BETHESDA PLACE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BETHESDA PLACE INC (EIN 48-0975398)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-07-22
IRS object ID
201532039349301253
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)
Return2015-07-22T16:59:23-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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)
PersonTHOMAS STAFFORDPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone7856256220PhoneNum
Signature2015-07-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID A HERLPreparerPersonNm
PTINP00290784PTIN
Phone7856283046PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJARED TIPPYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11571 220TH AVENUEAddressLine1Txt
CityHAYSCityNm
State AbbreviationKSStateAbbreviationCd
ZIP67601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$387,759GrossReceiptsAmt
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 Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$3,614TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$36,645PYContributionsGrantsAmt
CY Contributions Grants$36,995CYContributionsGrantsAmt
PY Program Service Revenue$297,441PYProgramServiceRevenueAmt
CY Program Service Revenue$278,287CYProgramServiceRevenueAmt
PY Investment Income$4,108PYInvestmentIncomeAmt
CY Investment Income$5,471CYInvestmentIncomeAmt
PY Other Revenue$58,008PYOtherRevenueAmt
CY Other Revenue$53,946CYOtherRevenueAmt
PY Total Revenue$396,202PYTotalRevenueAmt
CY Total Revenue$374,699CYTotalRevenueAmt
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$175,910PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$206,465CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$160,379PYOtherExpensesAmt
CY Other Expenses$135,017CYOtherExpensesAmt
PY Total Expenses$336,289PYTotalExpensesAmt
CY Total Expenses$341,482CYTotalExpensesAmt
PY Revenues Less Expenses$59,913PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,217CYRevenuesLessExpensesAmt
Total Assets BOY$800,225TotalAssetsBOYAmt
Total Assets EOY$819,083TotalAssetsEOYAmt
Total Liabilities BOY$60,445TotalLiabilitiesBOYAmt
Total Liabilities EOY$46,087TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$739,780NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$772,996NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE RESIDENTIAL AND EMPLOYMENT SERVICES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$311,402ExpenseAmt
DescRESIDENTIAL AND EMPLOYMENT SERVICES WERE PROVIDED FOR ADULT INDIVIDUALS ON AN IN-HOME OR PERMANENT RESIDENCE BASIS.Desc
Total Program Service Expenses$311,402TotalProgramServiceExpensesAmt
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
Employee0EmployeeCnt
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)$52,917$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$33,617$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$86,534TotalReportableCompFromOrgAmt
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$36,995AllOtherContributionsAmt
Total Contributions$36,995TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESIDENTIAL PROGRAM FE721310$156,975$156,975
RRP HABILIATION FEES624310$73,662$73,662
RP TUITION FEES624310$47,650$47,650
FieldValueIRS element (for citing)
Total Program Service Revenue$278,287TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,471TotalRevenueColumnAmt
Related Or Exempt Func Income$2,471RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,950RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,950RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,950TotalRevenueColumnAmt
Exclusion$6,950ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,000SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,000TotalRevenueColumnAmt
Related Or Exempt Func Income$3,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$56,442GrossSalesOfInventoryAmt
Cost Of Goods Sold$13,060CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$43,382TotalRevenueColumnAmt
Exclusion$43,382ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business624310BusinessCd
Total Revenue Column$3,614TotalRevenueColumnAmt
Unrelated Business Revenue$3,614UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,614OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$374,699TotalRevenueColumnAmt
Related Or Exempt Func Income$283,758RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,614UnrelatedBusinessRevenueAmt
Exclusion$50,332ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$191,743TotalAmt
Program Services$172,569ProgramServicesAmt
Management And General$19,174ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,722TotalAmt
Program Services$13,250ProgramServicesAmt
Management And General$1,472ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$686TotalAmt
Program Services$343ProgramServicesAmt
Management And General$343ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$33,376TotalAmt
Program Services$33,376ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OCCUPANCY$35,023$35,023
INSURANCE$16,857$13,485$3,372
UTILITIES$14,895$11,916$2,979
REPAIRS$9,926$9,926

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,254TotalAmt
Program Services$21,514ProgramServicesAmt
Management And General$2,740ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$341,482TotalAmt
Program Services$311,402ProgramServicesAmt
Management And General$30,080ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$169,221BOYAmt
EOY$183,195EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$25,120BOYAmt
EOY$25,618EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$22,583BOYAmt
EOY$2,273EOYAmt

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$920,562LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$441,335LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$481,986BOYAmt
EOY$479,227EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,073BOYAmt
EOY$15,528EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$25,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$800,225BOYAmt
EOY$819,083EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,364BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,081BOYAmt
EOY$46,087EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,445BOYAmt
EOY$46,087EOYAmt
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$739,780BOYAmt
EOY$772,996EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$739,780BOYAmt
EOY$772,996EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$800,225BOYAmt
EOY$819,083EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$33,217ReconcilationRevenueExpnssAmt
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$33,999CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,909CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$175,771CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,645CurrentTaxYearMinus1YearAmt
Current Tax Year$36,995CurrentTaxYearAmt
Total$314,319TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$322,669CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$387,857CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$451,397CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$374,136CurrentTaxYearMinus1YearAmt
Current Tax Year$341,681CurrentTaxYearAmt
Total$1,877,740TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$356,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$418,766CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$627,168CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$410,781CurrentTaxYearMinus1YearAmt
Current Tax Year$378,676CurrentTaxYearAmt
Total$2,192,059TotalAmt

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$2,192,059PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,800CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,095CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,469CurrentTaxYearMinus1YearAmt
Current Tax Year$3,614CurrentTaxYearAmt
Total$27,963TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,800CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,095CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,985CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,469CurrentTaxYearMinus1YearAmt
Current Tax Year$3,614CurrentTaxYearAmt
Total$27,963TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$359,468CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$422,861CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$642,153CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$413,250CurrentTaxYearMinus1YearAmt
Current Tax Year$382,290CurrentTaxYearAmt
Total$2,220,022TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98740PublicSupportCY509Pct
Public Support PY5090.98750PublicSupportPY509Pct
Investment Income CY0.01260InvestmentIncomeCYPct
Investment Income PY0.01250InvestmentIncomePYPct
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$549,257OtherCostOrOtherBasisAmt
Depreciation$130,503DepreciationAmt
Book Value$418,754BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$334,580OtherCostOrOtherBasisAmt
Depreciation$310,832DepreciationAmt
Book Value$23,748BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$479,227TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CREDIT CARDS PAYABLE$8,735
PAYROLL LIABILITIES$7,083
ACCRUED SALES TAX$269
NOTE PAYABLE$30,000
FieldValueIRS element (for citing)
Total Liability$46,087TotalLiabilityAmt

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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