KATHYS HOUSE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
KATHYS HOUSE INC (EIN 33-0809761)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-01
IRS object ID
201412139349301321
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)
Return2014-08-01T15:56:27-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN953866625PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WENGER & BAUER CPA'SBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line127302 CALLE ARROYOAddressLine1
CitySAN JUAN CAPISTRANOCity
StateCAState
ZIP Code926752768ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330809761EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATHY'S HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlKATHBusinessNameControlTxt
Phone9492488300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1466AddressLine1
CitySAN JUAN CAPISTRANOCity
StateCAState
ZIP Code92693ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDIANA SPITZPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9492488300PhoneNum
Signature2014-07-31SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD W WENGERPreparerPersonNm
PTINP00045478PTIN
Phone9496616969PhoneNum
Preparation2014-08-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDIANA SPITZPrincipalOfficerNm
Gross Receipts$223,856GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressKATHYSHOUSEINC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionTO PROVIDE FOR NEEDY WOMEN AND CHILDREN.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$207,434CYContributionsGrantsAmt
CY Program Service Revenue$9,260CYProgramServiceRevenueAmt
CY Investment Income$13CYInvestmentIncomeAmt
CY Other Revenue$7,149CYOtherRevenueAmt
CY Total Revenue$223,856CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$100,809CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,380CYTotalFundraisingExpenseAmt
CY Other Expenses$124,035CYOtherExpensesAmt
CY Total Expenses$224,844CYTotalExpensesAmt
CY Revenues Less Expenses-$988CYRevenuesLessExpensesAmt
Total Assets BOY$314,110TotalAssetsBOYAmt
Total Assets EOY$306,857TotalAssetsEOYAmt
Total Liabilities BOY$99,046TotalLiabilitiesBOYAmt
Total Liabilities EOY$92,781TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$215,064NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$214,076NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FOR NEEDY WOMEN AND CHILDREN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$162,349ExpenseAmt
Revenue$9,260RevenueAmt
DescKATHY'S HOUSE IS A MINISTRY COMMITTED TO LOVING AND SHELTERING NEEDY WOMEN AND CHILDREN, PROVIDING THEM FREE LODGING, MEALS, AND COUNSELING IN A CLEAN, SAFE ENVIRONMENT. WOMEN WILL GET MORE THAN A HOME; THEY WILL GET TOOLS FOR SELF-ESTEEM, LOVE, THE WORD OF GOD, JOB SKILLS, AND HOPE FOR A BETTER FUTURE.Desc
Total Program Service Expenses$162,349TotalProgramServiceExpensesAmt
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 EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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 ContriYes (true)DeductibleNonCashContriInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDIANA SPITZPersonNm
Phone9492488300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line131877 DEL OBISPO STE 102AddressLine1
CitySAN JUAN CAPISTRANOCity
StateCAState
ZIP Code92675ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DIANA SPITZ
PRESIDENT24.00Yes (X)Yes (X)$15,960$0$0
LISA PHILLIPS
MEMBER1.00Yes (X)$0$0$0
BARBARA NIKSCH
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,960TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$207,434AllOtherContributionsAmt
Noncash Contributions$145,285NoncashContributionsAmt
Total Contributions$207,434TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENCE FEESDesc
Total Revenue Column$9,260TotalRevenueColumnAmt
Related Or Exempt Func Income$9,260RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,260TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13TotalRevenueColumnAmt
Related Or Exempt Func Income$13RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REIMBURSEMENTS$6,510$6,510
MISCELLANEOUS INCOME$639$639
FieldValueIRS element (for citing)
Other Revenue Total$7,149OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$223,856TotalRevenueColumnAmt
Related Or Exempt Func Income$16,422RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$15,960TotalAmt
Program Services$7,980ProgramServicesAmt
Management And General$7,980ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,685TotalAmt
Program Services$46,638ProgramServicesAmt
Management And General$31,047ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,164TotalAmt
Program Services$4,329ProgramServicesAmt
Management And General$2,835ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$18,274TotalAmt
Program Services$18,274ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,709TotalAmt
Management And General$3,329ManagementAndGeneralAmt
Fundraising$2,380FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,772TotalAmt
Program Services$49,122ProgramServicesAmt
Management And General$4,650ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,880TotalAmt
Program Services$2,746ProgramServicesAmt
Management And General$134ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,305TotalAmt
Program Services$8,305ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,578TotalAmt
Program Services$2,578ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
THRIFT STORE EXPENSES$8,136$8,136
REPAIRS$5,880$5,880
WORKERS COMPENSATION INS$3,350$3,350
TELEPHONE$3,181$1,317$1,864

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,970TotalAmt
Program Services$7,044ProgramServicesAmt
Management And General$4,926ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$224,844TotalAmt
Program Services$162,349ProgramServicesAmt
Management And General$60,115ManagementAndGeneralAmt
Fundraising$2,380FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$29,337BOYAmt
EOY$15,320EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,543BOYAmt
EOY$31,127EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$380,576LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$120,166LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$264,230BOYAmt
EOY$260,410EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$314,110BOYAmt
EOY$306,857EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$94,423BOYAmt
EOY$88,627EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,623BOYAmt
EOY$4,154EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,046BOYAmt
EOY$92,781EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$215,064BOYAmt
EOY$214,076EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$215,064BOYAmt
EOY$214,076EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$314,110BOYAmt
EOY$306,857EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$988ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$116,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,721CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68,525CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,521CurrentTaxYearMinus1YearAmt
Current Tax Year$207,434CurrentTaxYearAmt
Total$532,972TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$15,879CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$36,705CurrentTaxYearMinus1YearAmt
Current Tax Year$16,422CurrentTaxYearAmt
Total$89,999TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$116,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$77,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$115,226CurrentTaxYearMinus1YearAmt
Current Tax Year$223,856CurrentTaxYearAmt
Total$622,971TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,968CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,300CurrentTaxYearMinus1YearAmt
Current Tax Year$9,007CurrentTaxYearAmt
Total$63,050TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,968CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,235CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,300CurrentTaxYearMinus1YearAmt
Current Tax Year$9,007CurrentTaxYearAmt
Total$63,050TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$559,921PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$7CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Total$21TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$7CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13CurrentTaxYearMinus1YearAmt
Total$21TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$12,274CurrentTaxYearMinus3YearsAmt
Total$12,274TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$116,771CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,881CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$89,519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$115,239CurrentTaxYearMinus1YearAmt
Current Tax Year$223,856CurrentTaxYearAmt
Total$635,266TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88140PublicSupportCY509Pct
Public Support PY5090.86670PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 12FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME 12,274ExplanationTxt

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$100,000OtherCostOrOtherBasisAmt
Book Value$100,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$225,000OtherCostOrOtherBasisAmt
Depreciation$86,905DepreciationAmt
Book Value$138,095BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,576OtherCostOrOtherBasisAmt
Depreciation$33,261DepreciationAmt
Book Value$22,315BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$260,410TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
RESIDENTS' FUNDS$3,756
SECURITY DEPOSITS$398
FieldValueIRS element (for citing)
Total Liability$4,154TotalLiabilityAmt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$143,285NoncashContributionsRptF990Amt
Method Of Determining RevenuesRELATED SALES THRIFT SHOPMethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$2,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesSALE OF VEHICLEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 WAS DISTRIBUTED TO EACH BOARD MEMBER AT THE BOARD MEETING AND APPROVED FOR FILING AT THE BOARD MEETING BY VOTE OF THE BOARD
FORM 990, PAGE 6, PART VI, LINE 12CCONFLICT OF INTEREST IS REVIEWED EACH YEAR WITH BOARD MEMMBERS AND ANNUAL CONFICT FORMS ARE COMPLETED BY THE MEMBER OF THE BOARDS AND KEY EMPLOYEE
FORM 990, PAGE 6, PART VI, LINE 15AEXECUTIVE DIRECTOR WAS APPROVED BY THE BOARD IN A PRIOR YEAR AND NO CHANGES HAVE BEEN MADE TO HER COMPENSATION SINCE APPROVAL.
FORM 990, PAGE 6, PART VI, LINE 19WHEN REQUEST IS MADE BY THE PUBLIC THEY WOULD BE ASKED TO COME TO ORGANIZATION'S OFFICE AND THEN WOULD REVIEW THE RETURN AT THE OFFICE

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