SANTA ROSA KIDS HOUSE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA KIDS HOUSE INC (EIN 20-1524354)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-14
IRS object ID
201722269349301382
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)
Return2017-08-14T09:59:45-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DURST JORDAN CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14459-B HWY 90AddressLine1Txt
CityPACECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32571ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201524354EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SANTA ROSA KIDS' HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSANTBusinessNameControlTxt
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDELL HALLPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8506231112PhoneNum
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSHUA C DURST CPAPreparerPersonNm
Phone8509955000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address107.207.221.214IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-14IPDt
IP Tm09:59:13IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id69F8387FCB53A038BD2EB36034BCF043D29878C4AtSubmissionCreationDeviceId
At Submission Filing Device Id69F8387FCB53A038BD2EB36034BCF043D29878C4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWENDELL HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$365,008GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SRKIDSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS THE NEEDS OF CHILDREN FIRSTActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$354,858PYContributionsGrantsAmt
CY Contributions Grants$262,907CYContributionsGrantsAmt
PY Program Service Revenue$84,946PYProgramServiceRevenueAmt
CY Program Service Revenue$87,143CYProgramServiceRevenueAmt
CY Investment Income$14,958CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$439,804PYTotalRevenueAmt
CY Total Revenue$365,008CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,802PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$126,922CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$24,125CYTotalFundraisingExpenseAmt
PY Other Expenses$188,104PYOtherExpensesAmt
CY Other Expenses$239,389CYOtherExpensesAmt
PY Total Expenses$309,906PYTotalExpensesAmt
CY Total Expenses$366,311CYTotalExpensesAmt
PY Revenues Less Expenses$129,898PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,303CYRevenuesLessExpensesAmt
Total Assets BOY$1,823,556TotalAssetsBOYAmt
Total Assets EOY$1,817,378TotalAssetsEOYAmt
Total Liabilities BOY$32,739TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,039TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,790,817NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,797,339NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER A WELL COORDINATEDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$316,271ExpenseAmt
Grant$64,839GrantAmt
Revenue$350,050RevenueAmt
DescPROGRAM SERVICES PROVIDED INCLUDE MANAGING A FACILITY TO HOUSE MULTIPLE SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES TO CHILD ABUSE VICTIMS AND THEIR FAMILIES AND FACILITATE THE PROSECUTION OF THEIR ABUSERS IN SANTA ROSA COUNTY, FLORIDA. THESE SERVICES ARE PROVIDED FREE OF CHARGE IN A CHILD FRIENDLY ENVIRONMENT THEREBY REDUCING THE TRAUMA A CHILD HAS EXPERIENCED AS A RESULT OF ABUSE. DIRECT SERVICES INCLUDING CRISIS INTERVENTION, DEVELOPMENTALLY APPROPRIATE INTERVIEWS, MEDICAL EXAMS, MENTAL HEALTH COUNSELING, CASE MANAGEMENT AND VICTIM ADVOCACY WERE PROVIDED TO NUMEROUS CHILD VICTIMS OF PHYSICAL AND SEXUAL ABUSE DURING 2016.Desc
Total Program Service Expenses$316,271TotalProgramServiceExpensesAmt
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 SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 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
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
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 EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEITH ANN CAMPBELLPersonNm
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
WENDELL HALL
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
PATRICK DAWSON
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MARGARET PORTER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CONNIE CUSHING
TREASURER4.00Yes (X)Yes (X)$0$0$0
ROY ANDREWS
LEGAL COUNSEL1.00Yes (X)$0$0$0
PAUL LIO
DIRECTOR1.00Yes (X)$0$0$0
ADAIR COTTON
DIRECTOR1.00Yes (X)$0$0$0
MICHELE TUCKER
DIRECTOR1.00Yes (X)$0$0$0
JIMMIE MELVIN
DIRECTOR1.00Yes (X)$0$0$0
ANNETT WELLS-BANKICH
DIRECTOR1.00Yes (X)$0$0$0
LIZ SIMMONS
DIRECTOR1.00Yes (X)$0$0$0
SHARON JUSTISS
DIRECTOR1.00Yes (X)$0$0$0
SANDY PARK-OHARA
DIRECTOR1.00Yes (X)$0$0$0
GENIA JONES
DIRECTOR1.00Yes (X)$0$0$0
TONY ALEXANDER
DIRECTOR1Yes (X)
TINA CAIN
DIRECTOR1Yes (X)
BRIAN CIULLA
DIRECTOR1Yes (X)
JIMMY COKER
DIRECTOR1Yes (X)
JARED WHIPKEY
DIRECTOR1Yes (X)
BILL BURRIS
TRUSTEE1Yes (X)
KEITH ANN CAMPBELL
EXECUTIVE DIRECTOR40$50,885Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,885TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$81,202FundraisingAmt
All Other Contributions$181,705AllOtherContributionsAmt
Total Contributions$262,907TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business531120BusinessCd
Total Revenue Column$87,143TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$87,143TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,958TotalRevenueColumnAmt
Exclusion$14,958ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$81,202ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$365,008TotalRevenueColumnAmt
Related Or Exempt Func Income$87,143RelatedOrExemptFuncIncomeAmt
Exclusion$14,958ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$50,885TotalAmt
Program Services$50,885ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$66,084TotalAmt
Program Services$48,539ProgramServicesAmt
Management And General$11,697ManagementAndGeneralAmt
Fundraising$5,848FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,953TotalAmt
Program Services$8,460ProgramServicesAmt
Management And General$995ManagementAndGeneralAmt
Fundraising$498FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,168TotalAmt
Program Services$4,627ProgramServicesAmt
Management And General$1,233ManagementAndGeneralAmt
Fundraising$308FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,315TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,315ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,100TotalAmt
Program Services$220ProgramServicesAmt
Management And General$660ManagementAndGeneralAmt
Fundraising$220FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,982TotalAmt
Program Services$1,288ProgramServicesAmt
Management And General$595ManagementAndGeneralAmt
Fundraising$99FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,471TotalAmt
Program Services$4,023ProgramServicesAmt
Management And General$224ManagementAndGeneralAmt
Fundraising$224FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$696TotalAmt
Program Services$598ProgramServicesAmt
Management And General$70ManagementAndGeneralAmt
Fundraising$28FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$70,044TotalAmt
Program Services$68,643ProgramServicesAmt
Management And General$701ManagementAndGeneralAmt
Fundraising$700FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,434TotalAmt
Program Services$19,068ProgramServicesAmt
Management And General$2,244ManagementAndGeneralAmt
Fundraising$1,122FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
WEBSITE$2,801$2,745$28$28
CLEANING$5,200$4,472$520$208
DUES/MEMBERSHIPS$2,706$2,327$271$108
FUNDRAISING$13,395$0$0$13,395

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$104,077TotalAmt
Program Services$100,376ProgramServicesAmt
Management And General$2,362ManagementAndGeneralAmt
Fundraising$1,339FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$366,311TotalAmt
Program Services$316,271ProgramServicesAmt
Management And General$25,915ManagementAndGeneralAmt
Fundraising$24,125FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$336,230BOYAmt
EOY$258,655EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,940BOYAmt
EOY$15,291EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,575BOYAmt
EOY$42,053EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,690BOYAmt
EOY$11,087EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,665,361LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$530,927LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,114,339BOYAmt
EOY$1,134,434EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$342,082BOYAmt
EOY$353,358EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,823,556BOYAmt
EOY$1,817,378EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,186BOYAmt
EOY$13,430EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$26BOYAmt
EOY$3,294EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$29,527BOYAmt
EOY$3,315EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,739BOYAmt
EOY$20,039EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,790,817BOYAmt
EOY$1,797,339EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,790,817BOYAmt
EOY$1,797,339EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,823,556BOYAmt
EOY$1,817,378EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,303ReconcilationRevenueExpnssAmt
Prior Period Adjustments$7,825PriorPeriodAdjustmentsAmt
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 CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$384,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$313,181CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$245,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$368,357CurrentTaxYearMinus1YearAmt
Current Tax Year$271,879CurrentTaxYearAmt
Total$1,583,064TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$384,203CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$313,181CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$245,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$368,357CurrentTaxYearMinus1YearAmt
Current Tax Year$271,879CurrentTaxYearAmt
Total$1,583,064TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,583,064PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,296CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,892CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,898CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,447CurrentTaxYearMinus1YearAmt
Current Tax Year$93,129CurrentTaxYearAmt
Total$303,662TotalAmt
FieldValueIRS element (for citing)
Total Support$1,886,726TotalSupportAmt
Public Support CY1700.83910PublicSupportCY170Pct
Public Support PY1700.87520PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,000OtherCostOrOtherBasisAmt
Book Value$66,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,182,763OtherCostOrOtherBasisAmt
Depreciation$530,927DepreciationAmt
Book Value$651,836BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,191OtherCostOrOtherBasisAmt
Book Value$103,191BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$313,407OtherCostOrOtherBasisAmt
Book Value$313,407BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,134,434TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MERRILL LYNCH CASH/MONEY ACCOUNTS$9,101F
MERRILL LYNCH MUTUAL FUNDS$344,257F
FieldValueIRS element (for citing)
Total Book Value Securities$353,358TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
LEASES PAYABLE$3,315
SALES TAX PAYABLE
PAYROLL TAXES PAYABLE
FieldValueIRS element (for citing)
Total Liability$3,315TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$365,008TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$365,008RevenueSubtotalAmt
Total Revenue Per Form990$365,008TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$366,311TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$366,311ExpensesSubtotalAmt
Total Expenses Per Form990$366,311TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$20,325GrossReceiptsEvent1Amt
Gross Revenue Event1$20,325GrossRevenueEvent1Amt
Non Cash Prizes Event1$299NonCashPrizesEvent1Amt
Other Direct Expenses Event1$2,914OtherDirectExpensesEvent1Amt
Event2FESTIVAL OF TREESEvent2Nm
Gross Receipts Event2$55,471GrossReceiptsEvent2Amt
Gross Revenue Event2$55,471GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,431RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,155FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$3,229OtherDirectExpensesEvent2Amt
Gross Receipts Total$75,796GrossReceiptsTotalAmt
Gross Revenue Total Events$75,796GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$299NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,431RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,155FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$6,143OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$9,028DirectExpenseSummaryEventsAmt
Net Income Summary$66,768NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksKEITH ANN CAMPBELLIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREEETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED AND APPRROVED BY BOARD OF DIRECTORS BEFORE FILING WITH IRS
Pt VI, Line 12cCONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND SIGNATURE
Pt VI, Line 15bNO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED
Pt VI, Line 15aTHE PROCESS TO DETERMINE THE COMPENSATION OF THE FACILITY COORDINATOR INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA. ALL DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
Form 990, Part IX, Line 24eMAINTENANCE 5107. 5003. 51. 53.
Form 990, Part IX, Line 24ePEST CONTROL 2251. 2205. 23. 23.
Form 990, Part IX, Line 24ePOSTAGE 246. 160. 74. 12.
Form 990, Part IX, Line 24eMEDICAL EXPENSE-THERAPY 55100. 55100. 0. 0.
Form 990, Part IX, Line 24eSECURITY 1640. 1608. 16. 16.
Form 990, Part IX, Line 24eSUPPLIES 3234. 2749. 323. 162.
Form 990, Part IX, Line 24eTELEPHONE & INTERNET 8744. 8570. 87. 87.
Form 990, Part IX, Line 24eTRAINING 1616. 1584. 16. 16.
Form 990, Part IX, Line 24eUTILITIES 18344. 17978. 183. 183.
Form 990, Part IX, Line 24eLICENSES 426. 418. 4. 4.
Form 990, Part IX, Line 24eBANK CHARGES 56. 0. 17. 39.
Form 990, Part IX, Line 24eLEASED EQUIPMENT 1705. 1296. 341. 68.
Form 990, Part IX, Line 24eCREDIT CARD FEES 702. 190. 70. 442.
Form 990, Part IX, Line 24eGIFTS 333. 267. 33. 33.
Form 990, Part IX, Line 24eCLIENT ASSISTANCE 0. 0. 0. 0.
Form 990, Part IX, Line 24eMEETINGS/MEALS 631. 619. 6. 6.
Form 990, Part IX, Line 24eCOMMISSION EXPENSE 340. 292. 34. 14.
Form 990, Part IX, Line 24eCOMPUTER 50. 15. 30. 5.
Form 990, Part IX, Line 24eLATE FEE 39. 39. 0. 0.
Form 990, Part IX, Line 24ePRINTING 3513. 2283. 1054. 176.

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