BETHESDA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BETHESDA INC (EIN 23-7122182)
Tax period
2015-07-01 to 2016-06-30
Filed
2016-10-11
IRS object ID
201622859349300202
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)
Return2016-10-11T08:01:46-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN260367225PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WARD & FOUST CPAS PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1147AddressLine1Txt
CitySANFORDCityNm
State AbbreviationNCStateAbbreviationCd
ZIP273311147ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237122182EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9109447700PhoneNum
Signature2016-10-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNDA S WARDPreparerPersonNm
PTINP00745917PTIN
Phone9197749452PhoneNum
Preparation2016-10-04PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN GREENEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$344,923GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionALCOHOL AND DRUG REHABILITATIONActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$87,144PYContributionsGrantsAmt
CY Contributions Grants$64,954CYContributionsGrantsAmt
PY Program Service Revenue$227,019PYProgramServiceRevenueAmt
CY Program Service Revenue$228,726CYProgramServiceRevenueAmt
PY Investment Income$395PYInvestmentIncomeAmt
CY Investment Income$488CYInvestmentIncomeAmt
PY Other Revenue$5,562PYOtherRevenueAmt
CY Other Revenue$37,751CYOtherRevenueAmt
PY Total Revenue$320,120PYTotalRevenueAmt
CY Total Revenue$331,919CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$189,153PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$205,324CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$136,858PYOtherExpensesAmt
CY Other Expenses$127,898CYOtherExpensesAmt
PY Total Expenses$326,011PYTotalExpensesAmt
CY Total Expenses$333,222CYTotalExpensesAmt
PY Revenues Less Expenses-$5,891PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,303CYRevenuesLessExpensesAmt
Total Assets BOY$301,283TotalAssetsBOYAmt
Total Assets EOY$293,625TotalAssetsEOYAmt
Total Liabilities BOY$77,575TotalLiabilitiesBOYAmt
Total Liabilities EOY$71,383TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$223,708NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$222,242NetAssetsOrFundBalancesEOYAmt
MissionDEDICATED TO THE CARE AND TREATMENT OF THE ALCOHOLIC AND RECOVERING ADDICT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$264,186ExpenseAmt
Revenue$228,726RevenueAmt
DescALCOHOL AND DRUG REHABILITATION-HALFWAY HOUSE WITH COUNSELING FOR MALE ADULTS AND ADOLESCENTS. APPROXIMATELY 60 ADULTS AND 30 ADOLESCENTS SERVED.Desc
Total Program Service Expenses$264,186TotalProgramServiceExpensesAmt
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 StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1E GLENN GREENEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KATHLEEN EATON
DIRECTOR2.00Yes (X)$0$0$0
STEVE YUSKEVICH
DIRECTOR2.00Yes (X)$0$0$0
VICTOR LARSEN
DIRECTOR2.00Yes (X)$0$0$0
JOHN RUCONICH
SECRETARY/TREASURER2.00Yes (X)$0$0$0Yes (X)
PARKER HALL
DIRECTOR2.00Yes (X)$0$0$0
JOHN KIRKMAN
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
MITCH STEVENSON
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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
Government Grants$23,584GovernmentGrantsAmt
All Other Contributions$41,370AllOtherContributionsAmt
Total Contributions$64,954TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SANDHILLS MENTAL HEALT623990$148,947$148,947
PORT HUMAN SERVICES623990$45,457$45,457
CLIENT ROOM AND BOARD623990$34,322$34,322
FieldValueIRS element (for citing)
Total Program Service Revenue$228,726TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$85TotalRevenueColumnAmt
Exclusion$85ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,976SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,573SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$403SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$403TotalRevenueColumnAmt
Exclusion$403ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,170FundraisingGrossIncomeAmt
Fundraising Direct Expenses$2,431FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,739TotalRevenueColumnAmt
Exclusion$2,739ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
INSURANCE PROCEEDS900000$32,677$32,677
MISCELLANEOUS900000$2,335$2,335
FieldValueIRS element (for citing)
Other Revenue Total$35,012OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$331,919TotalRevenueColumnAmt
Related Or Exempt Func Income$228,726RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38,239ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$71,980TotalAmt
Program Services$71,980ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$94,813TotalAmt
Program Services$46,443ProgramServicesAmt
Management And General$48,370ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,105TotalAmt
Program Services$8,837ProgramServicesAmt
Management And General$3,268ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,578TotalAmt
Program Services$9,912ProgramServicesAmt
Management And General$3,666ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,848TotalAmt
Program Services$9,122ProgramServicesAmt
Management And General$3,726ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,150TotalAmt
Program Services$3,150ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,120TotalAmt
Program Services$693ProgramServicesAmt
Management And General$427ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,710TotalAmt
Program Services$21,339ProgramServicesAmt
Management And General$2,371ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,290TotalAmt
Program Services$1,161ProgramServicesAmt
Management And General$129ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,834TotalAmt
Program Services$30,451ProgramServicesAmt
Management And General$3,383ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,916TotalAmt
Program Services$12,524ProgramServicesAmt
Management And General$1,392ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD AND PROVISIONS$32,949$32,949
REPAIRS AND MAINTENANCE$7,129$6,416$713
SUPPLIES AND MATERIALS$6,378$5,229$1,149
VEHICLE OPERATIONS$3,770$3,393$377

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$652TotalAmt
Program Services$587ProgramServicesAmt
Management And General$65ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$333,222TotalAmt
Program Services$264,186ProgramServicesAmt
Management And General$69,036ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,745BOYAmt
EOY$907EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,405BOYAmt
EOY$22,383EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$702BOYAmt
EOY$796EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,878BOYAmt
EOY$5,880EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$652,532LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$391,150LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$261,540BOYAmt
EOY$261,382EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,013BOYAmt
EOY$2,277EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$301,283BOYAmt
EOY$293,625EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,963BOYAmt
EOY$37,405EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$45,612BOYAmt
EOY$33,978EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$77,575BOYAmt
EOY$71,383EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$223,708BOYAmt
EOY$222,242EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$223,708BOYAmt
EOY$222,242EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,283BOYAmt
EOY$293,625EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,303ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$163NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
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$73,412CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,144CurrentTaxYearMinus1YearAmt
Current Tax Year$67,693CurrentTaxYearAmt
Total$370,497TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$73,412CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,727CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,521CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$87,144CurrentTaxYearMinus1YearAmt
Current Tax Year$67,693CurrentTaxYearAmt
Total$370,497TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$370,497PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$395CurrentTaxYearMinus1YearAmt
Current Tax Year$85CurrentTaxYearAmt
Total$1,359TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,749CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,426CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,562CurrentTaxYearMinus1YearAmt
Current Tax Year$35,012CurrentTaxYearAmt
Total$65,926TotalAmt
FieldValueIRS element (for citing)
Total Support$437,782TotalSupportAmt
Gross Receipts Rltd Activities$1,159,629GrossReceiptsRltdActivitiesAmt
Public Support CY1700.84630PublicSupportCY170Pct
Public Support PY1700.91600PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,500OtherCostOrOtherBasisAmt
Book Value$16,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$451,334OtherCostOrOtherBasisAmt
Depreciation$261,586DepreciationAmt
Book Value$189,748BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,698OtherCostOrOtherBasisAmt
Depreciation$129,564DepreciationAmt
Book Value$55,134BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$261,382TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$331,756TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$163NetUnrealizedGainsInvstAmt
Revenue Not Reported-$163RevenueNotReportedAmt
Revenue Subtotal$331,919RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$331,919TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$333,222TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$333,222ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$333,222TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS GIVEN TO EVERY BOARD MEMBER FOR REVIEW AT THE MEETING FOLLOWING THE COMPLETEION OF THE FORM. ONCE REVIEW OF THE FORM IS COMPLETED BY THE BOARD MEMEBERS AND ANY ISSUES ARE ADDRESSED, THE FORM 990 IS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR HAS AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

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