BETHESDA PLACE INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
BETHESDA PLACE INC (EIN 48-0975398)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-15
IRS object ID
201642289349301739
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-08-15T09:32:31-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN481040139PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ADAMS BROWN BERAN AND BALL CHTDBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1186AddressLine1Txt
CityHAYSCityNm
State AbbreviationKSStateAbbreviationCd
ZIP676011186ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480975398EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA PLACE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone7856256220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11571 220TH AVENUEAddressLine1Txt
CityHAYSCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAROD TIPPYPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone7856256220PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID A HERLPreparerPersonNm
PTINP00290784PTIN
Phone7856283046PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS STAFFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11571 220TH AVENUEAddressLine1Txt
CityHAYSCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$427,565GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionPROVIDE EMPLOYMENT AND RESIDENTIAL SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,995PYContributionsGrantsAmt
CY Contributions Grants$34,534CYContributionsGrantsAmt
PY Program Service Revenue$278,287PYProgramServiceRevenueAmt
CY Program Service Revenue$324,362CYProgramServiceRevenueAmt
PY Investment Income$5,471PYInvestmentIncomeAmt
CY Investment Income$3,388CYInvestmentIncomeAmt
PY Other Revenue$53,946PYOtherRevenueAmt
CY Other Revenue$55,110CYOtherRevenueAmt
PY Total Revenue$374,699PYTotalRevenueAmt
CY Total Revenue$417,394CYTotalRevenueAmt
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$206,465PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$215,177CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$135,017PYOtherExpensesAmt
CY Other Expenses$147,245CYOtherExpensesAmt
PY Total Expenses$341,482PYTotalExpensesAmt
CY Total Expenses$362,422CYTotalExpensesAmt
PY Revenues Less Expenses$33,217PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,972CYRevenuesLessExpensesAmt
Total Assets BOY$819,083TotalAssetsBOYAmt
Total Assets EOY$877,219TotalAssetsEOYAmt
Total Liabilities BOY$46,087TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,252TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$772,996NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$827,967NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE RESIDENTIAL AND EMPLOYMENT SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$328,661ExpenseAmt
Revenue$334,362RevenueAmt
DescRESIDENTIAL AND EMPLOYMENT SERVICES WERE PROVIDED FOR ADULT INDIVIDUALS ON AN IN-HOME OR PERMANENT RESIDENCE BASIS.Desc
Total Program Service Expenses$328,661TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Contri0DeductibleNonCashContriInd
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
Employee13EmployeeCnt
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTHOMAS STAFFORDPersonNm
Phone7856256220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11571 220TH AVENUEAddressLine1Txt
CityHAYSCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
THOMAS STAFFORD
DIRECTOR40.00Yes (X)$45,518$0$0
AMANDA TIPPY
SECRETARY2.00Yes (X)$0$0$0
JIM MALL
DIRECTOR2.00Yes (X)$0$0$0
BARBARA WAGONER
PRESIDENT/DIRECTOR2.00$0$0$0Yes (X)
JAROD TIPPY
TREASURER40.00$41,604$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$87,122TotalReportableCompFromOrgAmt
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$34,534AllOtherContributionsAmt
Total Contributions$34,534TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENTIAL PROGRAM FE721310$220,038$220,038
RRP HABILIATION FEES624310$86,324$86,324
RP TUITION FEES624310$18,000$18,000
FieldValueIRS element (for citing)
Total Program Service Revenue$324,362TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,388TotalRevenueColumnAmt
Related Or Exempt Func Income$2,388RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$11,177RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$11,177RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,177TotalRevenueColumnAmt
Exclusion$11,177ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$1,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$1,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,000TotalRevenueColumnAmt
Related Or Exempt Func Income$1,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$52,517GrossSalesOfInventoryAmt
Cost Of Goods Sold$10,171CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,346TotalRevenueColumnAmt
Exclusion$42,346ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMEDICAL EXPENSE REIMBUDesc
Business624310BusinessCd
Total Revenue Column$1,587TotalRevenueColumnAmt
Related Or Exempt Func Income$1,587RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,587OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$417,394TotalRevenueColumnAmt
Related Or Exempt Func Income$329,337RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$53,523ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$196,257TotalAmt
Program Services$176,631ProgramServicesAmt
Management And General$19,626ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,920TotalAmt
Program Services$17,028ProgramServicesAmt
Management And General$1,892ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$332TotalAmt
Program Services$242ProgramServicesAmt
Management And General$90ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$34,021TotalAmt
Program Services$34,021ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$35,095TotalAmt
Program Services$35,095ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
UTILITIES$19,281$15,425$3,856
INSURANCE$17,834$14,267$3,567
REPAIRS$13,776$13,776
MISC EXPENSE$8,428$8,428

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,478TotalAmt
Program Services$13,748ProgramServicesAmt
Management And General$4,730ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$362,422TotalAmt
Program Services$328,661ProgramServicesAmt
Management And General$33,761ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$183,195BOYAmt
EOY$218,553EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,618BOYAmt
EOY$32,126EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,273BOYAmt
EOY$17,325EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$88,242BOYAmt
EOY$88,242EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$937,377LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$459,290LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$479,227BOYAmt
EOY$478,087EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$15,528BOYAmt
EOY$17,886EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt
EOY$25,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$819,083BOYAmt
EOY$877,219EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,087BOYAmt
EOY$49,252EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$46,087BOYAmt
EOY$49,252EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$772,996BOYAmt
EOY$827,967EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$772,996BOYAmt
EOY$827,967EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$819,083BOYAmt
EOY$877,219EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$54,972ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,909CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$175,771CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,645CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,995CurrentTaxYearMinus1YearAmt
Current Tax Year$34,534CurrentTaxYearAmt
Total$314,854TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$387,857CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$451,397CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$374,136CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$341,681CurrentTaxYearMinus1YearAmt
Current Tax Year$324,362CurrentTaxYearAmt
Total$1,879,433TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$418,766CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$627,168CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$410,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$378,676CurrentTaxYearMinus1YearAmt
Current Tax Year$358,896CurrentTaxYearAmt
Total$2,194,287TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,194,287PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,095CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,614CurrentTaxYearMinus1YearAmt
Current Tax Year$3,388CurrentTaxYearAmt
Total$28,551TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,095CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,985CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,469CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,614CurrentTaxYearMinus1YearAmt
Current Tax Year$3,388CurrentTaxYearAmt
Total$28,551TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$422,861CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$642,153CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$413,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$382,290CurrentTaxYearMinus1YearAmt
Current Tax Year$362,284CurrentTaxYearAmt
Total$2,222,838TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98720PublicSupportCY509Pct
Public Support PY5090.98740PublicSupportPY509Pct
Investment Income CY0.01280InvestmentIncomeCYPct
Investment Income PY0.01260InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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$36,725OtherCostOrOtherBasisAmt
Book Value$36,725BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$563,274OtherCostOrOtherBasisAmt
Depreciation$151,445DepreciationAmt
Book Value$411,829BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$337,378OtherCostOrOtherBasisAmt
Depreciation$307,845DepreciationAmt
Book Value$29,533BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$478,087TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CREDIT CARDS PAYABLE$10,107
PAYROLL LIABILITIES$8,474
ACCRUED SALES TAX$671
NOTE PAYABLE$30,000
FieldValueIRS element (for citing)
Total Liability$49,252TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11DRAFT COPIES OF FORM 990 ARE PROVIDED TO GOVERNING BOARD FOR REVIEW PRIOR TO FILING. GOVERNING BOARD MUST APPROVE FILING.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS, DIRECTORS, KEY EMPLOYEES ARE REQUIRED TO CERTIFY THAT THEY HAVE NOT CONFLICT OF INTEREST. THIS IS REVIEWED ANNUALLY BY THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION IS ESTABLISHED BY GOVERNING BODY ANNUALLY ACCORDING TO AREA WAGE LEVELS.
FORM 990, PART VI, SECTION C, LINE 19ALL RELEVENT DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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