RACHELS HAVEN INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RACHELS HAVEN INC (EIN 20-2236485)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201713199349312611
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)
Return2017-11-15T15:16:38-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541921728PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THROWER BLANTON & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1612 TRENT ST NEAddressLine1Txt
CityNORTONCityNm
State AbbreviationVAStateAbbreviationCd
ZIP242731532ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN202236485EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RACHELS HAVEN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRACHBusinessNameControlTxt
Phone2767964491PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 148AddressLine1Txt
CityPOUNDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24279ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANICE PAYNEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone2767964491PhoneNum
Signature2017-11-10SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHARLES F LAWSON CPAPreparerPersonNm
PTINP01208865PTIN
Phone2766792780PhoneNum
Preparation2017-11-14PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdFC6BE80F3B691DC0FAC93B0AACD88E238F05024BAtSubmissionCreationDeviceId
At Submission Filing Device IdBC25E8BBD28D85A375703BAAAA549C9FB52E9BA5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJANICE PAYNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17530 DAKOTA ROADAddressLine1Txt
CityWISECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24293ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,371,855GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee71TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,302,771PYContributionsGrantsAmt
CY Contributions Grants$1,371,855CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,302,771PYTotalRevenueAmt
CY Total Revenue$1,371,855CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$839,488PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$873,483CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$421,904PYOtherExpensesAmt
CY Other Expenses$479,193CYOtherExpensesAmt
PY Total Expenses$1,261,392PYTotalExpensesAmt
CY Total Expenses$1,352,676CYTotalExpensesAmt
PY Revenues Less Expenses$41,379PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,179CYRevenuesLessExpensesAmt
Total Assets BOY$176,301TotalAssetsBOYAmt
Total Assets EOY$211,392TotalAssetsEOYAmt
Total Liabilities BOY$16,789TotalLiabilitiesBOYAmt
Total Liabilities EOY$32,701TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$159,512NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$178,691NetAssetsOrFundBalancesEOYAmt
MissionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,243,078ExpenseAmt
DescTHE ORGANIZATION PROVIDES HOUSING FOR MENTALLY CHALLANGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.Desc
Total Program Service Expenses$1,243,078TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee71EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJANICE PAYNEPersonNm
Phone2767964491PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17503B ORBY CANTRELL HIGHWAYAddressLine1Txt
CityPOUNDCityNm
State AbbreviationVAStateAbbreviationCd
ZIP24279ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANICE PAYNE
PRESIDENTYes (X)Yes (X)$0$0$0
TERRY PAYNE
VICE PRESIDEYes (X)Yes (X)$0$0$0
JODIE ADAMS
DIRECTORYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,371,855AllOtherContributionsAmt
Total Contributions$1,371,855TotalContributionsAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,371,855TotalRevenueColumnAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$778,750TotalAmt
Program Services$755,387ProgramServicesAmt
Management And General$23,363ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$35,853TotalAmt
Program Services$25,097ProgramServicesAmt
Management And General$10,756ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,880TotalAmt
Program Services$57,114ProgramServicesAmt
Management And General$1,766ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,725TotalAmt
Management And General$1,725ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27TotalAmt
Management And General$27ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$41,102TotalAmt
Management And General$41,102ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$48,080TotalAmt
Program Services$48,080ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$968TotalAmt
Management And General$968ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,370TotalAmt
Management And General$3,370ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,592TotalAmt
Program Services$17,592ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$46,040TotalAmt
Program Services$46,040ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEALS FOR RESIDENTS$69,705$69,705
REPAIRS & MAINTENANCE$55,187$55,187
OTHER$45,256$45,256
SUPPLIES$43,696$43,696

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$106,445TotalAmt
Program Services$79,924ProgramServicesAmt
Management And General$26,521ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,352,676TotalAmt
Program Services$1,243,078ProgramServicesAmt
Management And General$109,598ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$54,190BOYAmt
EOY$22,417EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$39,989BOYAmt
EOY$77,989EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$2,456EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$200,957LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$92,427LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$82,122BOYAmt
EOY$108,530EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$176,301BOYAmt
EOY$211,392EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,869BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$8,007BOYAmt
EOY$32,668EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$5,913BOYAmt
EOY$33EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,789BOYAmt
EOY$32,701EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,512BOYAmt
EOY$178,691EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$159,512BOYAmt
EOY$178,691EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,301BOYAmt
EOY$211,392EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$19,179ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$931,819CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,115,321CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,194,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,302,771CurrentTaxYearMinus1YearAmt
Current Tax Year$1,371,855CurrentTaxYearAmt
Total$5,916,119TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$931,819CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,115,321CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,194,353CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,302,771CurrentTaxYearMinus1YearAmt
Current Tax Year$1,371,855CurrentTaxYearAmt
Total$5,916,119TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,916,119PublicSupportTotal170Amt
Total Support$5,916,119TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$200,957OtherCostOrOtherBasisAmt
Depreciation$92,427DepreciationAmt
Book Value$108,530BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$108,530TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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