COMMUNITY CARE CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE CENTER INC (EIN 37-0752347)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-24
IRS object ID
201422979349300142
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)
Return2014-10-24T12:29:48-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430352985PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KERBER ECK & BRAECKEL LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14111 N ILLINOIS ST STE BAddressLine1
CityBELLEVILLECity
StateILState
ZIP Code62226ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN370752347EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone6188768770PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11818 CLEVELAND BOULEVARDAddressLine1
CityGRANITE CITYCity
StateILState
ZIP Code62040ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT BUTLERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6188768770PhoneNum
Signature2014-10-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEVIN E HARRIS CPAPreparerPersonNm
PTINP01304210PTIN
Phone6182336630PhoneNum
Preparation2014-10-24PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT BUTLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11818 CLEVELAND BOULEVARDAddressLine1
CityGRANITE CITYCity
StateILState
ZIP Code62040ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$816,996GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CCC.GRANITECITY.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionTHE MISSION OF COMMUNITY CARE CENTER IS TO PROVIDE ASSISTANCE AT LITTLE OR NO COST, TO FAMILIES, INDIVIDUALS AND CHILDREN WHO ARE IN NEED OF FOOD, CLOTHING OR SPECIAL ASSISTANCE.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$899,882PYContributionsGrantsAmt
CY Contributions Grants$801,397CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$18CYInvestmentIncomeAmt
PY Other Revenue$8,038PYOtherRevenueAmt
CY Other Revenue$11,200CYOtherRevenueAmt
PY Total Revenue$907,920PYTotalRevenueAmt
CY Total Revenue$812,615CYTotalRevenueAmt
PY Grants And Similar Paid$703,292PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$677,797CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$70,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$84,863CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$76,115PYOtherExpensesAmt
CY Other Expenses$73,788CYOtherExpensesAmt
PY Total Expenses$849,407PYTotalExpensesAmt
CY Total Expenses$836,448CYTotalExpensesAmt
PY Revenues Less Expenses$58,513PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$23,833CYRevenuesLessExpensesAmt
Total Assets BOY$318,827TotalAssetsBOYAmt
Total Assets EOY$285,209TotalAssetsEOYAmt
Total Liabilities BOY$71,484TotalLiabilitiesBOYAmt
Total Liabilities EOY$61,699TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$247,343NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$223,510NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF COMMUNITY CARE CENTER IS TO PROVIDE ASSISTANCE AT LITTLE OR NO COST, TO FAMILIES, INDIVIDUALS AND CHILDREN WHO ARE IN NEED OF FOOD, CLOTHING OR SPECIAL ASSISTANCE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$789,636ExpenseAmt
Revenue$816,996RevenueAmt
DescOFFER RELIEF/ASSISTANCE WITH FOOD, MEDICINE, CLOTHING, HOUSEHOLD ITEMS AND UTILITY BILLS TO QUALIFIED INDIVIDUALS/FAMILIES WITH LITTLE OR NO INCOME.Desc
Total Program Service Expenses$789,636TotalProgramServiceExpensesAmt
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 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 IndividualsYes (true)GrantsToIndividualsInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5EmployeeCnt
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
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Phone6188768770PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11818 CLEVELAND BOULEVARDAddressLine1
CityGRANITE CITYCity
StateILState
ZIP Code62040ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DEBRA HOMYER
EXECUTIVE DI40.00Yes (X)$24,944$0$0
ROBERT BUTLER
PRESIDENT10.00Yes (X)$0$0$0Yes (X)
MARY EARLS
BOARD MEMBER2.00Yes (X)$0$0$0Yes (X)
BETH DITTMAN
1ST VICE PRE2.00Yes (X)$0$0$0Yes (X)
OLLIE DERR
SECRETARY2.00Yes (X)$0$0$0Yes (X)
KEN NEWTON
TREASURER2.00Yes (X)$0$0$0Yes (X)
MELBA BOYD
BOARD MEMBER2.00Yes (X)$0$0$0
BRENDA JOHNSON
2ND VICE PRE2.00Yes (X)$0$0$0
OLIVIA ANN ERVIN
BOARD MEMBER2.00Yes (X)$0$0$0
LINDA MANIS
BOARD MEMBER2.00Yes (X)$0$0$0
CECIL MORTON
BOARD MEMBER2.00Yes (X)$0$0$0
CHARLOTTE PYLE
BOARD MEMBER2.00Yes (X)$0$0$0
KATHY PHILLIPS
BOARD MEMBER2.00Yes (X)$0$0$0
KELLY IMHOFF
BOARD MEMBER2.00Yes (X)$0$0$0
HARRIET EVANS
BOARD MEMBER2.00Yes (X)$0$0$0
REV DOUGLAS PASCOE
BOARD MEMBER2.00Yes (X)$0$0$0
JANIE HOGE
BOARD MEMBER2.00Yes (X)$0$0$0
MARK HOLSHOUSER
BOARD MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$24,944TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$18,155GovernmentGrantsAmt
All Other Contributions$783,242AllOtherContributionsAmt
Noncash Contributions$620,900NoncashContributionsAmt
Total Contributions$801,397TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18TotalRevenueColumnAmt
Related Or Exempt Func Income$18RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$15,581FundraisingGrossIncomeAmt
Fundraising Direct Expenses$4,381FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,200TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$812,615TotalRevenueColumnAmt
Related Or Exempt Func Income$18RelatedOrExemptFuncIncomeAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$677,797TotalAmt
Program Services$677,797ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$20,629TotalAmt
Management And General$20,629ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,137TotalAmt
Program Services$48,137ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,097TotalAmt
Program Services$11,267ProgramServicesAmt
Management And General$4,830ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,403TotalAmt
Management And General$5,403ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$672TotalAmt
Management And General$672ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$771TotalAmt
Program Services$413ProgramServicesAmt
Management And General$358ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$26,553TotalAmt
Program Services$22,570ProgramServicesAmt
Management And General$3,983ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$235TotalAmt
Management And General$235ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,838TotalAmt
Program Services$3,262ProgramServicesAmt
Management And General$576ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,652TotalAmt
Program Services$9,902ProgramServicesAmt
Management And General$1,750ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,430TotalAmt
Program Services$8,016ProgramServicesAmt
Management And General$1,414ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$5,799$2,899$2,900
TELEPHONE$3,621$1,448$2,173
SUPPLIES$2,089$1,776$313
MISC$2,043$682$1,361

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,682TotalAmt
Program Services$1,467ProgramServicesAmt
Management And General$215ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$836,448TotalAmt
Program Services$789,636ProgramServicesAmt
Management And General$46,812ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$44,746BOYAmt
EOY$23,149EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$200EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$97,806BOYAmt
EOY$97,236EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$469,202LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$304,578LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$176,275BOYAmt
EOY$164,624EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$318,827BOYAmt
EOY$285,209EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$71,484BOYAmt
EOY$61,699EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,484BOYAmt
EOY$61,699EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$247,343BOYAmt
EOY$223,510EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,343BOYAmt
EOY$223,510EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$318,827BOYAmt
EOY$285,209EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$23,833ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
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$664,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$512,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$521,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$899,882CurrentTaxYearMinus1YearAmt
Current Tax Year$801,397CurrentTaxYearAmt
Total$3,400,353TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$664,712CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$512,369CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$521,993CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$899,882CurrentTaxYearMinus1YearAmt
Current Tax Year$801,397CurrentTaxYearAmt
Total$3,400,353TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$3,400,353PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25CurrentTaxYearMinus3YearsAmt
Current Tax Year$18CurrentTaxYearAmt
Total$47TotalAmt
FieldValueIRS element (for citing)
Total Support$3,400,400TotalSupportAmt
Gross Receipts Rltd Activities$15,599GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
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$5,000OtherCostOrOtherBasisAmt
Book Value$5,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$305,061OtherCostOrOtherBasisAmt
Depreciation$146,780DepreciationAmt
Book Value$158,281BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,281TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$812,615TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$812,615RevenueSubtotalAmt
Total Revenue Per Form990$812,615TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$836,448TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$836,448ExpensesSubtotalAmt
Total Expenses Per Form990$836,448TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Licensed StatesILLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event2ANNUAL BANQUETNameOfEvent2Amt
Gross Receipts Event2$5,925GrossReceiptsEvent2Amt
Gross Revenue Event2$5,925GrossRevenueEvent2Amt
Rent Facility Costs Event2$430RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,754FoodAndBeverageEvent2Amt
Entertainment Event2$550EntertainmentEvent2Amt
Other Events Total12OtherEventsTotalCnt
Gross Receipts Other Events$9,656GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$9,656GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$1,647OthDirectExpnssOtherEventsAmt
Gross Receipts Total$15,581GrossReceiptsTotalAmt
Gross Revenue Total Events$15,581GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$430RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,754FoodAndBeverageTotalEventsAmt
Entertainment Total Events$550EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,647OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$4,381DirectExpenseSummaryEventsAmt
Net Income Summary$11,200NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeFOODGrantTypeTxt
Non Cash Assistance$677,797NonCashAssistanceAmt
Valuation Method UsedBOOK VALUEValuationMethodUsedDesc
Non Cash AssistanceFOODNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 4, PART IVFormAndLineReferenceDesc
ExplanationPT I LINE 2 ALL ACTIVITY IS RECORDED IN A SUPPLEMENTARY LEDGERExplanationTxt

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution620900ContributionCnt
Noncash Contributions Rpt F990$620,900NoncashContributionsRptF990Amt
Method Of Determining RevenuesVALUED AT 1.50 PER POUNDMethodOfDeterminingRevenuesTxt
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 11BFORM 990 IS REVIEWED BY THE PRESIDENT (BOB BUTLER) AND THE TREASURER (KEN NEWTON), THEN APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR AND BOARD PRESIDENT MAKE RECOMMENDATIONS AND THEN THE FULL BOARD VOTES.
FORM 990, PAGE 6, PART VI, LINE 15BEXECUTIVE DIRECTOR AND BOARD PRESIDENT MAKE RECOMMENDATIONS AND THEN THE FULL BOARD VOTES.
FORM 990, PAGE 6, PART VI, LINE 19COPIES ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE DURING NORMAL BUSINESS HOURS.

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