RANDY SAMS OUTREACH SHELTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RANDY SAMS OUTREACH SHELTER (EIN 75-2627181)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-07-03
IRS object ID: 201311849349301026
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
Form 990
Schedule A
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-07-03T17:09:23-05:00	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	CHRISTOPHER A TURNER CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	28 MORRIS LN STE 143	AddressLine1
City	TEXARKANA	City
State	TX	State
ZIP Code	755032115	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	752627181	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RANDY SAMS OUTREACH SHELTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RAND	NameControl
Phone	9037927024	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1226	AddressLine1
City	TEXARKANA	City
State	TX	State
ZIP Code	755041226	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JENNIFER LAURENT	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	9037927024	Phone
Date Signed	2013-05-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHRISTOPHER A TURNER	Name
Phone	9037937533	Phone
Date Prepared	2013-05-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	442227	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.RANDYSAMS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	THE SHELTER PROVIDES FOOD, CLOTHING, MEDICAL CARE, AND SHELTER TO THE HOMELESS. WE PROVIDE JOB TRAINING, DRUG AND ALCOHOL REFERRALS, AND BENEFIT COUNSELING.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	16	NbrIndependentVotingMembers
Total Nbr Employees	11	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	824171	ContributionsGrantsPriorYear
Contributions Grants Current Year	405493	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1506	InvestmentIncomePriorYear
Investment Income Current Year	856	InvestmentIncomeCurrentYear
Other Revenue Prior Year	22334	OtherRevenuePriorYear
Other Revenue Current Year	35878	OtherRevenueCurrentYear
Total Revenue Prior Year	848011	TotalRevenuePriorYear
Total Revenue Current Year	442227	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	159864	SalariesEtcPriorYear
Salaries Etc Current Year	148139	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1282	TotalFundrsngExpCurrentYear
Other Expense Prior Year	346517	OtherExpensePriorYear
Other Expenses Current Year	275564	OtherExpensesCurrentYear
Total Expenses Prior Year	506381	TotalExpensesPriorYear
Total Expenses Current Year	423703	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	341630	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	18524	RevenuesLessExpensesCY
Total Assets BOY	756839	TotalAssetsBOY
Total Assets EOY	753931	TotalAssetsEOY
Total Liabilities BOY	3149	TotalLiabilitiesBOY
Total Liabilities EOY	1501	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	753690	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	752430	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	THE SHELTER PROVIDES FOOD, CLOTHING, MEDICAL CARE, AND SHELTER TO THE HOMELESS. WE PROVIDE JOB TRAINING, DRUG AND ALCOHOL REFERRALS, AND BENEFIT COUNSELING.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	362371	Expense
Description	THE SHELTER PROVIDES FOOD, CLOTHING, MEDICAL CARE, AND SHELTER TO THE HOMELESS. WE PROVIDE JOB TRAINING, DRUG AND ALCOHOL REFERRALS, AND BENEFIT COUNSELING.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	5074	Expense
Description	THE SHELTER PROVIDES FOOD, CLOTHING, MEDICAL CARE, AND SHELTER TO THE HOMELESS. WE PROVIDE JOB TRAINING, DRUG AND ALCOHOL REFERRALS, AND BENEFIT COUNSELING.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	5074	TotalOfOtherProgramServiceExp
Total Program Service Expense	367445	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	false	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
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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	1	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	11	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	16	NumberIndependentVotingMembers
Family Or Business Relationship	false	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JENNIFER LAURENT	NamePerson
Telephone Number	9037927024	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1226	AddressLine1
City	TEXARKANA	City
State	TX	State
ZIP Code	75504	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
FR DOUGLAS ANDERSON
CHAIRPERSON	1.00	X	0	0	0
LEISA PEARLMAN
BOARD MEMBER	1.00	X	0	0	0
GLENDA THRASH
BOARD MEMBER	1.00	X	0	0	0
JULIE COLLINS
BOARD MEMBER	1.00	X	0	0	0
NITA CRAYTOR
BOARD MEMBER	1.00	X	0	0	0
CINDY PORTER
BOARD MEMBER	1.00	X	0	0	0
JEANNIE MILLER
BOARD MEMBER	1.00	X	0	0	0
STEVE THOMPSON
BOARD MEMBER	1.00	X	0	0	0
PATTI SHAFFER
BOARD MEMBER	1.00	X	0	0	0
BARBARA LARRY
BOARD MEMBER	1.00	X	0	0	0
CHARLES COOK
BOARD MEMBER	1.00	X	0	0	0
FR DAVID FAULKNER
BOARD MEMBER	1.00	X	0	0	0
JENNIFER FUTRELL
BOARD MEMBER	1.00	X	0	0	0
WILLIAM QUIN
BOARD MEMBER	1.00	X	0	0	0
GARRETT REDFEARN
BOARD MEMBER	1.00	X	0	0	0
BILL CALLER
TREASURER	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	163787	GovernmentGrants
All Other Contributions	241706	AllOtherContributions
Noncash Contributions	135510	NoncashContributions
Total Contributions	405493	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	856	TotalRevenueColumn
Exclusion	$856	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CIGARS, TINIS, TUNES	14914	14914
NEWS LETTERS	7695	7695
MEMORIALS	6691	6691

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6578	TotalRevenueColumn
Related Or Exempt Function Income	6578	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	35878	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	442227	TotalRevenueColumn
Related Or Exempt Function Income	35878	RelatedOrExemptFunctionIncome
Exclusion	$856	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	136442	Total
Program Services	115085	ProgramServices
Management And General	21357	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11697	Total
Program Services	8188	ProgramServices
Management And General	3509	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5400	Total
Management And General	5400	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1157	Total
Program Services	1157	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6116	Total
Management And General	6116	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	25092	Total
Program Services	25092	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1109	Total
Program Services	1109	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	280	Total
Program Services	280	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	15818	Total
Program Services	15818	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	10536	Total
Management And General	10536	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising
FOOD AND SHELTER EXPS	147710	147710
SUPPLIES	31939	30657	1282
REPAIRS AND MAINTENANCE	13575	13575
TELEPHONE	5093	5093

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11739	Total
Program Services	3681	ProgramServices
Management And General	8058	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	423703	Total
Program Services	367445	ProgramServices
Management And General	54976	ManagementAndGeneral
Fundraising	1282	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	44109	BOY
EOY	37010	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	380959	BOY
EOY	336815	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	64233	BOY
EOY	118912	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	350	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	430686	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	169492	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	267188	BOY
EOY	261194	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	756839	BOY
EOY	753931	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3149	BOY
EOY	1501	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3149	BOY
EOY	1501	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	610273	BOY
EOY	575287	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	143417	BOY
EOY	177143	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	753690	BOY
EOY	752430	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	756839	BOY
EOY	753931	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	18524	ReconcilationRevenueExpenses
Reconcilation Other Changes	-19784	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
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	139991	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	92912	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	392605	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	824171	CurrentTaxYearMinus1Year
Current Tax Year	405493	CurrentTaxYear
Total	1855172	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	23305	CurrentTaxYearMinus1Year
Current Tax Year	35878	CurrentTaxYear
Total	59183	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	139991	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	92912	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	392605	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	847476	CurrentTaxYearMinus1Year
Current Tax Year	441371	CurrentTaxYear
Total	1914355	Total

Field	Value	IRS element (for citing)
Public Support Total509	1914355	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2847	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1036	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1625	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	535	CurrentTaxYearMinus1Year
Current Tax Year	856	CurrentTaxYear
Total	6899	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2847	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1036	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1625	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	535	CurrentTaxYearMinus1Year
Current Tax Year	856	CurrentTaxYear
Total	6899	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	142838	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	93948	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	394230	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	848011	CurrentTaxYearMinus1Year
Current Tax Year	442227	CurrentTaxYear
Total	1921254	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99640	PublicSupportPercentage509
Prior Year Support Percentage	0.99540	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	32245	OtherCostOrOtherBasis
Book Value	32245	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11125	OtherCostOrOtherBasis
Depreciation	2548	Depreciation
Book Value	8577	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	387316	OtherCostOrOtherBasis
Depreciation	166944	Depreciation
Book Value	220372	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	261194	TotalOfBookValueLandBuildings

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Noncash Contribs Rptd F990	135510	NoncashContribsRptdF990

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTION	FORM 990, PAGE 2, PART III, LINE 4D	THE SHELTER PROVIDES FOOD, CLOTHING, MEDICAL CARE, AND SHELTER TO THE HOMELESS. WE PROVIDE JOB TRAINING, DRUG AND ALCOHOL REFERRALS, AND BENEFIT COUNSELING.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC
ADDITIONAL INFORMATION	FORM 990, PART XI	BOOK VS TAX DEPRECIATION
RECONCILIATION OF CHANGES - OTHER	FORM 990, PART XI, LINE 9	BOOK / TAX DEPRECIATION DIFFERENCE 1,181
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	GRANT RECEIVABLE EST CHANGE 20,965

RANDY SAMS OUTREACH SHELTER: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Activity Other ActivityOther

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

Investment Income InvestmentIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

Miscellaneous Revenue MiscellaneousRevenue

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Conferences Meetings ConferencesMeetings

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Pledges And Grants Receivable PledgesAndGrantsReceivable

Accounts Receivable AccountsReceivable

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule D IRS990ScheduleD

Land Land

Equipment Equipment

Other Land Buildings OtherLandBuildings

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Comments