ALEXANDRAS HOUSE: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ALEXANDRAS HOUSE (EIN 43-1781842)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-24
- IRS object ID
- 201722409349300032
- 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 | 2017-08-24T16:59:52-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 943451964 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephen M Connelly CPA PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 25528 | AddressLine1Txt |
| City | Kansas City | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64119 | 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 | 431781842 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALEXANDRAS HOUSE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALEX | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 WEST 39TH TERRACE | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATTI LEWIS | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Phone | 8169312539 | PhoneNum |
| Signature | 2017-08-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Stephen M Connelly | PreparerPersonNm |
| PTIN | P01317931 | PTIN |
| Phone | 8167189977 | PhoneNum |
| Preparation | 2017-08-24 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 136.63.199.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-28 | IPDt |
| IP Tm | 12:23:29 | IPTm |
| Federal Original Submission Id | 4314822017240apl1ezd | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-08-28 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 09CFC60F49650D2FD2F27F86C32D646EEFDB58E9 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 09CFC60F49650D2FD2F27F86C32D646EEFDB58E9 | 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 | Patti Lewis | PrincipalOfficerNm |
| Gross Receipts | $140,731 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | ALEXANDRASHOUSE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | PERINATAL-INFANT HOSPICE PROVIDING SPIRITUAL, GRIEF AND PRACTICAL SUPPORT TO FAMILIES PREGNANT WITH TERMINALLY ILL BABIES AND FOR FAMILIES WHOSE BABIES ARE DIAGNOSED LATER WITH TERMINAL ILLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $165,869 | PYContributionsGrantsAmt |
| CY Contributions Grants | $139,397 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,103 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,334 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $166,972 | PYTotalRevenueAmt |
| CY Total Revenue | $140,731 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $2,436 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $46,157 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,572 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $1,929 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $111,028 | PYOtherExpensesAmt |
| CY Other Expenses | $98,174 | CYOtherExpensesAmt |
| PY Total Expenses | $157,185 | PYTotalExpensesAmt |
| CY Total Expenses | $137,182 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,787 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,549 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $644,943 | TotalAssetsBOYAmt |
| Total Assets EOY | $648,514 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,860 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,882 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $643,083 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $646,632 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PERINATAL-INFANT HOSPICE PROVIDING SPIRITUAL, GRIEF AND PRACTICAL SUPPORT TO FAMILIES PREGNANT WITH TERMINALLY ILL BABIES AND FOR FAMILIES WHOSE BABIES ARE DIAGNOSED LATER WITH TERMINAL ILLNESS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $41,834 | ExpenseAmt |
| Desc | MAINTAIN HOME WITH HOUSE LIVE-IN STAFF. THE FAMILY CAN COME TO ALEXANDRAS HOUSE FOR SUPPORT BEFORE BIRTH AND THROUGH BABYS LIFE. THE FAMILY MAY STAY IN HOUSE IF HOUSING IS NEEDED. WE HAVE TWO MONTHLY MEETINGS: SECOND SATURDAY IS FOR FAMILIES WITH AN EXPECTED LOSS (DIAGNOSIS OF A FATAL ANOMALY DURING PREGNANCY) AND THE FOURTH SATURDAY IS FOR FAMILIES WITH AN UNEXPECTED LOSS SUCH AS STILLBIRTH, SIDS, MISCARRIAGE, ETC. THESE MEETINGS ARE HELD AT ALEXANDRAS HOUSE. AVERAGE ATTENDANCE IS EIGHT TO TWELVE IN BOTH OF THESE GROUPS AND SOME OVERLAP AS THEY ARE WELCOM TO ATTEND ANY GROUP SETTING REGARDLESS OF LOSS. WE HAVE AN ANNUAL RETREET EACH OCTOBER AND USUALLY ATTENDED BY 20 TO 25 PARTICIPANTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $32,106 | ExpenseAmt |
| Desc | MEET WITH PARENTS, ATTEND MEDICAL VISITS, DEVELOP COMPASSIONATE AND COMPREHENSIVE BIRTH PLANS, GO TO LABOR AND DELIVERY, MAINTAIN VIGILS THROUGH BABIES DEATH, BATHE AND DRESS THE BABIES. PARTICIPATE IN FUNERALS AND IN LONG-TERM BEREAVEMENT CARE. NO CHARGE TO PARENTS FOR THESE SERVICES. WE SERVED 54 NEW MOMS AND/OR FAMILIES IN 2011 AS PART OF OUR PERINATAL INFANT LOSS SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $22,510 | ExpenseAmt |
| Desc | PHYSICIANS AND FAMILIES ACROSS THE COUNTRY CAN CONSULT WITH ALEXANDRAS HOUSE, THE FIRST HOME OF ITS KIND IN AMERICA. WE OFFER SEMI-MONTHLY SUPPORT GROUPS FOR THOSE PARENTS WITH AN EXPECTED LOSS AS WELL AS UNEXPECTED LOSS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $96,450 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MO | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Patti Lewis | PersonNm |
| Phone | 8169312539 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 638 WEST 39TH TERRACE | AddressLine1Txt |
| City | KANSAS CITY | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 64111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| William Schwartz | |||||||
| Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Marie Hauser | |||||||
| Board Member | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Jeff Wall | |||||||
| Medical Director | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Patti Lewis | |||||||
| Executive Director | 60.00 | 0.00 | $16,954 | $0 | $2,436 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $16,954 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,436 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $139,397 | AllOtherContributionsAmt |
| Total Contributions | $139,397 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,334 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,334 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,731 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,334 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,436 | TotalAmt |
| Program Services | $2,436 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,973 | TotalAmt |
| Program Services | $22,068 | ProgramServicesAmt |
| Management And General | $10,435 | ManagementAndGeneralAmt |
| Fundraising | $1,470 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,599 | TotalAmt |
| Program Services | $1,951 | ProgramServicesAmt |
| Management And General | $519 | ManagementAndGeneralAmt |
| Fundraising | $129 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,861 | TotalAmt |
| Program Services | $2,144 | ProgramServicesAmt |
| Management And General | $551 | ManagementAndGeneralAmt |
| Fundraising | $166 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950 | TotalAmt |
| Program Services | $950 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,423 | TotalAmt |
| Program Services | $1,423 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $697 | TotalAmt |
| Program Services | $522 | ProgramServicesAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
| Fundraising | $35 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,060 | TotalAmt |
| Program Services | $2,060 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,805 | TotalAmt |
| Program Services | $7,024 | ProgramServicesAmt |
| Management And General | $1,781 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,609 | TotalAmt |
| Program Services | $6,887 | ProgramServicesAmt |
| Management And General | $1,722 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS & MAINTENANCE | $11,076 | $9,417 | $1,659 |
| UTILITIES | $12,817 | $10,254 | $2,563 |
| FUNERAL CHAPEL SUPPLIES | $4,465 | $4,465 | |
| CONTRACT LABOR | $490 | $392 | $98 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,921 | TotalAmt |
| Program Services | $24,457 | ProgramServicesAmt |
| Management And General | $19,335 | ManagementAndGeneralAmt |
| Fundraising | $129 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,182 | TotalAmt |
| Program Services | $96,450 | ProgramServicesAmt |
| Management And General | $38,803 | ManagementAndGeneralAmt |
| Fundraising | $1,929 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,864 | BOYAmt |
| EOY | $197,441 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,385 | BOYAmt |
| EOY | $91,441 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,000 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $332,208 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $109,837 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,176 | BOYAmt |
| EOY | $222,371 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,518 | BOYAmt |
| EOY | $136,261 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,943 | BOYAmt |
| EOY | $648,514 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,860 | BOYAmt |
| EOY | $1,882 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,860 | BOYAmt |
| EOY | $1,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,000 | BOYAmt |
| EOY | $1,000 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,083 | BOYAmt |
| EOY | $645,632 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $643,083 | BOYAmt |
| EOY | $646,632 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $644,943 | BOYAmt |
| EOY | $648,514 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,549 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,653 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,224 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $165,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139,397 | CurrentTaxYearAmt |
| Total | $812,268 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $165,653 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,224 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $165,869 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $139,397 | CurrentTaxYearAmt |
| Total | $812,268 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $812,268 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $673 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,103 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,334 | CurrentTaxYearAmt |
| Total | $4,683 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $673 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,103 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,334 | CurrentTaxYearAmt |
| Total | $4,683 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $166,326 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $193,948 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $148,974 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $166,972 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $140,731 | CurrentTaxYearAmt |
| Total | $816,951 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99430 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99500 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,900 | OtherCostOrOtherBasisAmt |
| Book Value | $18,900 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $219,105 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,204 | DepreciationAmt |
| Book Value | $149,901 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,884 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,483 | DepreciationAmt |
| Book Value | $25,401 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,936 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,577 | DepreciationAmt |
| Book Value | $13,359 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,383 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,573 | DepreciationAmt |
| Book Value | $14,810 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $222,371 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | No review was or will be conducted. |
| Governing documents etc available to public Part VI line 19 | Copies available upon request |
| List of other expenses Part IX line 24e | SEE OVERFLOW STATEMENT |
| Balance Sheet Part X | Reflects change in payroll liability and non-cash investment gains |
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