ASHLAND CARE CENTER INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ASHLAND CARE CENTER INC (EIN 34-1528045)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-24
IRS object ID
201642379349300724
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)
Return2016-08-24T14:39:51-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN202126956PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN341528045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ASHLAND CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlASHLBusinessNameControlTxt
Phone4192811111PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVENUEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELANIE MILLERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4192811111PhoneNum
Signature2016-08-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN W IRWIN CPAPreparerPersonNm
PTINP00337085PTIN
Phone4192812811PhoneNum
Preparation2016-08-24PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMELANIE MILLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1119 SLOAN AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$208,951GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ASHLANDCARECENTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionSUPPORT FOR WOMEN WITH UNPLANNED PREGNANCIES.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers43TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$147,169PYContributionsGrantsAmt
CY Contributions Grants$101,775CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$6,952PYInvestmentIncomeAmt
CY Investment Income$15CYInvestmentIncomeAmt
PY Other Revenue$84,887PYOtherRevenueAmt
CY Other Revenue$88,900CYOtherRevenueAmt
PY Total Revenue$225,104PYTotalRevenueAmt
CY Total Revenue$190,690CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$106,851PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$108,633CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,061CYTotalFundraisingExpenseAmt
PY Other Expenses$62,582PYOtherExpensesAmt
CY Other Expenses$67,655CYOtherExpensesAmt
PY Total Expenses$169,433PYTotalExpensesAmt
CY Total Expenses$176,288CYTotalExpensesAmt
PY Revenues Less Expenses$55,671PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$14,402CYRevenuesLessExpensesAmt
Total Assets BOY$301,432TotalAssetsBOYAmt
Total Assets EOY$310,714TotalAssetsEOYAmt
Total Liabilities BOY$110,872TotalLiabilitiesBOYAmt
Total Liabilities EOY$105,752TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$190,560NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$204,962NetAssetsOrFundBalancesEOYAmt
MissionSUPPORT FOR WOMEN WITH UNPLANNED PREGNANCIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$104,190ExpenseAmt
DescSUPPORTING WOMEN WITH UNPLANNED PREGNANCIES BY PROVIDING FREE PREGNANCY TEST, FREE COUNSELING, EDUCATION AND REFERRALS. THE ORGANIZATION SERVED 218 CLIENTS DURING 2015.Desc
Total Program Service Expenses$104,190TotalProgramServiceExpensesAmt
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 StmtfalseIndependentAuditFinclStmtInd
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 OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IRWIN FINANCIAL ASSOCIATES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4192812811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 CLAREMONT AVEAddressLine1Txt
CityASHLANDCityNm
State AbbreviationOHStateAbbreviationCd
ZIP44805ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MELANIE MILLER
EXECUTIVE DI35.00Yes (X)Yes (X)$2,308$0$0
MATT MILLER
PRESIDENTYes (X)Yes (X)$0$0$0
AARON BATES
TREASURERYes (X)Yes (X)$0$0$0
MARYANNE WISE
SECRETARYYes (X)Yes (X)$0$0$0
GEORGE SHUNK
TRUSTEEYes (X)$0$0$0
JOYCE MANSFIELD
TRUSTEEYes (X)$0$0$0
ELIZABETH SMITH
TRUSTEEYes (X)$0$0$0
ADREA TENNANT
TRUSTEEYes (X)$0$0$0
LORIN WEAVER
TRUSTEEYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,308TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$96,775GovernmentGrantsAmt
All Other Contributions$5,000AllOtherContributionsAmt
Total Contributions$101,775TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15TotalRevenueColumnAmt
Exclusion$15ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$107,161FundraisingGrossIncomeAmt
Fundraising Direct Expenses$18,261FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$88,900TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$190,690TotalRevenueColumnAmt
Exclusion$15ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,309TotalAmt
Program Services$1,270ProgramServicesAmt
Management And General$1,039ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$30,131TotalAmt
Program Services$16,572ProgramServicesAmt
Management And General$13,559ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$66,736TotalAmt
Program Services$36,705ProgramServicesAmt
Management And General$30,031ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,457TotalAmt
Program Services$5,201ProgramServicesAmt
Management And General$4,256ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,240TotalAmt
Management And General$2,240ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,322TotalAmt
Program Services$6,224ProgramServicesAmt
Fundraising$1,098FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,712TotalAmt
Program Services$4,337ProgramServicesAmt
Management And General$3,705ManagementAndGeneralAmt
Fundraising$670FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,660TotalAmt
Program Services$1,661ProgramServicesAmt
Management And General$5,706ManagementAndGeneralAmt
Fundraising$293FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,328TotalAmt
Program Services$6,662ProgramServicesAmt
Management And General$1,666ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Management And General$200ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,096TotalAmt
Management And General$2,096ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,179TotalAmt
Program Services$6,543ProgramServicesAmt
Management And General$1,636ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,866TotalAmt
Program Services$4,693ProgramServicesAmt
Management And General$1,173ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,515TotalAmt
Program Services$2,885ProgramServicesAmt
Management And General$2,630ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLIENT SERVICES$8,842$8,842
DONATIONS$2,595$2,595
STATE FILING FEE$100$100

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$176,288TotalAmt
Program Services$104,190ProgramServicesAmt
Management And General$70,037ManagementAndGeneralAmt
Fundraising$2,061FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,798BOYAmt
EOY$17,208EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$44,699BOYAmt
EOY$85,656EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$242,309LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,459LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$211,935BOYAmt
EOY$207,850EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$301,432BOYAmt
EOY$310,714EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,975BOYAmt
EOY$3,074EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$107,897BOYAmt
EOY$102,678EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,872BOYAmt
EOY$105,752EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$190,560BOYAmt
EOY$204,962EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$190,560BOYAmt
EOY$204,962EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,432BOYAmt
EOY$310,714EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$14,402ReconcilationRevenueExpnssAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$136,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$197,936CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147,169CurrentTaxYearMinus1YearAmt
Current Tax Year$101,775CurrentTaxYearAmt
Total$780,769TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$136,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$197,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$197,936CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$147,169CurrentTaxYearMinus1YearAmt
Current Tax Year$101,775CurrentTaxYearAmt
Total$780,769TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$780,769PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year$3CurrentTaxYearMinus1YearAmt
Current Tax Year$15CurrentTaxYearAmt
Total$21TotalAmt
FieldValueIRS element (for citing)
Total Support$780,790TotalSupportAmt
Gross Receipts Rltd Activities$107,161GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
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$88,112OtherCostOrOtherBasisAmt
Book Value$88,112BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$132,536OtherCostOrOtherBasisAmt
Depreciation$27,754DepreciationAmt
Book Value$104,782BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,661OtherCostOrOtherBasisAmt
Depreciation$6,705DepreciationAmt
Book Value$14,956BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$207,850TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL SOHL BANEvent1Nm
Gross Receipts Event1$107,161GrossReceiptsEvent1Amt
Gross Revenue Event1$107,161GrossRevenueEvent1Amt
Other Direct Expenses Event1$18,261OtherDirectExpensesEvent1Amt
Gross Receipts Total$107,161GrossReceiptsTotalAmt
Gross Revenue Total Events$107,161GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$18,261OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,261DirectExpenseSummaryEventsAmt
Net Income Summary$88,900NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonMIKE HLAVATY FORMER OFFICERPersonNm
Loan PurposePURCHASE OF REAL ESTATELoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$136,000OriginalPrincipalAmt
Balance Due$102,678BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$102,678TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FORMER BOARD MEMBERBusinessNameLine1Txt
FieldValueIRS element (for citing)
TransactionNOTE PAYABLETransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS PROVIDED TO THE GOVERNING BOARD MEMBERS FOR REVIEW AND APPROVAL. PRIOR TO FILING, QUESTIONS AND COMMENTS OF THE MEMBERS ARE RESPONDED TO AND INCORPORATED INTO THE TAX FILING AS NECESSARY.
FORM 990, PAGE 6, PART VI, LINE 12CANNUALLY THE BOARD MEMBERS ARE REQUIRED TO SIGN A STATEMENT THAT THEY HAVE RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAVE READ AND UNDERSTANDS THE POLICY, HAVE AGREED TO COMPLY WITH THE POLICY AND UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS SETS EXECUTIVE DIRECTOR COMPENSATION IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD OF DIRECTORS SETS STAFF PAY RATES IN ACCORDANCE WITH SURVEY DATA AND STANDARDS SET BY HEARTBEAT INTERNATIONAL, INC.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.

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