MIZPAH ASSISTED LIVING SERVICES: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MIZPAH ASSISTED LIVING SERVICES (EIN 43-1744746)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-03-28
- IRS object ID
- 201610889349300806
- 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 | 2016-03-28T12:27:00-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 465446838 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETTIT & COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1250 EAST COUNTY LINE RD SUITE DR | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46227 | 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 | 431744746 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIZPAH ASSISTED LIVING SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIZP | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6633 DELMAR BLVD | AddressLine1Txt |
| City | SAINT LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63130 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA BROOKS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2016-03-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J PETTIT CPA | PreparerPersonNm |
| PTIN | P01832645 | PTIN |
| Phone | 3176718262 | PhoneNum |
| Preparation | 2016-03-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-09-27 15:27:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARLA BROOKS | PrincipalOfficerNm |
| Gross Receipts | $1,159,278 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2000 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | ASSISTED LIVING FOR THE ELDERLY | ActivityOrMissionDesc |
| Voting Members Governing Body | 3 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,234,444 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,156,876 | CYProgramServiceRevenueAmt |
| PY Investment Income | $293 | PYInvestmentIncomeAmt |
| CY Investment Income | $326 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,550 | PYOtherRevenueAmt |
| CY Other Revenue | $2,076 | CYOtherRevenueAmt |
| PY Total Revenue | $1,237,287 | PYTotalRevenueAmt |
| CY Total Revenue | $1,159,278 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $586,406 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $700,270 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $621,193 | PYOtherExpensesAmt |
| CY Other Expenses | $484,566 | CYOtherExpensesAmt |
| PY Total Expenses | $1,207,599 | PYTotalExpensesAmt |
| CY Total Expenses | $1,184,836 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $29,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,558 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,972,228 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,951,472 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,595,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,600,069 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$623,039 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$648,597 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ASSISTED LIVING FOR THE ELDERLY | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $943,956 | ExpenseAmt |
| Desc | PROVIDING HOUSING, MEALS, AND ASSISTED PERSONAL CARE TO SENIOR CITIZENS | Desc |
| Total Program Service Expenses | $943,956 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | false | 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 37 | IRPDocumentW2GCnt |
| Employee | 37 | 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 | 3 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA BROOKS | PersonNm |
| Phone | 3147260111 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6633 DELMAR BLVD | AddressLine1Txt |
| City | SAINT LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| MAUREEN DUNN | |||||
| PRESIDENT | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NAN KLASSEN | |||||
| DIRECTOR AS | Yes (X) | $0 | $0 | $0 | |
| KATY VERHAGEN | |||||
| DIRECTOR AS | Yes (X) | $0 | $0 | $0 | |
| 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 |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 623000 | BusinessCd |
| Total Revenue Column | $1,156,876 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,156,876 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,156,876 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $326 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $326 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GIFTS | Desc |
| Total Revenue Column | $2,076 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,076 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,076 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,159,278 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,159,278 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $584,766 | TotalAmt |
| Program Services | $502,043 | ProgramServicesAmt |
| Management And General | $82,723 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,358 | TotalAmt |
| Program Services | $81,358 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,146 | TotalAmt |
| Program Services | $34,146 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,771 | TotalAmt |
| Management And General | $80,771 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,016 | TotalAmt |
| Program Services | $7,016 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,400 | TotalAmt |
| Program Services | $9,400 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,820 | TotalAmt |
| Program Services | $2,820 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,903 | TotalAmt |
| Management And General | $21,903 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,483 | TotalAmt |
| Management And General | $55,483 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,725 | TotalAmt |
| Program Services | $97,725 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,896 | TotalAmt |
| Program Services | $88,896 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,324 | TotalAmt |
| Program Services | $81,324 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,228 | TotalAmt |
| Program Services | $39,228 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,184,836 | TotalAmt |
| Program Services | $943,956 | ProgramServicesAmt |
| Management And General | $240,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,168 | BOYAmt |
| EOY | $84,017 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,439 | BOYAmt |
| EOY | $16,417 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,028 | BOYAmt |
| EOY | $36,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,452,970 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $913,322 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,595,978 | BOYAmt |
| EOY | $1,539,648 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,290 | BOYAmt |
| EOY | $54,895 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $173,325 | BOYAmt |
| EOY | $219,556 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,228 | BOYAmt |
| EOY | $1,951,472 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $425,596 | BOYAmt |
| EOY | $475,456 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,067,543 | BOYAmt |
| EOY | $2,013,036 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,128 | BOYAmt |
| EOY | $111,577 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,595,267 | BOYAmt |
| EOY | $2,600,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$623,039 | BOYAmt |
| EOY | -$648,597 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$623,039 | BOYAmt |
| EOY | -$648,597 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,972,228 | BOYAmt |
| EOY | $1,951,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$25,558 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| 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 | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $990,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,169,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,243,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,236,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,159,278 | CurrentTaxYearAmt |
| Total | $5,799,618 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $990,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,169,813 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,243,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,236,994 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,159,278 | CurrentTaxYearAmt |
| Total | $5,799,618 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,799,618 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $577 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $466 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $326 | CurrentTaxYearAmt |
| Total | $2,048 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $577 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $466 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $386 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $326 | CurrentTaxYearAmt |
| Total | $2,048 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $990,827 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,170,279 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,243,669 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,237,287 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,159,604 | CurrentTaxYearAmt |
| Total | $5,801,666 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99820 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,000 | OtherCostOrOtherBasisAmt |
| Book Value | $200,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,857,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $730,461 | DepreciationAmt |
| Book Value | $1,126,760 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $379,787 | OtherCostOrOtherBasisAmt |
| Depreciation | $173,678 | DepreciationAmt |
| Book Value | $206,109 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,183 | DepreciationAmt |
| Book Value | $6,779 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,539,648 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| TENANT DEPOSITS HELD IN TRUST | $112,750 |
| REPLACEMENT RESERVE | $70,931 |
| RESIDUAL RECEIPTS RESERVE | $34,917 |
| ESCROW DEPOSITS | $958 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $219,556 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TENANT DEPOSITS HELD IN TRUST | Desc |
| Amt | $111,577 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $111,577 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $1,159,278 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,159,278 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,159,278 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,184,836 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,184,836 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,184,836 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | OPERATIONAL CONTROL AND RESPONSIBILITY OF HANDLING OF TENANTS, WHICH INVOLVES MOVE IN AND MOVE OUT PROCEDURES, HUD QUALIFICATIONS AND RE- QUALIFICATIONS, AND MAINTAINING REQUIRED HUD FILES. MANAGERIAL CONTROL OVER THE PROPERTY, WHICH INVOLVES THE UPKEEP, MAINTENANCE AND IMPROVEMENT OF LAND AND BUILDINGS. THIS ALSO REQUIRES THE APPROPRIATE BOOKKEEPING AND REPORTING REQUIREMENTS MANDATED BY HUD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FROM 990 IS SENT TO THE BOARD CHAIRMAN FOR REVIEW. THE BOARD CHAIRMAN THEN DETERMINES HOW TO DISTRIBUTE FORM 990. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE ORGANIZATION HAS EACH BOARD MEMBER SIGN A CONFLICT OF INTEREST FORM DISCLOSING WHAT, IF ANY, CONFLICTS OF INTEREST THE MEMBER WOULD HAVE ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES PUBLIC DOCUMENTS AVAILABLE UPON REQUEST. DOCUMENTS ORE AVAILABLE IN PAPER OR BY EMAIL. |
Comments