FURP.ORG / PUBLIC DATA EXPLORER

EPIPHANY COMMUNITY HEALTH OUTREACH SERVICES: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
EPIPHANY COMMUNITY HEALTH OUTREACH SERVICES (EIN 76-0645238)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-09-29
IRS object ID
201702729349300930
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)
Return2017-09-29T11:48:18-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JONATHAN B TUCKER CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11773 WESTBOROUGH DR STE 304AddressLine1Txt
CityKATYCityNm
State AbbreviationTXStateAbbreviationCd
ZIP774493295ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760645238EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EPIPHANY COMMUNITY HEALTH OUTREACH SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEPIPBusinessNameControlTxt
Phone7132700369PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19600 S Gessner Building EAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77071ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATHLEEN G MOOREPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7132700369PhoneNum
Signature2017-09-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJONATHAN TUCKERPreparerPersonNm
Phone2817179056PhoneNum
Preparation2017-09-29PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.92.24.97IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-09-29IPDt
IP Tm11:48:13IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id609D28781B40CB8323735E20018BFF7CED44420DAtSubmissionCreationDeviceId
At Submission Filing Device Id609D28781B40CB8323735E20018BFF7CED44420DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCATHLEEN G MOOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19600 S Gessner Building EAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77071ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,202,026GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressechos-houston.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionECHOS connects people in need with health, social and educational resources, completing 23,000 client visits during 2016.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$323,748PYContributionsGrantsAmt
CY Contributions Grants$1,157,811CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$6CYInvestmentIncomeAmt
PY Other Revenue$37,772PYOtherRevenueAmt
CY Other Revenue$28,712CYOtherRevenueAmt
PY Total Revenue$361,520PYTotalRevenueAmt
CY Total Revenue$1,186,529CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$257,757PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$306,414CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$39,694CYTotalFundraisingExpenseAmt
PY Other Expenses$116,311PYOtherExpensesAmt
CY Other Expenses$887,881CYOtherExpensesAmt
PY Total Expenses$374,068PYTotalExpensesAmt
CY Total Expenses$1,194,295CYTotalExpensesAmt
PY Revenues Less Expenses-$12,548PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,766CYRevenuesLessExpensesAmt
Total Assets BOY$172,092TotalAssetsBOYAmt
Total Assets EOY$176,541TotalAssetsEOYAmt
Total Liabilities BOY$5,264TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,727TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$166,828NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$163,814NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionEpiphany Community Health Outreach Services (ECHOS) mission is to connectMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$782,424ExpenseAmt
DescFOOD PANTRY & FAIRS: ECHOS PROVIDES ON-SITE HELP IN HEALTHCARE, FOOD AND KEY SOCIAL SERVICES. WE HOST FOOD AND HEALTH FAIRS, PROVIDING ON-SITE ACCESS TO HEALTH SCREENINGS AND HEALTHCARE PROVIDERS LIKE DENTAL, IMMUNIZATION, AND OPTOMETRY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$248,580ExpenseAmt
DescBENEFITS APPLICATION ASSISTANCE: ECHOS IS A HEALTHCARE ACCESS ADVOCATE. ECHOS COMMUNITY HEALTH WORKERS HELP FAMILIES ACCESS THE SERVICES THEY ARE ELIGIBLE FOR. WE ASSIST FAMILIES SUBMITTING APPLICATIONS TO STATE AND COUNTY MEDICAL AND SOCIAL SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$39,735ExpenseAmt
DescEDUCATION AND OUTREACH: WORKING IN COLLABORATION WITH 24 PUBLIC AGENCIES AND NONPROFIT PROVIDERS, WE ARE THE CRITICAL LINK BETWEEN PEOPLE IN NEED AND THE SERVICES THAT ARE AVAILABLE TO HELP THEM BUILD SECURE AND SUSTAINABLE LIVES IN HOUSTON.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$40,658ExpenseAmt
DescOther programs (see description).Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$40,658TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,111,397TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee11EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCATHY MOOREPersonNm
Phone7132700369PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19600 S GESSNER BUILDING EAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77071ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
REV CHRISTINE FAULSTICH
Chairperson2.00Yes (X)Yes (X)$0$0$0
SUSAN HAWES
President2.00Yes (X)Yes (X)$0$0$0
SCOTT LOOPER
Chancellor2.00Yes (X)Yes (X)$0$0$0
MICHELLE DYER
Vice President2.00Yes (X)Yes (X)$0$0$0
CAROL STRYKER
Treasurer2.00Yes (X)Yes (X)$0$0$0
NIKE OTUYELU
Secretary2.00Yes (X)Yes (X)$0$0$0
DONNA ALEXANDER
Director1.00Yes (X)$0$0$0
DIANE FINCH
Director1.00Yes (X)$0$0$0
JASON LEGER
Director1.00Yes (X)$0$0$0
DAVE MATHISON
Director1.00Yes (X)$0$0$0
LISA NETTEY
Director1.00Yes (X)$0$0$0
TOM PELLEGRIN
Director1.00Yes (X)$0$0$0
JULIA RETTA
Director1.00Yes (X)$0$0$0
KEN WALLIS
Director1.00Yes (X)$0$0$0
CATHY MOORE
Executive Director50Yes (X)$54,923
JEAN KEGLER
Executive Director50Yes (X)$12,469Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$67,392TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$1,157,811AllOtherContributionsAmt
Noncash Contributions$734,071NoncashContributionsAmt
Total Contributions$1,157,811TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$44,209FundraisingGrossIncomeAmt
Fundraising Direct Expenses$15,497FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,712TotalRevenueColumnAmt
Exclusion$28,712ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,186,529TotalRevenueColumnAmt
Related Or Exempt Func Income$6RelatedOrExemptFuncIncomeAmt
Exclusion$28,712ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$67,392TotalAmt
Program Services$62,714ProgramServicesAmt
Management And General$2,438ManagementAndGeneralAmt
Fundraising$2,240FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$197,744TotalAmt
Program Services$176,312ProgramServicesAmt
Management And General$13,033ManagementAndGeneralAmt
Fundraising$8,399FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,472TotalAmt
Program Services$19,357ProgramServicesAmt
Management And General$1,253ManagementAndGeneralAmt
Fundraising$862FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,806TotalAmt
Program Services$17,855ProgramServicesAmt
Management And General$1,156ManagementAndGeneralAmt
Fundraising$795FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,042TotalAmt
Program Services$14,479ProgramServicesAmt
Management And General$13,594ManagementAndGeneralAmt
Fundraising$2,969FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,267TotalAmt
Program Services$14,481ProgramServicesAmt
Management And General$7,039ManagementAndGeneralAmt
Fundraising$12,747FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,945TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$1,945FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,063TotalAmt
Program Services$19,591ProgramServicesAmt
Management And General$3,587ManagementAndGeneralAmt
Fundraising$7,885FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,261TotalAmt
Program Services$13,689ProgramServicesAmt
Management And General$876ManagementAndGeneralAmt
Fundraising$1,696FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$753TotalAmt
Program Services$753ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$874TotalAmt
Program Services$874ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,604TotalAmt
Program Services$1,446ProgramServicesAmt
Management And General$94ManagementAndGeneralAmt
Fundraising$64FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,293TotalAmt
Program Services$2,067ProgramServicesAmt
Management And General$134ManagementAndGeneralAmt
Fundraising$92FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescFood distributionDesc
Total$767,779TotalAmt
Program Services$767,779ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,194,295TotalAmt
Program Services$1,111,397ProgramServicesAmt
Management And General$43,204ManagementAndGeneralAmt
Fundraising$39,694FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$171,413BOYAmt
EOY$136,098EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$35,200EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$66,935LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,692LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$679BOYAmt
EOY$5,243EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$172,092BOYAmt
EOY$176,541EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,264BOYAmt
EOY$12,727EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,264BOYAmt
EOY$12,727EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$166,828BOYAmt
EOY$129,112EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$34,702EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$166,828BOYAmt
EOY$163,814EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$172,092BOYAmt
EOY$176,541EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,766ReconcilationRevenueExpnssAmt
Prior Period Adjustments$4,752PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
ChurchYes (X)ChurchInd
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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$66,935OtherCostOrOtherBasisAmt
Depreciation$61,692DepreciationAmt
Book Value$5,243BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,243TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,214,429TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$27,900DonatedServicesAndUseFcltsAmt
Revenue Not Reported$27,900RevenueNotReportedAmt
Revenue Subtotal$1,186,529RevenueSubtotalAmt
Total Revenue Per Form990$1,186,529TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,222,195TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$27,900DonatedServicesUseFcltsAmt
Expenses Not Reported$27,900ExpensesNotReportedAmt
Expenses Subtotal$1,194,295ExpensesSubtotalAmt
Total Expenses Per Form990$1,194,295TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Chef's DinnerEvent1Nm
Gross Receipts Event1$44,209GrossReceiptsEvent1Amt
Gross Revenue Event1$44,209GrossRevenueEvent1Amt
Other Direct Expenses Event1$15,497OtherDirectExpensesEvent1Amt
Gross Receipts Total$44,209GrossReceiptsTotalAmt
Gross Revenue Total Events$44,209GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$15,497OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$15,497DirectExpenseSummaryEventsAmt
Net Income Summary$28,712NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJEAN KEGLERPersonNm
Base Compensation Filing Org$12,469BaseCompensationFilingOrgAmt
Deferred Compensation Flng Org$499DeferredCompensationFlngOrgAmt
Total Compensation Filing Org$12,968TotalCompensationFilingOrgAmt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution24ContributionCnt
Noncash Contributions Rpt F990$734,071NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bIRS Form 990 reviewed and approved by Board prior to filing.
Pt VI, Line 19Documents are available by written request during normal office hours.
Form 990, Part III, Line 4dOther programs (see description). 40658. 0. 0.