MISSION HOUSE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MISSION HOUSE INC (EIN 59-3376704)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-07-22
- IRS object ID
- 201622049349300317
- 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 | 2016-07-22T09:04:58-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592026532 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JAMES KNUTZEN & ASSOC CPA'S PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5150 BELFORT RD BLDG 300 | AddressLine1Txt |
| City | JACKSONVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32256 | 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 | 593376704 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION HOUSE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 9042416767 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SHETTER AVENUE | AddressLine1Txt |
| City | JACKSONVILLE BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32250 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI DELGADO ANDERSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9042416767 | PhoneNum |
| Signature | 2016-07-19 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BARBARA TOWLE | PreparerPersonNm |
| PTIN | P01236502 | PTIN |
| Phone | 9047255832 | PhoneNum |
| Preparation | 2016-07-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LORI DELGADO ANDERSON | PrincipalOfficerNm |
| Gross Receipts | $1,078,294 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MISSIONHOUSEJAX.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 13 | TotalEmployeeCnt |
| Total Volunteers | 400 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $780,153 | PYContributionsGrantsAmt |
| CY Contributions Grants | $960,361 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,536 | PYInvestmentIncomeAmt |
| CY Investment Income | $25,588 | CYInvestmentIncomeAmt |
| PY Other Revenue | $65,445 | PYOtherRevenueAmt |
| CY Other Revenue | $63,477 | CYOtherRevenueAmt |
| PY Total Revenue | $881,134 | PYTotalRevenueAmt |
| CY Total Revenue | $1,049,426 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $57,350 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $180,560 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $312,728 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $331,071 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $6,000 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $4,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,052 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $118,404 | PYOtherExpensesAmt |
| CY Other Expenses | $109,705 | CYOtherExpensesAmt |
| PY Total Expenses | $494,482 | PYTotalExpensesAmt |
| CY Total Expenses | $625,336 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $386,652 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $424,090 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,379,691 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,772,830 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,278 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $673 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,373,413 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,772,157 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EMPOWER INDIVIDUALS AFFECTED BY HOMELESSNESS IN THE BEACHES AREA BY PROVIDING FOOD, CLOTHING, MEDICAL CARE, AND SUPPORT SERVICES WITH AN AVENUE TO SELF-SUFFICIENCY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $544,735 | ExpenseAmt |
| Grant | $180,560 | GrantAmt |
| Desc | MAINTENANCE OF BUILDING & AMENITIES IN ORDER TO PREPARE & SERVE FOOD & PROVIDE EMERGENCY ASSISTANCE IN THE FORM OF HOUSING, HEAT, TRANSPORTATION, LODGING, & JOB PREPAREDNESS TO THE HOMELESS AND NEEDY. SECURING SAFE TEMPORARY HOUSING FOR HOMELESS INDIVIDUALS WITH THE GOAL OF TRANSITION INTO THE MAINSTREAM OF COMMUNITY LIFE. | Desc |
| Total Program Service Expenses | $544,735 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | Yes (true) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 13 | 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 |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LORI DELGADO ANDERSON | PersonNm |
| Phone | 9042416767 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SHETTER AVENUE | AddressLine1Txt |
| City | JACKSONVILLE BEACH | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32250 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BOB HAYES | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLYN BARRETT | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JULIEANN WEBER | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STEPHEN LANGE MD | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TOM HILTON MD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TOM PERRY | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HELEN SHORT | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JOYCE KRAMZER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN HUGHES | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY CLAUSEN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BETH MEHAFFEY | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DINA DEMARCO | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PAULINE DRAKE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| IRRAM HAMDANI MD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARY PARSONS | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LORI DELGADO ANDERSON | ||||||
| EXECUTIVE DI | 40.00 | $74,856 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $74,856 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $2,755 | FederatedCampaignsAmt |
| Government Grants | $57,446 | GovernmentGrantsAmt |
| All Other Contributions | $900,160 | AllOtherContributionsAmt |
| Noncash Contributions | $111,554 | NoncashContributionsAmt |
| Total Contributions | $960,361 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,588 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,276 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,312 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $92,345 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $28,868 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,477 | TotalRevenueColumnAmt |
| Exclusion | $63,477 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,049,426 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,276 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $65,789 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,560 | TotalAmt |
| Program Services | $180,560 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,856 | TotalAmt |
| Program Services | $42,877 | ProgramServicesAmt |
| Management And General | $17,298 | ManagementAndGeneralAmt |
| Fundraising | $14,681 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,917 | TotalAmt |
| Program Services | $204,917 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,491 | TotalAmt |
| Program Services | $24,788 | ProgramServicesAmt |
| Management And General | $1,994 | ManagementAndGeneralAmt |
| Fundraising | $1,709 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,807 | TotalAmt |
| Program Services | $19,843 | ProgramServicesAmt |
| Management And General | $1,596 | ManagementAndGeneralAmt |
| Fundraising | $1,368 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,000 | TotalAmt |
| Management And General | $4,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,000 | TotalAmt |
| Fundraising | $4,000 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79 | TotalAmt |
| Program Services | $30 | ProgramServicesAmt |
| Management And General | $49 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,899 | TotalAmt |
| Management And General | $2,899 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,656 | TotalAmt |
| Program Services | $5,647 | ProgramServicesAmt |
| Management And General | $8,126 | ManagementAndGeneralAmt |
| Fundraising | $1,883 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,073 | TotalAmt |
| Program Services | $33,906 | ProgramServicesAmt |
| Management And General | $3,756 | ManagementAndGeneralAmt |
| Fundraising | $411 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,912 | TotalAmt |
| Program Services | $14,375 | ProgramServicesAmt |
| Management And General | $2,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,199 | TotalAmt |
| Program Services | $10,369 | ProgramServicesAmt |
| Management And General | $1,830 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| DUES AND LICENSES | $7,598 | $7,598 | |
| MAINTENANCE & REPAIRS | $5,176 | $5,176 | |
| MISCELLANEOUS | $4,866 | $4,866 | |
| CONTRACT LABOR | $2,247 | $2,247 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $625,336 | TotalAmt |
| Program Services | $544,735 | ProgramServicesAmt |
| Management And General | $56,549 | ManagementAndGeneralAmt |
| Fundraising | $24,052 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,761 | BOYAmt |
| EOY | $475,981 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $83,762 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,576 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $879,829 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $216,092 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $244,354 | BOYAmt |
| EOY | $663,737 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $556,000 | BOYAmt |
| EOY | $549,350 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,691 | BOYAmt |
| EOY | $1,772,830 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,278 | BOYAmt |
| EOY | $673 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,278 | BOYAmt |
| EOY | $673 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,833 | BOYAmt |
| EOY | $1,603,645 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,580 | BOYAmt |
| EOY | $168,512 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,373,413 | BOYAmt |
| EOY | $1,772,157 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,379,691 | BOYAmt |
| EOY | $1,772,830 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $424,090 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$25,346 | NetUnrlzdGainsLossesInvstAmt |
| 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 | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $345,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $381,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $397,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $775,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $960,361 | CurrentTaxYearAmt |
| Total | $2,861,791 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $88,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $115,033 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $23,276 | CurrentTaxYearAmt |
| Total | $226,888 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $434,557 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $496,742 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $397,761 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $775,982 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $983,637 | CurrentTaxYearAmt |
| Total | $3,088,679 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $3,088,679 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,733 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,312 | CurrentTaxYearAmt |
| Total | $72,222 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,632 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,733 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,312 | CurrentTaxYearAmt |
| Total | $72,222 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $64,966 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65,445 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $62,477 | CurrentTaxYearAmt |
| Total | $192,888 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $436,189 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $539,292 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $471,460 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $858,422 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,048,426 | CurrentTaxYearAmt |
| Total | $3,353,789 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92100 | PublicSupportCY509Pct |
| Public Support PY509 | 0.83980 | PublicSupportPY509Pct |
| Investment Income CY | 0.02000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,500 | OtherCostOrOtherBasisAmt |
| Book Value | $37,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $702,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $151,165 | DepreciationAmt |
| Book Value | $550,984 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $140,180 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,927 | DepreciationAmt |
| Book Value | $75,253 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $663,737 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,179,668 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$25,346 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $155,588 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $130,242 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,049,426 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,049,426 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $780,924 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $155,588 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $155,588 | ExpensesNotReportedAmt |
| Expenses Subtotal | $625,336 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $625,336 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FALL FUNDRAISER | Event1Nm |
| Gross Receipts Event1 | $92,345 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $92,345 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $7,997 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $13,862 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $1,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,009 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $92,345 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $92,345 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $7,997 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $13,862 | RentFcltyCostsTotalEventsAmt |
| Entertainment Total Events | $1,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,009 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $28,868 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $63,477 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|---|
| FOOD | 17820 | $15,292 | $111,554 | 1.70/LB |
| MEDICAL | 1376 | $26,179 | ||
| EMERGENCY HOUSING | 56 | $15,616 | ||
| MISCELLANEOUS SERVICES | 2052 | $11,919 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PAGE 4, PART IV | FormAndLineReferenceDesc |
| Explanation | THE AMOUNTS ABOVE MAY BE DUPLICATE VISITS OR ASSISTANCE. | ExplanationTxt |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $111,554 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | 1.70 PER POUND | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER, AND THEN SIGNED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 12C | POSSIBLE CONFLICTS OF INTEREST ARE DISCUSSED AT EITHER THE BOARD MEETINGS OR EXECUTIVE COMMITTEE MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR MEETS WITH THE BOARD PRESIDENT AND AT LEAST ONE OTHER BOARD OFFICER FOR AN ANNUAL REVIEW. AN ASSESSMENT OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DISCUSSED AT THE REVIEW. THE COMPENSATION IS THEN TAKEN TO THE FULL BOARD FOR A VOTE. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST. |
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