THE LAZARUS HOUSE A CENTER FOR WELLNESS: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
THE LAZARUS HOUSE A CENTER FOR WELLNESS (EIN 76-0693417)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-06-23
IRS object ID
201611759349300001
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)
Return2016-06-23T02:39:33-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KATHY PLOCH CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 820182AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP772820182ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760693417EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Lazarus House A Center for WellnessBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLAZABusinessNameControlTxt
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 Austin StAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIELLE SAMPEYPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7135265071PhoneNum
Signature2016-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY PLOCHPreparerPersonNm
Phone8322300967PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDANIELLE SAMPEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$254,519GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.thelazarushouse.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionThe Lazarus House is dedicated to decreasing & limiting the effects of disease related wasting cachexia, through low cost services of wellness, nutrition & support in a non clinical environment.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$98,091PYContributionsGrantsAmt
CY Contributions Grants$132,207CYContributionsGrantsAmt
PY Program Service Revenue$51,086PYProgramServiceRevenueAmt
CY Program Service Revenue$58,625CYProgramServiceRevenueAmt
PY Investment Income$458PYInvestmentIncomeAmt
CY Investment Income$458CYInvestmentIncomeAmt
PY Other Revenue$49,337PYOtherRevenueAmt
CY Other Revenue$61,127CYOtherRevenueAmt
PY Total Revenue$198,972PYTotalRevenueAmt
CY Total Revenue$252,417CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$131,789PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$149,863CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$8,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$278CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,164CYTotalFundraisingExpenseAmt
PY Other Expenses$35,899PYOtherExpensesAmt
CY Other Expenses$47,551CYOtherExpensesAmt
PY Total Expenses$175,688PYTotalExpensesAmt
CY Total Expenses$197,692CYTotalExpensesAmt
PY Revenues Less Expenses$23,284PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,725CYRevenuesLessExpensesAmt
Total Assets BOY$354,117TotalAssetsBOYAmt
Total Assets EOY$407,253TotalAssetsEOYAmt
Total Liabilities BOY$183,594TotalLiabilitiesBOYAmt
Total Liabilities EOY$181,974TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$170,523NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$225,279NetAssetsOrFundBalancesEOYAmt
MissionThe Lazarus House is dedicated toMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$175,826ExpenseAmt
DescWELLNESS PROGRAM: PROVIDED A LOW COST PROGRAM OF WELLNESS FOR INDIVIDUALS SUFFERING FROM DISEASE RELATED MUSCLE LOSS, OR CACHEXIA. WE PROVIDED AN EXERCISE PROGRAM THAT UTILIZED PROGRESSIVE RESISTANCE TRAINING TO ADDRESS & ATTENUATE DISEASE RELATED MUSCLE LOSS, CARDIOPULMONARY TRAINING TO INCREASE ENDURANCE & ADDRESS DYSMORPHIC ISSUES ASSOCIATED WITH SOME MEDICATIONS, & NUTRITIONAL COUNSELING TO ENCOURAGE OPTIMAL MUSCLE GROWTH. CLIENTS ATTENDED THREE TIMES WEEKLY FOR AN HOUR PER SESSION. CERTIFIED PERSONAL TRAINERS PROVIDED RESEARCHED & DISEASE SPECIFIC EXERCISE TRAINING SESSION. PROGRESS WAS DOCUMENTED THROUGH A SERIES OF MEASUREMENTS TAKEN BEFORE INITIATION, AT 6 WEEKS, & UPON COMPLETION. MEASUREMENTS DEMONSTRATED THAT CLIENTS, ON AVERAGE, GAINED MUSCLE & REFLECTED A DECREASE IN MUSCULAR WASTING. WE WORKED WITH AN AVERAGE OF 47 CLIENTS, ADOLESCENT & ADULTS, THREE TIMES WEEKLY IN 2013. CLIENTS PRESENTED WITH VARY ETIOLOGIES & DEGREES OF CACHEXIA. DISEASE RELATED MUSCLE LOSS ADDRESSED AT THE LAZARUS HOUSE INVOLVED CLIENTS WHO SUFFERED FROM HIV/AIDS, CANCER & SPINAL TRAUMA.Desc
Total Program Service Expenses$175,826TotalProgramServiceExpensesAmt
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 OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
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 EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDANIELLE SAMPEYPersonNm
Phone7135265071PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14106 AustinAddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77004ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TINO RAMIREZ
President7.00Yes (X)$0$0$0
MARC COHEN
Vice President5.00Yes (X)$0$0$0
JOHN NECHMAN
Secretary3.00Yes (X)$0$0$0
MARK BORING
Director1.00$0$0$0Yes (X)
CATHIE WILLIAMS
Director1.00$0$0$0Yes (X)
DAVID GOODING
Director1.00$0$0$0Yes (X)
JANE BRUNS
Director1.00$0$0$0Yes (X)
CARL SHEARER
Treasurer3.00Yes (X)$0$0$0
MELISSA WILSON
Honorary Member0.00$0$0$0Yes (X)
DANIELLE SAMPY
Executive Director40.00Yes (X)$48,840$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$48,840TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$132,207AllOtherContributionsAmt
Noncash Contributions$2,500NoncashContributionsAmt
Total Contributions$132,207TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescClient feeDesc
Business624100BusinessCd
Total Revenue Column$58,625TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$58,625TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$458TotalRevenueColumnAmt
Exclusion$458ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$63,229FundraisingGrossIncomeAmt
Fundraising Direct Expenses$2,102FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,127TotalRevenueColumnAmt
Exclusion$61,127ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$252,417TotalRevenueColumnAmt
Related Or Exempt Func Income$58,625RelatedOrExemptFuncIncomeAmt
Exclusion$61,585ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$48,840TotalAmt
Program Services$34,188ProgramServicesAmt
Management And General$7,326ManagementAndGeneralAmt
Fundraising$7,326FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$90,148TotalAmt
Program Services$90,148ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,875TotalAmt
Program Services$9,755ProgramServicesAmt
Management And General$560ManagementAndGeneralAmt
Fundraising$560FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,050TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,050ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$278TotalAmt
Fundraising$278FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,022TotalAmt
Program Services$3,100ProgramServicesAmt
Management And General$3,922ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$228TotalAmt
Program Services$228ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,004TotalAmt
Program Services$13,004ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,776TotalAmt
Program Services$14,776ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,641TotalAmt
Program Services$1,641ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,851TotalAmt
Program Services$7,007ProgramServicesAmt
Management And General$844ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Miscellaneous$1,121$1,121$0$0
Continuing education$649$649$0$0
Membership$209$209$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$197,692TotalAmt
Program Services$175,826ProgramServicesAmt
Management And General$13,702ManagementAndGeneralAmt
Fundraising$8,164FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$152,823BOYAmt
EOY$199,240EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$238,645LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,632LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$201,294BOYAmt
EOY$208,013EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$354,117BOYAmt
EOY$407,253EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$183,594BOYAmt
EOY$181,974EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$183,594BOYAmt
EOY$181,974EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$170,523BOYAmt
EOY$225,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$170,523BOYAmt
EOY$225,279EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$354,117BOYAmt
EOY$407,253EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$54,725ReconcilationRevenueExpnssAmt
Prior Period Adjustments$31PriorPeriodAdjustmentsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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$52,753CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$174,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$98,091CurrentTaxYearMinus1YearAmt
Current Tax Year$132,207CurrentTaxYearAmt
Total$517,305TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,753CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,201CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$174,053CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$98,091CurrentTaxYearMinus1YearAmt
Current Tax Year$132,207CurrentTaxYearAmt
Total$517,305TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$88,116SubstantialContributorsTotAmt
Public Support Total170$429,189PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$517,305TotalSupportAmt
Public Support CY1700.82970PublicSupportCY170Pct
Public Support PY1700.82620PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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$153,866OtherCostOrOtherBasisAmt
Book Value$153,866BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$57,933OtherCostOrOtherBasisAmt
Depreciation$3,972DepreciationAmt
Book Value$53,961BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$26,846OtherCostOrOtherBasisAmt
Depreciation$26,660DepreciationAmt
Book Value$186BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$208,013TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AIDS WalkEvent1Nm
Gross Receipts Event1$24,670GrossReceiptsEvent1Amt
Gross Revenue Event1$24,670GrossRevenueEvent1Amt
Gross Receipts Total$24,670GrossReceiptsTotalAmt
Gross Revenue Total Events$24,670GrossRevenueTotalEventsAmt
Net Income Summary$24,670NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bReport is e-mailed to board members.
Pt VI, Line 15aThe United Way Compensation Survey is used.
Pt VI, Line 15bThe United Way Compensaion Survey is used.

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