CREATE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CREATE (EIN 41-1112749)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201732279349301448
- Schema version
- 2015v3.0
- 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 | 2017-08-15T09:50:44-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Haukebo Van Batavia Holte LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 348 | AddressLine1Txt |
| City | Park Rapids | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56470 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411112749 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUBBARD COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER IN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HUBB | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 86 | AddressLine1Txt |
| City | PARK RAPIDS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56470 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA JOHNSON | PersonNm |
| Person Title | EXECUTIVE DIREC | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SETH HOLTE | PreparerPersonNm |
| PTIN | P01693743 | PTIN |
| Phone | 2187325769 | PhoneNum |
| Preparation | 2017-08-15 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,553,020 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH QUALITY SPECIALIZED SERVICES TO PERSONS WITH DEVELOPMENTAL DISABILITIES AND MENTAL ILLNESS. THESE SERVICES PROMOTE GROWTH, DIGNITY AND THE DEVELOPMENT OF WORK AND SOCIAL SKILLS AND PROVIDE OPPORTUNITES FOR BEOMING PART OF THE COMMUNTIY | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 177 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $675,901 | PYContributionsGrantsAmt |
| CY Contributions Grants | $703,136 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,837,564 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,843,435 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,784 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,378 | CYInvestmentIncomeAmt |
| PY Other Revenue | $328 | PYOtherRevenueAmt |
| CY Other Revenue | $71 | CYOtherRevenueAmt |
| PY Total Revenue | $2,515,577 | PYTotalRevenueAmt |
| CY Total Revenue | $2,553,020 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,753,211 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,730,389 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,299 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $762,905 | PYOtherExpensesAmt |
| CY Other Expenses | $843,547 | CYOtherExpensesAmt |
| PY Total Expenses | $2,516,116 | PYTotalExpensesAmt |
| CY Total Expenses | $2,573,936 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$539 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$20,916 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,382,098 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,414,336 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $320,180 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $373,334 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,061,918 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,041,002 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HIGH QUALITY SPECIALIZED SERVICES TO PERSONS WITH DEVELOPMENTAL DISABILITIES AND MENTAL ILLNESS. THESE SERVICES PROMOTE GROWTH, DIGNITY AND THE DEVELOPMENT OF WORK AND SOCIAL SKILLS AND PROVIDE OPPORTUNITES FOR BEOMING PART OF THE COMMUNTIY | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,520,184 | ExpenseAmt |
| Revenue | $1,075,937 | RevenueAmt |
| Desc | DEVELOPMENT ACHIEVEMENT SERVICES: DAY TRAINING AND HABILITATION SERVICES FOR ADULTS WITH MENTAL RETARDATION AND MENTAL ILLNESS. THIS SERVICE INCLUDES WORK ACTIVITY, ACADEMIC TRAINING, THERAPY AND RECREATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $600,806 | ExpenseAmt |
| Revenue | $685,511 | RevenueAmt |
| Desc | WORK ACTIVITY AND TRAINING: THE PROGRAM HAS A RECYCLING CENTER AND THREE THRIFT STORES AS PRIMARY JOB SOURCES FOR THE DISABLED, MENTALLY RETARDED AND MENTALLY ILL ADULTS. THIS HELPS GIVE THEM A SENSE OF ACCOMPLISHMENT AND GIVES THEM INTERACTION WITH OTHER PEOPLE, THUS INCREASING THEIR MORALE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $165,747 | ExpenseAmt |
| Revenue | $68,876 | RevenueAmt |
| Desc | TRANSPORTATION SERVICES: THE ORGANIZATION PROVIDES TRANSPORTATION TO THE MENTALLY RETARDED AND MENTALLY ILL ADULTS FROM THEIR HOMES TO THE PROGRAM AND THEN RETURNS THEM HOME. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,247 | ExpenseAmt |
| Revenue | $13,172 | RevenueAmt |
| Desc | IN ADDITION... | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,247 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $13,172 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,297,984 | 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 | Yes (true) | 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 | Yes (true) | 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 |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 177 | 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LAURA JOHNSON-HUBBARD COUNTY DAC | PersonNm |
| Phone | 2182378518 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 113 MAIN AVE SE | AddressLine1Txt |
| City | PARK RAPIDS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 56470 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 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 |
|---|---|---|---|---|---|---|---|
| EILEEN REISH | |||||||
| DIRECTOR | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JONATHON FRIEDEN | |||||||
| DIRECTOR | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| TIM WHEELER | |||||||
| DIRECTOR | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JENNIFER BERG | |||||||
| DIRECTOR | 0.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DICK KIMBALL | |||||||
| CHAIRPERSON | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| BEN KOPPELMAN | |||||||
| VICE CHAIRPERSON | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| GINNY PETERSON | |||||||
| SECRETARY | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| VICKI STEWART | |||||||
| TREASURER | 0.50 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | 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 | $703,136 | AllOtherContributionsAmt |
| Noncash Contributions | $697,349 | NoncashContributionsAmt |
| Total Contributions | $703,136 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DEVELOPMENT ACHIEVEMENT | 623990 | $1,075,938 | $1,075,938 |
| WORK ACTIVITY PROGRAM | 623990 | $685,511 | $685,511 |
| TRANSPORTATION SERVICE | 623990 | $68,876 | $68,876 |
| OTHER PROGRAMS | 623990 | $13,110 | $13,110 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,843,435 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,378 | TotalRevenueColumnAmt |
| Exclusion | $6,378 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MISCELLANEOUS | 623990 | $62 | $62 |
| RECONCILIATION DISCREP | 623990 | $9 | $9 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $71 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,553,020 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,843,506 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,378 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,319,464 | TotalAmt |
| Program Services | $1,135,048 | ProgramServicesAmt |
| Management And General | $182,572 | ManagementAndGeneralAmt |
| Fundraising | $1,844 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,714 | TotalAmt |
| Program Services | $39,139 | ProgramServicesAmt |
| Management And General | $8,575 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,501 | TotalAmt |
| Program Services | $188,848 | ProgramServicesAmt |
| Management And General | $9,471 | ManagementAndGeneralAmt |
| Fundraising | $182 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,710 | TotalAmt |
| Program Services | $151,403 | ProgramServicesAmt |
| Management And General | $13,157 | ManagementAndGeneralAmt |
| Fundraising | $150 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,980 | TotalAmt |
| Program Services | $12,157 | ProgramServicesAmt |
| Management And General | $21,823 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353 | TotalAmt |
| Management And General | $353 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,510 | TotalAmt |
| Management And General | $5,510 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,914 | TotalAmt |
| Program Services | $24,914 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,392 | TotalAmt |
| Program Services | $6,357 | ProgramServicesAmt |
| Management And General | $35 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,708 | TotalAmt |
| Program Services | $2,929 | ProgramServicesAmt |
| Management And General | $779 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,091 | TotalAmt |
| Program Services | $61,215 | ProgramServicesAmt |
| Management And General | $2,876 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,144 | TotalAmt |
| Program Services | $2,283 | ProgramServicesAmt |
| Management And General | $1,861 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,695 | TotalAmt |
| Program Services | $70,106 | ProgramServicesAmt |
| Management And General | $4,589 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,908 | TotalAmt |
| Program Services | $21,110 | ProgramServicesAmt |
| Management And General | $3,675 | ManagementAndGeneralAmt |
| Fundraising | $123 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLIENT PAYROLL | $343,610 | $343,610 | |
| SUPPLIES | $88,188 | $77,263 | $10,925 |
| MAINTENANCE AND FUEL | $49,657 | $48,228 | $1,429 |
| CONTRACT TRANSPORTATION | $43,961 | $43,961 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,436 | TotalAmt |
| Program Services | $69,413 | ProgramServicesAmt |
| Management And General | $6,023 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,573,936 | TotalAmt |
| Program Services | $2,297,984 | ProgramServicesAmt |
| Management And General | $273,653 | ManagementAndGeneralAmt |
| Fundraising | $2,299 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,512 | BOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,081,746 | BOYAmt |
| EOY | $1,202,479 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,212 | BOYAmt |
| EOY | $177,292 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,274 | BOYAmt |
| EOY | $28,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,139,804 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,134,282 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $973,354 | BOYAmt |
| EOY | $1,005,522 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $417 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,382,098 | BOYAmt |
| EOY | $2,414,336 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,798 | BOYAmt |
| EOY | $126,244 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,275 | BOYAmt |
| EOY | $2,687 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,640 | BOYAmt |
| EOY | $202,180 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,467 | BOYAmt |
| EOY | $42,223 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320,180 | BOYAmt |
| EOY | $373,334 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,918 | BOYAmt |
| EOY | $2,041,002 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,061,918 | BOYAmt |
| EOY | $2,041,002 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,382,098 | BOYAmt |
| EOY | $2,414,336 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$20,916 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $581,504 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $597,646 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $625,799 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $675,901 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $703,136 | CurrentTaxYearAmt |
| Total | $3,183,986 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $581,504 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $597,646 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $625,799 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $675,901 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $703,136 | CurrentTaxYearAmt |
| Total | $3,183,986 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $3,183,986 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,755 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,108 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,285 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,488 | CurrentTaxYearAmt |
| Total | $73,923 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,257,909 | TotalSupportAmt |
| Public Support CY170 | 0.97730 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97570 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $262,381 | OtherCostOrOtherBasisAmt |
| Book Value | $262,381 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,381,868 | OtherCostOrOtherBasisAmt |
| Depreciation | $777,861 | DepreciationAmt |
| Book Value | $604,007 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $495,555 | OtherCostOrOtherBasisAmt |
| Depreciation | $356,421 | DepreciationAmt |
| Book Value | $139,134 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,005,522 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SPECIAL ASSESSMENTS | Desc |
| Amt | $42,223 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,223 | TotalLiabilityAmt |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $676,393 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | SELLING PRICE | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | LAURA JOHNSON, THE EXECUTIVE DIRECTOR, WILL SIGN AND FILE THE 990 RETURN. THE BOARD WILL REVIEW AND APPROVE THE RETURN AT THE NEXT BOARD MEETING. |
| Conflict of interest policy compliance Part VI line 12c | AT THE ANNUAL BOARD MEETING, THE BOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND ACKNOWLEDGE THEY HAVE NO CONFLICTS. |
| CEO executive director top management comp Part VI line 15a | THE BOARD MEMBERS HAND OUT A QUESTIONAIRE TO EMPLOYEES WHO WORK WITH THE EXECUTIVE DIRECTOR. THEN THEY REVIEW THEM AND COMBINE THAT INFORMATION WITH THEIR OBSERVATIONS TO DETERMINE AN APPROPRIATE SALARY FOR THE EXECUTIVE DIRECTOR. |
| Other officer or key employee compensation Part VI line 15b | THE BOARD ALSO EVALUATES OTHER KEY EMPLOYEES SALARIES DETERMINED ON THEIR PERFORMANCE. |
| Governing documents etc available to public Part VI line 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. INTERESTED PARTIES CAN CONTACT THE ORGANIZATION AND THEY WILL BE GIVEN A COPY TO VIEW. |
| General explanation attachment | FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICESIN ADDITION TO THE ABOVE STATED SERVICES, THE ORGANIZATION ALSO HAS A RESIDENTIAL PROGRAM THAT PROVIDES AN APARTMENT FOR 4 ADULTS WITH MENTAL RETARDATION, WHERE THEY RECEIVE THE SUPPORT NEEDED TO LIVE AS INDEPENDENTLY AS POSSIBLE.EXPENSES $11,247 INCLUDING GRANTS $0 EXPENSES $13,172 |
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