INLAND CAREGIVER RESOURCE CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- INLAND CAREGIVER RESOURCE CENTER (EIN 33-0460833)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-02
- IRS object ID
- 201430929349300508
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-02T10:28:01-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330313836 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MACHER & CLARK CPA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3689 ARLINGTON AVE | AddressLine1 |
| City | RIVERSIDE | City |
| State | CA | State |
| ZIP Code | 92506 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330460833 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INLAND CAREGIVER RESOURCE CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | INLA | NameControl |
| Phone | 8006756694 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 EAST COOLEY DRIVE NO 124 | AddressLine1 |
| City | COLTON | City |
| State | CA | State |
| ZIP Code | 92324 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERROL MACKZUM | Name |
| Title | CHAIRMAN | Title |
| Phone | 9098679061 | Phone |
| Date Signed | 2014-01-22 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID C MACHER CPA | Name |
| PTIN | P00058198 | PTIN |
| Phone | 9517870330 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERROL MACKZUM | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 EAST COOLEY DRIVE NO 124 | AddressLine1 |
| City | COLTON | City |
| State | CA | State |
| ZIP Code | 92324 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 412647 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE SERVICES TO CAREGIVERS OF BRAIN-DAMAGED ADULTS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 5 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 18299 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 310615 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 394348 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 20151 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 18299 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 330766 | TotalRevenuePriorYear |
| Total Revenue Current Year | 412647 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 56459 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 198718 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 217441 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2621 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 74633 | OtherExpensePriorYear |
| Other Expenses Current Year | 190031 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 329810 | TotalExpensesPriorYear |
| Total Expenses Current Year | 407472 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 956 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 5175 | RevenuesLessExpensesCY |
| Total Assets BOY | 76605 | TotalAssetsBOY |
| Total Assets EOY | 97059 | TotalAssetsEOY |
| Total Liabilities BOY | 16213 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 31490 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 60392 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 65569 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE SERVICES TO CAREGIVERS OF BRAIN-DAMAGED ADULTS IN A FOUR-COUNTY AREA | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 205519 | Expense |
| Revenue | 205519 | Revenue |
| Description | PROVIDED SERVICES TO FAMILIES AND OTHER CAREGIVERS OF BRAIN-IMPAIRED ADULTS AND THE FRAIL ELDERLY INCLUDING INFORMATION, REFERRALS, COUNSELING, COMMUNITY EDUCATION AND SUPPORT GROUPS IN A FOUR COUNTY AREA IN CALIFORNIA | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 50390 | Expense |
| Revenue | 50390 | Revenue |
| Description | PROVIDED RESPITE CARE TO FAMILIES AND OTHER CAREGIVERS OF BRAIN-IMPAIRED ADULTS AND THE FRAIL ELDERLY IN A FOUR COUNTY AREA IN CALIFORNIA | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 75195 | Expense |
| Revenue | 75195 | Revenue |
| Description | PROVIDED SENIOR SUPPORTIVE SERVICES TO FAMILIES AND OTHER CAREGIVERS OF BRAIN-IMPAIRED ADULTS AND THE FRAIL ELDERLY INCLUDING INFORMATION, REFERRALS, COUNSELING, COMMUNITY EDUCATION AND RESPITE CARE IN A FOUR COUNTY AREA IN CALIFORNIA | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 331104 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 5 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARMEN ESTRADA EXEC DIRECTOR | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8006756694 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1430 E COOLEY DRIVE | AddressLine1 |
| City | COLTON | City |
| State | CA | State |
| ZIP Code | 92324 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|
| SHANNON CARLSON | |||||
| BOARD MEMBER | 4.00 | X | 0 | 0 | 0 |
| ERROL MACKZUM | |||||
| CHAIRMAN | 2.00 | X | 0 | 0 | 0 |
| LISA RAMSEY | |||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 |
| KIMIKO FORD | |||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 |
| KEN KUCK | |||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 394348 | GovernmentGrants |
| Total Contributions | 394348 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| MISCELLANEOUS | 624100 | 17504 | 17504 |
| CO-PAYMENTS | 624100 | 795 | 795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 18299 | TotalProgramServiceRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 412647 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 18299 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 179819 | Total |
| Program Services | 143855 | ProgramServices |
| Management And General | 34166 | ManagementAndGeneral |
| Fundraising | 1798 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19950 | Total |
| Program Services | 15960 | ProgramServices |
| Management And General | 3790 | ManagementAndGeneral |
| Fundraising | 200 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17672 | Total |
| Program Services | 14137 | ProgramServices |
| Management And General | 3358 | ManagementAndGeneral |
| Fundraising | 177 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8976 | Total |
| Management And General | 8976 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6233 | Total |
| Program Services | 859 | ProgramServices |
| Management And General | 5105 | ManagementAndGeneral |
| Fundraising | 269 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13454 | Total |
| Program Services | 12108 | ProgramServices |
| Management And General | 1211 | ManagementAndGeneral |
| Fundraising | 135 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67 | Total |
| Management And General | 67 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6018 | Total |
| Management And General | 6018 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SENIOR SUPPORTIVE SERVI | 75195 | 75195 | |
| RESPITE CARE | 50390 | 50390 | |
| REPAIRS & MAINTENANCE | 9217 | 5530 | 3687 |
| TELEPHONE | 4377 | 2626 | 1751 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16104 | Total |
| Program Services | 10444 | ProgramServices |
| Management And General | 5618 | ManagementAndGeneral |
| Fundraising | 42 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 407472 | Total |
| Program Services | 331104 | ProgramServices |
| Management And General | 73747 | ManagementAndGeneral |
| Fundraising | 2621 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48691 | BOY |
| EOY | 64639 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27914 | BOY |
| EOY | 30523 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1897 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 19702 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19702 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76605 | BOY |
| EOY | 97059 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16213 | BOY |
| EOY | 22272 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 9218 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16213 | BOY |
| EOY | 31490 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60392 | BOY |
| EOY | 65569 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60392 | BOY |
| EOY | 65569 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76605 | BOY |
| EOY | 97059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 5175 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 0 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 936335 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 659315 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 465847 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 310615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 394348 | CurrentTaxYear |
| Total | 2766460 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 936335 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 659315 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 465847 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 310615 | CurrentTaxYearMinus1Year |
| Current Tax Year | 394348 | CurrentTaxYear |
| Total | 2766460 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 2766460 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1111 | CurrentTaxYearMinus3Years |
| Total | 1117 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2767577 | TotalSupport |
| Gross Receipts From Admissions Etc | 15447 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99960 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.99970 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19702 | OtherCostOrOtherBasis |
| Depreciation | 19702 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SYNERGY KEN KUCK | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SYNERGY IS OWNED BY KEN KUCK, A BOARD MEMBER | Relationship |
| Amount Of Transaction | 1394 | AmountOfTransaction |
| Description Of Transaction | PROVIDED RESPITE CARE AND SENIOR SERVICES | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS GIVEN TO THE EXECUTIVE DIRECTOR TO REVIEW. SHE HAS MEMBERS OF THE BOARD OF DIRECTORS REVIEW IT. AFTER APPROVAL, SHE SIGNS AND AUTHORIZES FILING THE RETURNS. | |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST IS DISCUSSED AT BOARD MEETINGS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | PROVIDED UPON REQUEST. | |
| FORM 990, PART XI, LINE 9: | ROUNDING 2. | CHANGES IN NET ASSETS OR FUND BALANCES: |