OUR LADY OF PEACE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- OUR LADY OF PEACE (EIN 41-1306947)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-13
- IRS object ID
- 201810449349300931
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-13T16:30:07-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411306947 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OUR LADY OF PEACE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OURL | BusinessNameControlTxt |
| Phone | 6516462797 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2076 ST ANTHONY AVENUE | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55104 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH STANISLAV | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6516462797 | PhoneNum |
| Signature | 2018-02-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILY SCHEEVEL | PreparerPersonNm |
| PTIN | P01814921 | PTIN |
| Phone | 6123764500 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-07 | IPDt |
| IP Tm | 11:37:31 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5BFE7676D8EC5C242CDF9839AF96295FEEFA7AB1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EBEE287E33E96648CC6A3EE9C63DC9C884B051E2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSEPH STANISLAV | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2076 ST ANTHONY AVENUE | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,906,170 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OURLADYOFPEACEMN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE END OF LIFE CARE TO PATIENTS WITH LIMITED FINANCIAL RESOURCES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 146 | TotalEmployeeCnt |
| Total Volunteers | 618 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,918,997 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,828,424 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,080,725 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,275,172 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,369,811 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,232,382 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$21,212 | PYOtherRevenueAmt |
| CY Other Revenue | -$35,407 | CYOtherRevenueAmt |
| PY Total Revenue | $6,348,321 | PYTotalRevenueAmt |
| CY Total Revenue | $7,300,571 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,121,217 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,848,250 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $10,240 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $540 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,675,540 | PYOtherExpensesAmt |
| CY Other Expenses | $1,775,851 | CYOtherExpensesAmt |
| PY Total Expenses | $6,806,997 | PYTotalExpensesAmt |
| CY Total Expenses | $7,624,101 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$458,676 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$323,530 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,882,246 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,856,740 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $498,366 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $561,292 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,383,880 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,295,448 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IN THE CATHOLIC TRADITION, OUR LADY OF PEACE CONTINUES THE HEALING MINISTRY OF JESUS BY PROMOTING WELLNESS IN BODY, MIND AND SPIRIT IN OUR SERVICES TO SENIORS OF ALL FAITHS AND THEIR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,597,409 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,076,548 | RevenueAmt |
| Desc | HOSPICE - OUR LADY OF PEACE OFFERS HOSPICE SERVICES TO THOSE IN NEED WHO ARE LIVING AT HOME, IN SENIOR COMMUNITIES, IN LONG-TERM CARE FACILITIES, AND AT OUR LADY OF PEACE RESIDENTIAL HOSPICE. OUR HOSPICE CARE TEAM MAKES OUR PATIENTS' FINAL DAYS, WEEKS OR MONTHS AS PEACEFUL AND COMFORTABLE AS POSSIBLE.WE PROVIDE A WIDE RANGE OF CARE OPTIONS - INCLUDING SKILLED NURSING, PAIN AND SYMPTOM MANAGEMENT, SPIRITUAL CARE, SOCIAL SERVICES, BEREAVEMENT SUPPORT, MASSAGE THERAPY, MUSIC THERAPY, VOLUNTEER SERVCIES AND MORE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $202,127 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $158,887 | RevenueAmt |
| Desc | HIGHLAND BLOCK NURSE - PROVIDES SUPPORT TO THE ELDERLY LIVING IN THE HIGHLAND PARK NEIGHBORHOOD OF ST. PAUL, MINNESOTA. THEY PROVIDE RIDES TO DOCTOR VISITS, SET UP MEDICATIONS, GIVE BATHS, AND ALSO PROVIDE CAREGIVER RESPITE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $115,430 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $39,737 | RevenueAmt |
| Desc | HOME CARE - OFFERING A WIDE RANGE OF IN-HOME SERVICES; INCLUDING SKILLED NURSING, WOUND CARE, PHYSICAL AND OCCUPATIONAL THERAPY, MEDICATION MANAGEMENT, PALLIATIVE CARE AND MORE. EVERYTHING WE DO IS AIMED AT IMPROVING PHYSICAL AND EMOTIONAL WELL-BEING, PROTECTING DIGNITY AND MAKING LIFE AT HOME MORE MANAGEABLE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,914,966 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 21 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 146 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEILA BETHKE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6517895020 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2076 SAINT ANTHONY AVE | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55104 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| EDWIN MARTINI | ||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEVE SIMS | ||||||
| VICE CHAIR OF THE BOARD | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARK MEYER | ||||||
| TREASURER OF THE BOARD | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARIAN ADCOCK | ||||||
| SECRECARY OF THE BOARD | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MONA FREEBERG | ||||||
| FORMER TREASURER OF THE BOARD | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELIZABETH HALLORAN | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALEXANDRA KLAS | ||||||
| FORMER BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STEWART LAIRD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| FR JOHN MALONE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM MILLER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH PAONE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIEL SEVENICH | ||||||
| FORMER BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGIE SWETLAND | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CARRIE TREPTOW | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM VOGT | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KIM WEBSTER | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LAURA ZDYCHNEC | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN ZOBEL | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH STANISLAV | ||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $169,158 | $0 | $19,584 | |
| SHEILA BETHKE | ||||||
| CONTROLLER | 40.00 | Yes (X) | $97,271 | $0 | $3,685 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $266,429 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $23,269 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $292,952 | FundraisingAmt |
| Government Grants | $71,174 | GovernmentGrantsAmt |
| All Other Contributions | $1,464,298 | AllOtherContributionsAmt |
| Total Contributions | $1,828,424 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPICE | 624100 | $4,076,548 | $4,076,548 |
| NURSING SERVICES | 623000 | $158,887 | $158,887 |
| HOME HEALTH | 621610 | $39,737 | $39,737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,275,172 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $429,402 | TotalRevenueColumnAmt |
| Exclusion | $429,402 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,350,316 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $547,336 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $802,980 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $802,980 | TotalRevenueColumnAmt |
| Exclusion | $802,980 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $9,350 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $292,952 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $58,263 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$48,913 | TotalRevenueColumnAmt |
| Exclusion | -$48,913 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $4,295 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,295 | TotalRevenueColumnAmt |
| Exclusion | $4,295 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| BARBER/BEAUTY SHOP | 900099 | $4,946 | $4,946 |
| MISCELLANEOUS INCOME | 900099 | $4,265 | $4,265 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $9,211 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,300,571 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,275,172 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,196,975 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $312,405 | TotalAmt |
| Management And General | $312,405 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,299,723 | TotalAmt |
| Program Services | $3,667,915 | ProgramServicesAmt |
| Management And General | $631,808 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,001 | TotalAmt |
| Program Services | $57,002 | ProgramServicesAmt |
| Management And General | $12,999 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,337 | TotalAmt |
| Program Services | $685,101 | ProgramServicesAmt |
| Management And General | $156,236 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,784 | TotalAmt |
| Program Services | $264,472 | ProgramServicesAmt |
| Management And General | $60,312 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,122 | TotalAmt |
| Management And General | $41,122 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,073 | TotalAmt |
| Management And General | $20,073 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $504,467 | TotalAmt |
| Program Services | $426,231 | ProgramServicesAmt |
| Management And General | $78,236 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,925 | TotalAmt |
| Program Services | $43,351 | ProgramServicesAmt |
| Management And General | -$25,426 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,321 | TotalAmt |
| Program Services | $23,201 | ProgramServicesAmt |
| Management And General | $75,580 | ManagementAndGeneralAmt |
| Fundraising | $540 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,463 | TotalAmt |
| Program Services | $376 | ProgramServicesAmt |
| Management And General | $52,087 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,899 | TotalAmt |
| Program Services | $76,251 | ProgramServicesAmt |
| Management And General | $54,648 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,495 | TotalAmt |
| Program Services | $1,302 | ProgramServicesAmt |
| Management And General | $55,193 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,306 | TotalAmt |
| Program Services | $95 | ProgramServicesAmt |
| Management And General | $16,211 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,692 | TotalAmt |
| Program Services | $110,780 | ProgramServicesAmt |
| Management And General | $83,912 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,656 | TotalAmt |
| Program Services | $18,581 | ProgramServicesAmt |
| Management And General | $14,075 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EQUIPMENT RENTAL/REPAIR | $218,350 | $200,523 | $17,827 |
| MEDICAL SUPPLIES | $130,021 | $129,421 | $600 |
| THERAPY EXPENSES | $115,212 | $115,212 | |
| FOOD | $51,669 | $51,669 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,180 | TotalAmt |
| Program Services | $43,483 | ProgramServicesAmt |
| Management And General | $50,697 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,624,101 | TotalAmt |
| Program Services | $5,914,966 | ProgramServicesAmt |
| Management And General | $1,708,595 | ManagementAndGeneralAmt |
| Fundraising | $540 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103 | BOYAmt |
| EOY | $103 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $355,773 | BOYAmt |
| EOY | $297,439 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,970 | BOYAmt |
| EOY | $23,345 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $538,819 | BOYAmt |
| EOY | $593,001 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,920 | BOYAmt |
| EOY | $9,085 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,976 | BOYAmt |
| EOY | $21,624 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,310,473 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,802,075 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,554 | BOYAmt |
| EOY | $1,508,398 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,918,135 | BOYAmt |
| EOY | $17,045,838 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $392,996 | BOYAmt |
| EOY | $357,907 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,882,246 | BOYAmt |
| EOY | $19,856,740 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,366 | BOYAmt |
| EOY | $561,292 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $498,366 | BOYAmt |
| EOY | $561,292 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,808,269 | BOYAmt |
| EOY | $18,461,649 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $288,573 | BOYAmt |
| EOY | $546,761 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $287,038 | BOYAmt |
| EOY | $287,038 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,383,880 | BOYAmt |
| EOY | $19,295,448 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,882,246 | BOYAmt |
| EOY | $19,856,740 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$323,530 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $182,591 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $52,507 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $55,998 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,918,997 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,828,424 | CurrentTaxYearAmt |
| Total | $3,955,376 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $55,998 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $74,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $77,838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,918,997 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,828,424 | CurrentTaxYearAmt |
| Total | $3,955,376 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $196,131 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,759,245 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $81,018 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $125,811 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $159,684 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $556,672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $429,402 | CurrentTaxYearAmt |
| Total | $1,352,587 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,425,007 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,085 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,070 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,275 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,115 | CurrentTaxYearAmt |
| Total | $1,444,552 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,752,515 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $17,202,953 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.55670 | PublicSupportCY170Pct |
| Public Support PY170 | 0.88010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support PY509 | 0.81580 | PublicSupportPY509Pct |
| Investment Income PY | 0.05120 | InvestmentIncomePYPct |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | REVENUE FROM SALE OF BED LICENSES FY 2011 OTHER INCOME | ExplanationTxt |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $287,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $22,415 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $22,415 | OtherExpendituresAmt |
| End Year Balance | $287,038 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $287,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $29,619 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $29,619 | OtherExpendituresAmt |
| End Year Balance | $287,038 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $287,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,113 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $10,113 | OtherExpendituresAmt |
| End Year Balance | $287,038 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $287,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $50,063 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $50,063 | OtherExpendituresAmt |
| End Year Balance | $287,038 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $287,038 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,761 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,761 | OtherExpendituresAmt |
| End Year Balance | $287,038 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,343,535 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,068,375 | DepreciationAmt |
| Book Value | $1,275,160 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $58,984 | DepreciationAmt |
| Book Value | $36,798 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,871,156 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,674,716 | DepreciationAmt |
| Book Value | $196,440 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,508,398 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,906,597 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $49,063 | OtherRevenueAmt |
| Revenue Not Reported | $49,063 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,857,534 | RevenueSubtotalAmt |
| Other Revenues Not Included | $1,443,037 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $1,443,037 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,300,571 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,682,364 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $58,263 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $58,263 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,624,101 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,624,101 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION HAS ADOPTED A POLICY FOR DISTRIBUTIONS OF EARNINGS ON THE INVESTMENTS OF THE ENDOWMENT FUND. THE PRINCIPAL OF THE ENDOWMENT FUND MUST NOT BE SPENT AND THE EARNINGS MAY ONLY BE SPENT WITH APPROVAL FROM THE BOARD. THE BOARD WILL NOT DESIGNATE A SCHEDULED AMOUNT TO BE SPENT FROM THE EARNINGS EACH YEAR; INSTEAD, IT WILL SPEND ANY EARNINGS FROM EITHER FUND ONLY WHEN AN OPPORTUNITY ARISES TO BENEFIT THE ORGANIZATION. REGARDING OLPH'S ENDOWMENT SUPPORTING HOSPICE SERVICES, THE BOARD INTENDS THAT THE EARNINGS BE USED EACH YEAR TO SUPPORT OPERATIONS. AT NO TIME WILL DISTRIBUTIONS FROM THE ENDOWMENT FUND REDUCE THEIR VALUE BELOW DONOR CONTRIBUTIONS. |
| PART X, LINE 2: | OLP IS ORGANIZED AS A MINNESOTA NONPROFIT CORPORATION AND HAS BEEN GRANTED EXEMPT STATUS RELATED TO FEDERAL AND MINNESOTA CORPORATE TAXES UNDER SECTION 501(C) OF THE INTERNAL REVENUE CODE AND APPLICABLE STATE CODES. OLP HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A). THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE ORGANIZATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE ORGANIZATION HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. THE ORGANIZATION BELIEVES IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS 49,063. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT INCOME 1,232,382. UNRESTRICTED GIFTS AND BEQUESTS 14,174. RESTRICTED CONTRIBUTIONS 254,744. FUNDRAISING EXPENSES -58,263. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 58,263. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GALA | Event1Nm |
| Gross Receipts Event1 | $180,000 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $170,650 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $9,350 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $1,000 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $18,000 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $850 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $13,149 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $2,500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $1,720 | OtherDirectExpensesEvent1Amt |
| Event2 | LUNCHEON | Event2Nm |
| Gross Receipts Event2 | $95,145 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $95,145 | CharitableContriEvent2Amt |
| Food And Beverage Event2 | $16,314 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,720 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $27,157 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $27,157 | CharitableContriOtherEventsAmt |
| Food And Beverage Other Events | $986 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,024 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $302,302 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $292,952 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $9,350 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,000 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $18,000 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $850 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $30,449 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,464 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $58,263 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$48,913 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSEPH STANISLAV | PersonNm |
| Title | PRESIDENT/CEO | TitleTxt |
| Base Compensation Filing Org | $169,158 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $4,371 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $15,213 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $188,742 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 AND CHARITABLE ORGANIZATION REPORTS WERE PREPARED BY OUR LADY OF PEACE'S EXTERNAL AUDITING FIRM WITH THE ASSISTANCE OF THE PRESIDENT/CEO AND CONTROLLER OF OUR LADY OF PEACE. UPON COMPLETION OF THE PREPARATION OF THE FORM 990, A COPY OF THE FORM 990 IS GIVEN TO THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMITTING TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE OUR LADY OF PEACE PRESIDENT/CEO WILL REQUEST IF THERE ARE ANY CONFLICT OF INTERESTS ANNUALLY OF ALL DIRECTORS, OFFICERS AND MANAGEMENT EMPLOYEES BY MEANS OF A QUESTIONNAIRE. THE STATEMENT WILL BE UPDATED ANNUALLY AT THE TIME OF THE CORPORATION'S ANNUAL MEETING. THE OUR LADY OF PEACE PRESIDENT/CEO WILL REVIEW THE STATEMENTS AND MAKE A REPORT TO THE BOARD REGARDING THE CONTENT OF SUCH. ANY CONFLICT OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST ON THE PART OF AN INDIVIDUAL SHOULD BE DISCLOSED TO THE BOARD AND MADE A MATTER OF RECORD, EITHER THROUGH THE ANNUAL QUESTIONNAIRE PROCEDURE OR WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY INDIVIDUAL HAVING A CONFLICT OF INTEREST OR POSSIBLE CONFLICTS OF INTEREST ON ANY MATTER SHOULD NOT VOTE OR USE PERONAL INFLUENCE ON THE MATTER. THE MINUTES OF THE MEETING SHOULD REFLECT THAT A DISCLOSURE WAS MADE AND THE INDIVIDUAL'S ABSTENTION FROM VOTING. THE PRESIDENT/CEO OF OUR LADY OF PEACE WILL PRESENT A SUMMARY OF THE DECLARED POTENTIAL CONFLICT OF INTEREST TO THE BOARD. THIS REPORT WILL BECOME A PART OF THE MINUTES OF SUCH BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS USES COMPENSATION SURVEYS TO SET THE PRESIDENT/CEO'S COMPENSATION. THE LAST REVIEW WAS DONE IN 2017. OFFICER AND OTHER KEY EMPLOYEES COMPENSATION IS BASED ON EXTERNAL SURVEYS AND MERIT. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN FAIR VALUE OF BENEFICIAL INTEREST IN CHARITABLE TRUST 52,507. |
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