SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY (EIN 77-0518866)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-20
IRS object ID
201412329349300421
Schema version
2013v3.0
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)
Return2014-08-20T17:56:04-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN841723632PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MEISSER & SEALES LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1125 WATER STREET SUITE CAddressLine1
CitySANTA CRUZCity
StateCAState
ZIP Code95060ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770518866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSIENBusinessNameControlTxt
Phone8314252229PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 HIGH STREETAddressLine1
CitySANTA CRUZCity
StateCAState
ZIP Code95060ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWAYNE SHAFFERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8314271380PhoneNum
Signature2014-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCONRAD SEALES CPAPreparerPersonNm
PTINP00166108PTIN
Phone8314581600PhoneNum
Preparation2014-08-12PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWAYNE SHAFFERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1825 CEDAR STREETAddressLine1
CitySANTA CRUZCity
StateCAState
ZIP Code95060ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$236,624GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSIENAHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1999FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionWE ARE DEDICATED TO HELPING WOMEN FIND POSITIVE SOLUTIONS FOR THEMSELVES AND THEIR CHILDREN, BEFORE AND AFTER BIRTH. WITH RESPECT FOR EACH WOMAN'S UNIQUE CIRCUMSTANCES, OUR STAFF, VOLUNTEERS, AND OUTSIDE AGENCIES WORK TOGETHER TO ASSIST IN EVERY FACET OF A PREGNANT WOMAN'S NEEDS. OUR SERVICES INCLUDE:- PRE AND POST-NATAL CARE- PARENTING AND LIVING SKILLS DEVELOPMENT-OPPORTUNITIES THROUGH REFERRALS, FOR EDUCATIONAL AND VOCATIONAL TRAINING AND COMMUNITY SERVICE INVOLVEMENT-PROFESSIONAL INDIVIDUAL COUNSELING AS WELL AS GROUP SUPPORT-SENSITIVE SUPPORT AND REFERRAL FOR COUNSELING FOR WOMEN CONSIDERING THE ADOPTION ALTERNATIVEActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$196,563PYContributionsGrantsAmt
CY Contributions Grants$221,905CYContributionsGrantsAmt
PY Program Service Revenue$10,964PYProgramServiceRevenueAmt
CY Program Service Revenue$13,356CYProgramServiceRevenueAmt
PY Investment Income$2,735PYInvestmentIncomeAmt
CY Investment Income$1,363CYInvestmentIncomeAmt
PY Other Revenue-$14,859PYOtherRevenueAmt
CY Other Revenue-$25,782CYOtherRevenueAmt
PY Total Revenue$195,403PYTotalRevenueAmt
CY Total Revenue$210,842CYTotalRevenueAmt
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$87,782PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$92,680CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,319CYTotalFundraisingExpenseAmt
PY Other Expenses$78,686PYOtherExpensesAmt
CY Other Expenses$89,304CYOtherExpensesAmt
PY Total Expenses$166,468PYTotalExpensesAmt
CY Total Expenses$181,984CYTotalExpensesAmt
PY Revenues Less Expenses$28,935PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$28,858CYRevenuesLessExpensesAmt
Total Assets BOY$382,884TotalAssetsBOYAmt
Total Assets EOY$414,211TotalAssetsEOYAmt
Total Liabilities BOY$869TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,338TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$382,015NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$410,873NetAssetsOrFundBalancesEOYAmt
MissionSIENA HOUSE MATERNITY HOME OF SANTA CRUZ COUNTY IN THE SPIRIT OF GOD'S LOVE, PROVIDES AN ENVIRONMENT OF TOTAL SUPPORT FOR WOMEN EXPERIENCING A CRISIS PREGNANCY. SERVICES ARE PROVIDED BOTH BEFORE AND AFTER DELIVERY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$113,607ExpenseAmt
Revenue$13,356RevenueAmt
DescWE ARE DEDICATED TO HELPING WOMEN FIND POSITIVE SOLUTIONS FOR THEMSELVES AND THEIR CHILDREN, BEFORE AND AFTER BIRTH. WITH RESPECT FOR EACH WOMAN'S UNIQUE CIRCUMSTANCES, OUR STAFF, VOLUNTEERS, AND OUTSIDE AGENCIES WORK TOGETHER TO ASSIST IN EVERY FACET OF A PREGNANT WOMAN'S NEEDS. OUR SERVICES INCLUDE:- PRE AND POST-NATAL CARE- PARENTING AND LIVING SKILLS DEVELOPMENT-OPPORTUNITIES THROUGH REFERRALS, FOR EDUCATIONAL AND VOCATIONAL TRAINING AND COMMUNITY SERVICE INVOLVEMENT-PROFESSIONAL INDIVIDUAL COUNSELING AS WELL AS GROUP SUPPORT-SENSITIVE SUPPORT AND REFERRAL FOR COUNSELING FOR WOMEN CONSIDERING THE ADOPTION ALTERNATIVEDesc
Total Program Service Expenses$113,607TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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
Employee4EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
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 Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JENNIFER RUNOBusinessNameLine1
FieldValueIRS element (for citing)
Phone8314252229PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1108 HIGH STREETAddressLine1
CitySANTA CRUZCity
StateCAState
ZIP Code95060ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WAYNE SHAFFER
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
JAMES DUFFY ESQ
DIRECTOR2.00Yes (X)$0$0$0
DR JERRY DECK
TREASURER2.00Yes (X)Yes (X)$0$0$0
MARGIE HAAS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
DONNA MILLER
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL WATSON
DIRECTOR2.00Yes (X)$0$0$0
ELAINE ALDRICH
DIRECTOR2.00Yes (X)$0$0$0
RANEL DURGAN
DIRECTOR2.00Yes (X)$0$0$0
SHARON RUDDELL
EXECUTIVE DIRECTOR40.00Yes (X)$45,542$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,542TotalReportableCompFromOrgAmt
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
Fundraising$105,835FundraisingAmt
All Other Contributions$116,070AllOtherContributionsAmt
Total Contributions$221,905TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRESIDENT FEESDesc
Business721310BusinessCd
Total Revenue Column$13,356TotalRevenueColumnAmt
Related Or Exempt Func Income$13,356RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$13,356TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,363TotalRevenueColumnAmt
Exclusion$1,363ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$105,835ContriRptFundraisingEventAmt
Fundraising Direct Expenses$25,782FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$25,782TotalRevenueColumnAmt
Exclusion-$25,782ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$210,842TotalRevenueColumnAmt
Related Or Exempt Func Income$13,356RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$24,419ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$45,542TotalAmt
Management And General$31,879ManagementAndGeneralAmt
Fundraising$13,663FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$40,552TotalAmt
Program Services$40,552ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,586TotalAmt
Program Services$3,103ProgramServicesAmt
Management And General$2,438ManagementAndGeneralAmt
Fundraising$1,045FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,750TotalAmt
Management And General$1,750ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$386TotalAmt
Program Services$386ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,804TotalAmt
Management And General$2,193ManagementAndGeneralAmt
Fundraising$3,611FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$49,380TotalAmt
Program Services$49,380ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,614TotalAmt
Program Services$2,614ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$770TotalAmt
Management And General$770ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,277TotalAmt
Management And General$8,277ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD & HOUSEHOLD$16,885$16,885
TELRPHONE$2,382$2,382

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,056TotalAmt
Program Services$687ProgramServicesAmt
Management And General$369ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$181,984TotalAmt
Program Services$113,607ProgramServicesAmt
Management And General$50,058ManagementAndGeneralAmt
Fundraising$18,319FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$182,471BOYAmt
EOY$107,013EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$181,145BOYAmt
EOY$283,819EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,379LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,268BOYAmt
EOY$23,379EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$382,884BOYAmt
EOY$414,211EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$2,415EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$869BOYAmt
EOY$923EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$869BOYAmt
EOY$3,338EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$382,015BOYAmt
EOY$410,873EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$382,015BOYAmt
EOY$410,873EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$382,884BOYAmt
EOY$414,211EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$28,858ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
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$120,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,235CurrentTaxYearMinus1YearAmt
Current Tax Year$116,070CurrentTaxYearAmt
Total$563,437TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$120,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$140,838CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,478CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,235CurrentTaxYearMinus1YearAmt
Current Tax Year$116,070CurrentTaxYearAmt
Total$563,437TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$186,421SubstantialContributorsTotAmt
Public Support Total170$377,016PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,539CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$972CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,735CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$814CurrentTaxYearMinus1YearAmt
Current Tax Year$1,363CurrentTaxYearAmt
Total$7,423TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,814CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$83,121CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$100,049CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$105,191CurrentTaxYearMinus1YearAmt
Current Tax Year$119,191CurrentTaxYearAmt
Total$470,366TotalAmt
FieldValueIRS element (for citing)
Total Support$1,041,226TotalSupportAmt
Public Support CY1700.36210PublicSupportCY170Pct
Public Support PY1700.41920PublicSupportPY170Pct
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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,379OtherCostOrOtherBasisAmt
Book Value$23,379BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,379TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1AUCTIONNameOfEvent1Amt
Gross Receipts Event1$88,499GrossReceiptsEvent1Amt
Charitable Contri Event1$88,499CharitableContriEvent1Amt
Other Direct Expenses Event1$21,785OtherDirectExpensesEvent1Amt
Name Of Event2LADIES LUNCHEONNameOfEvent2Amt
Gross Receipts Event2$17,336GrossReceiptsEvent2Amt
Charitable Contri Event2$17,336CharitableContriEvent2Amt
Other Direct Expenses Event2$3,997OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Total$105,835GrossReceiptsTotalAmt
Charitable Contributions Tot$105,835CharitableContributionsTotAmt
Oth Direct Expnss Total Events$25,782OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$25,782DirectExpenseSummaryEventsAmt
Net Income Summary-$25,782NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE DIRECTORS AND OFFICERS ARE PROVIDED WITH A DRAFT COPY OF FORM 990. THEY REVIEW IT IN DETAIL, AND REFER ANY CHANGE REQUESTS TO THE CPA / PREPARER. A FINAL REVIEW IS PERFORMED BY OFFICERS PRIOR TO FILING. THE RETURN IS FILED AFTER IT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CDISCUSSED AT BOARD OF DIRECTOR MEETINGS AND DOCUMENTED IN THE MINUTES AT LEAST ANNUALLY
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

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