UNLIMITED POTENTIAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UNLIMITED POTENTIAL INC (EIN 31-1014369)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201703189349308930
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

FieldValueIRS element (for citing)
Return2017-11-14T10:13:53-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351747659PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1OWENS & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH BUFFALO STREETAddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP46580ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311014369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNLIMITED POTENTIAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNLIBusinessNameControlTxt
Phone5742677988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1355AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465811355ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTOM ROYPersonNm
Person TitleBOARD MEMBERPersonTitleTxt
Phone5742677988PhoneNum
Signature2017-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNY L O'HARAPreparerPersonNm
PTINP00116800PTIN
Phone5742696332PhoneNum
Preparation2017-11-09PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id0B44270D29573665E0F651872049659F1C08C1AFAtSubmissionCreationDeviceId
At Submission Filing Device Id857A3D82B917E64ED5128A3ED64A28E74E74947DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTOM ROYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1355AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465811355ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,786,919GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionSHARE THE GOSPEL OF CHRIST THROUGH BASEBALL.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,140,549PYContributionsGrantsAmt
CY Contributions Grants$957,419CYContributionsGrantsAmt
PY Program Service Revenue$34,055PYProgramServiceRevenueAmt
CY Program Service Revenue$19,489CYProgramServiceRevenueAmt
PY Investment Income$130,564PYInvestmentIncomeAmt
CY Investment Income-$471CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,305,168PYTotalRevenueAmt
CY Total Revenue$976,437CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$572,642PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$636,130CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$9,603CYTotalFundraisingExpenseAmt
PY Other Expenses$282,275PYOtherExpensesAmt
CY Other Expenses$285,313CYOtherExpensesAmt
PY Total Expenses$854,917PYTotalExpensesAmt
CY Total Expenses$921,443CYTotalExpensesAmt
PY Revenues Less Expenses$450,251PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,994CYRevenuesLessExpensesAmt
Total Assets BOY$1,639,936TotalAssetsBOYAmt
Total Assets EOY$1,728,125TotalAssetsEOYAmt
Total Liabilities BOY$116,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$120,245TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,523,112NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,607,880NetAssetsOrFundBalancesEOYAmt
MissionSHARE THE GOSPEL OF CHRIST THROUGH BASEBALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$694,507ExpenseAmt
DescUNLIMITED POTENTIAL INC IS A RELIGIOUS ORGANIZATION THAT USES BASESBALL AS THE AVENUE TO SHARE THE GOOD NEWS ABOUT JESUS CHRIST. UNLIMITED POTENTIAL INC REACHES OUT TO BASEBALL PLAYERS, CHILDREN, MILITARY, AND PEOPLE IN OTHER COUNTRIES THROUGH BASEBALL CLINICS AND CAMPS. THE MESSAGE OF SALVATION IS INCLUDED AS PART OF THE CAMPS AND CLINICS.Desc
Total Program Service Expenses$694,507TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJO HICKERSONPersonNm
Phone5742677988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1355AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465811355ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RANDY SWANSON
BOARD MEMBER5.00Yes (X)$0$0$0
KENT FISHEL
VICE CHAIRMA2.00Yes (X)$0$0$0Yes (X)
TOM ROY
BOARD MEMBER40.00Yes (X)$130,712$0$15,396
SCOTT SANDERSON
BOARD MEMBER2.00Yes (X)$0$0$0
PAT COMBS
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
FRANK TANANA
BOARD MEMBER2.00Yes (X)$0$0$0
THOMAS MENELEY
BOARD MEMBER2.00Yes (X)$0$0$0
FRED WILLIAMS
TREASURER2.00Yes (X)$0$0$0Yes (X)
MICKEY WESTON
BOARD MEMBER40.00Yes (X)$131,523$0$13,584
FieldValueIRS element (for citing)
Total Reportable Comp From Org$262,235TotalReportableCompFromOrgAmt
Total Other Compensation$28,980TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$957,419AllOtherContributionsAmt
Total Contributions$957,419TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEN RETREAT-AZ$9,580$9,580
TRIP INCOME$5,825$5,825
SPEAKING INCOME$3,850$3,850
BOOK SALES$210$210
OTHER INCOME$24$24
FieldValueIRS element (for citing)
Total Program Service Revenue$19,489TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,430TotalRevenueColumnAmt
Exclusion$35,430ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$771,581SecuritiesAmt
Other$3,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$810,482SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$38,901SecuritiesAmt
Other$3,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$35,901TotalRevenueColumnAmt
Related Or Exempt Func Income-$35,901RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$976,437TotalRevenueColumnAmt
Related Or Exempt Func Income-$16,412RelatedOrExemptFuncIncomeAmt
Exclusion$35,430ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$291,215TotalAmt
Program Services$218,411ProgramServicesAmt
Management And General$72,804ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$309,017TotalAmt
Program Services$285,192ProgramServicesAmt
Management And General$23,825ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,154TotalAmt
Program Services$17,748ProgramServicesAmt
Management And General$3,406ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,744TotalAmt
Program Services$12,370ProgramServicesAmt
Management And General$2,374ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,672TotalAmt
Management And General$4,672ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$10,288TotalAmt
Management And General$10,288ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,091TotalAmt
Program Services$3,196ProgramServicesAmt
Management And General$1,895ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,660TotalAmt
Management And General$15,660ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$75,489TotalAmt
Program Services$49,269ProgramServicesAmt
Management And General$26,220ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,371TotalAmt
Program Services$22,998ProgramServicesAmt
Management And General$3,373ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,875TotalAmt
Program Services$8,875ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,198TotalAmt
Management And General$13,198ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
GIFTS - OTHER$52,121$52,121
GIFTS & ENTERTAINMENT$17,077$17,077
DEVELOPMENT EXPENSE$9,603$9,603
STAFF RETREAT$8,737$8,737

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,131TotalAmt
Program Services$24,327ProgramServicesAmt
Management And General$13,804ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$921,443TotalAmt
Program Services$694,507ProgramServicesAmt
Management And General$217,333ManagementAndGeneralAmt
Fundraising$9,603FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$407,996BOYAmt
EOY$266,314EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,235BOYAmt
EOY$400,656EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,924LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$69,738LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,332BOYAmt
EOY$24,186EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,022,373BOYAmt
EOY$1,036,969EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,639,936BOYAmt
EOY$1,728,125EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,824BOYAmt
EOY$120,245EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$116,824BOYAmt
EOY$120,245EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,523,112BOYAmt
EOY$1,607,880EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,523,112BOYAmt
EOY$1,607,880EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,639,936BOYAmt
EOY$1,728,125EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$54,994ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$29,774OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$775,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$778,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$888,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,140,549CurrentTaxYearMinus1YearAmt
Current Tax Year$957,419CurrentTaxYearAmt
Total$4,540,801TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$775,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$778,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$888,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,140,549CurrentTaxYearMinus1YearAmt
Current Tax Year$957,419CurrentTaxYearAmt
Total$4,540,801TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,618,759SubstantialContributorsTotAmt
Public Support Total170$2,922,042PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,246CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,808CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,620CurrentTaxYearMinus1YearAmt
Current Tax Year$35,430CurrentTaxYearAmt
Total$118,279TotalAmt
FieldValueIRS element (for citing)
Total Support$4,659,080TotalSupportAmt
Gross Receipts Rltd Activities$19,489GrossReceiptsRltdActivitiesAmt
Public Support CY1700.62720PublicSupportCY170Pct
Public Support PY1700.68500PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,047OtherCostOrOtherBasisAmt
Depreciation$11,390DepreciationAmt
Book Value$3,657BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,877OtherCostOrOtherBasisAmt
Depreciation$58,348DepreciationAmt
Book Value$20,529BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$24,186TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
MEDICAL FUND$107,314
FED & FICA PAYABLE$6,632
RETIREMENT PAYABLE$4,050
STATE & COUNTY PAYABLE-IN$1,095
STATE & COUNTY PAYABLE-GA$764
STATE & COUNTY PAYABLE-AZ$390
FieldValueIRS element (for citing)
Total Liability$120,245TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY A BOARD MEMBER AND THE OFFICE MANAGER. GOVERNING POLICIES ARE DISCUSSED WITH OTHER BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION INCLUDING HOUSING ALLOWANCE IS REVIEWED AND APPROVED BY INDEPENDENT MEMBER(S) OF THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION INCLUDING HOUSING ALLOWANCE, IS REVIEWED AND APPROVED BY INDEPENDENT MEMBER(S) OF THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9VALUATION ALLOWANCE 29,774

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