SERVANTS OF SHELTER OF KOOCHICHING COUNTY: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SERVANTS OF SHELTER OF KOOCHICHING COUNTY (EIN 80-0860415)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-14
- IRS object ID
- 201841349349204099
- 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 | 2018-05-14T15:45:11-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411568147 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | North Border Financial Services LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 3rd St | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56649 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800860415 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Servants of Shelter of Koochiching | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SERV | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 5th Street | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 566492215 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Etta M Johnson | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 2182852092 | PhoneNum |
| Signature | 2018-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William Higham EA | PreparerPersonNm |
| PTIN | P00092029 | PTIN |
| Phone | 2182856111 | PhoneNum |
| Preparation | 2018-05-14 | PreparationDt |
| 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-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | http://www.servantsofshelter.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $68,723 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $66,663 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $11 | InvestmentIncomeAmt |
| Sale Of Assets Gross | $927 | SaleOfAssetsGrossAmt |
| Gain Or Loss From Sale Of Assets | $927 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $447 | FundraisingGrossIncomeAmt |
| Special Events Net Income Loss | $447 | SpecialEventsNetIncomeLossAmt |
| Other Revenue Total | $675 | OtherRevenueTotalAmt |
| Total Revenue | $68,723 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $19,376 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $420 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $24,011 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $7,155 | OtherExpensesTotalAmt |
| Total Expenses | $50,962 | TotalExpensesAmt |
| Excess Or Deficit For Year | $17,761 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $22,482 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,243 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,950 | BOYAmt |
| EOY | $22,804 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $67,078 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $532 | BOYAmt |
| EOY | $319 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,482 | BOYAmt |
| EOY | $90,201 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $49,958 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,482 | BOYAmt |
| EOY | $40,243 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Provide Temporary Shelter | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | Provided almost 1500 Stays in 2017 a nearly 150 increase from 2016 | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $35,200 | GrantsAndAllocationsAmt |
| Program Service Expenses | $26,057 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,057 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (8 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Pat Bjorum | ||||
| Vice Chairperson | 5.00 | $0 | $0 | $0 |
| Mel Mattson | ||||
| Chairperson | 5.00 | $0 | $0 | $0 |
| Tom Iffert | ||||
| Secretary | 5.00 | $0 | $0 | $0 |
| Etta M Johnson-Millard | ||||
| Treasurer | 5.00 | $0 | $0 | $0 |
| Cynthia Warren | ||||
| Case Worker | 35.00 | $5,179 | $0 | $0 |
| Paula Valentine | ||||
| Board Member | 2.00 | $0 | $0 | $0 |
| Dianne Briggs | ||||
| Board Member | 2.00 | $0 | $0 | $0 |
| Arianna Daniel | ||||
| Executive Director | 35.00 | $13,415 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Pat Bjorum | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 5th Street | AddressLine1Txt |
| City | International Falls | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 566492215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2183242543 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,427 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,282 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,674 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,338 | CurrentTaxYearAmt |
| Total | $138,245 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,512 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $883 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $406 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $730 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,374 | CurrentTaxYearAmt |
| Total | $4,905 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,407 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,688 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,404 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,712 | CurrentTaxYearAmt |
| Total | $143,150 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $143,150 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11 | CurrentTaxYearAmt |
| Total | $15 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11 | CurrentTaxYearAmt |
| Total | $15 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,689 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,406 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,723 | CurrentTaxYearAmt |
| Total | $143,165 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Description of other revenue Part I line 8 | Description AmountUnidentified Deposit 5-24-17 675 |
| Description of other expenses Part I line 16 | Description AmountDepreciation from 4562 1,235Advertising 700Supplies 324Bus Reg and HMIS Fees 395Office Phone 520Insurance 3,412Fundraising Expenses 569 |
| Description of other assets Part II line 24 | Category Beginning of Year End of YearComputer Equipment 532 319 |
| Description of total liabilities Part II line 26 | Category Beginning of Year End of YearMortgage 0 49,958 |
Comments