PREGNANCY AID-SOUTH SUBURBS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PREGNANCY AID-SOUTH SUBURBS INC (EIN 36-3345840)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-09
IRS object ID
201741299349300824
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)
Return2017-05-09T06:56:57-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Lambert H Kamp CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110741 W Winterset DrAddressLine1Txt
CityOrland ParkCityNm
State AbbreviationILStateAbbreviationCd
ZIP60467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363345840EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PREGNANCY AID SOUTH SUBURBSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPREGBusinessNameControlTxt
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVENUEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIM DILBECKPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7086149777PhoneNum
Signature2017-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAMBERT H KAMPPreparerPersonNm
Phone7083499494PhoneNum
Preparation2017-04-26PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.239.104.174IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-09IPDt
IP Tm06:56:46IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1D7FF2203542ADDB193355A04E7C290B454EB3F0AtSubmissionCreationDeviceId
At Submission Filing Device IdAAC93E1BB6841B1EFDFA7A2A414757752D74E4F6AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTIM DILBECKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$531,273GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressPASSNETWORKFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION ASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE- AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$342,733PYContributionsGrantsAmt
CY Contributions Grants$445,246CYContributionsGrantsAmt
PY Program Service Revenue$14,033PYProgramServiceRevenueAmt
CY Program Service Revenue$12,555CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$3CYInvestmentIncomeAmt
PY Other Revenue$72,778PYOtherRevenueAmt
CY Other Revenue$45,618CYOtherRevenueAmt
PY Total Revenue$429,545PYTotalRevenueAmt
CY Total Revenue$503,422CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$236,154PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$269,041CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$42,307CYTotalFundraisingExpenseAmt
PY Other Expenses$175,785PYOtherExpensesAmt
CY Other Expenses$157,837CYOtherExpensesAmt
PY Total Expenses$411,939PYTotalExpensesAmt
CY Total Expenses$426,878CYTotalExpensesAmt
PY Revenues Less Expenses$17,606PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$76,544CYRevenuesLessExpensesAmt
Total Assets BOY$487,319TotalAssetsBOYAmt
Total Assets EOY$508,276TotalAssetsEOYAmt
Total Liabilities BOY$68,934TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,347TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$418,385NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$494,929NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION ASSISTS ANDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$350,173ExpenseAmt
DescASSISTS AND EMPOWERS THE GREATER SOUTHLAND CHICAGO COMMUNITIES BY PROVIDING A LIFE-AFFIRMING NETWORK OF CARE THROUGH PREVENTION, CRISIS INTERVENTION, EDUCATION AND RESTORATION.Desc
Total Program Service Expenses$350,173TotalProgramServiceExpensesAmt
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 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 ContriYes (true)DeductibleNonCashContriInd
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 Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIM DILBECKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7086149777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117214 OAK PARK AVEAddressLine1Txt
CityTINLEY PARKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60477ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DELBERT DENNY
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
DEBBIE BURK
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JASON CRADDOCK
TRUSTEE1.00Yes (X)$0$0$0
STEVE VERHAGEN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
MATASHA MURRELLJONES
TREASURER2.00Yes (X)Yes (X)$0$0$0
TIM DILBECK
EXECUTIVE DIRECTOR40.00Yes (X)$38,331$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$38,331TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$445,246AllOtherContributionsAmt
Noncash Contributions$59,024NoncashContributionsAmt
Total Contributions$445,246TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescIMPACT PRESENTATIONSDesc
Business624190BusinessCd
Total Revenue Column$12,555TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$12,555TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Exclusion$3ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$73,469FundraisingGrossIncomeAmt
Fundraising Direct Expenses$27,851FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$45,618TotalRevenueColumnAmt
Exclusion$45,618ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$503,422TotalRevenueColumnAmt
Related Or Exempt Func Income$12,555RelatedOrExemptFuncIncomeAmt
Exclusion$45,621ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$38,331TotalAmt
Program Services$0ProgramServicesAmt
Management And General$7,666ManagementAndGeneralAmt
Fundraising$30,665FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$212,024TotalAmt
Program Services$192,997ProgramServicesAmt
Management And General$14,455ManagementAndGeneralAmt
Fundraising$4,572FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,686TotalAmt
Program Services$14,405ProgramServicesAmt
Management And General$1,651ManagementAndGeneralAmt
Fundraising$2,630FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,300TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,300ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,584TotalAmt
Program Services$16,527ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$1,057FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,038TotalAmt
Program Services$11,817ProgramServicesAmt
Management And General$891ManagementAndGeneralAmt
Fundraising$2,330FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,303TotalAmt
Program Services$1,664ProgramServicesAmt
Management And General$912ManagementAndGeneralAmt
Fundraising$727FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,673TotalAmt
Program Services$20,604ProgramServicesAmt
Management And General$2,069ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,169TotalAmt
Program Services$1,112ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$57FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,600TotalAmt
Program Services$1,600ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,893TotalAmt
Program Services$19,704ProgramServicesAmt
Management And General$2,189ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,965TotalAmt
Program Services$8,969ProgramServicesAmt
Management And General$996ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DUES AND FEES$1,693$1,155$269$269
EDUCATIONAL LITERATURE$595$595$0$0
BENEVOLENCE$59,024$59,024$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$426,878TotalAmt
Program Services$350,173ProgramServicesAmt
Management And General$34,398ManagementAndGeneralAmt
Fundraising$42,307FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,168BOYAmt
EOY$26,019EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,001BOYAmt
EOY$42,654EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,175BOYAmt
EOY$2,522EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$733,031LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$295,950LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$458,975BOYAmt
EOY$437,081EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$487,319BOYAmt
EOY$508,276EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,934BOYAmt
EOY$13,347EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$60,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,934BOYAmt
EOY$13,347EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$415,885BOYAmt
EOY$480,896EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$14,033EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$418,385BOYAmt
EOY$494,929EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$487,319BOYAmt
EOY$508,276EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$76,544ReconcilationRevenueExpnssAmt
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$403,931CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,689CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$354,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$342,733CurrentTaxYearMinus1YearAmt
Current Tax Year$445,246CurrentTaxYearAmt
Total$1,955,831TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$403,931CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,689CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$354,232CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$342,733CurrentTaxYearMinus1YearAmt
Current Tax Year$445,246CurrentTaxYearAmt
Total$1,955,831TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$354,321SubstantialContributorsTotAmt
Public Support Total170$1,601,510PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$3CurrentTaxYearAmt
Total$78TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$83,024CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$70,287CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,854CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,778CurrentTaxYearMinus1YearAmt
Current Tax Year$45,618CurrentTaxYearAmt
Total$348,561TotalAmt
FieldValueIRS element (for citing)
Total Support$2,304,470TotalSupportAmt
Public Support CY1700.69500PublicSupportCY170Pct
Public Support PY1700.68450PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: SPECIAL EVENTS 2012: 83024. 2013: 70287. 2014: 76854. 2015: 72778. 2016: 45618.ExplanationTxt

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)
Investment Cost Or Other Basis$19,147InvestmentCostOrOtherBasisAmt
Book Value$19,147BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$579,983InvestmentCostOrOtherBasisAmt
Depreciation$184,690DepreciationAmt
Book Value$395,293BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$133,901InvestmentCostOrOtherBasisAmt
Depreciation$111,260DepreciationAmt
Book Value$22,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$437,081TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$654,610TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$123,337DonatedServicesAndUseFcltsAmt
Other Revenue$27,851OtherRevenueAmt
Revenue Not Reported$151,188RevenueNotReportedAmt
Revenue Subtotal$503,422RevenueSubtotalAmt
Total Revenue Per Form990$503,422TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$578,066TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$123,337DonatedServicesUseFcltsAmt
Other Expenses Included$27,851OtherExpensesIncludedAmt
Expenses Not Reported$151,188ExpensesNotReportedAmt
Expenses Subtotal$426,878ExpensesSubtotalAmt
Total Expenses Per Form990$426,878TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt XI, Line 2dFUNDRAISING EVENT EXPENSES
Pt XII, Line 2dFUNDRAISING EVENT EXPENSES

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HIKE FOR LIFEEvent1Nm
Gross Receipts Event1$30,906GrossReceiptsEvent1Amt
Gross Revenue Event1$30,906GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,350NonCashPrizesEvent1Amt
Other Direct Expenses Event1$11,000OtherDirectExpensesEvent1Amt
Event2BANQUETEvent2Nm
Gross Receipts Event2$35,114GrossReceiptsEvent2Amt
Gross Revenue Event2$35,114GrossRevenueEvent2Amt
Rent Facility Costs Event2$8,626RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$3,824OtherDirectExpensesEvent2Amt
Gross Receipts Total$66,020GrossReceiptsTotalAmt
Gross Revenue Total Events$66,020GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,350NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$8,626RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$14,824OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$24,800DirectExpenseSummaryEventsAmt
Net Income Summary$41,220NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$59,024NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED BY ALL BOARD MEMBERS PRIOR TO FILING.
Pt VI, Line 15aBOARD OF DIRECTORS APPROVES EXECUTIVE DIRECTOR SALARY.
Pt VI, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON RECEIPT OF WRITTEN REQUEST.
Pt VI, Line 12cOFFICERS, DIRECTORS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY ANY INTERESTS THAT COULD GIVE RISE TO CONFLICTS.
Form 990EZ, Part I, Line 16ADVERTISING
Form 990EZ, Part I, Line 16AUTO AND TRAVEL
Form 990EZ, Part I, Line 16BANK AND FINANCE CHARGES
Form 990EZ, Part I, Line 16BENEVOLENCE
Form 990EZ, Part I, Line 16DUES & SUBSCRIPTIONS
Form 990EZ, Part I, Line 16INSURANCE
Form 990EZ, Part I, Line 16INTEREST
Form 990EZ, Part I, Line 16MISCELLANEOUS
Form 990EZ, Part I, Line 16PAYROLL TAXES
Form 990EZ, Part I, Line 16TRAINING
Form 990EZ, Part I, Line 16VOLUNTEER SERVICES
Form 990EZ, Part II, Line 24PLEDGES RECEIVABLE
Form 990EZ, Part II, Line 26Accounts Payable & Accrued Expenses
Form 990EZ, Part II, Line 26Mortgages & Other Notes Payable

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