JODI HOUSE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JODI HOUSE INC (EIN 95-3836137)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-03-29
- IRS object ID
- 201830889349301058
- 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 | 2018-03-29T17:35:38-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 770181453 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NASIF HICKS HARRIS & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 WEST ANAPAMU STREET SUITE B | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93101 | 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 | 953836137 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JODI HOUSE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JODI | BusinessNameControlTxt |
| Phone | 8055632882 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 CHAPALA STREET | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93101 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADAM HARCOURT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8055632882 | PhoneNum |
| Signature | 2018-03-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOAN K GREEN | PreparerPersonNm |
| PTIN | P00395586 | PTIN |
| Phone | 8059661521 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 207.71.230.113 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-03-22 | IPDt |
| IP Tm | 08:33:37 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B8ABBC88649350FF237571033581D35E3B8DB78F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B8ABBC88649350FF237571033581D35E3B8DB78F | 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 | ADAM HARCOURT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 625 CHAPALA STREET | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $400,470 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JODIHOUSE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO EMPOWER BRAIN INJURY SURVIVORS AND THEIR FAMILIES TO RECONNECT AND REBUILD IN OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 7 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $175,001 | PYContributionsGrantsAmt |
| CY Contributions Grants | $384,848 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $104,301 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,762 | CYProgramServiceRevenueAmt |
| PY Investment Income | $501 | PYInvestmentIncomeAmt |
| CY Investment Income | $860 | CYInvestmentIncomeAmt |
| PY Other Revenue | $19,235 | PYOtherRevenueAmt |
| CY Other Revenue | -$4,591 | CYOtherRevenueAmt |
| PY Total Revenue | $299,038 | PYTotalRevenueAmt |
| CY Total Revenue | $395,879 | 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 | $207,761 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $235,710 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $15,780 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $151,705 | PYOtherExpensesAmt |
| CY Other Expenses | $163,271 | CYOtherExpensesAmt |
| PY Total Expenses | $359,466 | PYTotalExpensesAmt |
| CY Total Expenses | $398,981 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$60,428 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,602,908 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,639,213 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,164 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,571 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,596,744 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,593,642 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF JODI HOUSE IS TO EMPOWER BRAIN INJURY SURVIVORS AND THEIR FAMILIES TO RECONNECT, REBUILD, AND MOVE FORWARD TOGETHER WITHIN OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $321,702 | ExpenseAmt |
| Revenue | $14,762 | RevenueAmt |
| Desc | OUR BRAIN INJURY SUPPORT PROGRAM IS DESIGNED TO ASSIST THE BRAIN INJURY SURVIVOR IN SUCCESSFULLY RETURNING TO HIS OR HER COMMUNITY AT THE HIGHEST POSSIBLE LEVEL OF FUNCTIONING, WHILE ALSO PROVIDING INFORMATION AND REFERRAL SERVICES. OUR PROGRAM IS COMPRISED OF THREE ELEMENTS: COMMUNITY INTEGRATION SERVICES, SUPPORTED LIVING SERVICES AND VOCATIONAL SUPPORTED SERVICES. WE WORK WITH OUR MEMBERS TO ENCOURAGE THEIR PHYSICAL, COGNITIVE AND BEHAVIORAL RECOVERY. CLASSES SUCH AS TAI CHI, YOGA AND DANCE HELP PROMOTE PHYSICAL BALANCE AND STRENGTH WHILE CLASSES SUCH AS BRAIN WORK-OUT, MEMORY GAMES AND COMMUNICATIONS SKILLS PROMOTE COGNITIVE FUNCTION AND MEMORY IMPROVEMENT. CLASSES ALSO INCLUDE CERAMICS, ART WORK, SUPPORT GROUPS, MUSIC, GUITAR AND DRUMMING. THROUGH ONE-ON-ONE HELP AND SUPPORT GROUPS, WE ARE ABLE TO AID OUR MEMBERS IN THEIR EMOTIONAL RECOVERY. DURING THE PERIOD JULY 2016 TO JUNE 2017 JODI HOUSE PROVIDED OVER 5,000 HOURS OF SERVICE TO APPROXIMATELY 100 MEMBERS. MEMBERS IN OUR DAY PROGRAM ARE EQUALLY DIVIDED BETWEEN MEN AND WOMEN AND SPAN AN AGE RANGE OF OVER 60 YEARS. THEIR INJURIES INCLUDE TUMOR, STROKE, TRAUMATIC BRAIN INJURY AND ANEURYSM. THE MAJORITY QUALIFY AS VERY LOW INCOME.JODI HOUSE IS COMMITTED TO PROVIDING VALUABLE INFORMATION REGARDING AVAILABLE RESOURCES IN THE COMMUNITY. STAFF IS AVAILABLE IN PERSON, BY PHONE OR BY EMAIL TO ANSWER QUESTIONS AND PROVIDE REFERRALS TO SURVIVORS, CAREGIVERS OR LOVED ONES REGARDING BRAIN INJURY AND RELATED RESOURCES. | Desc |
| Total Program Service Expenses | $321,702 | 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 | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 0 | 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 7 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | 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 | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID EDELMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8052523786 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 755 MISSION PARK DRIVE | AddressLine1Txt |
| City | SANTA BARBARA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| TIM MORTON-SMITH | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GAYLE CUMMINS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| STEPHANIE BOUMEDIENE | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRIS JANEWAY | ||||||
| TREASURER | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ANDREW CHUNG | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM MARSTON PHD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROGER ROBERTS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| RUTH ANN BOWE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JIM COOK | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ADAM HARCOURT DC | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SUZANNE WEINTRAUB | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SARAH SINCLAIR | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DANIELLA R SCIOSCIA-REGENCIA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $29,223 | FundraisingAmt |
| Government Grants | $206,896 | GovernmentGrantsAmt |
| All Other Contributions | $148,729 | AllOtherContributionsAmt |
| Total Contributions | $384,848 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEMBER FEES | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $14,762 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,762 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,762 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $860 | TotalRevenueColumnAmt |
| Exclusion | $860 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $29,223 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $4,591 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$4,591 | TotalRevenueColumnAmt |
| Exclusion | -$4,591 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $395,879 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,762 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$3,731 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,517 | TotalAmt |
| Program Services | $159,614 | ProgramServicesAmt |
| Management And General | $29,927 | ManagementAndGeneralAmt |
| Fundraising | $9,976 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,526 | TotalAmt |
| Program Services | $14,021 | ProgramServicesAmt |
| Management And General | $2,629 | ManagementAndGeneralAmt |
| Fundraising | $876 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,667 | TotalAmt |
| Program Services | $14,934 | ProgramServicesAmt |
| Management And General | $2,800 | ManagementAndGeneralAmt |
| Fundraising | $933 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,289 | TotalAmt |
| Management And General | $6,289 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,187 | TotalAmt |
| Program Services | $6,490 | ProgramServicesAmt |
| Management And General | $1,292 | ManagementAndGeneralAmt |
| Fundraising | $405 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $783 | TotalAmt |
| Management And General | $391 | ManagementAndGeneralAmt |
| Fundraising | $392 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,867 | TotalAmt |
| Management And General | $2,867 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,899 | TotalAmt |
| Program Services | $4,719 | ProgramServicesAmt |
| Management And General | $885 | ManagementAndGeneralAmt |
| Fundraising | $295 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,285 | TotalAmt |
| Program Services | $8,357 | ProgramServicesAmt |
| Management And General | $464 | ManagementAndGeneralAmt |
| Fundraising | $464 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,242 | TotalAmt |
| Program Services | $3,745 | ProgramServicesAmt |
| Management And General | $1,873 | ManagementAndGeneralAmt |
| Fundraising | $624 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315 | TotalAmt |
| Management And General | $315 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,042 | TotalAmt |
| Program Services | $15,338 | ProgramServicesAmt |
| Management And General | $852 | ManagementAndGeneralAmt |
| Fundraising | $852 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,413 | TotalAmt |
| Program Services | $6,730 | ProgramServicesAmt |
| Management And General | $1,262 | ManagementAndGeneralAmt |
| Fundraising | $421 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROGRAM SERVICES | $75,819 | $75,819 | ||
| WORKMAN'S COMPENSATION | $5,169 | $4,136 | $775 | $258 |
| TRAINING AND DEVELOPMEN | $4,675 | $4,675 | ||
| POSTAGE, PRINTING & COP | $2,834 | $1,700 | $850 | $284 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,452 | TotalAmt |
| Program Services | $1,424 | ProgramServicesAmt |
| Management And General | $8,028 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,981 | TotalAmt |
| Program Services | $321,702 | ProgramServicesAmt |
| Management And General | $61,499 | ManagementAndGeneralAmt |
| Fundraising | $15,780 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,193 | BOYAmt |
| EOY | $153,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,235 | BOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $61,645 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
| EOY | $17,380 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $449 | BOYAmt |
| EOY | $484 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,508,468 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $102,179 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,420,831 | BOYAmt |
| EOY | $1,406,289 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,908 | BOYAmt |
| EOY | $1,639,213 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,164 | BOYAmt |
| EOY | $6,734 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $38,837 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,164 | BOYAmt |
| EOY | $45,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,458,991 | BOYAmt |
| EOY | $1,462,612 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $137,753 | BOYAmt |
| EOY | $131,030 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,596,744 | BOYAmt |
| EOY | $1,593,642 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,602,908 | BOYAmt |
| EOY | $1,639,213 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,102 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 | $229,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $348,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,302 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,825 | CurrentTaxYearAmt |
| Total | $1,527,027 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $229,844 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $268,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $348,394 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279,302 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $400,825 | CurrentTaxYearAmt |
| Total | $1,527,027 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $203,846 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,323,181 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $639 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,484 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $524 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $501 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $860 | CurrentTaxYearAmt |
| Total | $4,008 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,055 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,091 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,611 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $19,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | -$4,591 | CurrentTaxYearAmt |
| Total | $56,401 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,587,436 | TotalSupportAmt |
| Public Support CY170 | 0.83350 | PublicSupportCY170Pct |
| Public Support PY170 | 0.74140 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $131,030 | BeginningYearBalanceAmt |
| End Year Balance | $131,030 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,030 | BeginningYearBalanceAmt |
| End Year Balance | $131,030 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,030 | BeginningYearBalanceAmt |
| End Year Balance | $131,030 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,030 | BeginningYearBalanceAmt |
| End Year Balance | $131,030 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $131,030 | BeginningYearBalanceAmt |
| End Year Balance | $131,030 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $850,000 | OtherCostOrOtherBasisAmt |
| Book Value | $850,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $650,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,836 | DepreciationAmt |
| Book Value | $554,164 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,468 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,343 | DepreciationAmt |
| Book Value | $2,125 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,406,289 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CREDIT CARDS PAYABLE | $770 |
| AMERICAN RIVIERA BANK LOC | $25,000 |
| ACCRUED VACATION | $4,955 |
| ACCRUED PAYROLL | $8,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,837 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | WALK FOR BRAIN INJURY | Event1Nm |
| Gross Receipts Event1 | $28,778 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $28,778 | CharitableContriEvent1Amt |
| Other Direct Expenses Event1 | $3,572 | OtherDirectExpensesEvent1Amt |
| Event2 | FIRST THURSDAY | Event2Nm |
| Gross Receipts Event2 | $445 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $445 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $1,019 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $29,223 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $29,223 | CharitableContributionsTotAmt |
| Oth Direct Expnss Total Events | $4,591 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $4,591 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$4,591 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE BOARD TREASURER AND VOTED ON BY THE ENTIRE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION PERIODICALLY CONFIRMS COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY WITH ITS OFFICERS, DIRECTORS AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION FOR THE NEW EXECUTIVE DIRECTOR IS BASED ON A COMPREHENSIVE SALARY SURVEY OF NONPROFITS FROM THE CENTER FOR NONPROFIT MANAGEMENT. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABLE UPON REQUEST |
Comments