SANTA ROSA KIDS HOUSE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA KIDS HOUSE INC (EIN 20-1524354)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-13
IRS object ID
201502259349303150
Schema version
2014v5.0
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)
Return2015-08-13T13:09:21-07:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DURST JORDAN CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14459-B HWY 90AddressLine1Txt
CityPACECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32571ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201524354EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SANTA ROSA KIDS' HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSANTBusinessNameControlTxt
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDELL HALLPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8506231112PhoneNum
Signature2015-08-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSHUA C DURST CPAPreparerPersonNm
Phone8509955000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWENDELL HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$315,342GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SRKIDSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS THE NEEDS OF CHILDREN FIRSTActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$304,716PYContributionsGrantsAmt
CY Contributions Grants$235,978CYContributionsGrantsAmt
PY Program Service Revenue$76,357PYProgramServiceRevenueAmt
CY Program Service Revenue$78,445CYProgramServiceRevenueAmt
PY Investment Income$1,131PYInvestmentIncomeAmt
CY Investment Income$919CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$382,204PYTotalRevenueAmt
CY Total Revenue$315,342CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$88,276PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,283CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$22,259CYTotalFundraisingExpenseAmt
PY Other Expenses$213,277PYOtherExpensesAmt
CY Other Expenses$192,683CYOtherExpensesAmt
PY Total Expenses$301,553PYTotalExpensesAmt
CY Total Expenses$285,966CYTotalExpensesAmt
PY Revenues Less Expenses$80,651PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$29,376CYRevenuesLessExpensesAmt
Total Assets BOY$1,694,735TotalAssetsBOYAmt
Total Assets EOY$1,720,291TotalAssetsEOYAmt
Total Liabilities BOY$53,315TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,495TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,641,420NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,670,796NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER A WELL COORDINATEDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$243,656ExpenseAmt
Grant$42,705GrantAmt
Revenue$315,342RevenueAmt
DescPROGRAM SERVICES PROVIDED INCLUDE MANAGING A FACILITY TO HOUSE MULTIPLE SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES TO CHILD ABUSE VICTIMS AND THEIR FAMILIES AND FACILITATE THE PROSECUTION OF THEIR ABUSERS IN SANTA ROSA COUNTY, FLORIDA. THESE SERVICES ARE PROVIDED FREE OF CHARGE IN A CHILD FRIENDLY ENVIRONMENT THEREBY REDUCING THE TRAUMA A CHILD HAS EXPERIENCED AS A RESULT OF ABUSE. DIRECT SERVICES INCLUDING CRISIS INTERVENTION, DEVELOPMENTALLY APPROPRIATE INTERVIEWS, MEDICAL EXAMS, MENTAL HEALTH COUNSELING, CASE MANAGEMENT AND VICTIM ADVOCACY WERE PROVIDED TO NUMEROUS CHILD VICTIMS OF PHYSICAL AND SEXUAL ABUSE DURING 2014.Desc
Total Program Service Expenses$243,656TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
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 EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEITH ANN CAMPBELLPersonNm
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WENDELL HALL
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
JASON ENGLISH
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
MARGARET PORTER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CONNIE CUSHING
TREASURER4.00Yes (X)Yes (X)$0$0$0
ROY ANDREWS
LEGAL COUNSEL1.00Yes (X)$0$0$0
PAUL LIO
DIRECTOR1.00Yes (X)$0$0$0
ADAIR COTTON
DIRECTOR1.00Yes (X)$0$0$0
MICHELE TUCKER
DIRECTOR1.00Yes (X)$0$0$0
TAMIE PETERSON
DIRECTOR1.00Yes (X)$0$0$0
LIZ SIMMONS
DIRECTOR1.00Yes (X)$0$0$0
SANDY PARK-O'HARA
DIRECTOR1.00Yes (X)$0$0$0
JIMMIE MELVIN
DIRECTOR1.00Yes (X)$0$0$0
ED CARSON
DIRECTOR1.00Yes (X)$0$0$0
CAROL LUTZ
DIRECTOR1.00Yes (X)$0$0$0
ANNETTE BANKICH
DIRECTOR1Yes (X)
TONY ALEXANDER
DIRECTOR1Yes (X)
TOGGY PACE
DIRECTOR1Yes (X)
JERRY BURDEN
DIRECTOR1Yes (X)
PATRICK DAWSON
DIRECTOR1Yes (X)
MARTHA ODOM
DIRECTOR1Yes (X)
JACQUELINE PERGANDE
DIRECTOR1Yes (X)
GENIA JONES
DIRECTOR1Yes (X)
JIMMY COKER
DIRECTOR1Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$121,033FundraisingAmt
All Other Contributions$114,945AllOtherContributionsAmt
Noncash Contributions$1,519NoncashContributionsAmt
Total Contributions$235,978TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business531120BusinessCd
Total Revenue Column$78,445TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$78,445TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$919TotalRevenueColumnAmt
Exclusion$919ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$121,033ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$315,342TotalRevenueColumnAmt
Related Or Exempt Func Income$78,445RelatedOrExemptFuncIncomeAmt
Exclusion$919ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$85,454TotalAmt
Program Services$72,636ProgramServicesAmt
Management And General$8,545ManagementAndGeneralAmt
Fundraising$4,273FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,829TotalAmt
Program Services$6,655ProgramServicesAmt
Management And General$783ManagementAndGeneralAmt
Fundraising$391FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$17,882TotalAmt
Program Services$13,412ProgramServicesAmt
Management And General$3,576ManagementAndGeneralAmt
Fundraising$894FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$199TotalAmt
Program Services$38ProgramServicesAmt
Management And General$119ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$893TotalAmt
Program Services$580ProgramServicesAmt
Management And General$268ManagementAndGeneralAmt
Fundraising$45FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,724TotalAmt
Program Services$1,650ProgramServicesAmt
Management And General$37ManagementAndGeneralAmt
Fundraising$37FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,416TotalAmt
Program Services$1,416ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$73,812TotalAmt
Program Services$72,336ProgramServicesAmt
Management And General$738ManagementAndGeneralAmt
Fundraising$738FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$20,811TotalAmt
Program Services$17,792ProgramServicesAmt
Management And General$2,081ManagementAndGeneralAmt
Fundraising$938FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBTS$875$0$875$0
CLEANING$5,400$5,346$54$0
DUES/MEMBERSHIPS$6,297$5,835$330$132
FUNDRAISING$13,863$0$0$13,863

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$49,511TotalAmt
Program Services$45,960ProgramServicesAmt
Management And General$2,645ManagementAndGeneralAmt
Fundraising$906FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$285,966TotalAmt
Program Services$243,656ProgramServicesAmt
Management And General$20,051ManagementAndGeneralAmt
Fundraising$22,259FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$424,708BOYAmt
EOY$518,786EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,875BOYAmt
EOY$13,556EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,212BOYAmt
EOY$1,372EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,547BOYAmt
EOY$5,555EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,613,477LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$435,155LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,200,693BOYAmt
EOY$1,178,322EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,694,735BOYAmt
EOY$1,720,291EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,062BOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$6,601BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$43,403BOYAmt
EOY$3,294EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$249BOYAmt
EOY$46,201EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,315BOYAmt
EOY$49,495EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,641,420BOYAmt
EOY$1,670,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,641,420BOYAmt
EOY$1,670,796EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,694,735BOYAmt
EOY$1,720,291EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$29,376ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$183,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$171,826CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$384,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$381,073CurrentTaxYearMinus1YearAmt
Current Tax Year$315,342CurrentTaxYearAmt
Total$1,436,109TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$183,665CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$171,826CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$384,203CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$381,073CurrentTaxYearMinus1YearAmt
Current Tax Year$315,342CurrentTaxYearAmt
Total$1,436,109TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,436,109PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$97CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$848CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,296CurrentTaxYearMinus2YearsAmt
Total$2,241TotalAmt
FieldValueIRS element (for citing)
Total Support$1,438,350TotalSupportAmt
Public Support CY1700.99840PublicSupportCY170Pct
Public Support PY1700.97210PublicSupportPY170Pct
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)
Investment Cost Or Other Basis$66,000InvestmentCostOrOtherBasisAmt
Book Value$66,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,169,585InvestmentCostOrOtherBasisAmt
Depreciation$196,708DepreciationAmt
Book Value$972,877BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$98,611InvestmentCostOrOtherBasisAmt
Depreciation$43,154DepreciationAmt
Book Value$55,457BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$227,140InvestmentCostOrOtherBasisAmt
Depreciation$181,666DepreciationAmt
Book Value$45,474BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$52,141InvestmentCostOrOtherBasisAmt
Depreciation$13,627DepreciationAmt
Book Value$38,514BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,178,322TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LEASES PAYABLE$45,966
INSURANCE LOAN PAYABLE
SALES TAX PAYABLE$5
PAYROLL TAXES PAYABLE$230
FieldValueIRS element (for citing)
Total Liability$46,201TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$315,342TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$315,342RevenueSubtotalAmt
Total Revenue Per Form990$315,342TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$285,966TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$285,966ExpensesSubtotalAmt
Total Expenses Per Form990$285,966TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$23,544GrossReceiptsEvent1Amt
Gross Revenue Event1$23,544GrossRevenueEvent1Amt
Non Cash Prizes Event1$203NonCashPrizesEvent1Amt
Rent Facility Costs Event1$2,037RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$627OtherDirectExpensesEvent1Amt
Event2FESTIVAL OF TREESEvent2Nm
Gross Receipts Event2$87,594GrossReceiptsEvent2Amt
Gross Revenue Event2$87,594GrossRevenueEvent2Amt
Rent Facility Costs Event2$2,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$900FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$5,083OtherDirectExpensesEvent2Amt
Gross Receipts Total$111,138GrossReceiptsTotalAmt
Gross Revenue Total Events$111,138GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$203NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$4,037RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$900FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$5,710OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,850DirectExpenseSummaryEventsAmt
Net Income Summary$100,288NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksKEITH ANN CAMPBELLIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREEETAddressLine1Txt
CityMILTONCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32570ZIPCd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bFORM 990 IS REVIEWED AND APPRROVED BY BOARD OF DIRECTORS BEFORE FILING WITH IRS
Pt VI, Line 12cCONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND SIGNATURE
Pt VI, Line 15bNO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED
Pt VI, Line 15aTHE PROCESS TO DETERMINE THE COMPENSATION OF THE FACILITY COORDINATOR INCLUDES REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA. ALL DELIBERATION AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
Form 990, Part IX, Line 24fMAINTENANCE 3951. 3873. 39. 39. MISC 1. 0. 1. 0. PEST CONTROL 1488. 1458. 15. 15. POSTAGE 336. 218. 101. 17. PRINTING 0. 0. 0. 0. MEDICAL EXPENSE-THERAPY 9611. 9611. 0. 0. PROMOTIONS AND AWARDS 0. 0. 0. 0. SECURITY 1670. 1638. 16. 16. SUPPLIES 2023. 1720. 202. 101. TELEPHONE & INTERNET 7823. 7667. 78. 78. TRAINING 527. 527. 0. 0. UTILITIES 15500. 15190. 155. 155. LICENSES 76. 74. 1. 1. BANK CHARGES 153. 0. 153. 0. COMPUTER 1530. 459. 918. 153. CONTRACT LABOR 0. 0. 0. 0. GRANT EXPENSE 0. 0. 0. 0.

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