General$1,420ManagementAndGeneralAmt
Fundraising$1,420FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,738TotalAmt
Program Services$18,990ProgramServicesAmt
Management And General$2,374ManagementAndGeneralAmt
Fundraising$2,374FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$102TotalAmt
Program Services$92ProgramServicesAmt
Fundraising$10FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,321TotalAmt
Program Services$29,089ProgramServicesAmt
Management And General$3,232ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$410TotalAmt
Program Services$328ProgramServicesAmt
Management And General$41ManagementAndGeneralAmt
Fundraising$41FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$16,736TotalAmt
Program Services$14,019ProgramServicesAmt
Management And General$1,674ManagementAndGeneralAmt
Fundraising$1,043FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,991TotalAmt
Program Services$18,892ProgramServicesAmt
Management And General$2,099ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,914TotalAmt
Program Services$6,845ProgramServicesAmt
Management And General$1,632ManagementAndGeneralAmt
Fundraising$2,437FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PUBLIC RELATIONS & DEVE$52,863$42,291$5,286$5,286
SUSTAINABLE FUNDING TRA$32,418$32,418
REPAIRS & MAINTENANCE$14,129$12,716$1,413
DUES AND SUBSCRIPTIONS$12,727$10,181$1,273$1,273

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,757TotalAmt
Program Services$11,061ProgramServicesAmt
Management And General$1,587ManagementAndGeneralAmt
Fundraising$1,109FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$597,430TotalAmt
Program Services$347,537ProgramServicesAmt
Management And General$90,523ManagementAndGeneralAmt
Fundraising$159,370FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$28,722BOYAmt
EOY$49,911EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,328,400LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$544,350LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$805,041BOYAmt
EOY$784,050EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$963,701BOYAmt
EOY$823,206EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,797,464BOYAmt
EOY$1,657,167EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,757EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,757EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,797,464BOYAmt
EOY$1,654,410EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,797,464BOYAmt
EOY$1,654,410EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,797,464BOYAmt
EOY$1,657,167EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$143,054ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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 Minus4 Years$222,460CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,118CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,948CurrentTaxYearMinus1YearAmt
Current Tax Year$311,155CurrentTaxYearAmt
Total$1,053,500TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$222,460CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,118CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$172,948CurrentTaxYearMinus1YearAmt
Current Tax Year$311,155CurrentTaxYearAmt
Total$1,053,500TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$307,540SubstantialContributorsTotAmt
Public Support Total170$745,960PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,824CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$121,148CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,964CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$34,321CurrentTaxYearMinus1YearAmt
Current Tax Year$46,227CurrentTaxYearAmt
Total$397,484TotalAmt
FieldValueIRS element (for citing)
Total Support$1,450,984TotalSupportAmt
Gross Receipts Rltd Activities$643,124GrossReceiptsRltdActivitiesAmt
Public Support CY1700.51410PublicSupportCY170Pct
Public Support PY1700.53030PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,703OtherCostOrOtherBasisAmt
Book Value$408,703BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$820,830OtherCostOrOtherBasisAmt
Depreciation$445,802DepreciationAmt
Book Value$375,028BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,529OtherCostOrOtherBasisAmt
Depreciation$24,529DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,338OtherCostOrOtherBasisAmt
Depreciation$74,019DepreciationAmt
Book Value$319BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$784,050TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescNORTHERN TRUSTDesc
Book Value$823,206BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$823,206TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARD PAYABLEDesc
Amt$2,757Amt
FieldValueIRS element (for citing)
Total Liability$2,757TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1POLO EVENTEvent1Nm
Gross Receipts Event1$62,832GrossReceiptsEvent1Amt
Gross Revenue Event1$62,832GrossRevenueEvent1Amt
Rent Facility Costs Event1$13,464RentFacilityCostsEvent1Amt
Food And Beverage Event1$7,392FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$16,839OtherDirectExpensesEvent1Amt
Event2FALL EVENTEvent2Nm
Gross Receipts Event2$25,387GrossReceiptsEvent2Amt
Gross Revenue Event2$25,387GrossRevenueEvent2Amt
Rent Facility Costs Event2$2,484RentFacilityCostsEvent2Amt
Food And Beverage Event2$776FoodAndBeverageEvent2Amt
Entertainment Event2$2,990EntertainmentEvent2Amt
Other Direct Expenses Event2$5,333OtherDirectExpensesEvent2Amt
Other Events Total6OtherEventsTotalCnt
Gross Receipts Other Events$45,541GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$45,541GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$1,374RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$5,030FoodAndBeverageOtherEventsAmt
Entertainment Other Events$127EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$13,641OthDirectExpnssOtherEventsAmt
Gross Receipts Total$133,760GrossReceiptsTotalAmt
Gross Revenue Total Events$133,760GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$17,322RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,198FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,117EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$35,813OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$69,450DirectExpenseSummaryEventsAmt
Net Income Summary$64,310NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF FORM 990 WAS HELD IN THE MAIN OFFICE LOCATION. DIRECTORS WERE INFORMED OF THE COMPLETION AND FILING OF FORM 990. THE PRESIDENT, TREASURER AND FINANCE COMMITTEE REVIEWS THE ANNUAL FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR BOARD MEMBERS ARE REQUIRED TO SUBMIT NEW CONFLICT OF INTEREST FORMS AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15ANNUAL SALARY SURVEYS PROVIDE SPECIFIC COMPENSATION RANGES FOR THE EXECUTIVE DIRECTOR REVIEWED BY THE EXECUTIVE COMMITTEE. THE ANNUAL SALARY WAS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE HELD IN THE LOCATION'S MAIN OFFICE. UPON REQUEST, THESE DOCUMENTS ARE PROVIDED FOR REVIEW.

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