MISSION HOUSE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MISSION HOUSE INC (EIN 59-3376704)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-07-18
IRS object ID
201731999349300503
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)
Return2017-07-18T07:51:57-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN592026532PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1JAMES KNUTZEN & ASSOC CPA'S PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15150 BELFORT RD BLDG 300AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593376704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone9042416767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORI DELGADO ANDERSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9042416767PhoneNum
Signature2017-07-17SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARGARET R DODSONPreparerPersonNm
PTINP01238640PTIN
Phone9047255832PhoneNum
Preparation2017-07-18PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id0433EC43FA2C298DBADA1105F169AEF04FE35A3EAtSubmissionCreationDeviceId
At Submission Filing Device Id0433EC43FA2C298DBADA1105F169AEF04FE35A3EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLORI DELGADO ANDERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$966,736GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MISSIONHOUSEJAX.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers425TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$960,361PYContributionsGrantsAmt
CY Contributions Grants$849,767CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$25,588PYInvestmentIncomeAmt
CY Investment Income$20,870CYInvestmentIncomeAmt
PY Other Revenue$63,477PYOtherRevenueAmt
CY Other Revenue$66,462CYOtherRevenueAmt
PY Total Revenue$1,049,426PYTotalRevenueAmt
CY Total Revenue$937,099CYTotalRevenueAmt
PY Grants And Similar Paid$180,560PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$353,039CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$331,071PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$402,897CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$4,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$22,003CYTotalFundraisingExpenseAmt
PY Other Expenses$109,705PYOtherExpensesAmt
CY Other Expenses$151,597CYOtherExpensesAmt
PY Total Expenses$625,336PYTotalExpensesAmt
CY Total Expenses$907,533CYTotalExpensesAmt
PY Revenues Less Expenses$424,090PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,566CYRevenuesLessExpensesAmt
Total Assets BOY$1,772,830TotalAssetsBOYAmt
Total Assets EOY$1,859,310TotalAssetsEOYAmt
Total Liabilities BOY$673TotalLiabilitiesBOYAmt
Total Liabilities EOY$23,548TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,772,157NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,835,762NetAssetsOrFundBalancesEOYAmt
MissionTO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$827,354ExpenseAmt
Grant$353,039GrantAmt
DescMAINTENANCE OF BUILDING & AMENITIES IN ORDER TO PREPARE & SERVE FOOD & PROVIDE EMERGENCY ASSISTANCE IN THE FORM OF HOUSING, HEAT, TRANSPORTATION, LODGING, MEDICAL CARE & JOB PREPAREDNESS TO THE HOMELESS AND NEEDY. SECURING SAFE TEMPORARY HOUSING FOR HOMELESS INDIVIDUALS WITH THE GOAL OF SUCCESSFULLY TRANSITIONING INTO THE MAINSTREAM OF COMMUNITY LIFE. DURING 2016, 26,342 MEALS WERE SERVED, CLIENT VISITS TOTALLED 3,390, EMPLOYMENT WAS FOUND FOR 49 INDIVIDUALS AND HOUSING WAS FOUND FOR 79 INDIVIDUALS. THE CLINIC SAW A TOTAL OF 1,719 PATIENTS OF WHICH 259 WERE FIRST TIME RECIPIENTS. OVERALL VOLUNTEER HOURS TOTALLED 2,842.Desc
Total Program Service Expenses$827,354TotalProgramServiceExpensesAmt
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 IndividualsYes (true)GrantsToIndividualsInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
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 ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLORI DELGADO ANDERSONPersonNm
Phone9042416767PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 SHETTER AVENUEAddressLine1Txt
CityJACKSONVILLE BEACHCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32250ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DIANA MCCANN
DIRECTOR2.00Yes (X)$0$0$0
ROB STURSBERG
DIRECTOR2.00Yes (X)$0$0$0
STEPHANIE REICHLE
DIRECTOR2.00Yes (X)$0$0$0
TOM PERRY
PRESIDENT4.00Yes (X)$0$0$0Yes (X)
HELEN SHORT
TREASURER4.00Yes (X)$0$0$0Yes (X)
JOYCE KRAMZER
VICE PRESIDE4.00Yes (X)$0$0$0Yes (X)
JUDY CLAUSEN
DIRECTOR2.00Yes (X)$0$0$0
BETH MEHAFFEY
SECRETARY4.00Yes (X)$0$0$0Yes (X)
DINA DEMARCO
DIRECTOR2.00Yes (X)$0$0$0
JULIE MCKAY
DIRECTOR2.00Yes (X)$0$0$0
IRRAM HAMDANI MD
DIRECTOR2.00Yes (X)$0$0$0
MARY PARSONS
DIRECTOR2.00Yes (X)$0$0$0
LORI DELGADO ANDERSON
EXECUTIVE DI40.00$70,961$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$70,961TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$13,000GovernmentGrantsAmt
All Other Contributions$836,767AllOtherContributionsAmt
Noncash Contributions$270,563NoncashContributionsAmt
Total Contributions$849,767TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,870TotalRevenueColumnAmt
Related Or Exempt Func Income$20,286RelatedOrExemptFuncIncomeAmt
Exclusion$584ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$96,099FundraisingGrossIncomeAmt
Fundraising Direct Expenses$29,637FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,462TotalRevenueColumnAmt
Exclusion$56,423ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$937,099TotalRevenueColumnAmt
Related Or Exempt Func Income$20,286RelatedOrExemptFuncIncomeAmt
Exclusion$57,007ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$353,039TotalAmt
Program Services$353,039ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$70,961TotalAmt
Program Services$56,769ProgramServicesAmt
Management And General$7,096ManagementAndGeneralAmt
Fundraising$7,096FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$273,076TotalAmt
Program Services$257,204ProgramServicesAmt
Management And General$8,818ManagementAndGeneralAmt
Fundraising$7,054FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,306TotalAmt
Program Services$29,483ProgramServicesAmt
Management And General$1,494ManagementAndGeneralAmt
Fundraising$1,329FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,554TotalAmt
Program Services$24,234ProgramServicesAmt
Management And General$1,228ManagementAndGeneralAmt
Fundraising$1,092FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,085TotalAmt
Management And General$4,085ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,142TotalAmt
Management And General$3,142ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,867TotalAmt
Program Services$22,974ProgramServicesAmt
Management And General$11,367ManagementAndGeneralAmt
Fundraising$1,526FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,248TotalAmt
Program Services$31,390ProgramServicesAmt
Management And General$3,483ManagementAndGeneralAmt
Fundraising$375FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,255TotalAmt
Program Services$29,967ProgramServicesAmt
Management And General$5,288ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,142TotalAmt
Program Services$8,359ProgramServicesAmt
Management And General$783ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND LICENSES$11,348$250$7,714$3,384
MAINTENANCE & REPAIRS$9,138$9,138
PROFESSIONAL DEVELOPMENT$3,970$1,997$1,826$147
CONTRACT LABOR$2,550$2,550

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,852TotalAmt
Management And General$1,852ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$907,533TotalAmt
Program Services$827,354ProgramServicesAmt
Management And General$58,176ManagementAndGeneralAmt
Fundraising$22,003FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$475,981BOYAmt
EOY$452,128EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$83,762BOYAmt
EOY$29,538EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$2,107EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$995,246LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$251,347LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$663,737BOYAmt
EOY$743,899EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$549,350BOYAmt
EOY$631,638EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,772,830BOYAmt
EOY$1,859,310EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$673BOYAmt
EOY$1,980EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$21,568EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$673BOYAmt
EOY$23,548EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,603,645BOYAmt
EOY$1,784,656EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$168,512BOYAmt
EOY$51,106EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,772,157BOYAmt
EOY$1,835,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,772,830BOYAmt
EOY$1,859,310EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$29,566ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$34,039NetUnrlzdGainsLossesInvstAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$381,709CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$397,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775,982CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$960,361CurrentTaxYearMinus1YearAmt
Current Tax Year$849,767CurrentTaxYearAmt
Total$3,365,580TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$115,033CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$23,276CurrentTaxYearMinus1YearAmt
Current Tax Year$32,343CurrentTaxYearAmt
Total$170,652TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$496,742CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$397,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$775,982CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$983,637CurrentTaxYearMinus1YearAmt
Current Tax Year$882,110CurrentTaxYearAmt
Total$3,536,232TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,536,232PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,312CurrentTaxYearMinus1YearAmt
Current Tax Year$584CurrentTaxYearAmt
Total$71,174TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,550CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,733CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$16,995CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,312CurrentTaxYearMinus1YearAmt
Current Tax Year$584CurrentTaxYearAmt
Total$71,174TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$64,966CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$65,445CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,477CurrentTaxYearMinus1YearAmt
Current Tax Year$55,423CurrentTaxYearAmt
Total$248,311TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$539,292CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$471,460CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$858,422CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,048,426CurrentTaxYearMinus1YearAmt
Current Tax Year$938,117CurrentTaxYearAmt
Total$3,855,717TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91710PublicSupportCY509Pct
Public Support PY5090.92100PublicSupportPY509Pct
Investment Income CY0.02000InvestmentIncomeCYPct
Investment Income PY0.02000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$37,500OtherCostOrOtherBasisAmt
Book Value$37,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$792,343OtherCostOrOtherBasisAmt
Depreciation$170,682DepreciationAmt
Book Value$621,661BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$165,403OtherCostOrOtherBasisAmt
Depreciation$80,665DepreciationAmt
Book Value$84,738BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$743,899TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$971,138TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$34,039NetUnrealizedGainsInvstAmt
Revenue Not Reported$34,039RevenueNotReportedAmt
Revenue Subtotal$937,099RevenueSubtotalAmt
Total Revenue Per Form990$937,099TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$907,533TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$907,533ExpensesSubtotalAmt
Total Expenses Per Form990$907,533TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1OTHER FUNDRAISEEvent1Nm
Gross Receipts Event1$12,057GrossReceiptsEvent1Amt
Gross Revenue Event1$12,057GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,018OtherDirectExpensesEvent1Amt
Event2FALL FUNDRAISEREvent2Nm
Gross Receipts Event2$84,042GrossReceiptsEvent2Amt
Gross Revenue Event2$84,042GrossRevenueEvent2Amt
Other Direct Expenses Event2$27,619OtherDirectExpensesEvent2Amt
Gross Receipts Total$96,099GrossReceiptsTotalAmt
Gross Revenue Total Events$96,099GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$29,637OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$29,637DirectExpenseSummaryEventsAmt
Net Income Summary$66,462NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDesc
FOOD26342$19,272$130,7221.70/LB
MEDICAL1719$24,625
EMERGENCY HOUSING79$22,304
MISCELLANEOUS SERVICES3844$16,275
MEDICAL1719$139,841

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 4, PART IVFormAndLineReferenceDesc
ExplanationTHE AMOUNTS ABOVE MAY BE DUPLICATE VISITS OR ASSISTANCE.ExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$270,563NoncashContributionsRptF990Amt
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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS ASSIST WITH FOOD SERVICE, CLOTHING DISTRIBUTION, OFFICE DUTIES AND FUNDRAISING EVENTS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER, AND THEN SIGNED BY THE EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 12CPOSSIBLE CONFLICTS OF INTEREST ARE DISCUSSED AT EITHER THE BOARD MEETINGS OR EXECUTIVE COMMITTEE MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR MEETS WITH THE BOARD PRESIDENT AND AT LEAST ONE OTHER BOARD OFFICER FOR AN ANNUAL REVIEW. AN ASSESSMENT OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DISCUSSED AT THE REVIEW. THE COMPENSATION IS THEN TAKEN TO THE FULL BOARD FOR A VOTE.
FORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST.

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