MIDWEST SHELTER FOR HOMELESS VETERANS INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MIDWEST SHELTER FOR HOMELESS VETERANS INC (EIN 36-4337985)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-03-27
- IRS object ID
- 201700869349300235
- 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 | 2017-03-27T16:23:08-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 362886485 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DUGAN & LOPATKA CPA'S PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 E ROOSEVELT ROAD SUITE 102 | AddressLine1Txt |
| City | WHEATON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 601875267 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364337985 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDWEST SHELTER FOR HOMELESS | BusinessNameLine1Txt |
| Business Name Line2 | VETERANS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDW | BusinessNameControlTxt |
| Phone | 6308718387 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 433 SOUTH CARLTON AVENUE | AddressLine1Txt |
| City | WHEATON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60187 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TOM FORGERTY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 6308718387 | PhoneNum |
| Signature | 2017-03-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RON MARKLUND | PreparerPersonNm |
| PTIN | P01985511 | PTIN |
| Phone | 6306654440 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.93.92.241 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-03-15 | IPDt |
| IP Tm | 17:04:02 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6ACE50076177CF82DF825EAF3AE57743B0078B13 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 07D41713DDB04D55BF156D572AC4975F5F29A040 | 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 | TOM FORGERTY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 433 SOUTH CARLTON AVENUE | AddressLine1Txt |
| City | WHEATON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60187 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,321,647 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HELPAVETERAN.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE VETERANS AND THEIR FAMILIES WITH HOUSING AND SUPPORTIVE SERVICES | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 27 | TotalEmployeeCnt |
| Total Volunteers | 64 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,404,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,238,132 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,098 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $57,367 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,583 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,035 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,443 | PYOtherRevenueAmt |
| CY Other Revenue | -$5,642 | CYOtherRevenueAmt |
| PY Total Revenue | $1,453,624 | PYTotalRevenueAmt |
| CY Total Revenue | $1,290,892 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $133,024 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $142,603 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $879,312 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $986,710 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $158,051 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $342,501 | PYOtherExpensesAmt |
| CY Other Expenses | $318,938 | CYOtherExpensesAmt |
| PY Total Expenses | $1,354,837 | PYTotalExpensesAmt |
| CY Total Expenses | $1,448,251 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $98,787 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$157,359 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,039,486 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,879,394 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $386,850 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $384,117 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,652,636 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,495,277 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE VETERANS AND THEIR FAMILIES WITH HOUSING AND SUPPORTIVE SERVICES THAT LEAD TO SELF-SUFFICIENCY AND TO ENSURE THAT NO VETERAN IS LEFT BEHIND DUE TO HOMELESSNESS, JOBLESSNESS, POVERTY AND/OR MENTAL-HEALTH ISSUES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $546,435 | ExpenseAmt |
| Grant | $46,700 | GrantAmt |
| Revenue | $58,636 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HOUSING, SUPPORTIVE SERVICES AND COMMUNITY OUTREACH TO HELP HOMELESS AND AT-RISK VETERANS AND THEIR FAMILIES ACHIEVE SELF-SUFFICIENCY. FROM ITS THREE FACILITIES IN WHEATON, ILLINOIS, THE ORGANIZATION SUCCESSFULLY TRANSITIONED 7 OF 10 VETERANS, MEANING THE INDIVIDUALS WERE EMPLOYED, SOBER AND MOVING INTO PERMANENT HOUSING UPON DISCHARGE. THE ORGANIZATION ALSO HOUSED 17 VETERANS IN THEIR AFFORDABLE HOUSING PROGRAM AND ASSISTED 226 HOUSEHOLDS AND 4 PERMANENT HOUSING INDIVIDUALS WITH SUPPLIES, SERVICES AND REFERRALS THROUGH THEIR COMMUNITY OUTREACH EFFORTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $527,437 | ExpenseAmt |
| Grant | $95,903 | GrantAmt |
| Desc | THE ORGANIZATION ASSISTED 112 HOUSEHOLDS, 182 INDIVIDUALS WITH HOUSING AND SUPPORT SERVICES THROUGH THEIR SUPPORTIVE SERVICES FOR VETERAN FAMILIES PROGRAM. THIS PROGRAM PROVIDES SERVICES TO LOW-INCOME HOMELESS AND AT-RISK VETERAN FAMILIES LIVING IN OR TRANSITIONING TO PERMANENT HOUSING IN DUPAGE, GRUNDY, KANE, KENDALL, WILL, DEKALB AND LASALLE COUNTIES, INCLUDING SERVICES THAT PROMOTE HOUSING STABILITY AND PLAY A KEY ROLE IN CONNECTING VETERANS AND THEIR FAMILY MEMBERS TO VA SERVICES SUCH AS MENTAL HEALTH CARE AND OTHER BENEFITS. UNDER THE PROGRAM THE ORGANIZATION ALSO OFFERS FINANCIAL ASSISTANCE TO VETERANS FOR RENT, UTILITY AND SECURITY DEPOSIT PAYMENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,073,872 | 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 | 0 | 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | 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 | 44 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 27 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | 0 | 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 | Yes (1) | 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 | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JESSICA SPITZER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6308718387 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 433 SOUTH CARLTON AVENUE | AddressLine1Txt |
| City | WHEATON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60187 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ROBERT ADAMS | ||||||
| PRESIDENT | 12.00 | Yes (X) | Yes (X) | $53,100 | $0 | $0 |
| TOM FOGERTY | ||||||
| PRESIDENT ELECT | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BRIGID DUFFIELD | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID MAINES | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MICHAEL CAHILL | ||||||
| SECRETARY ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RANDALL YTTERBERG | ||||||
| VICE PRESIDENT ELECT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JACK MATOSIAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARVIN DONELSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL SULLIVAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL HERBERT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT KAYE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| COLLEEN RYAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CRAIG TREANKLER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNE WILT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JANE TYSCHENKO-MYSLIWIEC | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $78,780 | $0 | $10,314 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $131,880 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $10,314 | 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 | $23,515 | FundraisingAmt |
| Government Grants | $732,879 | GovernmentGrantsAmt |
| All Other Contributions | $481,738 | AllOtherContributionsAmt |
| Noncash Contributions | $45,064 | NoncashContributionsAmt |
| Total Contributions | $1,238,132 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AFFORDABLE HOUSING REN | Desc |
| Business | 531110 | BusinessCd |
| Total Revenue Column | $57,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $57,367 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $57,367 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,035 | TotalRevenueColumnAmt |
| Exclusion | $1,035 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,844 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $23,515 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $30,755 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,911 | TotalRevenueColumnAmt |
| Exclusion | -$6,911 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,269 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,269 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,269 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,290,892 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,636 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$5,876 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,603 | TotalAmt |
| Program Services | $142,603 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,194 | TotalAmt |
| Program Services | $107,447 | ProgramServicesAmt |
| Management And General | $18,710 | ManagementAndGeneralAmt |
| Fundraising | $16,037 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $686,459 | TotalAmt |
| Program Services | $492,567 | ProgramServicesAmt |
| Management And General | $116,836 | ManagementAndGeneralAmt |
| Fundraising | $77,056 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,077 | TotalAmt |
| Program Services | $64,808 | ProgramServicesAmt |
| Management And General | $11,465 | ManagementAndGeneralAmt |
| Fundraising | $6,804 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,980 | TotalAmt |
| Program Services | $54,350 | ProgramServicesAmt |
| Management And General | $12,144 | ManagementAndGeneralAmt |
| Fundraising | $8,486 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,575 | TotalAmt |
| Management And General | $12,575 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,329 | TotalAmt |
| Program Services | $17,363 | ProgramServicesAmt |
| Management And General | $6,823 | ManagementAndGeneralAmt |
| Fundraising | $6,143 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,418 | TotalAmt |
| Program Services | $20,719 | ProgramServicesAmt |
| Management And General | $3,122 | ManagementAndGeneralAmt |
| Fundraising | $19,577 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,092 | TotalAmt |
| Program Services | $4,754 | ProgramServicesAmt |
| Management And General | $607 | ManagementAndGeneralAmt |
| Fundraising | $5,731 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,520 | TotalAmt |
| Program Services | $32,870 | ProgramServicesAmt |
| Management And General | $6,251 | ManagementAndGeneralAmt |
| Fundraising | $1,399 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,801 | TotalAmt |
| Program Services | $4,729 | ProgramServicesAmt |
| Management And General | $282 | ManagementAndGeneralAmt |
| Fundraising | $790 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,823 | TotalAmt |
| Program Services | $8,075 | ProgramServicesAmt |
| Management And General | $7,066 | ManagementAndGeneralAmt |
| Fundraising | $1,682 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,909 | TotalAmt |
| Program Services | $48,960 | ProgramServicesAmt |
| Management And General | $12,949 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,925 | TotalAmt |
| Program Services | $10,730 | ProgramServicesAmt |
| Management And General | $2,593 | ManagementAndGeneralAmt |
| Fundraising | $602 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| RESIDENT EXPENSES | $31,242 | $31,242 | ||
| SUPPLIES | $29,322 | $29,322 | ||
| MISCELLANEOUS EXPENSES | $10,447 | $2,825 | $4,194 | $3,428 |
| FUNDRAISING | $9,277 | $9,277 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,258 | TotalAmt |
| Program Services | $508 | ProgramServicesAmt |
| Management And General | $711 | ManagementAndGeneralAmt |
| Fundraising | $1,039 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,448,251 | TotalAmt |
| Program Services | $1,073,872 | ProgramServicesAmt |
| Management And General | $216,328 | ManagementAndGeneralAmt |
| Fundraising | $158,051 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $360 | BOYAmt |
| EOY | $385 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,260 | BOYAmt |
| EOY | $414,875 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,128 | BOYAmt |
| EOY | $92,150 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,151 | BOYAmt |
| EOY | $27,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,624,611 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $297,228 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,387,363 | BOYAmt |
| EOY | $2,327,383 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,224 | BOYAmt |
| EOY | $17,369 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,039,486 | BOYAmt |
| EOY | $2,879,394 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,943 | BOYAmt |
| EOY | $40,020 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,907 | BOYAmt |
| EOY | $344,097 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $386,850 | BOYAmt |
| EOY | $384,117 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,572,247 | BOYAmt |
| EOY | $1,414,888 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,389 | BOYAmt |
| EOY | $1,080,389 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,652,636 | BOYAmt |
| EOY | $2,495,277 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,039,486 | BOYAmt |
| EOY | $2,879,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$157,359 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| 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 | $783,122 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $564,393 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,421,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,404,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,238,132 | CurrentTaxYearAmt |
| Total | $5,411,423 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $783,122 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $564,393 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,421,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,404,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,238,132 | CurrentTaxYearAmt |
| Total | $5,411,423 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $5,411,423 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,129 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,555 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,617 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,583 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,035 | CurrentTaxYearAmt |
| Total | $11,919 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,550 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $725 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,269 | CurrentTaxYearAmt |
| Total | $7,219 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $5,430,561 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $487,850 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99650 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99570 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $950,000 | OtherCostOrOtherBasisAmt |
| Book Value | $950,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $818,944 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,278 | DepreciationAmt |
| Book Value | $708,666 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $733,874 | OtherCostOrOtherBasisAmt |
| Depreciation | $105,276 | DepreciationAmt |
| Book Value | $628,598 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $91,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,423 | DepreciationAmt |
| Book Value | $22,564 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,251 | DepreciationAmt |
| Book Value | $17,555 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,327,383 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,314,357 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $17,250 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $6,215 | OtherRevenueAmt |
| Revenue Not Reported | $23,465 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,290,892 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,290,892 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,471,716 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $17,250 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $6,215 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $23,465 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,448,251 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,448,251 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM FEDERAL OR STATE INFORMATIONAL RETURNS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SIMILAR STATE LAWS. THE ORGANIZATION IS ALSO CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509(A) AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY FOR CHARITABLE CONTRIBUTION DEDUCTIONS BY THE DONOR. THE ORGANIZATION MUST RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF ANY TAX BENEFIT ASSOCIATED WITH TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN ITS TAX RETURN UNLESS IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY A TAXING AUTHORITY. ANY INTEREST AND PENALTIES ASSOCIATED WITH THE TAX POSITION WOULD ALSO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015, AND DETERMINED THERE WERE NO MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR THAT MAY HAVE ANY EFFECT ON IT TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2016, THE ORGANIZATION'S INFORMATIONAL RETURNS FOR 2013 THROUGH THE CURRENT YEAR REMAIN OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE JURISDICTIONS. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR IS ANY AUDIT PENDING. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 6,215. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES 6,215. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF OUTING | Event1Nm |
| Gross Receipts Event1 | $47,359 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $23,515 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,844 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $15,492 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $9,889 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $4,005 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,369 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $47,359 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $23,515 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,844 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $15,492 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,889 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $4,005 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,369 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $30,755 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$6,911 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | RENT, UTILITY AND SECURITY DEPOSITS | GrantTypeTxt |
| Recipient | 67 | RecipientCnt |
| Cash Grant | $142,603 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION MONITORS ASSISTANCE THROUGH THEIR KNOWLEDGE OF THE GRANT REQUIREMENTS, WHICH IS WHERE THE FUNDING IS COMING FROM FOR THE ASSISTANCE, AND MAKING SURE THEY ARE ELIGIBLE FOR THE ASSISTANCE THROUGH THE CASE WORKER'S FILES. | ExplanationTxt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $29,572 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | AUCTION ITEMS | Desc |
| Contribution | 108 | ContributionCnt |
| Noncash Contributions Rpt F990 | $15,492 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FAIR MARKET VALUE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ALL OFFICERS OF THE BOARD OF DIRECTORS, AND OTHER BOARD MEMBERS, UPON REQUEST, RECEIVE A COPY OF FORM 990 PRIOR TO ITS FILING WITH THE IRS. QUESTIONS AND COMMENTS THAT ARISE ARE DISCUSSED WITH THE TREASURER AND ARE RESOLVED BEFORE THE RETURN IS SIGNED AND FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION ADOPTED A WRITTEN CONFLICT OF INTEREST POLICY THAT EACH MEMBER OF THE BOARD OF DIRECTORS SIGNED UPON ADOPTION. IN ADDITION, THE BOARD MEMBERS AND THE EXECUTIVE DIRECTOR ARE REQUIRED TO ANNUALLY REVIEW THE POLICY AND SIGN A CONFLICT OF INTEREST CERTIFICATION TO ACKNOWLEDGE THE POLICY WAS REVIEWED AND TO DISCLOSE ALL MATERIAL FACTS OF ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST BY THEMSELVES OR THEIR FAMILY TO THE OTHER BOARD MEMBERS. THE BOARD, EXCLUSIVE OF THE INTERESTED PERSON, DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND WHETHER IT IS IN THE BEST INTEREST OF THE ORGANIZATION TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXCEPT AS DESCRIBED BELOW, THE DIRECTORS SERVE ON A VOLUNTEER BASIS AND RECEIVE NO COMPENSATION. COMPENSATION FOR THE PRESIDENT IS SOLELY FOR HIS CLINICAL SERVICE DUTIES, IS BASED ON MARKET DATA, AND IS APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR THE EXECUTIVE DIRECTOR AND OTHER OFFICERS IS BASED ON PERFORMANCE REVIEWS AND MARKET DATA AND IS APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | REQUESTS FOR AUDITED FINANCIAL STATEMENTS, TAX RETURNS, CONFLICT OF INTEREST STATEMENTS AND GOVERNING DOCUMENTS ARE CHANNELED THROUGH THE PRESIDENT OR TREASURER. IN ACCORDANCE WITH FEDERAL DISCLOSURE REQUIREMENTS, THE DOCUMENTS ARE MADE AVAILABLE ON THE SAME DAY IF THE REQUEST IS MADE IN PERSON AT 433 S CARLTON, WHEATON, ILLINOIS, OR WITHIN 30 DAYS IF WRITTEN REQUEST IS RECEIVED. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM PREVIOUS YEARS. |
Comments