INDIAN NEIGHBORHOOD CLUB ON ALCOHOL AND DRUGS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: INDIAN NEIGHBORHOOD CLUB ON ALCOHOL AND DRUGS (EIN 41-1237600)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-03-04
IRS object ID: 201300639349300600
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-04T06:09:58-08:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PETERSEN PETRICK PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	4915 West 35th St Suite 201	AddressLine1
City	St Louis Park	City
State	MN	State
ZIP Code	55416	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	411237600	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	INDIAN NEIGHBORHOOD CLUB ON ALCOHOL	BusinessNameLine1
Business Name Line2	AND DRUGS	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	INDI	NameControl
Phone	6128717412	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1805 PORTLAND AVE S	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55404	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	GREG LAFONTAINE	Name
Title	Executive Direc	Title
Date Signed	2013-02-27	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	STACEY R PETERSEN CPA	Name
PTIN	P00270858	PTIN
Phone	9527673212	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	GREG LAFONTAINE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1805 PORTLAND AVE S	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55404	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	177301	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1970	YearFormation
State Legal Domicile	MN	StateLegalDomicile
Activity Or Mission Description	PROVIDE SHELTER & COUNSELING TO THE CHEMICALLY DEPENDENT	ActivityOrMissionDescription
Nbr Voting Members Governing Body	5	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	1	TotalNbrEmployees
Total Nbr Volunteers	6	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	153742	ProgramServiceRevenuePriorYear
Program Service Revenue CY	177297	ProgramServiceRevenueCY
Investment Income Prior Year	10	InvestmentIncomePriorYear
Investment Income Current Year	4	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	153752	TotalRevenuePriorYear
Total Revenue Current Year	177301	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	56065	SalariesEtcPriorYear
Salaries Etc Current Year	64563	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	3208	TotalFundrsngExpCurrentYear
Other Expense Prior Year	113075	OtherExpensePriorYear
Other Expenses Current Year	137532	OtherExpensesCurrentYear
Total Expenses Prior Year	169140	TotalExpensesPriorYear
Total Expenses Current Year	202095	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-15388	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-24794	RevenuesLessExpensesCY
Total Assets BOY	575947	TotalAssetsBOY
Total Assets EOY	550455	TotalAssetsEOY
Total Liabilities BOY	606581	TotalLiabilitiesBOY
Total Liabilities EOY	605883	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	-30634	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	-55428	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE SHELTER & COUNSELING TO THE CHEMICALLY DEPENDENT	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	173693	Expense
Revenue	177297	Revenue
Description	THE PROGRAM OFFERS SHELTER & COUNSELING TO THE CHEMICALLY DEPENDENT.	Description
Total Program Service Expense	173693	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	1	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	5	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	GREG LAFONTAINE	NamePerson
Telephone Number	6128717412	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1805 PORTLAND AVE S	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55404	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
DOUG HERMAN
Director	1.00	0.00	X	0	0	0
SUSAN ALLEN
Treasurer	1.00	0.00	X	0	0	0	X
JANICE LINDSTROM
Secretary	1.00	0.00	X	0	0	0	X
HARLAN LAFONTAINE
VICE CHAIR	1.00	0.00	X	0	0	200	X
LAURA TRUJILLO
Chairman	1.00	0.00	X	0	0	200	X
GREG LAFONTAINE
Executive Direc	40.00	0.00		51057	0	9000	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	51057	TotalReportableCompFromOrg
Total Other Compensation	9400	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RENTAL INCOME	Description
Business Code	531110	BusinessCode
Total Revenue Column	177297	TotalRevenueColumn
Related Or Exempt Function Income	177297	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	177297	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4	TotalRevenueColumn
Exclusion	$4	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	177301	TotalRevenueColumn
Related Or Exempt Function Income	177297	RelatedOrExemptFunctionIncome
Exclusion	$4	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	60457	Total
Program Services	48046	ProgramServices
Management And General	9408	ManagementAndGeneral
Fundraising	3003	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	4106	Total
Program Services	3285	ProgramServices
Management And General	616	ManagementAndGeneral
Fundraising	205	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	2909	Total
Management And General	2909	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2137	Total
Program Services	1816	ProgramServices
Management And General	321	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2447	Total
Program Services	2202	ProgramServices
Management And General	245	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	37172	Total
Program Services	31419	ProgramServices
Management And General	5753	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	45	Total
Management And General	45	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	24910	Total
Program Services	21173	ProgramServices
Management And General	3737	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5825	Total
Program Services	4660	ProgramServices
Management And General	1165	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
LICENCSES & PERMITS	605	605
EQUIPMENT EXPENSE	6195	5266	929
CLIENT TRANSPORTATION	7389	7389
PROGRAM SUPPLIES	47832	47832

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	66	Total
Management And General	66	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	202095	Total
Program Services	173693	ProgramServices
Management And General	25194	ManagementAndGeneral
Fundraising	3208	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	34104	BOY
EOY	33521	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	918667	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	401733	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	541843	BOY
EOY	516934	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	0	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	575947	BOY
EOY	550455	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	830	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	601851	BOY
EOY	601851	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3900	BOY
EOY	4032	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	606581	BOY
EOY	605883	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	-30634	BOY
EOY	-55428	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	-30634	BOY
EOY	-55428	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	575947	BOY
EOY	550455	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-24794	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	31250	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	40000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	29750	CurrentTaxYearMinus2Years
Total	101000	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	30149	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	57110	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	122294	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	153742	CurrentTaxYearMinus1Year
Current Tax Year	177297	CurrentTaxYear
Total	540592	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Total	0	Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

Field	Value	IRS element (for citing)
Total	0	Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	61399	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	97110	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	152044	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	153742	CurrentTaxYearMinus1Year
Current Tax Year	177297	CurrentTaxYear
Total	641592	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	25000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19750	CurrentTaxYearMinus2Years
Total	44750	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	25000	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19750	CurrentTaxYearMinus2Years
Total	44750	Total

Field	Value	IRS element (for citing)
Public Support Total509	596842	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	154	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	35	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10	CurrentTaxYearMinus1Year
Current Tax Year	4	CurrentTaxYear
Total	212	Total

Post1975 UBTI Post1975UBTI

Field	Value	IRS element (for citing)
Total	0	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	154	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	35	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	10	CurrentTaxYearMinus1Year
Current Tax Year	4	CurrentTaxYear
Total	212	Total

Net Income From Other UBI NetIncomeFromOtherUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Total	0	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	61553	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	97145	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	152053	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	153752	CurrentTaxYearMinus1Year
Current Tax Year	177301	CurrentTaxYear
Total	641804	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.92990	PublicSupportPercentage509
Prior Year Support Percentage	0.90990	PriorYearSupportPercentage
Investment Income Percentage	0.00030	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00040	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	48286	OtherCostOrOtherBasis
Depreciation	48286	Depreciation

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	856336	OtherCostOrOtherBasis
Depreciation	339402	Depreciation
Book Value	516934	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	14045	OtherCostOrOtherBasis
Depreciation	14045	Depreciation

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	516934	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SECURITY DEPOSITS	Description
Amount	$4,032	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	4032	TotalOfAmounts

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	GOVERNING DOCUMENTS, POLICIES & FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST TO THE ORGANIZATION.
Form 990, Part VI, Line 15b	Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	THE BOARD FINDS COMPARATIVE SALARY INFORMATION & APPROVES SALARY AMOUNTS. THE BOARD ALSO APPROVES A STIPEND FOR EACH BOARD MEMBER TO COVER TRANSPORTATION COSTS TO BOARD MEETINGS.
Form 990, Part VI, Line 15a	Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	THE BOARD FINDS COMPARATIVE SALARY INFORMATION & APPROVES SALARY AMOUNTS. THE BOARD ALSO APPROVES A STIPEND FOR EACH BOARD MEMBER TO COVER TRANSPORTATION COSTS TO BOARD MEETINGS.
Form 990, Part VI, Line 12c	Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	THE BOARD OBTAINS A SIGNED CONFLICT OF INTEREST FORM FROM EACH BOARD MEMBER ON AN ANNUAL BASIS. BOARD MEMBERS ARE ENCOURAGED TO UPDATE THE DOCUMENT IF THE INFORMATION CHANGES WITHIN THE YEAR.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	AN ELECTRONIC COPY OF THE 990 WAS E-MAILED TO ALL BOARD MEMBERS PRIOR TO FILING.
Form 990, Part VI, Line 2	Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	GREG LAFONTAINE, EXECUTIVE DIRECTOR, AND HARLEN LAFONTAINE, BOARD VICE CHAIR, ARE COUSINS.