FAMILY LIFE PREGNANCY CARE CENTER INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- FAMILY LIFE PREGNANCY CARE CENTER INC (EIN 37-1329458)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-09-03
- IRS object ID
- 201622509349300207
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-09-03T10:44:48-00:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GARY HAWKER & ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 512 SIXTH STREET | AddressLine1Txt |
| City | CHARLESTON | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61920 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 371329458 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE FAMILY LIFE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 2173425433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 154 | AddressLine1Txt |
| City | EFFINGHAM | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62401 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Tami Shull | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 2173425433 | PhoneNum |
| Signature | 2016-08-31 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARY C HAWKER | PreparerPersonNm |
| Phone | 2173452721 | PhoneNum |
| Preparation | 2016-09-03 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Tami Shull Executive Director | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 Eden Ave | AddressLine1Txt |
| City | Effingham | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $350,754 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To provide education, options counseling, support and referals to clientele from the Effingham, Illinois area | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $281,987 | PYContributionsGrantsAmt |
| CY Contributions Grants | $339,696 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $279 | PYInvestmentIncomeAmt |
| CY Investment Income | $417 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$14,312 | PYOtherRevenueAmt |
| CY Other Revenue | -$16,393 | CYOtherRevenueAmt |
| PY Total Revenue | $267,954 | PYTotalRevenueAmt |
| CY Total Revenue | $323,720 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $144,465 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $160,759 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $90,928 | PYOtherExpensesAmt |
| CY Other Expenses | $111,803 | CYOtherExpensesAmt |
| PY Total Expenses | $235,393 | PYTotalExpensesAmt |
| CY Total Expenses | $272,562 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $32,561 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $51,158 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $782,554 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,170,030 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,646 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,340,964 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $777,908 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $829,066 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide education, options counseling, support and referals to clientele from the Effingham, Illinois area | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $208,525 | ExpenseAmt |
| Desc | Providing education, options counseling, support and referrals to clientele from the Effingham, Illinois area | Desc |
| Total Program Service Expenses | $208,525 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 16 | 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 | 9 | 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 | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Nancy Williamson | PersonNm |
| Phone | 2173425433 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 605 Eden Ave | AddressLine1Txt |
| City | Effingham | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| Rev Dennis Warner | |||||||
| Chairman | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Rev Stephen Gillet | |||||||
| Vice Chairman | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Christie Hakman | |||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Loretta Koester | |||||||
| Secretary | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Sara Roepke | |||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Henry Poterucha MD | |||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Barbara Carie | |||||||
| Board Member | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Marilyn Winter | |||||||
| Treasurer | 001.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Susan Earlywine | |||||||
| Board Director | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Imburgia | |||||||
| Board Director | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Ginny Liss | |||||||
| Board Director | 001.00 | Yes (X) | $0 | $0 | $0 | ||
| Tami Shull | |||||||
| Executive Director | 040.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $148,034 | FundraisingAmt |
| All Other Contributions | $191,662 | AllOtherContributionsAmt |
| Total Contributions | $339,696 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $417 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,850 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $148,034 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $27,034 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$21,184 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| Rental income | 531120 | $4,746 |
| Other receipts | 900099 | $45 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,791 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $417 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,686 | TotalAmt |
| Program Services | $19,971 | ProgramServicesAmt |
| Management And General | $24,715 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,648 | TotalAmt |
| Program Services | $104,648 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,425 | TotalAmt |
| Program Services | $9,534 | ProgramServicesAmt |
| Management And General | $1,891 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25 | TotalAmt |
| Management And General | $25 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,487 | TotalAmt |
| Management And General | $4,487 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees For Services Prof Fundraising | FeesForServicesProfFundraising |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,629 | TotalAmt |
| Program Services | $1,629 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,453 | TotalAmt |
| Program Services | $3,953 | ProgramServicesAmt |
| Management And General | $1,500 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,677 | TotalAmt |
| Program Services | $3,252 | ProgramServicesAmt |
| Management And General | $1,425 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,358 | TotalAmt |
| Program Services | $6,348 | ProgramServicesAmt |
| Management And General | $7,010 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,824 | TotalAmt |
| Program Services | $2,824 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,209 | TotalAmt |
| Program Services | $3,157 | ProgramServicesAmt |
| Management And General | $1,052 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,323 | TotalAmt |
| Program Services | $16,281 | ProgramServicesAmt |
| Management And General | $1,042 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,859 | TotalAmt |
| Program Services | $12,618 | ProgramServicesAmt |
| Management And General | $6,241 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Maintenance and repairs | $20,946 | $12,597 | $8,349 |
| Supplies | $13,483 | $9,857 | $3,626 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,530 | TotalAmt |
| Program Services | $1,856 | ProgramServicesAmt |
| Management And General | $2,674 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,562 | TotalAmt |
| Program Services | $208,525 | ProgramServicesAmt |
| Management And General | $64,037 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,929 | BOYAmt |
| EOY | $111,272 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,814 | BOYAmt |
| EOY | $151,993 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,706 | BOYAmt |
| EOY | $1,706 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,056,268 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $151,209 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $588,105 | BOYAmt |
| EOY | $1,905,059 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,554 | BOYAmt |
| EOY | $2,170,030 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,315,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,646 | BOYAmt |
| EOY | $25,964 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,646 | BOYAmt |
| EOY | $1,340,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,908 | BOYAmt |
| EOY | $829,066 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $777,908 | BOYAmt |
| EOY | $829,066 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $782,554 | BOYAmt |
| EOY | $2,170,030 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $51,158 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
| Public Support CY170 | 0.00000 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $117,709 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $129,746 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,387 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $144,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $180,722 | CurrentTaxYearAmt |
| Total | $700,754 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $92,687 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $97,390 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $106,408 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $122,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $137,790 | CurrentTaxYearAmt |
| Total | $556,743 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $210,396 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $227,136 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $234,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $266,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $318,512 | CurrentTaxYearAmt |
| Total | $1,257,497 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,257,497 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $394 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $417 | CurrentTaxYearAmt |
| Total | $2,085 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $763 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $394 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $417 | CurrentTaxYearAmt |
| Total | $2,085 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,125 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,058 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,348 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,017 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,791 | CurrentTaxYearAmt |
| Total | $11,339 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $212,284 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $228,588 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $238,375 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $267,954 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $323,720 | CurrentTaxYearAmt |
| Total | $1,270,921 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98940 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99050 | PublicSupportPY509Pct |
| Investment Income CY | 0.00160 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00330 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,000 | OtherCostOrOtherBasisAmt |
| Book Value | $90,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,847,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $80,639 | DepreciationAmt |
| Book Value | $1,766,454 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,570 | DepreciationAmt |
| Book Value | $48,605 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,905,059 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc |
|---|
| Financial derivatives and other financial products |
| Closely-held equity interests |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal income taxes | |
| Payroll taxes payable | $4,005 |
| Sales taxes payable | $572 |
| Security deposits held | $500 |
| Real Estate taxes payable | $20,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,964 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
| Licensed States | IL | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BANQUET | Event1Nm |
| Gross Receipts Event1 | $57,680 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $57,680 | CharitableContriEvent1Amt |
| Food And Beverage Event1 | $11,404 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $6,772 | OtherDirectExpensesEvent1Amt |
| Event2 | BABY BOTTLES | Event2Nm |
| Gross Receipts Event2 | $54,856 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $54,856 | CharitableContriEvent2Amt |
| Other Direct Expenses Event2 | $1,910 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $41,348 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $35,498 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $5,850 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $2,200 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $3,459 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $400 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $889 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $153,884 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $148,034 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,850 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $2,200 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $14,863 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $400 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,571 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $27,034 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$21,184 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section B, Line 11 | The signing officers of the Board review the Form 990 when they affix their signatures. The full Board normally reviews the Form at its next regular meeting. |
| Form 990, Part VI, Section B, Line 15a | The full Board annually reviews the Executive Directors compensation package in light of economic changes in the communmity and adjusts accordingly. |
| Form 990, Part VI, Section C, Line 19 | The organization makes its annual audited financial statements, conflict of interest policy, and governing documents available for review to interested parties who make a formal request at the office of the entity. |
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