HOSPICE HOUSE AND SUPPORT CARE OF WILLIAMSBURG INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOSPICE HOUSE AND SUPPORT CARE OF WILLIAMSBURG INC (EIN 52-1289657)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-12-10
IRS object ID
201403449349300100
Schema version
2013v3.1
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)
Return2014-12-10T04:57:22-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541205579PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAUGHTREY HAAG & SALAMY PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1351 MCLAWS CIRCLE SUITE 2AddressLine1
CityWILLIAMSBURGCity
StateVAState
ZIP Code23185ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN521289657EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE HOUSE & SUPPORT CARE OFBusinessNameLine1
Business Name Line2WILLIAMSBURG INCBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone7572531220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14445 POWHATAN PARKWAYAddressLine1
CityWILLIAMSBURGCity
StateVAState
ZIP Code23188ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELE ORABONAPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7572531220PhoneNum
Signature2014-12-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDMOND R DAUGHTREYPreparerPersonNm
PTINP00061302PTIN
Phone7572295522PhoneNum
Preparation2014-12-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDA TAYLOR EXECUTIVE DIRECTORPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14445 POWHATAN PARKWAYAddressLine1
CityWILLIAMSBURGCity
StateVAState
ZIP Code23188ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,147,373GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WILLIAMSBURGHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO ENHANCE THE QUALITY OF LIVING FOR INDIVIDUALS FACING THE LAST PHASES OF LIFE AND TO SUPPORT THE PEOPLE THEY LOVE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee39TotalEmployeeCnt
Total Volunteers450TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$593,622PYContributionsGrantsAmt
CY Contributions Grants$862,868CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$50,154PYInvestmentIncomeAmt
CY Investment Income$113,059CYInvestmentIncomeAmt
PY Other Revenue$178,627PYOtherRevenueAmt
CY Other Revenue$5,462CYOtherRevenueAmt
PY Total Revenue$822,403PYTotalRevenueAmt
CY Total Revenue$981,389CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$674,379PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$713,302CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$208,916PYOtherExpensesAmt
CY Other Expenses$204,045CYOtherExpensesAmt
PY Total Expenses$883,295PYTotalExpensesAmt
CY Total Expenses$917,347CYTotalExpensesAmt
PY Revenues Less Expenses-$60,892PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$64,042CYRevenuesLessExpensesAmt
Total Assets BOY$2,737,457TotalAssetsBOYAmt
Total Assets EOY$2,908,495TotalAssetsEOYAmt
Total Liabilities BOY$36,573TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,996TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,700,884NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,879,499NetAssetsOrFundBalancesEOYAmt
MissionTO ENHANCE THE QUALITY OF LIVING FOR INDIVIDUALS FACING THE LAST PHASES OF LIFE AND TO SUPPORT THE PEOPLE THEY LOVE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$778,038ExpenseAmt
DescPROVIDED HOSPICE AND OTHER SUPPORT SERVICES TO 286 TERMINALLY ILL PATIENTS AND 1060 OF THEIR FAMILY MEMBERS AND OTHER BEREAVED MEMBERS OF THE COMMUNITY.Desc
Total Program Service Expenses$778,038TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee39EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLINDA TAYLORPersonNm
Phone7572531220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14445 POWHATAN PARKWAYAddressLine1
CityWILLIAMSBURGCity
StateVAState
ZIP Code23188ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JAMES L EASTON
DIRECTOR1.00Yes (X)$0$0$0
GINNY E CRONE
DIRECTOR1.00Yes (X)$0$0$0
MICHELE M ORABONA
TREASURER1.00Yes (X)$0$0$0
AMANDA GADA
DIRECTOR1.00Yes (X)$0$0$0
KAREN A MUNZEL
DIRECTOR1.00Yes (X)$0$0$0
JOE POOLE III
DIRECTOR1.00Yes (X)$0$0$0
LOU CALE
DIRECTOR1.00Yes (X)$0$0$0
BILL CARR
DIRECTOR1.00Yes (X)$0$0$0
SUSANNA B HICKMAN
DIRECTOR1.00Yes (X)$0$0$0
DAVID E BUSH
DIRECTOR1.00Yes (X)$0$0$0
MARGARET STOCKTON
DIRECTOR1.00Yes (X)$0$0$0
DONALD G MURFEE JR
DIRECTOR1.00Yes (X)$0$0$0
LOIS DEMERICH
DIRECTOR1.00Yes (X)$0$0$0
ANN HORNSBY
DIRECTOR1.00Yes (X)$0$0$0
DAVID KILGORE
VICE-CHAIR1.00Yes (X)$0$0$0
STUART PATTERSON
DIRECTOR1.00Yes (X)$0$0$0
JEFF CLARK
DIRECTOR1.00Yes (X)$0$0$0
JOANNE SKAHILL
DIRECTOR1.00Yes (X)$0$0$0
BRINGIER MCCONNELL
CHAIR1.00Yes (X)$0$0$0
ART SPOONER
DIRECTOR1.00Yes (X)$0$0$0
LINDA TAYLOR
EXECUTIVE DI40.00$79,853$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$79,853TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$7,456FederatedCampaignsAmt
Fundraising$291,986FundraisingAmt
Government Grants$13,425GovernmentGrantsAmt
All Other Contributions$550,001AllOtherContributionsAmt
Total Contributions$862,868TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,403TotalRevenueColumnAmt
Related Or Exempt Func Income$65,403RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$199,602SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$151,946SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$47,656SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,656TotalRevenueColumnAmt
Related Or Exempt Func Income$47,656RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,500FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$291,986ContriRptFundraisingEventAmt
Fundraising Direct Expenses$14,038FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,462TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$981,389TotalRevenueColumnAmt
Related Or Exempt Func Income$113,059RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,853TotalAmt
Program Services$68,674ProgramServicesAmt
Management And General$11,179ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$561,488TotalAmt
Program Services$495,781ProgramServicesAmt
Management And General$65,707ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$20,036TotalAmt
Program Services$16,501ProgramServicesAmt
Management And General$3,535ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$51,925TotalAmt
Program Services$42,953ProgramServicesAmt
Management And General$8,972ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,471TotalAmt
Program Services$6,471ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,229TotalAmt
Program Services$21,393ProgramServicesAmt
Management And General$5,836ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,086TotalAmt
Program Services$24,023ProgramServicesAmt
Management And General$1,063ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,634TotalAmt
Program Services$31,225ProgramServicesAmt
Management And General$10,409ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,871TotalAmt
Program Services$19,270ProgramServicesAmt
Management And General$2,601ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT AND REPAIRS$32,676$26,056$6,620
ADMINISTRATIVE$28,287$4,900$23,387
PATIENT SUPPORT$20,791$20,791

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$917,347TotalAmt
Program Services$778,038ProgramServicesAmt
Management And General$139,309ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$48,173BOYAmt
EOY$80,905EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$153,624BOYAmt
EOY$150,580EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,500BOYAmt
EOY$1,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,489,859LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$507,360LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,012,939BOYAmt
EOY$982,499EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,521,221BOYAmt
EOY$1,693,011EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,737,457BOYAmt
EOY$2,908,495EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,573BOYAmt
EOY$28,996EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,573BOYAmt
EOY$28,996EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,700,884BOYAmt
EOY$2,879,499EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,700,884BOYAmt
EOY$2,879,499EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,737,457BOYAmt
EOY$2,908,495EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$64,042ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$114,573NetUnrlzdGainsLossesInvstAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$780,987CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$678,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$692,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$593,622CurrentTaxYearMinus1YearAmt
Current Tax Year$862,868CurrentTaxYearAmt
Total$3,607,977TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$780,987CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$678,218CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$692,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$593,622CurrentTaxYearMinus1YearAmt
Current Tax Year$862,868CurrentTaxYearAmt
Total$3,607,977TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$14,464SubstantialContributorsTotAmt
Public Support Total170$3,593,513PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$40,456CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$35,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$37,847CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,865CurrentTaxYearMinus1YearAmt
Current Tax Year$65,403CurrentTaxYearAmt
Total$221,901TotalAmt
FieldValueIRS element (for citing)
Total Support$3,829,878TotalSupportAmt
Gross Receipts Rltd Activities$84,903GrossReceiptsRltdActivitiesAmt
Public Support CY1700.93830PublicSupportCY170Pct
Public Support PY1700.70150PublicSupportPY170Pct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,521,427BeginningYearBalanceAmt
Contributions$25,000ContributionsAmt
Investment Earnings Or Losses$227,056InvestmentEarningsOrLossesAmt
Other Expenditures$74,000OtherExpendituresAmt
Administrative Expenses$6,471AdministrativeExpensesAmt
End Year Balance$1,693,011EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,500OtherCostOrOtherBasisAmt
Book Value$100,500BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,145,857OtherCostOrOtherBasisAmt
Depreciation$350,569DepreciationAmt
Book Value$795,288BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,116OtherCostOrOtherBasisAmt
Depreciation$22,782DepreciationAmt
Book Value$12,334BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$168,386OtherCostOrOtherBasisAmt
Depreciation$134,009DepreciationAmt
Book Value$34,377BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,000OtherCostOrOtherBasisAmt
Book Value$40,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$982,499TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,106,626TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$114,573NetUnrealizedGainsInvstAmt
Revenue Not Reported$114,573RevenueNotReportedAmt
Revenue Subtotal$992,053RevenueSubtotalAmt
Other Revenues Not Included-$10,664OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$10,664RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$981,389TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$928,011TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$10,664OtherExpensesIncludedAmt
Expenses Not Reported$10,664ExpensesNotReportedAmt
Expenses Subtotal$917,347ExpensesSubtotalAmt
Total Expenses Per Form990$917,347TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 4, PART XI, LINE 4BDIRECT SPECIAL EVENTS FUNDRAISING EXPENSES -10,664
SCHEDULE D, PAGE 4, PART XII, LINE 2DDIRECT SPECIAL EVENTS FUNDRAISING EXPENSES 10,664

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1ELEGANT CULINARNameOfEvent1Amt
Gross Receipts Event1$96,800GrossReceiptsEvent1Amt
Charitable Contri Event1$77,300CharitableContriEvent1Amt
Gross Revenue Event1$19,500GrossRevenueEvent1Amt
Other Direct Expenses Event1$9,774OtherDirectExpensesEvent1Amt
Name Of Event2HIKE FOR HOSPICNameOfEvent2Amt
Gross Receipts Event2$88,564GrossReceiptsEvent2Amt
Charitable Contri Event2$88,564CharitableContriEvent2Amt
Other Direct Expenses Event2$3,374OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$126,122GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$126,122CharitableContriOtherEventsAmt
Oth Direct Expnss Other Events$890OthDirectExpnssOtherEventsAmt
Gross Receipts Total$311,486GrossReceiptsTotalAmt
Charitable Contributions Tot$291,986CharitableContributionsTotAmt
Gross Revenue Total Events$19,500GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$14,038OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$14,038DirectExpenseSummaryEventsAmt
Net Income Summary$5,462NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE TAX RETURN IS REVIEWED BY THE STAFF ACCOUNTANT, DIRECTOR, TREASURER, AND THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST POLICY IS ENFORCED BY BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR'S COMPENSATION IS DISCUSSED AND REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19GUIDESTAR, AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9DIRECT SPECIAL EVENTS FUNDRAISING EXPENSES 10,664 DIRECT SPECIAL EVENTS FUNDRAISING EXPENSES -10,664

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