ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ST VINCENT DEPAUL SOCIETY OF SAUK PRAIRIE-ROXBURY INC (EIN 39-1802875)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-02-08
- IRS object ID
- 201810399349300211
- Schema version
- 2016v3.1
- 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 | 2018-02-08T08:24:01-06:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KOLLATH & ASSOCIATES CPA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 421 WATER STSTE 111 | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 391802875 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST VINCENT DE PAUL SOCIETY OF SAUK | BusinessNameLine1Txt |
| Business Name Line2 | PRAIRIE/ROXBURY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STVI | BusinessNameControlTxt |
| Phone | 6086438905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JACKIE MURPHY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6086438905 | PhoneNum |
| Signature | 2018-02-01 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JULIE MILLER | PreparerPersonNm |
| PTIN | P00388780 | PTIN |
| Phone | 6088243002 | PhoneNum |
| Preparation | 2018-02-01 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | C3BDD25A70EE5278C24E3B601E9A1F9D61E8560B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 34154020CEFC91E51189A6D1E2F7838B08F1ECD1 | 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 | JACKIE MURPHY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,420,308 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | STVDPSAUKPRAIRIE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | WI | LegalDomicileStateCd |
| Activity Or Mission | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 41 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $170,876 | PYContributionsGrantsAmt |
| CY Contributions Grants | $127,055 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $100,404 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $95,678 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,765 | PYInvestmentIncomeAmt |
| CY Investment Income | -$263 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,073,587 | PYOtherRevenueAmt |
| CY Other Revenue | $1,112,708 | CYOtherRevenueAmt |
| PY Total Revenue | $1,352,632 | PYTotalRevenueAmt |
| CY Total Revenue | $1,335,178 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $161,573 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $128,571 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $850,144 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $884,664 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $387,093 | PYOtherExpensesAmt |
| CY Other Expenses | $416,796 | CYOtherExpensesAmt |
| PY Total Expenses | $1,398,810 | PYTotalExpensesAmt |
| CY Total Expenses | $1,430,031 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$46,178 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$94,853 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,480,392 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,388,377 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $43,409 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,247 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,436,983 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,342,130 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,002,434 | ExpenseAmt |
| Grant | $128,571 | GrantAmt |
| Revenue | $1,227,650 | RevenueAmt |
| Desc | TO PROVIDE ASSISTANCE TO THE NEEDY OF THE SAUK-PRAIRIE/ROXBURY AREA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $94,786 | ExpenseAmt |
| Revenue | $6,315 | RevenueAmt |
| Desc | MANAGEMENT OF THE ST VINCENT RESOURCE CENTER WHICH IS OCCUPIED BY GOVERNMENT AND NON-PROFIT AGENCIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $230,120 | ExpenseAmt |
| Revenue | $101,178 | RevenueAmt |
| Desc | OPERATION OF A LOW INCOME DENTAL CLINIC | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $82,310 | ExpenseAmt |
| Desc | FOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $82,310 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $1,409,650 | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | Yes (true) | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 12 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 41 | 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 |
| 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 | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN FABISIAK | PersonNm |
| Phone | 6086438905 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 815 19TH STREET | AddressLine1Txt |
| City | PRAIRIE DU SAC | CityNm |
| State Abbreviation | WI | StateAbbreviationCd |
| ZIP | 53578 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| VICTOR LOCHNER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE SHALABI | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JEROME KELLER | ||||||
| DIRECTOR | 7.00 | Yes (X) | $0 | $0 | $0 | |
| JACKIE MURPHY | ||||||
| PRESIDENT | 7.00 | $0 | $0 | $0 | Yes (X) | |
| BILL CAMPBELL | ||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| HELEN CAMPBELL | ||||||
| VICE PRESIDE | 2.00 | $0 | $0 | $0 | Yes (X) | |
| TAMMY VANDEHEY | ||||||
| SECRETARY | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $127,055 | AllOtherContributionsAmt |
| Noncash Contributions | $51,907 | NoncashContributionsAmt |
| Total Contributions | $127,055 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DENTAL CLINIC FEES | Desc |
| Total Revenue Column | $95,678 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,678 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $95,678 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $506 | TotalRevenueColumnAmt |
| Exclusion | $506 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $769 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$769 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$769 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$769 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,196,731 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $84,361 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,112,370 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,112,370 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DISCOUNTS TAKEN | Desc |
| Total Revenue Column | $338 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $338 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $338 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,335,178 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,207,617 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $506 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,571 | TotalAmt |
| Program Services | $128,571 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,832 | TotalAmt |
| Program Services | $79,049 | ProgramServicesAmt |
| Management And General | $8,783 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $721,594 | TotalAmt |
| Program Services | $721,594 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,513 | TotalAmt |
| Program Services | $13,337 | ProgramServicesAmt |
| Management And General | $176 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,725 | TotalAmt |
| Program Services | $61,053 | ProgramServicesAmt |
| Management And General | $672 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,750 | TotalAmt |
| Management And General | $10,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,487 | TotalAmt |
| Program Services | $112,487 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,220 | TotalAmt |
| Program Services | $7,220 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,418 | TotalAmt |
| Program Services | $12,418 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,521 | TotalAmt |
| Program Services | $47,521 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,210 | TotalAmt |
| Program Services | $1,210 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,585 | TotalAmt |
| Program Services | $4,585 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,104 | TotalAmt |
| Program Services | $73,104 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,609 | TotalAmt |
| Program Services | $45,609 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| SUPPLIES | $27,384 | $27,384 |
| BANK CHARGES | $22,389 | $22,389 |
| SUPPLIES | $21,913 | $21,913 |
| AUTO/TRUCK EXPENSE | $8,109 | $8,109 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,097 | TotalAmt |
| Program Services | $22,097 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,430,031 | TotalAmt |
| Program Services | $1,409,650 | ProgramServicesAmt |
| Management And General | $20,381 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,220 | BOYAmt |
| EOY | $193,929 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,597 | BOYAmt |
| EOY | $42,012 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,151 | BOYAmt |
| EOY | $30,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,145,511 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,054,934 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,540 | BOYAmt |
| EOY | $1,090,577 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,884 | BOYAmt |
| EOY | $31,715 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,480,392 | BOYAmt |
| EOY | $1,388,377 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,409 | BOYAmt |
| EOY | $46,247 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,409 | BOYAmt |
| EOY | $46,247 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,380,567 | BOYAmt |
| EOY | $1,282,390 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,416 | BOYAmt |
| EOY | $59,740 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,436,983 | BOYAmt |
| EOY | $1,342,130 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,480,392 | BOYAmt |
| EOY | $1,388,377 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$94,853 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $186,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $196,861 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $346,847 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $170,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $127,055 | CurrentTaxYearAmt |
| Total | $1,027,639 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,045,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,040,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,153,856 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,246,558 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,292,747 | CurrentTaxYearAmt |
| Total | $5,779,340 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,231,932 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,237,108 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,500,703 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,417,434 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,419,802 | CurrentTaxYearAmt |
| Total | $6,806,979 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,000 | CurrentTaxYearAmt |
| Total | $120,000 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $22,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,000 | CurrentTaxYearAmt |
| Total | $120,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,686,979 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $683 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $487 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $505 | CurrentTaxYearAmt |
| Total | $2,946 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $683 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $487 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $724 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $547 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $505 | CurrentTaxYearAmt |
| Total | $2,946 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,817 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $280 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,514 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $338 | CurrentTaxYearAmt |
| Total | $10,639 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,234,432 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,238,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,501,707 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,425,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,420,645 | CurrentTaxYearAmt |
| Total | $6,820,564 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98040 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97510 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 10,639 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,180 | OtherCostOrOtherBasisAmt |
| Book Value | $94,180 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,051,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,054,934 | DepreciationAmt |
| Book Value | $996,397 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,090,577 | TotalBookValueLandBuildingsAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PROVIDE DIRECT FUNDING | GrantTypeTxt |
| Recipient | 3500 | RecipientCnt |
| Cash Grant | $76,664 | CashGrantAmt |
| Non Cash Assistance | $51,907 | NonCashAssistanceAmt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $51,907 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | THRIFT STORE VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | TO SERVE PEOPLE IN NEED, REGARDLESS OF RACE OR RELIGION. TO PROVIDE A BROAD RANGE OF SEVICES TO THE ELDERLY, DISABLED, INDIVIDUALS AND FAMILIES NEEDING ASSISTANCE IN MAINTAINING OR ACHIEVING THEIR FULL POTENTIAL FOR SELF DIRECTION, SELF-RELIANCE AND INDEPENDENT LIVING. |
| FORM 990, PAGE 2, PART III, LINE 4D | FOR CARE PROGRAM AND OTHER MISCELLANEOUS SERVICES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS FOR THEIR REVIEW |
| FORM 990, PAGE 6, PART VI, LINE 12C | BOARD MEMBERS ARE REQUIRED TO REPORT ON A REGULAR BASIS ANY CONFLICTS |
| FORM 990, PAGE 6, PART VI, LINE 15A | GENERAL MANAGERS SALARY IS APPROVED BY THE BOARD OF DIRECTORS |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST - DOCUMENTS ARE MAINTAINED AT ORGANIZATIONS OFFICES |
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