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JOHN HENRY FOUNDATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JOHN HENRY FOUNDATION (EIN 33-0399549)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-30
IRS object ID
201843039349300979
Schema version
2017v2.3
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

FieldValueIRS element (for citing)
Return2018-10-30T12:40:25-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341885304PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DRIVE SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330399549EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN HENRY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJOHNBusinessNameControlTxt
Phone7144800025PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STREETAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEONARD KRANSERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7144800025PhoneNum
Signature2018-09-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVERLON L MCKAYPreparerPersonNm
PTINP00186204PTIN
Phone9497528115PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.16.202.74IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-10-18IPDt
IP Tm10:35:51IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3D0A83C76A47F1580BF6D46247C748476C016ABAAtSubmissionCreationDeviceId
At Submission Filing Device Id447B9AFA30F028EAFAC47F415C87A3031DA4101DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLEONARD KRANSERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1403 N SUSAN STAddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92703ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,729,161GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JOHNHENRY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$411,278PYContributionsGrantsAmt
CY Contributions Grants$460,088CYContributionsGrantsAmt
PY Program Service Revenue$1,194,758PYProgramServiceRevenueAmt
CY Program Service Revenue$1,241,526CYProgramServiceRevenueAmt
PY Investment Income$11,448PYInvestmentIncomeAmt
CY Investment Income$232CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$59CYOtherRevenueAmt
PY Total Revenue$1,617,484PYTotalRevenueAmt
CY Total Revenue$1,701,905CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$889,594PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$985,280CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$20,925CYTotalFundraisingExpenseAmt
PY Other Expenses$544,007PYOtherExpensesAmt
CY Other Expenses$544,199CYOtherExpensesAmt
PY Total Expenses$1,433,601PYTotalExpensesAmt
CY Total Expenses$1,529,479CYTotalExpensesAmt
PY Revenues Less Expenses$183,883PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$172,426CYRevenuesLessExpensesAmt
Total Assets BOY$3,380,344TotalAssetsBOYAmt
Total Assets EOY$3,566,827TotalAssetsEOYAmt
Total Liabilities BOY$107,771TotalLiabilitiesBOYAmt
Total Liabilities EOY$121,828TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,272,573NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,444,999NetAssetsOrFundBalancesEOYAmt
MissionPROVIDED MEDICAL COUNSELING, SUPPORT GROUPS, VOCATIONAL TRAINING AND EMPLOYMENT, FINANCIAL PLANNING, AFFORDABLE HOUSING OPPORTUNITIES AND SOCIAL-RECREATIONAL ACTIVITIES FOR ADULTS WITH SERIOUS, CHRONIC MENTAL ILLNESSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,225,538ExpenseAmt
Revenue$1,190,656RevenueAmt
DescPROVIDES AFFORDABLE HOUSING OPPORTUNITIES, MEDICAL TREATMENT, COUNSELING AND A DEVELOPMENT REHABILITATION PROGRAM FOR ADULTS WITH SERIOUS-MENTAL ILLNESS, PROVIDE VOCATIONAL TRAINING AND FINANCIAL PLANNING TO TRAIN AND EMPLOY ADULTS WITH SERIOUS MENTAL ILLNESSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$50,929ExpenseAmt
Revenue$50,929RevenueAmt
DescU.S. DEPARTMENT OF HOUSING AND DEVELOPMENT-TO ASSIST INDIVIDUALS WITH SPECIAL NEEDS PROGRAMDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,276,467TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document13IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee21EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZMHMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9494504400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12301 DUPONT DR SUITE 200AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
TERRENCE KENNEDY
CHAIRMAN6.000.00Yes (X)Yes (X)$0$0$0
LYNNE THIES
VICE CHAIRMAN6.000.00Yes (X)Yes (X)$0$0$0
CHRISTINE SCHAEFER
SECRETARY6.000.00Yes (X)Yes (X)$0$0$0
LEONARD KRANSER
TREASURER6.000.00Yes (X)Yes (X)$0$0$0
SARAH HAMMARSTROM
MEMBER6.000.00Yes (X)$0$0$0
MINDY ANDREWS
EXECUTIVE DIRECTOR40.000.00Yes (X)Yes (X)$102,471$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,471TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$154,535FundraisingAmt
Government Grants$50,929GovernmentGrantsAmt
All Other Contributions$254,624AllOtherContributionsAmt
Total Contributions$460,088TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business623990BusinessCd
Total Revenue Column$1,241,526TotalRevenueColumnAmt
Related Or Exempt Func Income$1,241,526RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,241,526TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$232TotalRevenueColumnAmt
Exclusion$232ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$27,256FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$154,535ContriRptFundraisingEventAmt
Fundraising Direct Expenses$27,256FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business623990BusinessCd
Total Revenue Column$59TotalRevenueColumnAmt
Related Or Exempt Func Income$59RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$59OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,701,905TotalRevenueColumnAmt
Related Or Exempt Func Income$1,241,585RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$232ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$102,471TotalAmt
Program Services$81,977ProgramServicesAmt
Management And General$19,469ManagementAndGeneralAmt
Fundraising$1,025FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$680,079TotalAmt
Program Services$544,063ProgramServicesAmt
Management And General$129,215ManagementAndGeneralAmt
Fundraising$6,801FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$135,511TotalAmt
Program Services$108,409ProgramServicesAmt
Management And General$25,661ManagementAndGeneralAmt
Fundraising$1,441FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$67,219TotalAmt
Program Services$53,775ProgramServicesAmt
Management And General$12,729ManagementAndGeneralAmt
Fundraising$715FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,720TotalAmt
Management And General$25,720ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$268,910TotalAmt
Program Services$263,455ProgramServicesAmt
Management And General$5,455ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$70TotalAmt
Program Services$70ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$66,523TotalAmt
Program Services$61,201ProgramServicesAmt
Management And General$5,322ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$28,597TotalAmt
Program Services$25,542ProgramServicesAmt
Management And General$3,055ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES, POSTAGE, PRIN$37,521$36,885$636
PROGRAM$24,742$24,742
PROFESSIONAL FEES$23,539$23,539
OTHER$21,190$10,067$180$10,943

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$47,387TotalAmt
Program Services$42,742ProgramServicesAmt
Management And General$4,645ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,529,479TotalAmt
Program Services$1,276,467ProgramServicesAmt
Management And General$232,087ManagementAndGeneralAmt
Fundraising$20,925FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,000BOYAmt
EOY$2,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$284,348BOYAmt
EOY$310,443EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,371BOYAmt
EOY$32,501EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,160BOYAmt
EOY$15,372EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,136,686LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$984,345LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,218,864BOYAmt
EOY$1,152,341EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,768,601BOYAmt
EOY$2,054,170EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,380,344BOYAmt
EOY$3,566,827EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$102,771BOYAmt
EOY$116,828EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$5,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$107,771BOYAmt
EOY$121,828EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,241,480BOYAmt
EOY$3,436,849EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,093BOYAmt
EOY$8,148EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,272,573BOYAmt
EOY$3,444,999EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,380,344BOYAmt
EOY$3,566,827EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$172,426ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$312,574CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$359,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$411,278CurrentTaxYearMinus1YearAmt
Current Tax Year$487,344CurrentTaxYearAmt
Total$1,850,067TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$279,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$312,574CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$359,487CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$411,278CurrentTaxYearMinus1YearAmt
Current Tax Year$487,344CurrentTaxYearAmt
Total$1,850,067TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,850,067PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,581CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,236CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,448CurrentTaxYearMinus1YearAmt
Current Tax Year$290CurrentTaxYearAmt
Total$76,260TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$29,773CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,973CurrentTaxYearMinus3YearsAmt
Total$34,746TotalAmt
FieldValueIRS element (for citing)
Total Support$1,961,073TotalSupportAmt
Public Support CY1700.94340PublicSupportCY170Pct
Public Support PY1700.80610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$400,711OtherCostOrOtherBasisAmt
Book Value$400,711BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,075,484OtherCostOrOtherBasisAmt
Depreciation$543,896DepreciationAmt
Book Value$531,588BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$463,452OtherCostOrOtherBasisAmt
Depreciation$270,881DepreciationAmt
Book Value$192,571BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,039OtherCostOrOtherBasisAmt
Depreciation$169,568DepreciationAmt
Book Value$27,471BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,152,341TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
CASH HELD FOR LONG TERM PURPOSES$5,176
GIFT CARDS$2,030
CONSTRUCTION IN PROGRESS$2,046,964
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,054,170TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDEPOSIT PAYABLEDesc
Amt$5,000Amt
FieldValueIRS element (for citing)
Total Liability$5,000TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,701,905TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,701,905RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,701,905TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,529,479TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,529,479ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,529,479TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FUNDRAISING EVENTEvent1Nm
Gross Receipts Event1$181,791GrossReceiptsEvent1Amt
Charitable Contri Event1$154,535CharitableContriEvent1Amt
Gross Revenue Event1$27,256GrossRevenueEvent1Amt
Other Direct Expenses Event1$27,256OtherDirectExpensesEvent1Amt
Gross Receipts Total$181,791GrossReceiptsTotalAmt
Charitable Contributions Tot$154,535CharitableContributionsTotAmt
Gross Revenue Total Events$27,256GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$27,256OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$27,256DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BBOARD MEMBERS WILL REVIEW AND APPROVE 990 TAX RETURN BEFORE MAILING TO THE IRS
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS DISCUSS DURING BOARD MEETINGS CONFLICT OF INTEREST POLICY ON A YEARLY BASIS
FORM 990, PART VI, SECTION B, LINE 1515A BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE EXECUTIVE DIRECTOR'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY 15B BOARD MEMBERS DURING BOARD MEETINGS REVIEW AND APPROVE PERSONNEL'S SALARY ON A YEARLY BASIS REFERENCING A SALARY SURVEY
FORM 990, PART VI, SECTION C, LINE 18UPON REQUEST VIA EMAIL, FAX OR IN PERSON
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST VIA EMAIL, FAX, OR IN PERSON
FORM 990, PART IX, LINE 11GREPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 42,844. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,844. CONSTITUENTS FOOD: PROGRAM SERVICE EXPENSES 115,070. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,070. UTILITIES: PROGRAM SERVICE EXPENSES 52,258. MANAGEMENT AND GENERAL EXPENSES 5,455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,713. PSYCHIATRIC SERVICES: PROGRAM SERVICE EXPENSES 41,250. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,250. MEDICAL: PROGRAM SERVICE EXPENSES 12,033. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,033.

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