SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY (EIN 77-0518866)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201613209349317006
Schema version
2015v2.1
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)
Return2016-11-15T18:17:00-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN841723632PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MEISSER SEALES RICCABONA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 Water St Suite CAddressLine1Txt
CitySanta CruzCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770518866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Siena House Maternity Home ofBusinessNameLine1Txt
Business Name Line2Santa Cruz CountyBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSIENBusinessNameControlTxt
Phone8314252229PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 High StreetAddressLine1Txt
CitySanta CruzCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWayne ShafferPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8314290181PhoneNum
Signature2016-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConrad Seales CPAPreparerPersonNm
PTINP00744368PTIN
Phone8314581600PhoneNum
Preparation2016-11-15PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames Duffy EsqPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 Frederick Street Suite 306AddressLine1Txt
CitySanta CruzCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95062ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$210,281GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresssienahouse.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionWE ARE DEDICATED TO HELPING WOMEN FIND POSITIVE SOLUTIONS FOR THEMSELVES AND THEIR CHILDREN, BEFORE AND AFTER BIRTH. WITH RESPECT FOR EACH WOMAN'S UNIQUE CIRCUMSTANCES, OUR STAFF, VOLUNTEERS, AND OUTSIDE AGENCIES WORK TOGETHER TO ASSIST IN EVERY FACET OF A PREGNANT WOMAN'S NEEDS. OUR SERVICES INCLUDE:- PRE AND POST-NATAL CARE- PARENTING AND LIVING SKILLS DEVELOPMENT-OPPORTUNITIES THROUGH REFERRALS, FOR EDUCATIONAL AND VOCATIONAL TRAINING AND COMMUNITY SERVICE INVOLVEMENT-PROFESSIONAL INDIVIDUAL COUNSELING AS WELL AS GROUP SUPPORT-SENSITIVE SUPPORT AND REFERRAL FOR COUNSELING FOR WOMEN CONSIDERING THE ADOPTION ALTERNATIVEActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$174,314PYContributionsGrantsAmt
CY Contributions Grants$183,834CYContributionsGrantsAmt
PY Program Service Revenue$7,619PYProgramServiceRevenueAmt
CY Program Service Revenue$6,339CYProgramServiceRevenueAmt
PY Investment Income$1,097PYInvestmentIncomeAmt
CY Investment Income$458CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$17,343CYOtherRevenueAmt
PY Total Revenue$183,030PYTotalRevenueAmt
CY Total Revenue$207,974CYTotalRevenueAmt
PY Grants And Similar Paid$2,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$111,467PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$117,922CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,781CYTotalFundraisingExpenseAmt
PY Other Expenses$98,538PYOtherExpensesAmt
CY Other Expenses$94,545CYOtherExpensesAmt
PY Total Expenses$212,005PYTotalExpensesAmt
CY Total Expenses$212,467CYTotalExpensesAmt
PY Revenues Less Expenses-$28,975PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,493CYRevenuesLessExpensesAmt
Total Assets BOY$385,102TotalAssetsBOYAmt
Total Assets EOY$380,075TotalAssetsEOYAmt
Total Liabilities BOY$3,204TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,670TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$381,898NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$377,405NetAssetsOrFundBalancesEOYAmt
MissionSiena House Maternity Home of Santa Cruz County in the Spirit of God's love, provides an environment of total support for women experiencing a crisis pregnancy. Services are provided both before and after delivery.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$140,343ExpenseAmt
Revenue$6,339RevenueAmt
DescWe are dedicated to helping women find positive solutions for themselves and their children, before and after birth. With respect for each woman's unique circumstances, our staff, volunteers, and outside agencies work together to assist in every facet of a pregnant woman's needs. Our services include:- pre and post-natal care- parenting and living skills development-opportunities through referrals, for educational and vocational training and community service involvement-professional individual counseling as well as group support-sensitive support and referral for counseling for women considering the adoption alternativeDesc
Total Program Service Expenses$140,343TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jennifer RunoBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8314252229PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 High StreetAddressLine1Txt
CitySanta CruzCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95060ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WAYNE SHAFFER
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
James Duffy Esq
DIRECTOR2.00Yes (X)$0$0$0
DR JERRY DECK
Treasurer2.00Yes (X)Yes (X)$0$0$0
Margie Haas
Secretary2.00Yes (X)Yes (X)$0$0$0
DONNA MILLER
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL WATSON
DIRECTOR2.00Yes (X)$0$0$0
Elaine Aldrich
DIRECTOR2.00Yes (X)$0$0$0
Ranel Durgan
DIRECTOR2.00Yes (X)$0$0$0
Rebecca Hurdis PHD
Executive Director40.00Yes (X)$50,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$183,834AllOtherContributionsAmt
Total Contributions$183,834TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescResident feesDesc
Business721310BusinessCd
Total Revenue Column$6,339TotalRevenueColumnAmt
Related Or Exempt Func Income$6,339RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$6,339TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$458TotalRevenueColumnAmt
Exclusion$458ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,650FundraisingGrossIncomeAmt
Fundraising Direct Expenses$2,307FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,343TotalRevenueColumnAmt
Exclusion$17,343ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$207,974TotalRevenueColumnAmt
Related Or Exempt Func Income$6,339RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,801ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$50,000TotalAmt
Management And General$35,000ManagementAndGeneralAmt
Fundraising$15,000FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$59,543TotalAmt
Program Services$59,543ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,379TotalAmt
Program Services$4,553ProgramServicesAmt
Management And General$2,678ManagementAndGeneralAmt
Fundraising$1,148FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,650TotalAmt
Management And General$1,650ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$418TotalAmt
Program Services$418ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,702TotalAmt
Management And General$8,069ManagementAndGeneralAmt
Fundraising$3,633FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$482TotalAmt
Management And General$482ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,160TotalAmt
Program Services$53,160ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,267TotalAmt
Program Services$4,267ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$277TotalAmt
Management And General$277ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,101TotalAmt
Management And General$3,101ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Food & household$16,040$16,040
Assistance$2,275$2,275

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,173TotalAmt
Program Services$87ProgramServicesAmt
Management And General$1,086ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$212,467TotalAmt
Program Services$140,343ProgramServicesAmt
Management And General$52,343ManagementAndGeneralAmt
Fundraising$19,781FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$76,220BOYAmt
EOY$66,863EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$284,791BOYAmt
EOY$285,121EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$28,091LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,091BOYAmt
EOY$28,091EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$385,102BOYAmt
EOY$380,075EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,704BOYAmt
EOY$2,407EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$263EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,204BOYAmt
EOY$2,670EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$381,898BOYAmt
EOY$377,405EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$381,898BOYAmt
EOY$377,405EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$385,102BOYAmt
EOY$380,075EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,493ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$196,563CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$175,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$221,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$193,190CurrentTaxYearMinus1YearAmt
Current Tax Year$203,484CurrentTaxYearAmt
Total$990,543TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,563CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$175,401CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$221,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$193,190CurrentTaxYearMinus1YearAmt
Current Tax Year$203,484CurrentTaxYearAmt
Total$990,543TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$94,594SubstantialContributorsTotAmt
Public Support Total170$895,949PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,735CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$814CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,363CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,097CurrentTaxYearMinus1YearAmt
Current Tax Year$458CurrentTaxYearAmt
Total$6,467TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,964CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,025CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,356CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,619CurrentTaxYearMinus1YearAmt
Total$39,964TotalAmt
FieldValueIRS element (for citing)
Total Support$1,036,974TotalSupportAmt
Public Support CY1700.86400PublicSupportCY170Pct
Public Support PY1700.72160PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,091OtherCostOrOtherBasisAmt
Book Value$28,091BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,091TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AuctionEvent1Nm
Gross Receipts Event1$19,650GrossReceiptsEvent1Amt
Gross Revenue Event1$19,650GrossRevenueEvent1Amt
Other Direct Expenses Event1$2,307OtherDirectExpensesEvent1Amt
Gross Receipts Total$19,650GrossReceiptsTotalAmt
Gross Revenue Total Events$19,650GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$2,307OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$2,307DirectExpenseSummaryEventsAmt
Net Income Summary$17,343NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11The directors and officers are provided with a draft copy of form 990. They review it in detail, and refer any change requests to the CPA / preparer. A final review is performed by officers prior to filing. The return is filed after it has been approved by the Board of Directors.
Form 990, Part VI, Section B, line 12cDiscussed at Board of Director meetings and documented in the minutes at least annually
Form 990, Part VI, Section C, line 19Governing documents and financial statements are available to the public upon request.

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