HOSPITALITY HOMES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPITALITY HOMES INC (EIN 04-3204112)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-12
IRS object ID
201302249349301765
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)
Timestamp2013-08-12T11:55:36-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN043018997EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1FULCHINO O'REILLY & COMPANY PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 MIDDLESEX TURNPIKEAddressLine1
CityBURLINGTONCity
StateMAState
ZIP Code01803ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043204112EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITALITY HOMES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8885954678Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 15265AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARYL I GOODMANName
TitleEXECUTIVE DIRECTORTitle
Phone8885954678Phone
Date Signed2013-08-05DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTHOMAS F O'REILLY CPAName
PTINP00151921PTIN
Phone7812705800Phone
Date Prepared2013-08-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARYL I GOODMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1P O BOX 15265AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02215ZIPCode
FieldValueIRS element (for citing)
Gross Receipts420109GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionHOSPITALITY HOMES PROVIDES TEMPORARY HOUSING IN VOLUNTEER HOST HOMES AND OTHER DONATED ACCOMMODATIONS FOR FAMILIES AND FRIENDS OF PATIENTS SEEKING CARE AT BOSTON-AREA MEDICAL CENTERS. HOSPITALITY HOMES' UNIQUE, HOME-AWAY-FROM-HOME LODGING OPTION HAS PROVIDED A CARING RESPONSE AS WELL AS RELIEF FROM EMOTIONAL AND FINANCIAL CHALLENGES FOR THESE INDIVIDUALS AND FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers150TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year403061ContributionsGrantsPriorYear
Contributions Grants Current Year329443ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13341ProgramServiceRevenuePriorYear
Program Service Revenue CY21449ProgramServiceRevenueCY
Investment Income Prior Year4094InvestmentIncomePriorYear
Investment Income Current Year7865InvestmentIncomeCurrentYear
Other Revenue Prior Year13840OtherRevenuePriorYear
Other Revenue Current Year25356OtherRevenueCurrentYear
Total Revenue Prior Year434336TotalRevenuePriorYear
Total Revenue Current Year384113TotalRevenueCurrentYear
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 Year258712SalariesEtcPriorYear
Salaries Etc Current Year270036SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year45357TotalFundrsngExpCurrentYear
Other Expense Prior Year132038OtherExpensePriorYear
Other Expenses Current Year123413OtherExpensesCurrentYear
Total Expenses Prior Year390750TotalExpensesPriorYear
Total Expenses Current Year393449TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43586RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-9336RevenuesLessExpensesCY
Total Assets BOY574032TotalAssetsBOY
Total Assets EOY564979TotalAssetsEOY
Total Liabilities BOY15453TotalLiabilitiesBOY
Total Liabilities EOY941TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY558579NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY564038NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOSPITALITY HOMES PROVIDES TEMPORARY HOUSING IN VOLUNTEER HOST HOMES AND OTHER DONATED ACCOMMODATIONS FOR FAMILIES AND FRIENDS OF PATIENTS SEEKING CARE AT BOSTON-AREA MEDICAL CENTERS. HOSPITALITY HOMES' UNIQUE, HOME-AWAY-FROM-HOME LODGING OPTION HAS PROVIDED A CARING RESPONSE AS WELL AS RELIEF FROM EMOTIONAL AND FINANCIAL CHALLENGES FOR THESE INDIVIDUALS AND FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense302619Expense
Revenue21449Revenue
DescriptionTHROUGH ITS NETWORK OF CLOSE TO 100 HOST HOMES, HOSPITALITY HOMES OFFERS NOT ONLY A COMFORTABLE BED IN WHICH TO SLEEP BUT ALSO A COMPASSIONATE PRESENCE IN AN UNFAMILIAR CITY AND A WELCOMING HOME TO RETURN TO FOR FAMILIES AND FRIENDS WHO SPEND LONG DAYS AT THE HOSPITAL SUPPORTING THEIR LOVED ONES. HOSPITALITY HOMES IS UNIQUE AMONG BOSTON-AREA HOSPITAL HOUSING PROGRAMS BECAUSE IT IS OPEN TO ALL FAMILIES, REGARDLESS OF INCOME, NATIONALITY, OR THE PATIENT'S AGE, DIAGNOSIS, OR TREATMENT FACILITY. OVER 50 PERCENT OF THE PROGRAM'S GUESTS HAVE ANNUAL HOUSEHOLD INCOMES UNDER $40,000, AND ALL FAMILIES ARE CHALLENGED WITH THE HIGH COSTS ASSOCIATED WITH SERIOUS AND/OR CHRONIC ILLNESS. BY PROVIDING ALL HOUSING AT NO COST, HOSPITALITY HOMES SEEKS TO ALLEVIATE FINANCIAL CONSTRAINTS AND ENABLE FAMILIES TO FOCUS BOTH THEIR FINANCIAL AND THEIR EMOTIONAL RESOURCES ON THEIR HOSPITALIZED LOVED ONES. MANY GUESTS REPORT THAT WITHOUT THE HOUSING THAT HOSPITALITY HOMES OFFERS, THEIR FAMILY MEMBERS SIMPLY WOULD NOT BE ABLE TO ACCESS THE LIFE-SAVING OR LIFE-CHANGING TREATMENT THEY NEED. OVER THE COURSE OF ITS 30 YEAR HISTORY, HOSPITALITY HOMES HAS PROVIDED OVER 178,000 NIGHTS OF HOUSING TO MORE THAN 14,700 FAMILIES FROM ACROSS THE COUNTRY AND AROUND THE WORLD. IN 2012, THE PROGRAM PROVIDED 8,000 NIGHTS OF HOUSING TO 649 GUESTS WHO TRAVELED FROM 41 U.S. STATES AND TERRITORIES AND 18 COUNTRIES, SAVING THEM MORE THAN $1 MILLION IN ESTIMATED EQUIVALENT HOTEL FEES. THESE GUESTS ACCOMPANIED PATIENTS SEEKING TREATMENT AT 32 BOSTON-AREA HEALTHCARE FACILITIES, AND STAYED AN AVERAGE OF 13 NIGHTS.Description
Total Program Service Expense302619TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
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 Contributions0DeductibleNonCashContributions
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 With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
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 Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARYL I GOODMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8885954678TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line120 OVERLAND STREET SUITE 204AddressLine1
CityBOSTONCity
StateMAState
ZIP Code02215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
BRIAN STIGLETS
CHAIR3.00XX000
STEPHANIE HARRISTON-DIGGS
VICE CHAIR2.00XX000
HOLLI ROTH
TREASURER3.00XX000
DIANNE CERCE
SECRETARY2.00XX000
ELISABETH HARDING
DIRECTOR1.00X000
BRANDON BIGELOW
DIRECTOR1.00X000
JUDITH CHASIN
DIRECTOR1.00X000
CHRISTINE COLLINS
DIRECTOR3.00X000
TARA O'DONNELL
DIRECTOR2.00X000
PAMELA LODISH
PAST CHAIR2.00X000
ANAND SETH
DIRECTOR1.00X000
MARC VOLPE
DIRECTOR1.00X000
AL HAMMOND
DIRECTOR2.00X000
KATHERINE KEOUGH
PAST CHAIR2.00X000
CARYL GOODMAN
EXECUTIVE DIRECTOR40.00X91162010668
FieldValueIRS element (for citing)
Total Reportable Comp From Org91162TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation10668TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events5673FundraisingEvents
All Other Contributions323770AllOtherContributions
Noncash Contributions13239NoncashContributions
Total Contributions329443TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSERVICE FEESDescription
Business Code900099BusinessCode
Total Revenue Column21449TotalRevenueColumn
Related Or Exempt Function Income21449RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue21449TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7865TotalRevenueColumn
Exclusion$7,865ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events61352GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events5673CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses35996FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column25356TotalRevenueColumn
Exclusion$25,356ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column384113TotalRevenueColumn
Related Or Exempt Function Income21449RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$33,221ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total101830Total
Program Services81464ProgramServices
Management And General5092ManagementAndGeneral
Fundraising15274Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total127966Total
Program Services102373ProgramServices
Management And General6398ManagementAndGeneral
Fundraising19195Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19517Total
Program Services15614ProgramServices
Management And General976ManagementAndGeneral
Fundraising2927Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total20723Total
Program Services16578ProgramServices
Management And General1037ManagementAndGeneral
Fundraising3108Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8000Total
Management And General8000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13833Total
Program Services138ProgramServices
Management And General13695ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3806Total
Program Services3235ProgramServices
Management And General381ManagementAndGeneral
Fundraising190Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total434Total
Program Services347ProgramServices
Management And General87ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16689Total
Program Services14186ProgramServices
Management And General1669ManagementAndGeneral
Fundraising834Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total225Total
Management And General225ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3756Total
Program Services3380ProgramServices
Management And General376ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3577Total
Management And General3577ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
HOSTING EXPENSES4189441894
OUTREACH1044610446
UTILITIES35523197355
DONATED GOODS33893389

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13812Total
Program Services6378ProgramServices
Management And General3605ManagementAndGeneral
Fundraising3829Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total393449Total
Program Services302619ProgramServices
Management And General45473ManagementAndGeneral
Fundraising45357Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total294228Total
Program Services236407ProgramServices
Management And General15788ManagementAndGeneral
Fundraising42033Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY135468BOY
EOY139854EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY190086BOY
EOY140843EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5200BOY
EOY23450EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3419BOY
EOY3355EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14427LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4599LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13584BOY
EOY9828EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY224555BOY
EOY246459EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1720BOY
EOY1190EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY574032BOY
EOY564979EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15453BOY
EOY941EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15453BOY
EOY941EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY391608BOY
EOY448837EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY166971BOY
EOY115201EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY558579BOY
EOY564038EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY574032BOY
EOY564979EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-9336ReconcilationRevenueExpenses
Reconciliation Unrealized Invest14795ReconciliationUnrealizedInvest
Reconcilation Donated Services1030686ReconcilationDonatedServices
Reconcilation Other Changes-1030686ReconcilationOtherChanges
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 Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years398621CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years305785CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years433679CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year403061CurrentTaxYearMinus1Year
Current Tax Year329443CurrentTaxYear
Total1870589Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68121CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years76931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70777CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year78228CurrentTaxYearMinus1Year
Current Tax Year82801CurrentTaxYear
Total376858Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years466742CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years382716CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years504456CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year481289CurrentTaxYearMinus1Year
Current Tax Year412244CurrentTaxYear
Total2247447Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20951CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178949CurrentTaxYearMinus1Year
Current Tax Year174200CurrentTaxYear
Total682380Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years141097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years20951CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years167183CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178949CurrentTaxYearMinus1Year
Current Tax Year174200CurrentTaxYear
Total682380Total
FieldValueIRS element (for citing)
Public Support Total5091565067PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4094CurrentTaxYearMinus1Year
Current Tax Year7865CurrentTaxYear
Total20544Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2759CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3203CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2623CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4094CurrentTaxYearMinus1Year
Current Tax Year7865CurrentTaxYear
Total20544Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years469501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years385919CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years507079CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year485383CurrentTaxYearMinus1Year
Current Tax Year420109CurrentTaxYear
Total2267991Total
FieldValueIRS element (for citing)
Public Support Percentage5090.69010PublicSupportPercentage509
Prior Year Support Percentage0.72900PriorYearSupportPercentage
Investment Income Percentage0.00910InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00670PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 Balance98667BeginningOfYearBalance
End Of Year Balance98667EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance98667BeginningOfYearBalance
End Of Year Balance98667EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance98667BeginningOfYearBalance
End Of Year Balance98667EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance98667BeginningOfYearBalance
End Of Year Balance98667EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14427OtherCostOrOtherBasis
Depreciation4599Depreciation
Book Value9828BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9828TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionVARIOUS INVESTMENTSDescription
Book Value246459BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities246459TotalOfBookValueSecurities

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event163056GrossReceiptsEvent1
Charitable Contributions Event15673CharitableContributionsEvent1
Gross Revenue Event157383GrossRevenueEvent1
Rent Facility Costs Event114750RentFacilityCostsEvent1
Food And Beverage Event15889FoodAndBeverageEvent1
Other Direct Expenses Event115356OtherDirectExpensesEvent1
Gross Receipts Total63056GrossReceiptsTotal
Charitable Contributions Total5673CharitableContributionsTotal
Gross Revenue Total Events57383GrossRevenueTotalEvents
Rent Facility Costs Total Events14750RentFacilityCostsTotalEvents
Food And Beverage Total Events5889FoodAndBeverageTotalEvents
Other Direct Expenses Total Events15356OtherDirectExpensesTotalEvents
Direct Expense Summary Events35995DirectExpenseSummaryEvents
Net Income Summary21388NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11EXECUTIVE DIRECTOR DISTRIBUTES TO EXECUTIVE COMMITTEE AND AUDIT COMMITTEE AND CONTACT TAX PREPARER WITH ANY QUESTIONS OR COMMENTS.
FORM 990, PART VI, SECTION B, LINE 12CCHAIRMAN OF BOARD AFFAIRS COMMITTEE EXPLAINS CONFLICT OF INTEREST POLICY AT BOARD MEETING TO ALL BOARD MEMBERS. HE ANSWERS ALL QUESTIONS. CONFLICT OF INTEREST FORM IS DISTRIBUTED TO ALL BOARD MEMBERS AT MEETING AND VIA EMAIL TO ANY ABSENT MEMBERS. SIGNED FORMS ARE COLLECTED AT BOARD MEETING OR MAILED TO OFFICE. SIGNED COPIES ARE KEPT IN PERMANENT FILES AT OFFICE.
FORM 990, PART VI, SECTION B, LINE 15USE DATA BASE OF SALARIES FOR NONPROFITS TO EXAMINE COMPARABLE SALARIES BASED ON TITLE, JOB DESCRIPTION AND LENGTH OF SERVICE.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST AND OTHER WEB SITES SUCH AS GUIDESTAR.
FORM 990, PART XI, LINE 9:DONATED SERVICES AND USE OF FACILITIES EXPENSE -1,030,686.CHANGES IN NET ASSETS OR FUND BALANCES:

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