THE LAZARUS HOUSE A CENTER FOR WELLNESS: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- THE LAZARUS HOUSE A CENTER FOR WELLNESS (EIN 76-0693417)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-15
- IRS object ID
- 201831359349313243
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T16:22:17-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KATHY PLOCH CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 820182 | AddressLine1Txt |
| City | HOUSTON | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 772820182 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 760693417 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Lazarus House A Center for Wellness | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAZA | BusinessNameControlTxt |
| Phone | 7135265071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4106 Austin St | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77004 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE SAMPEY | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7135265071 | PhoneNum |
| Signature | 2018-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHY PLOCH | PreparerPersonNm |
| PTIN | P00158545 | PTIN |
| Phone | 8322300967 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DANIELLE SAMPEY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4106 Austin | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $200,895 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.thelazarushouse.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | THE LAZARUS HOUSE IS DEDICATED TO DECREASING & LIMITING THE EFFECTS OF DISEASE RELATED WASTING CACHEXIA, THROUGH LOW COST SERVICES OF WELLNESS, NUTRITION & SUPPORT IN A NON | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 8 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $115,207 | PYContributionsGrantsAmt |
| CY Contributions Grants | $91,479 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $60,995 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,689 | CYProgramServiceRevenueAmt |
| PY Investment Income | $162 | PYInvestmentIncomeAmt |
| CY Investment Income | $123 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,501 | PYOtherRevenueAmt |
| CY Other Revenue | $46,477 | CYOtherRevenueAmt |
| PY Total Revenue | $218,865 | PYTotalRevenueAmt |
| CY Total Revenue | $195,768 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $168,665 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $163,480 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $179 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $45,989 | PYOtherExpensesAmt |
| CY Other Expenses | $44,339 | CYOtherExpensesAmt |
| PY Total Expenses | $214,833 | PYTotalExpensesAmt |
| CY Total Expenses | $207,819 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,032 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,051 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $403,347 | TotalAssetsBOYAmt |
| Total Assets EOY | $383,134 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $174,037 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $166,334 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $229,310 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $216,800 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The Lazarus House is dedicated to | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $186,112 | ExpenseAmt |
| Revenue | $57,689 | RevenueAmt |
| Desc | WELLNESS PROGRAM: PROVIDED A LOW COST PROGRAM OF WELLNESS FOR INDIVIDUALS SUFFERING FROM DISEASE RELATED MUSCLE LOSS, OR CACHEXIA. WE PROVIDED AN EXERCISE PROGRAM THAT UTILIZED PROGRESSIVE RESISTANCE TRAINING TO ADDRESS & ATTENUATE DISEASE RELATED MUSCLE LOSS, CARDIOPULMONARY TRAINING TO INCREASE ENDURANCE & ADDRESS DYSMORPHIC ISSUES ASSOCIATED WITH SOME MEDICATIONS, & NUTRITIONAL COUNSELING TO ENCOURAGE OPTIMAL MUSCLE GROWTH. CERTIFIED PERSONAL TRAINERS PROVIDED RESEARCHED & DISEASE SPECIFIC EXERCISE TRAINING SESSION. PROGRESS WAS DOCUMENTEED THROUGH A SERIES OF MEASUREMENTS TAKEN BEFORE INITIATION, AT 6 WEEKS, & UPON COMPLETION. MEASUREMENTS DEMONSTRATED THAT CLIENTS, ON AVERAGE, GAINED MUSCLE & REFLECTED A DECREASE IN MUSCULAR WASTING. WE WORKED WITH AN AVERAGE OF 53 CLIENTS, ADOLESCENT & ADULTS, THREE TIMES WEEKLY IN 2017. CLIENTS PRESENTED WITH VARY ETIOLOGIES & DEGRESS OF CACHEXIA. DISEASE RELATED MUSCLE LOSS ADDRESSED AT THE LAZARUS HOUSE INVOLVED CLIENTS WHO SUFFERED FROM HIV/AIDS, CANCER & SPINAL TRAUMA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROVIDED LECTURES FOR COMMUNITY ORGANIZATIONS, FREE OF CHARGE, OFFERING INFORMATION ABOUT EXERCISE AND DISEASE RELATED WASTING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $186,112 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 8 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIELLE SAMPEY | PersonNm |
| Phone | 7135265071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4106 Austin | AddressLine1Txt |
| City | Houston | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 77004 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| TINO RAMIREZ | ||||||
| President | 7.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER DENMAN | ||||||
| Director | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DAVID GOODING | ||||||
| Secretary | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JULIA MACIAS | ||||||
| Director | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MELISSA WILSON | ||||||
| Honorary Member | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SANDY STACY | ||||||
| Director | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DANIELLE SAMPY | ||||||
| Executive Director | 40.00 | Yes (X) | $42,037 | $0 | $0 | |
| DANIELLE MULVIHILL | ||||||
| Treasurer | 3.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $42,037 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $91,479 | AllOtherContributionsAmt |
| Total Contributions | $91,479 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Client fee | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $57,689 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,689 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $123 | TotalRevenueColumnAmt |
| Exclusion | $123 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $51,604 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $5,127 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,477 | TotalRevenueColumnAmt |
| Exclusion | $46,477 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,768 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,689 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $46,600 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,037 | TotalAmt |
| Program Services | $29,426 | ProgramServicesAmt |
| Management And General | $12,611 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,969 | TotalAmt |
| Program Services | $109,969 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,474 | TotalAmt |
| Program Services | $10,509 | ProgramServicesAmt |
| Management And General | $965 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,327 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $7,327 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,923 | TotalAmt |
| Program Services | $17,923 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,348 | TotalAmt |
| Program Services | $7,348 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,340 | TotalAmt |
| Program Services | $4,340 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,642 | TotalAmt |
| Program Services | $4,838 | ProgramServicesAmt |
| Management And General | $804 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Membership | $209 | $209 | $0 | $0 |
| Continuing education | $1,550 | $1,550 | $0 | $0 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,819 | TotalAmt |
| Program Services | $186,112 | ProgramServicesAmt |
| Management And General | $21,707 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,282 | BOYAmt |
| EOY | $149,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $270,497 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $36,429 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $224,065 | BOYAmt |
| EOY | $234,068 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,347 | BOYAmt |
| EOY | $383,134 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,037 | BOYAmt |
| EOY | $166,334 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,037 | BOYAmt |
| EOY | $166,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,310 | BOYAmt |
| EOY | $216,800 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,310 | BOYAmt |
| EOY | $216,800 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,347 | BOYAmt |
| EOY | $383,134 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$12,051 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$459 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $174,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $98,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,207 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,082 | CurrentTaxYearAmt |
| Total | $662,640 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $174,053 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $98,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $132,207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $115,207 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,082 | CurrentTaxYearAmt |
| Total | $662,640 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $115,836 | SubstantialContributorsTotAmt |
| Public Support Total170 | $546,804 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $458 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $458 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $162 | CurrentTaxYearAmt |
| Total | $1,078 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $663,718 | TotalSupportAmt |
| Public Support CY170 | 0.82380 | PublicSupportCY170Pct |
| Public Support PY170 | 0.81380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $153,866 | OtherCostOrOtherBasisAmt |
| Book Value | $153,866 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $84,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,514 | DepreciationAmt |
| Book Value | $77,692 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,425 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,915 | DepreciationAmt |
| Book Value | $2,510 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $234,068 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | AIDS Walk | Event1Nm |
| Gross Receipts Event1 | $19,065 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $19,065 | GrossRevenueEvent1Amt |
| Event2 | ERSICSS | Event2Nm |
| Gross Receipts Event2 | $15,038 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $15,038 | GrossRevenueEvent2Amt |
| Gross Receipts Total | $34,103 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $34,103 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $34,103 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Report is e-mailed to board members. |
| Pt VI, Line 15a | The United Way Compensation Survey is used. |
| Pt VI, Line 15b | The United Way Compensaion Survey is used. |
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