BETHESDA INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
BETHESDA INC (EIN 23-7122182)
Tax period
2014-07-01 to 2015-06-30
Filed
2015-10-20
IRS object ID
201542939349301304
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)
Return2015-10-20T18:28:36-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN260367225PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WARD & FOUST CPAS PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1147AddressLine1Txt
CitySANFORDCityNm
State AbbreviationNCStateAbbreviationCd
ZIP273311147ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237122182EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BETHESDA INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBETHBusinessNameControlTxt
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGLENN GREENEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9109447700PhoneNum
Signature2015-10-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNDA S WARDPreparerPersonNm
PTINP00745917PTIN
Phone9197749452PhoneNum
Preparation2015-09-24PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerGLENN GREENEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$320,120GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionALCOHOL AND DRUG REHABILITATIONActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$74,521PYContributionsGrantsAmt
CY Contributions Grants$87,144CYContributionsGrantsAmt
PY Program Service Revenue$235,593PYProgramServiceRevenueAmt
CY Program Service Revenue$227,019CYProgramServiceRevenueAmt
PY Investment Income$327PYInvestmentIncomeAmt
CY Investment Income$395CYInvestmentIncomeAmt
PY Other Revenue$5,426PYOtherRevenueAmt
CY Other Revenue$5,562CYOtherRevenueAmt
PY Total Revenue$315,867PYTotalRevenueAmt
CY Total Revenue$320,120CYTotalRevenueAmt
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$196,063PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$189,153CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$121,715PYOtherExpensesAmt
CY Other Expenses$136,858CYOtherExpensesAmt
PY Total Expenses$317,778PYTotalExpensesAmt
CY Total Expenses$326,011CYTotalExpensesAmt
PY Revenues Less Expenses-$1,911PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,891CYRevenuesLessExpensesAmt
Total Assets BOY$320,607TotalAssetsBOYAmt
Total Assets EOY$301,283TotalAssetsEOYAmt
Total Liabilities BOY$89,519TotalLiabilitiesBOYAmt
Total Liabilities EOY$77,575TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$231,088NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$223,708NetAssetsOrFundBalancesEOYAmt
MissionDEDICATED TO THE CARE AND TREATMENT OF THE ALCOHOLIC AND RECOVERING ADDICT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$260,259ExpenseAmt
Revenue$227,019RevenueAmt
DescALCOHOL AND DRUG REHABILITATION-HALFWAY HOUSE WITH COUNSELING FOR MALE ADULTS AND ADOLESCENTS. APPROXIMATELY 60 ADULTS AND 30 ADOLESCENTS SERVED.Desc
Total Program Service Expenses$260,259TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1E GLENN GREENEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9109447700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 NORTH PINE STREETAddressLine1Txt
CityABERDEENCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28315ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KATHLEEN EATON
DIRECTOR2.00Yes (X)$0$0$0
STEVE YUSKEVICH
DIRECTOR2.00Yes (X)$0$0$0
CINDY WALKUP
DIRECTOR2.00Yes (X)$0$0$0
JOHN RUCONICH
SECRETARY/TREASURER2.00Yes (X)$0$0$0Yes (X)
BILL DUNN
DIRECTOR2.00Yes (X)$0$0$0
PARKER HALL
DIRECTOR2.00Yes (X)$0$0$0
JOHN KIRKMAN
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
MITCH STEVENSON
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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
Government Grants$28,544GovernmentGrantsAmt
All Other Contributions$58,600AllOtherContributionsAmt
Total Contributions$87,144TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SANDHILLS MENTAL HEALT623990$148,947$148,947
PORT HUMAN SERVICES623990$43,293$43,293
CLIENT ROOM AND BOARD623990$34,779$34,779
FieldValueIRS element (for citing)
Total Program Service Revenue$227,019TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$395TotalRevenueColumnAmt
Exclusion$395ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900000BusinessCd
Total Revenue Column$5,562TotalRevenueColumnAmt
Exclusion$5,562ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,562OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$320,120TotalRevenueColumnAmt
Related Or Exempt Func Income$227,019RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,957ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$65,498TotalAmt
Program Services$65,498ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$79,071TotalAmt
Program Services$37,146ProgramServicesAmt
Management And General$41,925ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$12,105TotalAmt
Program Services$8,837ProgramServicesAmt
Management And General$3,268ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$21,357TotalAmt
Program Services$15,591ProgramServicesAmt
Management And General$5,766ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,122TotalAmt
Program Services$7,897ProgramServicesAmt
Management And General$3,225ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,150TotalAmt
Program Services$3,150ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,346TotalAmt
Program Services$896ProgramServicesAmt
Management And General$450ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$23,246TotalAmt
Program Services$20,921ProgramServicesAmt
Management And General$2,325ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,727TotalAmt
Program Services$1,554ProgramServicesAmt
Management And General$173ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,557TotalAmt
Program Services$26,601ProgramServicesAmt
Management And General$2,956ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,771TotalAmt
Program Services$13,294ProgramServicesAmt
Management And General$1,477ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD AND PROVISIONS$36,054$36,054
REPAIRS AND MAINTENANCE$10,338$7,818$2,520
SUPPLIES AND MATERIALS$9,116$8,204$912
VEHICLE OPERATIONS$5,778$5,200$578

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,775TotalAmt
Program Services$1,598ProgramServicesAmt
Management And General$177ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$326,011TotalAmt
Program Services$260,259ProgramServicesAmt
Management And General$65,752ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,490BOYAmt
EOY$9,745EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$16,802BOYAmt
EOY$10,405EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,093BOYAmt
EOY$702EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,533BOYAmt
EOY$5,878EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$624,036LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$362,496LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$280,187BOYAmt
EOY$261,540EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,502BOYAmt
EOY$13,013EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$320,607BOYAmt
EOY$301,283EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,653BOYAmt
EOY$31,963EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$56,866BOYAmt
EOY$45,612EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,519BOYAmt
EOY$77,575EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$231,088BOYAmt
EOY$223,708EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$231,088BOYAmt
EOY$223,708EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$320,607BOYAmt
EOY$301,283EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$5,891ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,489NetUnrlzdGainsLossesInvstAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,521CurrentTaxYearMinus1YearAmt
Current Tax Year$87,144CurrentTaxYearAmt
Total$390,206TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$73,412CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,727CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,521CurrentTaxYearMinus1YearAmt
Current Tax Year$87,144CurrentTaxYearAmt
Total$390,206TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$390,206PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$227CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$266CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327CurrentTaxYearMinus1YearAmt
Current Tax Year$395CurrentTaxYearAmt
Total$1,501TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,391CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,177CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,749CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,426CurrentTaxYearMinus1YearAmt
Current Tax Year$5,562CurrentTaxYearAmt
Total$34,305TotalAmt
FieldValueIRS element (for citing)
Total Support$426,012TotalSupportAmt
Gross Receipts Rltd Activities$1,168,770GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91600PublicSupportCY170Pct
Public Support PY1700.91950PublicSupportPY170Pct
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$16,500OtherCostOrOtherBasisAmt
Book Value$16,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$422,838OtherCostOrOtherBasisAmt
Depreciation$250,275DepreciationAmt
Book Value$172,563BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$184,698OtherCostOrOtherBasisAmt
Depreciation$112,221DepreciationAmt
Book Value$72,477BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$261,540TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$318,631TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$1,489NetUnrealizedGainsInvstAmt
Revenue Not Reported-$1,489RevenueNotReportedAmt
Revenue Subtotal$320,120RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$320,120TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$326,011TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$326,011ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$326,011TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS GIVEN TO EVERY BOARD MEMBER FOR REVIEW AT THE MEETING FOLLOWING THE COMPLETEION OF THE FORM. ONCE REVIEW OF THE FORM IS COMPLETED BY THE BOARD MEMEBERS AND ANY ISSUES ARE ADDRESSED, THE FORM 990 IS SUBMITTED.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR HAS AN ANNUAL REVIEW BY THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.

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