SANTA ROSA KIDS HOUSE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA KIDS HOUSE INC (EIN 20-1524354)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-14
IRS object ID
201442269349301069
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)
Return2014-08-14T07:30:47-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DURST JORDAN CPA PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14459-B HIGHWAY 90AddressLine1
CityPACECity
StateFLState
ZIP Code32571ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201524354EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SANTA ROSA KIDS' HOUSE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSANTBusinessNameControlTxt
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1
CityMILTONCity
StateFLState
ZIP Code32570ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDELL HALLPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone8506231112PhoneNum
Signature2014-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOSHUA C DURSTPreparerPersonNm
Phone8509955000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWENDELL HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1
CityMILTONCity
StateFLState
ZIP Code32570ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$382,204GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SRKIDSHOUSE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS THE NEEDS OF CHILDREN FIRSTActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent25VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$308,728PYContributionsGrantsAmt
CY Contributions Grants$304,716CYContributionsGrantsAmt
PY Program Service Revenue$75,475PYProgramServiceRevenueAmt
CY Program Service Revenue$76,357CYProgramServiceRevenueAmt
PY Investment Income$1,296PYInvestmentIncomeAmt
CY Investment Income$1,131CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$385,499PYTotalRevenueAmt
CY Total Revenue$382,204CYTotalRevenueAmt
PY Grants And Similar Paid$17,200PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$72,001PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$88,276CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,746CYTotalFundraisingExpenseAmt
PY Other Expenses$199,960PYOtherExpensesAmt
CY Other Expenses$213,277CYOtherExpensesAmt
PY Total Expenses$289,161PYTotalExpensesAmt
CY Total Expenses$301,553CYTotalExpensesAmt
PY Revenues Less Expenses$96,338PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$80,651CYRevenuesLessExpensesAmt
Total Assets BOY$1,642,390TotalAssetsBOYAmt
Total Assets EOY$1,694,735TotalAssetsEOYAmt
Total Liabilities BOY$81,621TotalLiabilitiesBOYAmt
Total Liabilities EOY$53,315TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,560,769NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,641,420NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER A WELL COORDINATEDMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$247,595ExpenseAmt
Grant$82,643GrantAmt
Revenue$382,204RevenueAmt
DescPROGRAM SERVICES PROVIDED INCLUDE MANAGING A FACILITY TO HOUSE MULTIPLE SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES TO CHILD ABUSE VICTIMS AND THEIR FAMILIES AND FACILITATE THE PROSECUTION OF THEIR ABUSERS IN SANTA ROSA COUNTY, FLORIDA. THESE SERVICES ARE PROVIDED FREE OF CHARGE IN A CHILD FRIENDLY ENVIRONMENT THEREBY REDUCING THE TRAUMA A CHILD HAS EXPERIENCED AS A RESULT OF ABUSE. DIRECT SERVICES INCLUDING CRISIS INTERVENTION, DEVELOPMENTALLY APPROPRIATE INTERVIEWS, MEDICAL EXAMS, MENTAL HEALTH COUNSELING, CASE MANAGEMENT AND VICTIM ADVOCACY WERE PROVIDED TO NUMEROUS CHILD VICTIMS OF PHYSICAL AND SEXUAL ABUSE DURING 2013.Desc
Total Program Service Expenses$247,595TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 IndividualsfalseGrantsToIndividualsInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
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 ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 Members25GoverningBodyVotingMembersCnt
Independent Voting Member25IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEITH ANN CAMPBELLPersonNm
Phone8506231112PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREETAddressLine1
CityMILTONCity
StateFLState
ZIP Code32570ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
WENDELL HALL
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
JASON ENGLISH
VICE CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
LISA EDDINS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
CONNIE CUSHING
TREASURER4.00Yes (X)Yes (X)$0$0$0
ROY ANDREWS
LEGAL COUNSEL1.00Yes (X)$0$0$0
PAUL LIO
DIRECTOR1.00Yes (X)$0$0$0
LIZ SIMMONS
DIRECTOR1.00Yes (X)$0$0$0
ADAIR COTTON
DIRECTOR1.00Yes (X)$0$0$0
TAMIE PETERSON
DIRECTOR1.00Yes (X)$0$0$0
SANDY PARK O'HARA
DIRECTOR1.00Yes (X)$0$0$0
MICHELE TUCKER
DIRECTOR1.00Yes (X)$0$0$0
JIMMIE MELVIN
DIRECTOR1.00Yes (X)$0$0$0
DARRELL GREER
DIRECTOR1.00Yes (X)$0$0$0
PATRICK DAWSON
DIRECTOR1.00Yes (X)$0$0$0
MARGARET PORTER
DIRECTOR1Yes (X)
TRACEY CARPENTER
DIRECTOR1Yes (X)
ED CARSON
DIRECTOR1Yes (X)
CAROL ALLEN
DIRECTOR1Yes (X)
TOGGY PACE
DIRECTOR1Yes (X)
ANNETTE WELLS-BANKICH
DIRECTOR1Yes (X)
RICHARD COMERFORD
DIRECTOR1Yes (X)
JERRY BURDEN
DIRECTOR1Yes (X)
JAYER WILLIAMSON
DIRECTOR1Yes (X)
MELISSA KIMBROUGH
DIRECTOR1Yes (X)
TONY ALEXANDER
DIRECTOR1Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$112,902FundraisingAmt
All Other Contributions$191,814AllOtherContributionsAmt
Noncash Contributions$1,515NoncashContributionsAmt
Total Contributions$304,716TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business531120BusinessCd
Total Revenue Column$76,357TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$76,357TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,131TotalRevenueColumnAmt
Exclusion$1,131ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$112,902ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,204TotalRevenueColumnAmt
Related Or Exempt Func Income$76,357RelatedOrExemptFuncIncomeAmt
Exclusion$1,131ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$88,276TotalAmt
Program Services$67,972ProgramServicesAmt
Management And General$11,476ManagementAndGeneralAmt
Fundraising$8,828FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,971TotalAmt
Program Services$11,031ProgramServicesAmt
Management And General$5,091ManagementAndGeneralAmt
Fundraising$849FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Program Services$0ProgramServicesAmt
Management And General$60ManagementAndGeneralAmt
Fundraising$40FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$618TotalAmt
Program Services$402ProgramServicesAmt
Management And General$185ManagementAndGeneralAmt
Fundraising$31FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,346TotalAmt
Program Services$2,112ProgramServicesAmt
Management And General$117ManagementAndGeneralAmt
Fundraising$117FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$66,438TotalAmt
Program Services$65,110ProgramServicesAmt
Management And General$664ManagementAndGeneralAmt
Fundraising$664FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,988TotalAmt
Program Services$16,990ProgramServicesAmt
Management And General$1,999ManagementAndGeneralAmt
Fundraising$999FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBTS$0$0$0$0
CLEANING$5,200$5,096$52$52
DUES/MEMBERSHIPS$5,552$4,220$1,110$222
FUNDRAISING$0$0$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$96,064TotalAmt
Program Services$74,662ProgramServicesAmt
Management And General$2,458ManagementAndGeneralAmt
Fundraising$18,944FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$301,553TotalAmt
Program Services$247,595ProgramServicesAmt
Management And General$23,212ManagementAndGeneralAmt
Fundraising$30,746FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$200EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$291,919BOYAmt
EOY$424,708EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,000BOYAmt
EOY$7,875EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$71,453BOYAmt
EOY$51,212EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$25,127BOYAmt
EOY$7,547EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,607,008LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$406,315LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,238,191BOYAmt
EOY$1,200,693EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,642,390BOYAmt
EOY$1,694,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,876BOYAmt
EOY$3,062EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$33,436BOYAmt
EOY$6,601EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,117BOYAmt
EOY$43,403EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$192BOYAmt
EOY$249EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$81,621BOYAmt
EOY$53,315EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,560,769BOYAmt
EOY$1,641,420EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,560,769BOYAmt
EOY$1,641,420EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,642,390BOYAmt
EOY$1,694,735EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$80,651ReconcilationRevenueExpnssAmt
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$135,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$183,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$171,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$384,203CurrentTaxYearMinus1YearAmt
Current Tax Year$381,073CurrentTaxYearAmt
Total$1,256,407TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,640CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$183,665CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$171,826CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$384,203CurrentTaxYearMinus1YearAmt
Current Tax Year$381,073CurrentTaxYearAmt
Total$1,256,407TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,256,407PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$848CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,296CurrentTaxYearMinus1YearAmt
Total$2,481TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$33,539CurrentTaxYearMinus4YearsAmt
Total$33,539TotalAmt
FieldValueIRS element (for citing)
Total Support$1,292,427TotalSupportAmt
Public Support CY1700.97210PublicSupportCY170Pct
Public Support PY1700.96470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Line 10FormAndLineReferenceDesc
Explanation2009: 33539.ExplanationTxt

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)
Investment Cost Or Other Basis$66,000InvestmentCostOrOtherBasisAmt
Book Value$66,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,169,585InvestmentCostOrOtherBasisAmt
Depreciation$406,315DepreciationAmt
Book Value$763,270BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$98,611InvestmentCostOrOtherBasisAmt
Book Value$98,611BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$215,425InvestmentCostOrOtherBasisAmt
Book Value$215,425BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$57,387InvestmentCostOrOtherBasisAmt
Book Value$57,387BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,200,693TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LEASES PAYABLE
INSURANCE LOAN PAYABLE
SALES TAX PAYABLE$25
PAYROLL TAXES PAYABLE$224
FieldValueIRS element (for citing)
Total Liability$249TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$382,204TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$382,204RevenueSubtotalAmt
Total Revenue Per Form990$382,204TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$301,553TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$301,553ExpensesSubtotalAmt
Total Expenses Per Form990$301,553TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1Amt
Gross Receipts Event1$20,364GrossReceiptsEvent1Amt
Gross Revenue Event1$20,364GrossRevenueEvent1Amt
Name Of Event2FESTIVAL OF TREESNameOfEvent2Amt
Gross Receipts Event2$73,385GrossReceiptsEvent2Amt
Gross Revenue Event2$73,385GrossRevenueEvent2Amt
Gross Receipts Other Events$19,153GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$19,153GrossRevenueOtherEventsAmt
Gross Receipts Total$112,902GrossReceiptsTotalAmt
Gross Revenue Total Events$112,902GrossRevenueTotalEventsAmt
Net Income Summary$112,902NetIncomeSummaryAmt
FieldValueIRS element (for citing)
Individual With BooksKEITH ANN CAMPBELLIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line15643 STEWART STREEETAddressLine1
CityMILTONCity
StateFLState
ZIP Code32570ZIPCode

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bTHE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS
Pt VI, Line 12cTHE CONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND SIGNATURE
Pt VI, Line 15bNO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED.
Pt VI, Line 15aTHE PROCESS TO DETERMINE THE COMPENSATION OF THE FACILITY COORDINATOR INCLUDES REVIEW AND
Pt VI, Line 15aAPPROVAL BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA. ALL DELIBERATION
Pt VI, Line 15aAND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED.
Form 990, Part IX, Line 24fMAINTENANCE 10360. 10152. 104. 104. MISC 227. 0. 227. 0. PEST CONTROL 1611. 1579. 16. 16. POSTAGE 582. 262. 291. 29. PRINTING 79. 55. 24. MEDICAL EXPENSE-THERAPY 0. 0. 0. 0. PROMOTIONS AND AWARDS 54. 35. 16. 3. SECURITY 1351. 1323. 14. 14. SPECIAL EVENTS/FUN RAISING 18248. 18248. SUPPLIES 1702. 1447. 170. 85. TELEPHONE & INTERNET 10901. 10683. 109. 109. TRAINING 0. 0. 0. 0. UTILITIES 15730. 15416. 157. 157. LICENSES 276. 270. 3. 3. BANK CHARGES 87. 0. 87. 0. COMPUTER 259. 52. 155. 52. CONTRACT L

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