HISTORIC ALBERTA HOUSE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HISTORIC ALBERTA HOUSE (EIN 27-0568541)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-12
IRS object ID
201711939349300246
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)
Return2017-07-12T14:48:35-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN272959989PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1On-Time Accounting LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13800 SW Cedar Hills Blvd Suite 200EAddressLine1Txt
CityBeavertonCityNm
State AbbreviationORStateAbbreviationCd
ZIP97005ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270568541EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CERIMON HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCERIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line15131 NE 23RD AVEAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97211ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRandall StuartPersonNm
Person TitleSecretaryPersonTitleTxt
Phone5033079599PhoneNum
Signature2017-07-10SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAndrea KorsenPreparerPersonNm
PTINP01052152PTIN
Phone5037138902PhoneNum
Preparation2017-07-12PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.246.46.205IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-12IPDt
IP Tm14:50:02IPTm
Federal Original Submission Id9341782017193yneapdpFederalOriginalSubmissionId
Federal Original Submission Id2017-07-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE431D329A41C50BF8EFD67718900F5C13D3111C6AtSubmissionCreationDeviceId
At Submission Filing Device IdE431D329A41C50BF8EFD67718900F5C13D3111C6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$160,304GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CERIMONHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTO PROMOTE COMMUNITY, ARTS, EDUCATION AND CEREMONYActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$107,316PYContributionsGrantsAmt
CY Contributions Grants$131,831CYContributionsGrantsAmt
PY Program Service Revenue$2,923PYProgramServiceRevenueAmt
CY Program Service Revenue$28,427CYProgramServiceRevenueAmt
CY Investment Income$46CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$110,239PYTotalRevenueAmt
CY Total Revenue$160,304CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$43,749CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,335CYTotalFundraisingExpenseAmt
PY Other Expenses$130,790PYOtherExpensesAmt
CY Other Expenses$132,165CYOtherExpensesAmt
PY Total Expenses$130,790PYTotalExpensesAmt
CY Total Expenses$175,914CYTotalExpensesAmt
PY Revenues Less Expenses-$20,551PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,610CYRevenuesLessExpensesAmt
Total Assets BOY$835,659TotalAssetsBOYAmt
Total Assets EOY$827,991TotalAssetsEOYAmt
Total Liabilities BOY$746,708TotalLiabilitiesBOYAmt
Total Liabilities EOY$754,650TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$88,951NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$73,341NetAssetsOrFundBalancesEOYAmt
MissionTO PROMOTE COMMUNITY, ARTS, EDUCATION AND CEREMONYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$144,497ExpenseAmt
DescIn 2016 Cerimon House - a humanities and cultural arts organization - presented 16 At The Hearth presentations and cultural salons,3 Creative Path signature community gatherings,co-sponsored 7 community events with like-minded groups,and rented to a culturally diverse array of individuals,teachers,specialists and artists representing many disciplines including visual and performing arts,music,film making, playwriting,health and wellness,local government,self improvement,and family. These varied community events covered: a large-scale Science and Health conference,the Concordia Neighborhood holiday event,an art visit for incarcerated youth,an exhibit on historical Portland housing, literary and cultural development meetings,evenings on issues of human rights and citizen involvement,as well as an annual lecture on the creation of LAIKA Films. In 2016, Cerimon House programming and events served over 1500 people and provided affordable rental space for the community at large,including non profit organizations,artists,teachers,groups and families - correlating to the part of our mission which states: ...to provide a safe, inclusive,culturally plural and nonviolent convening space.Desc
Total Program Service Expenses$144,497TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1EmployeeCnt
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSharon NielsonPersonNm
Phone5033079599PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15131 NE 23RD AVEAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97211ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Will Patton
Board Chair4.000.00Yes (X)$0$0$0
Sharon Nielson
Treasurer4.000.00Yes (X)$0$0$0
Randall Stuart
Secretary4.000.00Yes (X)$14,350$0$0
Keith Pitt
Director4.000.00Yes (X)$0$0$0
Kevin Yell
Founding Member and Board Cha4.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$14,350TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$131,831AllOtherContributionsAmt
Total Contributions$131,831TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRoom RentalDesc
Business532000BusinessCd
Total Revenue Column$28,427TotalRevenueColumnAmt
Related Or Exempt Func Income$28,427RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,427TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2TotalRevenueColumnAmt
Related Or Exempt Func Income$2RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$44OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$44OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$44TotalRevenueColumnAmt
Related Or Exempt Func Income$44RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,304TotalRevenueColumnAmt
Related Or Exempt Func Income$28,473RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$14,350TotalAmt
Program Services$11,480ProgramServicesAmt
Management And General$1,435ManagementAndGeneralAmt
Fundraising$1,435FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,478TotalAmt
Program Services$21,982ProgramServicesAmt
Management And General$2,748ManagementAndGeneralAmt
Fundraising$2,748FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,921TotalAmt
Program Services$1,537ProgramServicesAmt
Management And General$192ManagementAndGeneralAmt
Fundraising$192FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,825TotalAmt
Management And General$2,825ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,546TotalAmt
Program Services$5,236ProgramServicesAmt
Management And General$655ManagementAndGeneralAmt
Fundraising$655FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,651TotalAmt
Program Services$2,121ProgramServicesAmt
Management And General$265ManagementAndGeneralAmt
Fundraising$265FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,506TotalAmt
Program Services$1,204ProgramServicesAmt
Management And General$151ManagementAndGeneralAmt
Fundraising$151FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,017TotalAmt
Program Services$1,613ProgramServicesAmt
Management And General$202ManagementAndGeneralAmt
Fundraising$202FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,111TotalAmt
Fundraising$2,111FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$891TotalAmt
Program Services$713ProgramServicesAmt
Management And General$89ManagementAndGeneralAmt
Fundraising$89FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,426TotalAmt
Program Services$8,426ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,302TotalAmt
Program Services$17,302ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,024TotalAmt
Management And General$1,024ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ALBERTA LODGE BUILDING$47,216$37,776$4,720$4,720
TELEPHONE AND INTERNET$4,298$3,438$430$430
EVENT EXPENSES$29,737$29,737
DONOR DEVELOPMENT AND FR EXP$2,103$2,103

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,512TotalAmt
Program Services$1,932ProgramServicesAmt
Management And General$1,346ManagementAndGeneralAmt
Fundraising$234FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,914TotalAmt
Program Services$144,497ProgramServicesAmt
Management And General$16,082ManagementAndGeneralAmt
Fundraising$15,335FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$45,448BOYAmt
EOY$15,884EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$20BOYAmt
EOY$20EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$852,719LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$40,632LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$790,191BOYAmt
EOY$812,087EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$835,659BOYAmt
EOY$827,991EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,139BOYAmt
EOY$18,081EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$661,569BOYAmt
EOY$661,569EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$75,000BOYAmt
EOY$75,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$746,708BOYAmt
EOY$754,650EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$88,951BOYAmt
EOY$73,341EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$88,951BOYAmt
EOY$73,341EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$835,659BOYAmt
EOY$827,991EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$15,610ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$73,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,239CurrentTaxYearMinus1YearAmt
Current Tax Year$160,259CurrentTaxYearAmt
Total$552,324TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,032CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,239CurrentTaxYearMinus1YearAmt
Current Tax Year$160,259CurrentTaxYearAmt
Total$552,324TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$87,736SubstantialContributorsTotAmt
Public Support Total170$464,588PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20CurrentTaxYearMinus3YearsAmt
Current Tax Year$2CurrentTaxYearAmt
Total$24TotalAmt
FieldValueIRS element (for citing)
Total Support$552,348TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$239,800OtherCostOrOtherBasisAmt
Book Value$239,800BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,867OtherCostOrOtherBasisAmt
Depreciation$15,542DepreciationAmt
Book Value$144,325BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,889OtherCostOrOtherBasisAmt
Depreciation$3,041DepreciationAmt
Book Value$10,848BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$439,163OtherCostOrOtherBasisAmt
Depreciation$22,049DepreciationAmt
Book Value$417,114BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$812,087TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11A COMPLETED COPY OF THE 990 WILL BE EMAILED TO ALL BOARD MEMBERS FOR REVIEW BEFORE FILING.
CEO executive director top management comp Part VI line 15aTHE CERIMON HOUSE BOARD OF DIRECTORS CONDUCTS A PERFORMANCE REVIEW AND VOTES AND APPROVES THE COMPENSATION PACKAGE FOR THE EXECUTIVE DIRECTOR
Governing documents etc available to public Part VI line 19THE GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST

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