FURP.ORG / PUBLIC DATA EXPLORER

WATERTOWN HUMANE SOCIETY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
WATERTOWN HUMANE SOCIETY INC (EIN 39-1097337)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-11
IRS object ID
201422239349301317
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)
Return2014-08-11T13:04:36-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390747409PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1REILLY PENNER & BENTON LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line16411 MINERAL POINT RD STE AAddressLine1
CityMADISONCity
StateWIState
ZIP Code537054342ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391097337EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WATERTOWN HUMANE SOCIETY INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlWATEBusinessNameControlTxt
Phone9202617068PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 WATER TOWER COURTAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code53094ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTEN JAMESPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9202617068PhoneNum
Signature2014-08-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEAN M WILLARD CPAPreparerPersonNm
PTINP00044686PTIN
Phone6084423838PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTEN JAMESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 WATER TOWER COURTAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code53094ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$175,584GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWATERTOWNHUMANESOCIETY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE WATERTOWN HUMANE SOCIETY IS TO PROVIDE FOR THE LOST, HOMELESS, NEGLECTED AND ABUSED ANIMALS OF THE CITY OF WATERTOWN AND SURROUNDING COMMUNITIES IT CONTRACTS WITH, AND TO EDUCATE AND ENLIGHTEN THE PUBLIC REGARDING ANIMAL WELFARE.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$107,013PYContributionsGrantsAmt
CY Contributions Grants$72,673CYContributionsGrantsAmt
PY Program Service Revenue$104,676PYProgramServiceRevenueAmt
CY Program Service Revenue$99,134CYProgramServiceRevenueAmt
PY Investment Income$11PYInvestmentIncomeAmt
CY Investment Income$17CYInvestmentIncomeAmt
PY Other Revenue$8,864PYOtherRevenueAmt
CY Other Revenue-$9,201CYOtherRevenueAmt
PY Total Revenue$220,564PYTotalRevenueAmt
CY Total Revenue$162,623CYTotalRevenueAmt
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$100,099PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$94,105CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,151CYTotalFundraisingExpenseAmt
PY Other Expenses$91,070PYOtherExpensesAmt
CY Other Expenses$81,708CYOtherExpensesAmt
PY Total Expenses$191,169PYTotalExpensesAmt
CY Total Expenses$175,813CYTotalExpensesAmt
PY Revenues Less Expenses$29,395PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$13,190CYRevenuesLessExpensesAmt
Total Assets BOY$353,682TotalAssetsBOYAmt
Total Assets EOY$342,512TotalAssetsEOYAmt
Total Liabilities BOY$2,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,363TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$351,339NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$338,149NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE WATERTOWN HUMANE SOCIETY IS TO PROVIDE FOR THE LOST, HOMELESS, NEGLECTED AND ABUSED ANIMALS OF THE CITY OF WATERTOWN AND SURROUNDING COMMUNITIES IT CONTRACTS WITH, AND TO EDUCATE AND ENLIGHTEN THE PUBLIC REGARDING ANIMAL WELFARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$149,524ExpenseAmt
Revenue$99,550RevenueAmt
DescTO PERFORM RESCUE, CARE, AND PLACEMENT OF ANIMALSDesc
Total Program Service Expenses$149,524TotalProgramServiceExpensesAmt
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 LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KRISTEN JAMESBusinessNameLine1
FieldValueIRS element (for citing)
Phone9202617068PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1418 WATER TOWER COURTAddressLine1
CityWATERTOWNCity
StateWIState
ZIP Code53094ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BETH BOYER-RYAN
DIRECTOR1.00Yes (X)$0$0$0
DEBRA MICHAEL
DIRECTOR1.00Yes (X)$0$0$0
JOYCE IRELAND
DIRECTOR1.00Yes (X)$0$0$0
COREY KURER
DIRECTOR1.00Yes (X)$0$0$0
LORI FORT-HOERIG
DIRECTOR1.00Yes (X)$0$0$0
KATIE OSBORNE
PRESIDENT5.00$0$0$0Yes (X)
KRISTEN JAMES
TREASURER5.00$0$0$0Yes (X)
SEAN VAN DEREL
SECRETARY1.00$0$0$0Yes (X)
MEGHAN HEILI
VICE PRESIDENT1.00$0$0$0Yes (X)
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
Membership Dues$120MembershipDuesAmt
Fundraising$22,693FundraisingAmt
All Other Contributions$49,860AllOtherContributionsAmt
Noncash Contributions$240NoncashContributionsAmt
Total Contributions$72,673TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUBSIDIES FOR SERVICES541900$73,282$73,282
SERVICES RENDERED541900$25,852$25,852
FieldValueIRS element (for citing)
Total Program Service Revenue$99,134TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17TotalRevenueColumnAmt
Related Or Exempt Func Income$17RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$3,361FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$22,693ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,961FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$9,600TotalRevenueColumnAmt
Exclusion-$9,600ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC INCOMEDesc
Business541900BusinessCd
Total Revenue Column$399TotalRevenueColumnAmt
Related Or Exempt Func Income$399RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$399OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$162,623TotalRevenueColumnAmt
Related Or Exempt Func Income$99,550RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$9,600ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$84,672TotalAmt
Program Services$70,172ProgramServicesAmt
Management And General$12,500ManagementAndGeneralAmt
Fundraising$2,000FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,433TotalAmt
Program Services$7,817ProgramServicesAmt
Management And General$1,393ManagementAndGeneralAmt
Fundraising$223FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,200TotalAmt
Management And General$1,200ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$841TotalAmt
Program Services$697ProgramServicesAmt
Management And General$124ManagementAndGeneralAmt
Fundraising$20FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$724TotalAmt
Program Services$724ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,516TotalAmt
Program Services$12,978ProgramServicesAmt
Management And General$2,188ManagementAndGeneralAmt
Fundraising$350FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,459TotalAmt
Program Services$5,484ProgramServicesAmt
Management And General$1,975ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PET CARE MEDICAL EXPENS$18,559$18,559
UTILITIES$14,071$11,662$2,077$332
PET SUPPLIES$7,329$7,329
SHELTER EXPENSES$5,832$5,832

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,177TotalAmt
Program Services$8,270ProgramServicesAmt
Management And General$1,681ManagementAndGeneralAmt
Fundraising$226FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,813TotalAmt
Program Services$149,524ProgramServicesAmt
Management And General$23,138ManagementAndGeneralAmt
Fundraising$3,151FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,435BOYAmt
EOY$16,618EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$38,341BOYAmt
EOY$33,532EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,274BOYAmt
EOY$2,776EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$591,988LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$302,402LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$301,632BOYAmt
EOY$289,586EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$353,682BOYAmt
EOY$342,512EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,343BOYAmt
EOY$4,363EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,343BOYAmt
EOY$4,363EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$347,704BOYAmt
EOY$329,918EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,635BOYAmt
EOY$8,231EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$351,339BOYAmt
EOY$338,149EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$353,682BOYAmt
EOY$342,512EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$13,190ReconcilationRevenueExpnssAmt
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$87,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,667CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,507CurrentTaxYearMinus1YearAmt
Current Tax Year$50,379CurrentTaxYearAmt
Total$396,167TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$78,667CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,507CurrentTaxYearMinus1YearAmt
Current Tax Year$50,379CurrentTaxYearAmt
Total$396,167TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$396,167PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11CurrentTaxYearMinus1YearAmt
Current Tax Year$17CurrentTaxYearAmt
Total$58TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3,085CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,370CurrentTaxYearMinus1YearAmt
Current Tax Year$13,093CurrentTaxYearAmt
Total$22,548TotalAmt
FieldValueIRS element (for citing)
Total Support$418,773TotalSupportAmt
Gross Receipts Rltd Activities$312,148GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94600PublicSupportCY170Pct
Public Support PY1700.97600PublicSupportPY170Pct
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$19,000OtherCostOrOtherBasisAmt
Book Value$19,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$363,549OtherCostOrOtherBasisAmt
Depreciation$144,872DepreciationAmt
Book Value$218,677BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$209,439OtherCostOrOtherBasisAmt
Depreciation$157,530DepreciationAmt
Book Value$51,909BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$289,586TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CREDIT CARD PAYABLE$1,133
PAYROLL LIABILITIES$2,772
SALES TAX PAYABLE$388
PASS-THRU DONATIONS$70
FieldValueIRS element (for citing)
Total Liability$4,363TotalLiabilityAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty0AgrmtProfFundraisingActyInd
Licensed StatesWILicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1CALENDAR RAFFLE TICKETSNameOfEvent1Amt
Gross Receipts Event1$7,360GrossReceiptsEvent1Amt
Charitable Contri Event1$7,360CharitableContriEvent1Amt
Cash Prizes Event1$3,820CashPrizesEvent1Amt
Other Direct Expenses Event1$341OtherDirectExpensesEvent1Amt
Name Of Event2DOG WALKNameOfEvent2Amt
Gross Receipts Event2$2,851GrossReceiptsEvent2Amt
Charitable Contri Event2$2,851CharitableContriEvent2Amt
Rent Facility Costs Event2$50RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$343OtherDirectExpensesEvent2Amt
Other Events Total5OtherEventsTotalCnt
Gross Receipts Other Events$15,843GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$12,482CharitableContriOtherEventsAmt
Gross Revenue Other Events$3,361GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$200RentFcltyCostsOtherEventsAmt
Entertainment Other Events$1,622EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$6,585OthDirectExpnssOtherEventsAmt
Gross Receipts Total$26,054GrossReceiptsTotalAmt
Charitable Contributions Tot$22,693CharitableContributionsTotAmt
Gross Revenue Total Events$3,361GrossRevenueTotalEventsAmt
Cash Prizes Total Events$3,820CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$250RentFcltyCostsTotalEventsAmt
Entertainment Total Events$1,622EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$7,269OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$12,961DirectExpenseSummaryEventsAmt
Net Income Summary-$9,600NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS EMAILED TO THE GOVERNING BODY TO REVIEW PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.