FALLBROOK HEALTHCARE FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- FALLBROOK HEALTHCARE FOUNDATION INC (EIN 95-3389263)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-12-22
- IRS object ID
- 201443569349301024
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-12-22T17:22:59-06:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 952770263 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VANDER SPEK & CORSELLO CPAS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 350 W 5TH AVE STE 300 | AddressLine1 |
| City | ESCONDIDO | City |
| State | CA | State |
| ZIP Code | 92025 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953389263 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FALLBROOK HEALTHCARE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FALL | BusinessNameControlTxt |
| Phone | 7607237713 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2155 | AddressLine1 |
| City | FALLBROOK | City |
| State | CA | State |
| ZIP Code | 92088 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BOB FRANZ | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7607237713 | PhoneNum |
| Signature | 2014-12-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES K VANDER SPEK CPA | PreparerPersonNm |
| PTIN | P00234100 | PTIN |
| Phone | 7607412659 | PhoneNum |
| Preparation | 2014-12-22 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BOB FRANZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 2155 | AddressLine1 |
| City | FALLBROOK | City |
| State | CA | State |
| ZIP Code | 92088 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $460,293 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | IT'S PURPOSE IS TO ENGAGE IN ACTIVITIES INTENDED TO IDENTIFY, ASSESS, PROMOTE AND FUND PROGRAMS TO SOLVE HEALTH ISSUES IMPORTANT TO THE COMMUNITIES COMPRISING THE FALLBROOK HOSPITAL DISTRICT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $480,891 | PYContributionsGrantsAmt |
| CY Contributions Grants | $276,443 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $99,995 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,090 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,768 | PYInvestmentIncomeAmt |
| CY Investment Income | $76,879 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,285 | PYOtherRevenueAmt |
| CY Other Revenue | $23,849 | CYOtherRevenueAmt |
| PY Total Revenue | $618,939 | PYTotalRevenueAmt |
| CY Total Revenue | $447,261 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $352,983 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $352,286 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $11,246 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $190,555 | PYOtherExpensesAmt |
| CY Other Expenses | $209,962 | CYOtherExpensesAmt |
| PY Total Expenses | $543,538 | PYTotalExpensesAmt |
| CY Total Expenses | $562,248 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $75,401 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$114,987 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,278,162 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,163,215 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,594 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $28,634 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,249,568 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,134,581 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IT'S PURPOSE IS TO ENGAGE IN ACTIVITIES INTENDED TO IDENTIFY, ASSESS, PROMOTE AND FUND PROGRAMS TO SOLVE HEALTH ISSUES IMPORTANT TO THE COMMUNITIES COMPRISING THE FALLBROOK HOSPITAL DISTRICT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $292,368 | ExpenseAmt |
| Grant | $46,000 | GrantAmt |
| Revenue | $114,265 | RevenueAmt |
| Desc | ASSISTING THE ELDERLY AND THEIR FAMILY'S WITH A VARYING DEGREE OF SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $157,429 | ExpenseAmt |
| Grant | $32,500 | GrantAmt |
| Revenue | $43,700 | RevenueAmt |
| Desc | PROVIDE SHUTTLE SEVICES FOR THE ELDERLY AND THEIR FAMILY'S TO ASSURE THAT THEY CAN MAKE HEALTH CARE APPOINTMENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $449,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | false | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROXANNE GREENE | PersonNm |
| Phone | 7607264313 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5256 S MISSION ROAD | AddressLine1 |
| Address Line2 | SUITE 205 | AddressLine2 |
| City | BONSALL | City |
| State | CA | State |
| ZIP Code | 92003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BOB FRANZ | ||||||
| PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BOB HALIBOZEK | ||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROGER SHAVER | ||||||
| VICE PRESIDE | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DOUG CLEMENTS | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MIKE MCREYNOLDS | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JACK ROCKWELL | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARTHA CHOI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALLEN COOK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM KOEHLER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BONNIE LENTZ | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRADLEY RESARE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM SOMERS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $5,196 | FundraisingAmt |
| All Other Contributions | $271,247 | AllOtherContributionsAmt |
| Noncash Contributions | $10,080 | NoncashContributionsAmt |
| Total Contributions | $276,443 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEES- CARE ADVOCATE & VAN | Desc |
| Total Revenue Column | $70,090 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,090 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,090 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,590 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,289 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $14,289 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,289 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $36,881 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $5,196 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $13,032 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,849 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $447,261 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $146,969 | RelatedOrExemptFuncIncomeAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,058 | TotalAmt |
| Program Services | $259,247 | ProgramServicesAmt |
| Management And General | $58,330 | ManagementAndGeneralAmt |
| Fundraising | $6,481 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,228 | TotalAmt |
| Program Services | $22,582 | ProgramServicesAmt |
| Management And General | $5,081 | ManagementAndGeneralAmt |
| Fundraising | $565 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,025 | TotalAmt |
| Program Services | $11,219 | ProgramServicesAmt |
| Management And General | $2,525 | ManagementAndGeneralAmt |
| Fundraising | $281 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,489 | TotalAmt |
| Program Services | $17,191 | ProgramServicesAmt |
| Management And General | $3,868 | ManagementAndGeneralAmt |
| Fundraising | $430 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,381 | TotalAmt |
| Program Services | $16,304 | ProgramServicesAmt |
| Management And General | $3,669 | ManagementAndGeneralAmt |
| Fundraising | $408 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,885 | TotalAmt |
| Program Services | $16,708 | ProgramServicesAmt |
| Management And General | $3,759 | ManagementAndGeneralAmt |
| Fundraising | $418 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,707 | TotalAmt |
| Program Services | $14,166 | ProgramServicesAmt |
| Management And General | $3,187 | ManagementAndGeneralAmt |
| Fundraising | $354 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,547 | TotalAmt |
| Program Services | $14,838 | ProgramServicesAmt |
| Management And General | $3,338 | ManagementAndGeneralAmt |
| Fundraising | $371 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,545 | TotalAmt |
| Program Services | $48,436 | ProgramServicesAmt |
| Management And General | $10,898 | ManagementAndGeneralAmt |
| Fundraising | $1,211 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| UTILITIES | $12,603 | $10,082 | $2,269 | $252 |
| REPAIRS AND MAINTENANCE | $10,714 | $8,571 | $1,929 | $214 |
| EVENTS & PROGRAMS | $7,318 | $5,855 | $1,317 | $146 |
| DUES & SUBSCRIPTIONS | $2,126 | $1,700 | $383 | $43 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,622 | TotalAmt |
| Program Services | $2,898 | ProgramServicesAmt |
| Management And General | $652 | ManagementAndGeneralAmt |
| Fundraising | $72 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,248 | TotalAmt |
| Program Services | $449,797 | ProgramServicesAmt |
| Management And General | $101,205 | ManagementAndGeneralAmt |
| Fundraising | $11,246 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,538 | BOYAmt |
| EOY | $39,457 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179 | BOYAmt |
| EOY | $632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $570,922 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $177,728 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $409,839 | BOYAmt |
| EOY | $393,194 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $733,606 | BOYAmt |
| EOY | $729,932 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,278,162 | BOYAmt |
| EOY | $1,163,215 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,594 | BOYAmt |
| EOY | $28,634 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,594 | BOYAmt |
| EOY | $28,634 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,405 | BOYAmt |
| EOY | $1,063,854 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,744 | BOYAmt |
| EOY | $3,148 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,419 | BOYAmt |
| EOY | $67,579 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,249,568 | BOYAmt |
| EOY | $1,134,581 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,278,162 | BOYAmt |
| EOY | $1,163,215 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$114,987 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $305,615 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $269,430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $423,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $276,443 | CurrentTaxYearAmt |
| Total | $1,456,783 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $181,660 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $305,615 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $269,430 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $423,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $276,443 | CurrentTaxYearAmt |
| Total | $1,456,783 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,456,783 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | -$3,764 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,768 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,833 | CurrentTaxYearAmt |
| Total | $31,837 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,488,620 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $169,561 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97860 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,579 | OtherCostOrOtherBasisAmt |
| Book Value | $200,579 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $370,343 | OtherCostOrOtherBasisAmt |
| Depreciation | $177,728 | DepreciationAmt |
| Book Value | $192,615 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $393,194 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $447,261 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $447,261 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $447,261 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $562,248 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $562,248 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $562,248 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DINNER WITH DOC | NameOfEvent1Amt |
| Gross Receipts Event1 | $31,741 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $5,196 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $26,545 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $12,104 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | REGENCY EVENT | NameOfEvent2Amt |
| Gross Receipts Event2 | $10,336 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $10,336 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $928 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $42,077 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $5,196 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $36,881 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $13,032 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $13,032 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $23,849 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | NO REVIEW WAS OR WILL BE CONDUCTED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | OFFICERS, DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO SIGN DISCLOSURE STAT EMENTS ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION AND WAGE INCREASES FOR ALL CATEGORIES ARE REVIEWED/APPROVED B Y THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | IF REQUESTED, THE ORGANIZATION WILL MAKE GOVERNING DOCUMENTS/POLICIES AND FINANCIAL STATEMENTS AVAILABLE AFTER BOARD APPROVAL. |