FURP.ORG / PUBLIC DATA EXPLORER

MOUNT DAVID HOUSING INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
MOUNT DAVID HOUSING INC (EIN 01-0485193)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201421339349301757
Schema version
2012v2.1
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)
Timestamp2014-05-13T09:29:44-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN203690847EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1OTIS ATWELLBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1324 GANNETT DRIVEAddressLine1
CitySOUTH PORTLANDCity
StateMEState
ZIP Code04106ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010485193EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MOUNT DAVID HOUSING INCBusinessNameLine1
Business Name Line2C/O TRI COUNTY MENTAL HEALTH SERVICESBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlMOUNNameControl
Phone2077839141Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 2008AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04241ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameC WILLIAM SHINEName
TitleEXECUTIVE DIRECTORTitle
Phone2077839141Phone
Date Signed2014-05-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS GIOIAName
PTINP00158110PTIN
Phone2077801100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonC WILLIAM SHINENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2008AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04241ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27882GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionLOW COST HOUSING FOR DISABLED PERSONS.ActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year93657ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28254ProgramServiceRevenuePriorYear
Program Service Revenue CY27864ProgramServiceRevenueCY
Investment Income Prior Year20InvestmentIncomePriorYear
Investment Income Current Year18InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year121931TotalRevenuePriorYear
Total Revenue Current Year27882TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year117943OtherExpensePriorYear
Other Expenses Current Year131409OtherExpensesCurrentYear
Total Expenses Prior Year117943TotalExpensesPriorYear
Total Expenses Current Year131409TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3988RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-103527RevenuesLessExpensesCY
Total Assets BOY784323TotalAssetsBOY
Total Assets EOY745010TotalAssetsEOY
Total Liabilities BOY170075TotalLiabilitiesBOY
Total Liabilities EOY238289TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY614248NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY506721NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES LOW COST HOUSING FOR THE DISABLED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense131409Expense
Revenue27882Revenue
DescriptionTHE ORGANIZATION PROVIDES LOW COST HOUSING FOR THE DISABLED.Description
Total Program Service Expense131409TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1TRI-COUNTY MENTAL HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2077839141TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2008AddressLine1
CityLEWISTONCity
StateMEState
ZIP Code04241ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
N PAUL GAUVREAU
PRESIDENT & TREASURER5.00XX000
MARCEL MATHIEU
SECRETARY5.00X000
SCOTT MORRISON
MEMBER5.00X000
RICK PORTER
MEMBER5.00X000
ANTHONY RENAUD
MEMBER5.00X000
CATHERINE RYDER
CLERK5.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRENTAL INCOMEDescription
Business Code531110BusinessCode
Total Revenue Column27864TotalRevenueColumn
Related Or Exempt Function Income27864RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue27864TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column18TotalRevenueColumn
Related Or Exempt Function Income18RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27882TotalRevenueColumn
Related Or Exempt Function Income27882RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total8024Total
Program Services8024ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total515Total
Program Services515ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total38363Total
Program Services38363ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total2915Total
Program Services2915ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
CONTRACT SERVICES3053730537
UTILITIES2255822558
REPAIRS AND MAINTENANCE1767617676
ADMINISTRATIVE1079110791

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30Total
Program Services30ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total131409Total
Program Services131409ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY790BOY
EOY1744EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY35867BOY
EOY32259EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY196231BOY
EOY196768EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2122BOY
EOY2122EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1208981LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec700936LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY544979BOY
EOY508045EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4334BOY
EOY4072EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY784323BOY
EOY745010EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4000BOY
EOY4000EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1946BOY
EOY1946EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY164129BOY
EOY232343EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY170075BOY
EOY238289EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-549352BOY
EOY-656879EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1163600BOY
EOY1163600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY614248BOY
EOY506721EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY784323BOY
EOY745010EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-103527ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-4000ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93657CurrentTaxYearMinus1Year
Total347764Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years86203CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years87888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80016CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year93657CurrentTaxYearMinus1Year
Total347764Total
FieldValueIRS element (for citing)
Public Support Total170347764PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20CurrentTaxYearMinus1Year
Current Tax Year18CurrentTaxYear
Total73Total
FieldValueIRS element (for citing)
Total Support347837TotalSupport
Gross Receipts From Admissions Etc136967GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis13179OtherCostOrOtherBasis
Book Value13179BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1195802OtherCostOrOtherBasis
Depreciation700936Depreciation
Book Value494866BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings508045TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED PARTY$230,057
TENANT SECURITY DEPOSITS$2,286
FieldValueIRS element (for citing)
Total Of Amounts232343TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE BOARD OF DIRECTORS REVIEWS THE FORM.
FORM 990, PART VI, SECTION C, LINE 19ALL ORGANIZING AND OPERATING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.