MOLLYS HOUSE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MOLLYS HOUSE INC (EIN 65-0407242)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-04-07
IRS object ID
201530979349300618
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)
Return2015-04-07T12:37:14-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN591556056PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PROCTOR CROOK CROWDER & FOGAL PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line133 SW FLAGLER AVENUEAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN650407242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOLLY'S HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOLLBusinessNameControlTxt
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAYMOND G ROBISONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7722874444PhoneNum
Signature2015-03-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTINE MYERSPreparerPersonNm
PTINP00404484PTIN
Phone7722832356PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRAYMOND G ROBISONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$967,399GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MOLLYSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1996FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVIDES A "HOME AWAY FROM HOME" TO FAMILIES AND PATIENTS RECEIVING HEALTHCARE ON THE TREASURE COAST.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$222,460PYContributionsGrantsAmt
CY Contributions Grants$194,118CYContributionsGrantsAmt
PY Program Service Revenue$26,423PYProgramServiceRevenueAmt
CY Program Service Revenue$25,694CYProgramServiceRevenueAmt
PY Investment Income$40,824PYInvestmentIncomeAmt
CY Investment Income$121,149CYInvestmentIncomeAmt
PY Other Revenue$21,202PYOtherRevenueAmt
CY Other Revenue$53,074CYOtherRevenueAmt
PY Total Revenue$310,909PYTotalRevenueAmt
CY Total Revenue$394,035CYTotalRevenueAmt
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$174,867PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$181,864CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$69,861CYTotalFundraisingExpenseAmt
PY Other Expenses$213,266PYOtherExpensesAmt
CY Other Expenses$212,594CYOtherExpensesAmt
PY Total Expenses$388,133PYTotalExpensesAmt
CY Total Expenses$394,458CYTotalExpensesAmt
PY Revenues Less Expenses-$77,224PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$423CYRevenuesLessExpensesAmt
Total Assets BOY$1,996,076TotalAssetsBOYAmt
Total Assets EOY$1,995,653TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,996,076NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,995,653NetAssetsOrFundBalancesEOYAmt
MissionPROVIDES A "HOME AWAY FROM HOME" TO FAMILIES AND PATIENTS RECEIVING HEALTHCARE ON THE TREASURE COAST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$252,349ExpenseAmt
Revenue$25,694RevenueAmt
DescHOSPITAL HOSPITALITY HOUSE THAT PROVIDES TEMPORARY HOUSING AND SERVICES FOR PATIENTS AND FAMILIES IN A MEDICAL CRISIS. PROGRAMS INCLUDE CAREGIVER RESPITE, ADOPT A FAMILY AND ART AND HEALING.Desc
Total Program Service Expenses$252,349TotalProgramServiceExpensesAmt
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 SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee11EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARNEY MCKEEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7722236659PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1430 SE OSCEOLA STREETAddressLine1Txt
CitySTUARTCityNm
State AbbreviationFLStateAbbreviationCd
ZIP34994ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
RYAN FURTWANGLER
PRESIDENT4.00Yes (X)Yes (X)$0$0$0
RAYMOND G ROBISON
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SHAUN WILLIAMS
TREASURER1.00Yes (X)Yes (X)$0$0$0
PREETHI SEKHARAN
DIRECTOR1.00Yes (X)$0$0$0
BETSY HEROLD
DIRECTOR1.00Yes (X)$0$0$0
JUDGE ALAN FORST
DIRECTOR1.00Yes (X)$0$0$0
JESSICA MCLAIN
DIRECTOR1.00Yes (X)$0$0$0
TANDRA DAVISON
DIRECTOR1.00Yes (X)$0$0$0
DONALD SANTOS
DIRECTOR1.00Yes (X)$0$0$0
LOUISE MURTAUGH
EXECUTIVE DIRECTOR48.00Yes (X)$72,751$0$800
KATHRYN F PRIEST
SECRETARY1.00Yes (X)Yes (X)$0$0$0
JAYE BAYLES
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$72,751TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$800TotalOtherCompensationAmt
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$194,118AllOtherContributionsAmt
Total Contributions$194,118TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRENTDesc
Business624100BusinessCd
Total Revenue Column$25,694TotalRevenueColumnAmt
Related Or Exempt Func Income$25,694RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,694TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,442TotalRevenueColumnAmt
Exclusion$28,442ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$634,646SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$541,939SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$92,707SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$92,707TotalRevenueColumnAmt
Exclusion$92,707ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$84,499FundraisingGrossIncomeAmt
Fundraising Direct Expenses$31,425FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$53,074TotalRevenueColumnAmt
Exclusion$53,074ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$394,035TotalRevenueColumnAmt
Related Or Exempt Func Income$25,694RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$174,223ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$73,551TotalAmt
Program Services$29,420ProgramServicesAmt
Management And General$29,420ManagementAndGeneralAmt
Fundraising$14,711FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$95,280TotalAmt
Program Services$44,427ProgramServicesAmt
Management And General$15,837ManagementAndGeneralAmt
Fundraising$35,016FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,033TotalAmt
Program Services$6,077ProgramServicesAmt
Management And General$2,166ManagementAndGeneralAmt
Fundraising$4,790FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,501TotalAmt
Program Services$6,107ProgramServicesAmt
Management And General$1,247ManagementAndGeneralAmt
Fundraising$2,147FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,893TotalAmt
Management And General$7,893ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,228TotalAmt
Program Services$34,228ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$13,639TotalAmt
Program Services$10,911ProgramServicesAmt
Management And General$1,364ManagementAndGeneralAmt
Fundraising$1,364FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,304TotalAmt
Program Services$17,125ProgramServicesAmt
Management And General$2,209ManagementAndGeneralAmt
Fundraising$9,970FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,266TotalAmt
Program Services$2,039ProgramServicesAmt
Fundraising$227FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,298TotalAmt
Program Services$25,468ProgramServicesAmt
Management And General$2,830ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$398TotalAmt
Program Services$318ProgramServicesAmt
Management And General$40ManagementAndGeneralAmt
Fundraising$40FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,752TotalAmt
Program Services$1,405ProgramServicesAmt
Management And General$175ManagementAndGeneralAmt
Fundraising$172FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,980TotalAmt
Program Services$19,782ProgramServicesAmt
Management And General$2,198ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,446TotalAmt
Program Services$674ProgramServicesAmt
Management And General$240ManagementAndGeneralAmt
Fundraising$532FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS & MAINTENANCE$49,261$44,335$4,926
SUPPLIES$6,102$4,882$610$610
TELEPHONE EXPENSES$2,815$2,251$282$282
DUES AND SUBSCRIPTIONS$1,543$1,543

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,168TotalAmt
Program Services$1,357ProgramServicesAmt
Management And General$811ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$394,458TotalAmt
Program Services$252,349ProgramServicesAmt
Management And General$72,248ManagementAndGeneralAmt
Fundraising$69,861FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$43,512BOYAmt
EOY$22,625EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,291,320LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$479,987LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$833,313BOYAmt
EOY$811,333EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,119,251BOYAmt
EOY$1,161,695EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,996,076BOYAmt
EOY$1,995,653EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
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$1,996,076BOYAmt
EOY$1,995,653EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,996,076BOYAmt
EOY$1,995,653EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,996,076BOYAmt
EOY$1,995,653EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$423ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$229,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$222,460CurrentTaxYearMinus1YearAmt
Current Tax Year$194,118CurrentTaxYearAmt
Total$868,279TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$229,002CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$124,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$222,460CurrentTaxYearMinus1YearAmt
Current Tax Year$194,118CurrentTaxYearAmt
Total$868,279TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$224,995SubstantialContributorsTotAmt
Public Support Total170$643,284PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,184CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,838CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,824CurrentTaxYearMinus1YearAmt
Current Tax Year$121,148CurrentTaxYearAmt
Total$267,907TotalAmt
FieldValueIRS element (for citing)
Total Support$1,136,186TotalSupportAmt
Gross Receipts Rltd Activities$385,324GrossReceiptsRltdActivitiesAmt
Public Support CY1700.56620PublicSupportCY170Pct
Public Support PY1700.57980PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$408,703OtherCostOrOtherBasisAmt
Book Value$408,703BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$783,750OtherCostOrOtherBasisAmt
Depreciation$381,721DepreciationAmt
Book Value$402,029BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,529OtherCostOrOtherBasisAmt
Depreciation$24,529DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,338OtherCostOrOtherBasisAmt
Depreciation$73,737DepreciationAmt
Book Value$601BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$811,333TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescNORTHERN TRUSTDesc
Book Value$1,161,695BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,161,695TotalBookValueSecuritiesAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1COOKBOOK PRET A MANGEREvent1Nm
Gross Receipts Event1$22,859GrossReceiptsEvent1Amt
Gross Revenue Event1$22,859GrossRevenueEvent1Amt
Non Cash Prizes Event1$70NonCashPrizesEvent1Amt
Rent Facility Costs Event1$3,028RentFacilityCostsEvent1Amt
Food And Beverage Event1$295FoodAndBeverageEvent1Amt
Entertainment Event1$300EntertainmentEvent1Amt
Other Direct Expenses Event1$1,703OtherDirectExpensesEvent1Amt
Event2POLO EVENTEvent2Nm
Gross Receipts Event2$35,960GrossReceiptsEvent2Amt
Gross Revenue Event2$35,960GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,544NonCashPrizesEvent2Amt
Rent Facility Costs Event2$3,253RentFacilityCostsEvent2Amt
Food And Beverage Event2$2,750FoodAndBeverageEvent2Amt
Entertainment Event2$1,600EntertainmentEvent2Amt
Other Direct Expenses Event2$4,607OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$25,680GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$25,680GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$255NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$90RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$3,007FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$8,923OthDirectExpnssOtherEventsAmt
Gross Receipts Total$84,499GrossReceiptsTotalAmt
Gross Revenue Total Events$84,499GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,869NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,371RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$6,052FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,900EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$15,233OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$31,425DirectExpenseSummaryEventsAmt
Net Income Summary$53,074NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF FORM 990 WAS HELD IN THE MAIN OFFICE LOCATION. DIRECTORS WERE INFORMED OF THE COMPLETION AND FILING OF FORM 990. THE PRESIDENT, TREASURER AND FINANCE COMMITTEE REVIEWS THE ANNUAL FORM 990.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR BOARD MEMBERS ARE REQUIRED TO SUBMIT NEW CONFLICT OF INTEREST FORMS AT THE ANNUAL MEETING.
FORM 990, PART VI, SECTION B, LINE 15ANNUAL SALARY SURVEYS PROVIDE SPECIFIC COMPENSATION RANGES FOR THE EXECUTIVE DIRECTOR REVIEWED BY THE EXECUTIVE COMMITTEE. THE ANNUAL SALARY WAS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19A COPY OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE HELD IN THE LOCATION'S MAIN OFFICE. UPON REQUEST, THESE DOCUMENTS ARE PROVIDED FOR REVIEW.

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