KEY PENINSULA COMMUNITY SERVICES: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
KEY PENINSULA COMMUNITY SERVICES (EIN 91-1188981)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-09-01
IRS object ID
201542449349300529
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)
Return2015-09-01T15:22:01-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL KANDER CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17406 27TH ST WEST STE 14AddressLine1Txt
CityUNIVERSITY PLACECityNm
State AbbreviationWAStateAbbreviationCd
ZIP98466ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911188981EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KEY PENINSULA COMMUNITY SERVICESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKEYPBusinessNameControlTxt
Phone2538844440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 392AddressLine1Txt
CityLAKEBAYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98349ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPENNY GAZABATPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Signature2015-09-01SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL KANDERPreparerPersonNm
PTINP00185677PTIN
Phone2537610161PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPENNY GAZABATPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 392AddressLine1Txt
CityLAKEBAYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98349ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$242,874GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressKEYPENINSULACOMMUNITYSERVICES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO PROVIDE EMERGENCY FOOD NEEDS (FOOD BANK) AND REFERRAL SERVICES FOR THE RURAL COMMUNITY OF KEY PENINSULA AND TO OPERATE A SENIOR CENTER.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers91TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$105,738PYContributionsGrantsAmt
CY Contributions Grants$209,899CYContributionsGrantsAmt
PY Program Service Revenue$22,248PYProgramServiceRevenueAmt
CY Program Service Revenue$7,116CYProgramServiceRevenueAmt
PY Investment Income$1,913PYInvestmentIncomeAmt
CY Investment Income$252CYInvestmentIncomeAmt
PY Other Revenue$110,219PYOtherRevenueAmt
CY Other Revenue$25,607CYOtherRevenueAmt
PY Total Revenue$240,118PYTotalRevenueAmt
CY Total Revenue$242,874CYTotalRevenueAmt
PY Grants And Similar Paid$100PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$117,556PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$124,761CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,132CYTotalFundraisingExpenseAmt
PY Other Expenses$119,516PYOtherExpensesAmt
CY Other Expenses$112,224CYOtherExpensesAmt
PY Total Expenses$237,172PYTotalExpensesAmt
CY Total Expenses$236,985CYTotalExpensesAmt
PY Revenues Less Expenses$2,946PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$5,889CYRevenuesLessExpensesAmt
Total Assets BOY$442,807TotalAssetsBOYAmt
Total Assets EOY$435,142TotalAssetsEOYAmt
Total Liabilities BOY$14,100TotalLiabilitiesBOYAmt
Total Liabilities EOY$546TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$428,707NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$434,596NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE EMERGENCY FOOD NEEDS (FOOD BANK) AND REFERRAL SERVICES FOR RESIDENTS OF KEY PENINSULA AND TO OPERATE A SENIOR CENTERMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$90,822ExpenseAmt
Grant$19,022GrantAmt
DescDISTRIBUTED 529,000 WORTH OF DONATED GROCERIES AND 1,132 WORTH OF PURCHASED GROCERIES TO 2000 NEEDY UNDUPLICATED FAMILIES AND ANOTHER 2700 FAMILIES FOR SUPPLEMENTAL ASSISTANCE EACH MONTH IN 2014 AND 2013.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$109,121ExpenseAmt
Grant$71,235GrantAmt
Revenue$6,116RevenueAmt
DescTO OPERATE A SENIOR CENTER PROVIDING ACTIVITIES AND MEALS FOR APPROXIMATELY 100 UNDUPLICATED SENIORS AVERAGING 50 TO 60 EACH WEEK.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$199,943TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
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 LiabilitiesfalseReportOtherLiabilitiesInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Form8886 T FiledfalseForm8886TFiledInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Quid Pro Quo Contri DisclfalseQuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Form720 FiledfalseForm720FiledInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PENNY GAZABATBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2538844440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 392AddressLine1Txt
CityLAKEBAYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98349ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
CARL TUCKER
PRESIDENT10Yes (X)$0$0$0
MARGARET ADAMS
VICE PRESIDET10Yes (X)$0$0$0
LINDA NILES
TREASURER5Yes (X)$0$0$0
HELEN SAXER
SECRETARY5Yes (X)$0$0$0
PENNEY GAZABAT
EXECUTIVE DIRECTOR40$36,500$0$0Yes (X)
SUSIE DONAHUE
ADMINISTRATIVE ASSISTANT40$24,000$0$0Yes (X)
BRETT HIGGINS
FOOD BANK MANAGER30$19,575$0$0Yes (X)
BENIDA PARODI
BOARD MEMBER2Yes (X)$0$0$0
MARGUERITE BUSSARD
BOARD MEMBER2Yes (X)$0$0$0
OLIVER COLDEEN
BOARD MEMBER2Yes (X)$0$0$0
MAUREEN HENNESSY
BOARD MEMBER2Yes (X)$0$0$0
PHYLLIS HENRY
BOARD MEMBER2Yes (X)$0$0$0
JEFF MINCH
BOARD MEMBER2Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$80,075TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$56,431FundraisingAmt
Government Grants$93,372GovernmentGrantsAmt
All Other Contributions$60,096AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$209,899TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SENIOR MEALS$6,116$6,116
KEY CLINIC$1,000$1,000
FieldValueIRS element (for citing)
Total Program Service Revenue$7,116TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$252TotalRevenueColumnAmt
Related Or Exempt Func Income$252RelatedOrExemptFuncIncomeAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$26,902FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$56,431ContriRptFundraisingEventAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,902TotalRevenueColumnAmt
Exclusion$0ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINVESTMENT LOSS NETDesc
Total Revenue Column-$1,295TotalRevenueColumnAmt
Exclusion-$1,295ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$1,295OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$242,874TotalRevenueColumnAmt
Related Or Exempt Func Income$7,368RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,295ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$110,522TotalAmt
Program Services$110,522ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,467TotalAmt
Program Services$2,467ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,772TotalAmt
Program Services$11,772ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,746TotalAmt
Program Services$1,746ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,264TotalAmt
Program Services$2,264ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,393TotalAmt
Program Services$2,891ProgramServicesAmt
Management And General$502ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,234TotalAmt
Program Services$19,148ProgramServicesAmt
Management And General$86ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,139TotalAmt
Program Services$11,139ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,488TotalAmt
Management And General$27,488ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,334TotalAmt
Program Services$12,334ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROFESSIONAL FEES$5,472$5,472
GROCERIES$12,634$12,634
MEMBERSHIP$2,119$2,119
SUPPLIES$1,458$1,458

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,943TotalAmt
Program Services$1,687ProgramServicesAmt
Management And General$124ManagementAndGeneralAmt
Fundraising$11,132FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$236,985TotalAmt
Program Services$197,653ProgramServicesAmt
Management And General$28,200ManagementAndGeneralAmt
Fundraising$11,132FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$105,073BOYAmt
EOY$87,450EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,191BOYAmt
EOY$21,212EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,075BOYAmt
EOY$7,562EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,084BOYAmt
EOY$11,654EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$282,544LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$161,066LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$101,533BOYAmt
EOY$121,478EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$76,718BOYAmt
EOY$75,423EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$110,133BOYAmt
EOY$110,363EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$442,807BOYAmt
EOY$435,142EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,290BOYAmt
EOY$546EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,810BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,100BOYAmt
EOY$546EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$412,675BOYAmt
EOY$422,020EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,032BOYAmt
EOY$12,576EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$428,707BOYAmt
EOY$434,596EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$442,807BOYAmt
EOY$435,142EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$5,889ReconcilationRevenueExpnssAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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
Federal Grant Audit PerformedfalseFederalGrantAuditPerformedInd

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$186,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$257,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$347,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,232CurrentTaxYearMinus1YearAmt
Current Tax Year$242,622CurrentTaxYearAmt
Total$1,269,925TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$186,884CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$257,328CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$347,859CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,232CurrentTaxYearMinus1YearAmt
Current Tax Year$242,622CurrentTaxYearAmt
Total$1,269,925TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,269,925PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$989CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,918CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,913CurrentTaxYearMinus1YearAmt
Current Tax Year$252CurrentTaxYearAmt
Total$7,484TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,277,409TotalSupportAmt
Public Support CY1700.99414PublicSupportCY170Pct
Public Support PY1700.99346PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support CY5090PublicSupportCY509Pct
Public Support PY5090PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0InvestmentIncomePYPct

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

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

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlfalseDisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsfalseDisclosedForCharitablePrpsInd
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Section170h Rqr StsfdfalseSection170hRqrStsfdInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$20,930InvestmentCostOrOtherBasisAmt
Book Value$20,930BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$118,887InvestmentCostOrOtherBasisAmt
Depreciation$46,739DepreciationAmt
Book Value$72,148BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$47,403InvestmentCostOrOtherBasisAmt
Depreciation$31,561DepreciationAmt
Book Value$15,842BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$95,324InvestmentCostOrOtherBasisAmt
Depreciation$82,766DepreciationAmt
Book Value$12,558BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$121,478TotalBookValueLandBuildingsAmt
Total Book Value Securities$0TotalBookValueSecuritiesAmt
Total Book Value Program Rltd$0TotalBookValueProgramRltdAmt
Total Book Value Other Assets$0TotalBookValueOtherAssetsAmt
Total Liability$0TotalLiabilityAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
Total Gross Receipts$0TotalGrossReceiptsAmt
Total Retained By Contractors$0TotalRetainedByContractorsAmt
Total Net To Organization$0TotalNetToOrganizationAmt
Licensed StatesWALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$7,316GrossReceiptsEvent1Amt
Gross Revenue Event1$7,316GrossRevenueEvent1Amt
Rent Facility Costs Event1$899RentFacilityCostsEvent1Amt
Food And Beverage Event1$498FoodAndBeverageEvent1Amt
Event2KPLSFEvent2Nm
Gross Receipts Event2$19,586GrossReceiptsEvent2Amt
Gross Revenue Event2$19,586GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$996NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,303RentFacilityCostsEvent2Amt
Food And Beverage Event2$693FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$4,453OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Other Events$0GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$0CharitableContriOtherEventsAmt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$0OthDirectExpnssOtherEventsAmt
Gross Receipts Total$26,902GrossReceiptsTotalAmt
Charitable Contributions Tot$0CharitableContributionsTotAmt
Gross Revenue Total Events$26,902GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$996NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$2,202RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,191FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$4,453OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,842DirectExpenseSummaryEventsAmt
Net Income Summary$18,060NetIncomeSummaryAmt

Gaming Information GamingInformationGrp

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingoInd
Volunteer Labor Bingo0VolunteerLaborBingoPct
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabsInd
Volunteer Labor Pull Tabs0VolunteerLaborPullTabsPct
Volunteer Labor Other GamingfalseVolunteerLaborOtherGamingInd
Volunteer Labor Other Gaming0VolunteerLaborOtherGamingPct
Gross Revenue Total Gaming$0GrossRevenueTotalGamingAmt
Cash Prizes Total Gaming$0CashPrizesTotalGamingAmt
Non Cash Prizes Total Gaming$0NonCashPrizesTotalGamingAmt
Rent Fclty Costs Total Gaming$0RentFcltyCostsTotalGamingAmt
Oth Direct Expnss Total Gaming$0OthDirectExpnssTotalGamingAmt
Direct Expense Summary Gaming$0DirectExpenseSummaryGamingAmt
Net Gaming Income Summary$0NetGamingIncomeSummaryAmt
FieldValueIRS element (for citing)
LicensedfalseLicensedInd
License Suspended EtcfalseLicenseSuspendedEtcInd
Gaming With NonmembersfalseGamingWithNonmembersInd
Member Of Other EntityfalseMemberOfOtherEntityInd
Gaming Own Facility0GamingOwnFacilityPct
Gaming Other Facility0GamingOtherFacilityPct
Cntrct With3rd Prty For Game RevfalseCntrctWith3rdPrtyForGameRevInd
Charitable Distribution RqrfalseCharitableDistributionRqrInd

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescFOOD BANK GROCERIESDesc
Contribution50ContributionCnt
Noncash Contributions Rpt F990$528,968NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 33FormAndLineReferenceDesc
ExplanationIN KIND GOODS. IN KIND GOODS ARE REPORTD ON AUDITED FINANCIALS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION B, LINE 11BOARD REVIEWED FORM 990 AND SCHEDULES BEFORE SUBMISSION.
PART VI, SECTION B, LINE 12cDISCUSSED ANNUALLY AND AS NEEDED WHEN SIGNIFICANT FINANCIAL MATTERS ARE ADDRESSED.
PART VI, SECTION B, LINE 15aBOARD REVIEWS COMPENSATION ANNUALLY.
PART VI, SECTION B, LINE 15bBOARD REVIEWS COMPENSATION ANNUALLY.
PART VI, SECTION C, LINE 19THEY ARE AVAILABLE UPON REQUEST FROM BOARD OR EXECUTIVE DIRECTOR.
PART XI, LINE 9ADJUSTMENT
PART VI, SECTION C, LINE 18FORM 990 IS AVAILABLE UPON WRITTEN REQUEST, EITHER BY MAIL OR IN PERSON, TO THE EXECUTIVE DIRECTOR OR BOARD MEMBER. REQUESTOR MAY BE CHARGED A FEE FOR COPYING.

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