UPPER VALLEY HAVEN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UPPER VALLEY HAVEN INC (EIN 03-0277908)
Tax period
2012-04-01 to 2013-03-31
Filed
2013-07-22
IRS object ID
201302039349300725
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

FieldValueIRS element (for citing)
Timestamp2013-07-22T13:31:35-05:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN020476956EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TYLER SIMMS & ST SAUVEUR PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line119 MORGAN DRIVEAddressLine1
CityLEBANONCity
StateNHState
ZIP Code03766ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030277908EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE UPPER VALLEY HAVEN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUPPENameControl
Phone8022956500Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1713 HARTFORD AVENUEAddressLine1
CityWHITE RIVER JUNCTIONCity
StateVTState
ZIP Code05001ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARA KOBYLENSKIName
TitleEXECUTIVE DIRECTORTitle
Phone8022956500Phone
Date Signed2013-07-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameW JAY SIMMSName
PTINP00435321PTIN
Phone6036530044Phone
Date Prepared2013-07-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSARA KOBYLENSKINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1713 HARTFORD AVEAddressLine1
CityWHITE RIVER JUNCTIONCity
StateVTState
ZIP Code05001ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3126413GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.UPPERVALLEYHAVEN.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileVTStateLegalDomicile
Activity Or Mission DescriptionTHE UPPER VALLEY HAVEN SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING SHELTER AND EDUCATION TO HOMELESS FAMILIES, AND FOOD, CLOTHING AND SUPPORT TO ANYONE IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees33TotalNbrEmployees
Total Nbr Volunteers580TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2918991ContributionsGrantsPriorYear
Contributions Grants Current Year2959837ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year32062InvestmentIncomePriorYear
Investment Income Current Year35679InvestmentIncomeCurrentYear
Other Revenue Prior Year139749OtherRevenuePriorYear
Other Revenue Current Year109441OtherRevenueCurrentYear
Total Revenue Prior Year3090802TotalRevenuePriorYear
Total Revenue Current Year3104957TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1414766SalariesEtcPriorYear
Salaries Etc Current Year1379884SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year279661TotalFundrsngExpCurrentYear
Other Expense Prior Year1868451OtherExpensePriorYear
Other Expenses Current Year2067045OtherExpensesCurrentYear
Total Expenses Prior Year3283217TotalExpensesPriorYear
Total Expenses Current Year3446929TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-192415RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-341972RevenuesLessExpensesCY
Total Assets BOY6396812TotalAssetsBOY
Total Assets EOY6140997TotalAssetsEOY
Total Liabilities BOY120920TotalLiabilitiesBOY
Total Liabilities EOY97222TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6275892NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6043775NetAssetsOrFundBalancesEOY
Mission DescriptionTHE UPPER VALLEY HAVEN SERVES PEOPLE STRUGGLING WITH POVERTY BY PROVIDING SHELTER AND EDUCATION TO HOMELESS FAMILIES, AND FOOD, CLOTHING AND SUPPORT TO ANYONE IN NEED.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1020541Expense
DescriptionSHELTER- FAMILY SHELTER HAS CAPACITY TO HOUSE 8 HOMELESS FAMILIES WITH CHILDREN. WE SERVED 39 FAMILIES IN FY 2013. THE ADULT SHELTER HAS CAPACITY TO HOUSE 22. WE SERVED 132 IN FY 2013.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2006669Expense
DescriptionCOMMUNITY SERVICES, WHICH INCLUDES ALL OTHER DIRECT SERVICE ACTIVITIES, SUCH AS THE FOOD SHELF, THE CLOTHING ROOM, THE PUBLIC SHOWER, AND COMMUNITY CASE MANAGEMENT WITH AFTERCARE.Description
FieldValueIRS element (for citing)
Total Program Service Expense3027210TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees33NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of1Form8282PropertyDisposedOf
Number Of8282 Filed1NumberOf8282Filed
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed1Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8022956500TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1713 HARTFORD AVENUEAddressLine1
CityWHITE RIVER JUNCTIONCity
StateVTState
ZIP Code05001ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CASS OLSEN
VICE PRESIDENT4.00XX000
ANNA HORVATH
SECRETARY2.00XX000
EDWARD BORAZ
MEMBER1.00X000
CATHRYN NUNLIST
MEMBER1.00X000
JANE DARRACH
MEMBER1.00X000
MICHAEL O'NEIL
MEMBER1.00X000
ROGER SHEPARD
MEMBER1.00X000
WILLIAM NISEN
VICE PRESIDENT4.00XX000
FREDERICK WALTER
MEMBER1.00X000
BRETT PELTZER
MEMBER1.00X000
RICHARD COTE
PRESIDENT4.00XX000
DENISE ANDERSON
MEMBER1.00X000
DOUGLAS LOUDON
TREASURER8.00XX000
DAVID NIERENBERG
MEMBER1.00X000
SARA KOBYLENSKI
EXECUTIVE DIRECTOR40.00X7500002855
FieldValueIRS element (for citing)
Total Reportable Comp From Org75000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation2855TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants89164GovernmentGrants
All Other Contributions2870673AllOtherContributions
Noncash Contributions1198104NoncashContributions
Total Contributions2959837TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column31424TotalRevenueColumn
Exclusion$31,424ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4255Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4255Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4255TotalRevenueColumn
Exclusion$4,255ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events123748GrossIncomeFundraisingEvents
Fundraising Direct Expenses21456FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column102292TotalRevenueColumn
Exclusion$102,292ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISC INCOMEDescription
Business Code624200BusinessCode
Total Revenue Column7149TotalRevenueColumn
Exclusion$7,149ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7149TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3104957TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$145,120ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total77855Total
Program Services38928ProgramServices
Management And General19464ManagementAndGeneral
Fundraising19463Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1027996Total
Program Services875423ProgramServices
Management And General25728ManagementAndGeneral
Fundraising126845Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total191366Total
Program Services165136ProgramServices
Management And General6628ManagementAndGeneral
Fundraising19602Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total82667Total
Program Services68179ProgramServices
Management And General3444ManagementAndGeneral
Fundraising11044Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total36322Total
Management And General36322ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34751Total
Program Services23518ProgramServices
Management And General10258ManagementAndGeneral
Fundraising975Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total143998Total
Program Services137781ProgramServices
Management And General4065ManagementAndGeneral
Fundraising2152Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total16902Total
Program Services16172ProgramServices
Management And General477ManagementAndGeneral
Fundraising253Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
IN-KIND DONATION11612921161292
FOOD PROCUREMENT247629247629
OTHER EXPENSES2026131446092258835416
DEVELOPMENT EXPENSES9340724031741061966

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total130131Total
Program Services124512ProgramServices
Management And General3674ManagementAndGeneral
Fundraising1945Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3446929Total
Program Services3027210ProgramServices
Management And General140058ManagementAndGeneral
Fundraising279661Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY619744BOY
EOY397998EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY203169BOY
EOY228874EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4925BOY
EOY2787EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY33943BOY
EOY40654EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY40926BOY
EOY46920EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4620436LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec800550LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3904387BOY
EOY3819886EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1582217BOY
EOY1598455EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7501BOY
EOY5423EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6396812BOY
EOY6140997EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY94282BOY
EOY80003EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26638BOY
EOY17219EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY120920BOY
EOY97222EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5866740BOY
EOY5746015EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY303652BOY
EOY192260EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY105500BOY
EOY105500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6275892BOY
EOY6043775EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6396812BOY
EOY6140997EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-341972ReconcilationRevenueExpenses
Reconciliation Unrealized Invest109855ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review1AccountantCompileOrReview

Accountant Compile Or Review Basis AccountantCompileOrReviewBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
FS Audited0FSAudited
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1583184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2957064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2704248CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2918991CurrentTaxYearMinus1Year
Current Tax Year2959837CurrentTaxYear
Total13123324Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1583184CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2957064CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2704248CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2918991CurrentTaxYearMinus1Year
Current Tax Year2959837CurrentTaxYear
Total13123324Total
FieldValueIRS element (for citing)
Public Support Total17013123324PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years30719CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20121CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29313CurrentTaxYearMinus1Year
Current Tax Year31424CurrentTaxYear
Total140372Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50795CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years51391CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years99321CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112659CurrentTaxYearMinus1Year
Current Tax Year130897CurrentTaxYear
Total445063Total
FieldValueIRS element (for citing)
Total Support13708759TotalSupport
Public Support Pertcentage1700.95730PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95490PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1582217BeginningOfYearBalance
Contributions36812Contributions
Investment Earnings Or Losses145354InvestmentEarningsOrLosses
Other Expenditures165928OtherExpenditures
End Of Year Balance1598455EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1394926BeginningOfYearBalance
Contributions214652Contributions
Investment Earnings Or Losses91482InvestmentEarningsOrLosses
Other Expenditures118843OtherExpenditures
End Of Year Balance1582217EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1414967BeginningOfYearBalance
Contributions25083Contributions
Investment Earnings Or Losses161777InvestmentEarningsOrLosses
Other Expenditures206901OtherExpenditures
End Of Year Balance1394926EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance858413BeginningOfYearBalance
Contributions465360Contributions
Investment Earnings Or Losses91194InvestmentEarningsOrLosses
End Of Year Balance1414967EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance202516BeginningOfYearBalance
Contributions764749Contributions
Investment Earnings Or Losses-108852InvestmentEarningsOrLosses
End Of Year Balance858413EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.93000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.07000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis201018OtherCostOrOtherBasis
Book Value201018BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4115210OtherCostOrOtherBasis
Depreciation632355Depreciation
Book Value3482855BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis31894OtherCostOrOtherBasis
Depreciation26879Depreciation
Book Value5015BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis254547OtherCostOrOtherBasis
Depreciation129011Depreciation
Book Value125536BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17767OtherCostOrOtherBasis
Depreciation12305Depreciation
Book Value5462BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3819886TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFUNDS HELD FOR OTHERSDescription
Amount$17,219Amount
FieldValueIRS element (for citing)
Total Of Amounts17219TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationPROVIDE FOUNDATION FOR LONGEVITY OF ORGANIZATIONExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CHEFSNameOfEvent1
Gross Receipts Event131528GrossReceiptsEvent1
Gross Revenue Event131528GrossRevenueEvent1
Other Direct Expenses Event14857OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event242320GrossReceiptsEvent2
Gross Revenue Event242320GrossRevenueEvent2
Other Direct Expenses Event211661OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events49900GrossReceiptsOtherEvents
Gross Revenue Other Events49900GrossRevenueOtherEvents
Other Direct Expenses Other Events4938OtherDirectExpensesOtherEvents
Gross Receipts Total123748GrossReceiptsTotal
Gross Revenue Total Events123748GrossRevenueTotalEvents
Other Direct Expenses Total Events21456OtherDirectExpensesTotalEvents
Direct Expense Summary Events21456DirectExpenseSummaryEvents
Net Income Summary102292NetIncomeSummary

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990210000NoncashContribsRptdF990
Method Of Determining RevenuesESTIMATEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions11NumberOfContributions
Noncash Contribs Rptd F99036812NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990951167NoncashContribsRptdF990
Method Of Determining RevenuesESTIMATEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionOTHER IN-KIND DONATIONDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990125NoncashContribsRptdF990
Method Of Determining RevenuesACTUALMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used1ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierTHIRD PARTY USE:Identifier
Return ReferencePART I, LINE 32B:ReturnReference
ExplanationSTOCK CONTRIBUTIONS ARE MADE DIRECTLY INTO THE SCHWAB LONG TERM INVESTMENT FUND AS PERMITTED INVESTMENTS UNDER THE INVESTMENTS GUIDELINES (BOARD APPROVED). JUDGEMENTS ARE MADE ON THE BEST TIMING FOR THE SALE OF SUCH GIFTS BY THE INVESTMENT ADVISOR/FINANCE COMMITTEE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CIF ANY MEMBER OR THE BOARD OF DIRECTORS HAS A CONFLICT, IT NEEDS TO BE DISCLOSED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN VOTES TO DETERMINE IF THE MEMBER CAN CONTINUE TO SERVE OF THE BOARD. IN ADDITION, THE MEMBER WITH THE CONFLICT MUST REPORT TO THE REST OF THE BOARD OF DIRECTORS ON THE STATUS OF THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS USED REGIONAL COMPARABLES TO DETERMINE THE SALARY OF THE ORGANIZATION'S EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS AND INFORMATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE FINANCE COMMITTEE ASSUMES THE RESPONSIBILITY OF OVERSIGHT AUDIT/REVIEW AND SELECTION OF INDEPENDENT AUDITOR.

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