BOYS & GIRLS CLUBS OF CHAMPION VALLEY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BOYS & GIRLS CLUBS OF CHAMPION VALLEY (EIN 06-1674854)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-02
IRS object ID
201611239349300336
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)
Return2016-05-02T11:12:30-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN203869827PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GERARD WILLRICH COMPANY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 296AddressLine1Txt
CityWEIMARCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78962ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061674854EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS AND GIRLS CLUB OF CHAMPION VALLEYBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBOYSBusinessNameControlTxt
Phone9797258208PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 897AddressLine1Txt
CityWEIMARCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78962ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCYNDI KOEHNPersonNm
Person TitleCPOPersonTitleTxt
Phone9797258208PhoneNum
Signature2016-04-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGERARD WILLRICHPreparerPersonNm
PTINP00362119PTIN
Phone9797256657PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCYNDI KOEHNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 W JACKSONAddressLine1Txt
CityWEIMARCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78962ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,003,335GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionSUPPORT YOUTH ACTIVITIESActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee45TotalEmployeeCnt
Total Volunteers53TotalVolunteersCnt
Total Gross UBI$456TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$625,154PYContributionsGrantsAmt
CY Contributions Grants$2,002,879CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$63PYInvestmentIncomeAmt
CY Investment Income$372CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$625,217PYTotalRevenueAmt
CY Total Revenue$2,003,251CYTotalRevenueAmt
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$395,674PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$386,468CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$15,234CYTotalFundraisingExpenseAmt
PY Other Expenses$196,602PYOtherExpensesAmt
CY Other Expenses$207,087CYOtherExpensesAmt
PY Total Expenses$592,276PYTotalExpensesAmt
CY Total Expenses$593,555CYTotalExpensesAmt
PY Revenues Less Expenses$32,941PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,409,696CYRevenuesLessExpensesAmt
Total Assets BOY$231,773TotalAssetsBOYAmt
Total Assets EOY$1,641,199TotalAssetsEOYAmt
Total Liabilities BOY$20,453TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,183TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$211,320NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,621,016NetAssetsOrFundBalancesEOYAmt
MissionTO ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE THAT NEED US MOST, TO REACH THEIR FULL POTENTIAL AS PRODUCTIVE, CARING, RESPONSIBLE CITIZENSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$479,526ExpenseAmt
DescTO ENABLE ALL YOUNG PEOPLE, ESPECIALLY THOSE THAT NEED US MOST, TO REACH THEIR FULL POTENTIAL AS PRODUCTIVE, CARING, RESPONSIBLE CITIZENSDesc
Total Program Service Expenses$479,526TotalProgramServiceExpensesAmt
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 ContriYes (1)DeductibleNonCashContriInd
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
Employee45EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldTXStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CYNDI KOEHNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9797258208PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 W JACKSONAddressLine1Txt
CityWEIMARCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78962ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANNETTE STREIT
BOARD OF DIRECTORS2.00Yes (X)Yes (X)$0$0$0
AMY BRANDT
BOARD OF DIRECTORS2.00Yes (X)Yes (X)$0$0$0
JOHN HUNFICKER
BOARD OF DIRECTORS2.00Yes (X)Yes (X)$0$0$0
QUENTEN GONZALES
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
NANCY STILES
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
TERRY BRAUN
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
BEVERLY MCMILLIAN
BOARD OF DIRECTORS2.00Yes (X)Yes (X)$0$0$0
AL JAMISON
BOARD OF DIRECTORS1.00Yes (X)$0$0$0
CONNIE TOFER
BOARD OF DIRECTORS1.00Yes (X)$0$0$0
MARIETTE BELLAMY
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
MITJA PETERMAN
BOARD OF DIRECTORS2.00Yes (X)$0$0$0
CYNDI L KOEHN
WEIMAR UNIT DIRECTOR40.00Yes (X)$54,600$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$54,600TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$2,002,879AllOtherContributionsAmt
Noncash Contributions$1,496,800NoncashContributionsAmt
Total Contributions$2,002,879TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$456TotalRevenueColumnAmt
Unrelated Business Revenue$456UnrelatedBusinessRevenueAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$84OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$84OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$84TotalRevenueColumnAmt
Related Or Exempt Func Income-$84RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,003,251TotalRevenueColumnAmt
Related Or Exempt Func Income-$84RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$456UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$311,866TotalAmt
Program Services$254,077ProgramServicesAmt
Management And General$57,789ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$46,423TotalAmt
Program Services$30,040ProgramServicesAmt
Management And General$16,383ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,179TotalAmt
Program Services$23,447ProgramServicesAmt
Management And General$4,732ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,250TotalAmt
Management And General$4,250ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,832TotalAmt
Program Services$4,150ProgramServicesAmt
Management And General$1,682ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,766TotalAmt
Program Services$3,766ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$97,410TotalAmt
Program Services$95,303ProgramServicesAmt
Management And General$2,107ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,674TotalAmt
Program Services$16,891ProgramServicesAmt
Management And General$2,783ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,670TotalAmt
Program Services$15,768ProgramServicesAmt
Management And General$902ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSES$17,343$17,343
FUND RAISING EXPENSE$15,234$15,234
MISCELLANEOUS$9,899$8,599$1,300
TRAINING AND DEVELOPMEN$7,405$2,484$4,921

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,604TotalAmt
Program Services$7,658ProgramServicesAmt
Management And General$1,946ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$593,555TotalAmt
Program Services$479,526ProgramServicesAmt
Management And General$98,795ManagementAndGeneralAmt
Fundraising$15,234FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$121,835BOYAmt
EOY$129,195EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$15,780BOYAmt
EOY$25,476EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,693,228LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$206,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$94,158BOYAmt
EOY$1,486,528EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$231,773BOYAmt
EOY$1,641,199EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$20,453BOYAmt
EOY$20,183EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,453BOYAmt
EOY$20,183EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$195,320BOYAmt
EOY$1,598,016EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,000BOYAmt
EOY$22,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$211,320BOYAmt
EOY$1,621,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,773BOYAmt
EOY$1,641,199EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,409,696ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$485,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$544,272CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$556,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$628,904CurrentTaxYearMinus1YearAmt
Current Tax Year$2,002,879CurrentTaxYearAmt
Total$4,218,208TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$485,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$544,272CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$556,619CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$628,904CurrentTaxYearMinus1YearAmt
Current Tax Year$2,002,879CurrentTaxYearAmt
Total$4,218,208TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,218,208PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,044CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$288CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$233CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63CurrentTaxYearMinus1YearAmt
Current Tax Year$456CurrentTaxYearAmt
Total$2,084TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year-$84CurrentTaxYearAmt
Total-$84TotalAmt
FieldValueIRS element (for citing)
Total Support$4,220,208TotalSupportAmt
Public Support CY1700.99950PublicSupportCY170Pct
Public Support PY1700.99890PublicSupportPY170Pct
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)
Investment Cost Or Other Basis$157,700InvestmentCostOrOtherBasisAmt
Book Value$157,700BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,390,877InvestmentCostOrOtherBasisAmt
Depreciation$62,049DepreciationAmt
Book Value$1,328,828BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$144,651InvestmentCostOrOtherBasisAmt
Depreciation$144,651DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,486,528TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,002,879TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$2,002,879RevenueSubtotalAmt
Other Revenues Not Included$372OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$372RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,003,251TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$593,555TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$593,555ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$593,555TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XI, LINE 4B - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationINTEREST INCOME LOSS ON DISPOSAL OF ASSETSExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,496,800NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED AT THE BOARD MEETING
FORM 990, PART VI, SECTION B, LINE 12C990 IS REVIEWED AT THE BOARD MEETING
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST

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