MISSION HOUSE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MISSION HOUSE INC (EIN 59-3376704)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-08-30
IRS object ID: 201312429349300411
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 B
Schedule D
Schedule G
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-08-30T11:40:37-05:00	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	JAMES KNUTZEN & ASSOC CPA'S PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5150 BELFORT RD BLDG 300	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32256	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	593376704	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOUSE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MISS	NameControl
Phone	9042416767	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	LORI ANDERSON	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	9042416767	Phone
Date Signed	2013-08-28	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	MICHAEL J CONNELLY	Name
Phone	9047255832	Phone
Date Prepared	2013-08-30	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)
Name Of Principal Officer Person	LORI DELGADO ANDERSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	504217	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MISSIONHOUSEJAX.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	PROVIDING LIFE SERVICES TO THE NEEDY, SUCH AS MEALS, CLOTHING, SHOWERS, MEDICAL SERVICES, HOUSING AND EMPLOYMENT REFERRALS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	10	TotalNbrEmployees
Total Nbr Volunteers	425	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	345978	ContributionsGrantsPriorYear
Contributions Grants Current Year	381709	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1632	InvestmentIncomePriorYear
Investment Income Current Year	42550	InvestmentIncomeCurrentYear
Other Revenue Prior Year	75361	OtherRevenuePriorYear
Other Revenue Current Year	63608	OtherRevenueCurrentYear
Total Revenue Prior Year	422971	TotalRevenuePriorYear
Total Revenue Current Year	487867	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	80066	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	56897	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	260761	SalariesEtcPriorYear
Salaries Etc Current Year	264198	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	13210	TotalFundrsngExpCurrentYear
Other Expense Prior Year	98602	OtherExpensePriorYear
Other Expenses Current Year	87934	OtherExpensesCurrentYear
Total Expenses Prior Year	439429	TotalExpensesPriorYear
Total Expenses Current Year	409029	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-16458	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	78838	RevenuesLessExpensesCY
Total Assets BOY	872863	TotalAssetsBOY
Total Assets EOY	954557	TotalAssetsEOY
Total Liabilities BOY	4186	TotalLiabilitiesBOY
Total Liabilities EOY	7042	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	868677	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	947515	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDING LIFE SERVICES TO THE NEEDY, SUCH AS MEALS, CLOTHING, SHOWERS, MEDICAL SERVICES, HOUSING AND EMPLOYMENT REFERRALS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	332948	Expense
Grants	56897	Grants
Description	MAINTENANCE OF BUILDING & AMENITIES IN ORDER TO PREPARE & SERVE FOOD & PROVIDE EMERGENCY ASSISTANCE IN THE FORM OF HOUSING, HEAT, TRANSPORTATION, LODGING, & JOB PREPAREDNESS TO THE HOMELESS AND NEEDY. SECURING SAFE TEMPORARY HOUSING FOR HOMELESS INDIVIDUALS WITH THE GOAL OF TRANSITION INTO THE MAINSTREAM OF COMMUNITY LIFE.	Description
Total Program Service Expense	332948	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	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	true	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	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	true	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	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	1	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	10	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
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	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	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LORI DELGADO ANDERSON	NamePerson
Telephone Number	9042416767	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JIM SHIELDS
SECRETARY	2.00	X	X	0	0	0
CHARLYN BARRETT
PRESIDENT	2.00	X	X	0	0	0
JOYE SCOTT
DIRECTOR	2.00	X		0	0	0
ADA HAMMOND
DIRECTOR	2.00	X	X	0	0	0
MARY JANE TRAVIS
REC. SECRETA	2.00	X	X	0	0	0
JULIEANN WEBER
DIRECTOR	2.00	X		0	0	0
PHIL WISE
TREASURER	2.00	X	X	0	0	0
STEVEN LANGE
VICE PRESIDE	2.00	X		0	0	0
LUKE JERNAGAN
DIRECTOR	2.00	X		0	0	0
LORI DELGADO ANDERSON
EXECUTIVE DI	40.00		X	63234	0	0
BOB HAYES
PAST PRESIDE	2.00		X	0	0	0
TOM HILTON MD
DIRECTOR	2.00		X	0	0	0
KATIE WILES LUEBKER
DIRECTOR	2.00		X	0	0	0
TOM PERRY
DIRECTOR	2.00		X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	63234	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	13933	GovernmentGrants
All Other Contributions	367776	AllOtherContributions
Total Contributions	381709	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	42550	TotalRevenueColumn
Exclusion	$42,550	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	79958	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	16350	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	63608	TotalRevenueColumn
Exclusion	$63,608	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	487867	TotalRevenueColumn
Exclusion	$106,158	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	56897	Total
Program Services	56897	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	63234	Total
Program Services	30793	ProgramServices
Management And General	21627	ManagementAndGeneral
Fundraising	10814	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	153040	Total
Program Services	153040	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	30495	Total
Program Services	25920	ProgramServices
Management And General	3050	ManagementAndGeneral
Fundraising	1525	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	17429	Total
Program Services	14815	ProgramServices
Management And General	1743	ManagementAndGeneral
Fundraising	871	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4000	Total
Management And General	4000	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	2757	Total
Management And General	2757	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2578	Total
Management And General	2578	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30313	Total
Program Services	24250	ProgramServices
Management And General	6063	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11243	Total
Program Services	9557	ProgramServices
Management And General	1686	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	6945	Total
Program Services	5556	ProgramServices
Management And General	1389	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MAINTENANCE & REPAIRS	11696	9357	2339
POSTAGE AND PRINTING	4964		4964
PROFESSIONAL DEVELOPMENT	4528		4528
TELEPHONE	3454	2763	691

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	5456	Total
Management And General	5456	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	409029	Total
Program Services	332948	ProgramServices
Management And General	62871	ManagementAndGeneral
Fundraising	13210	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	91301	BOY
EOY	148563	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	482452	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	232332	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	247956	BOY
EOY	250120	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	533606	BOY
EOY	555874	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	872863	BOY
EOY	954557	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4186	BOY
EOY	7042	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	4186	BOY
EOY	7042	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	868677	BOY
EOY	947515	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	868677	BOY
EOY	947515	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	872863	BOY
EOY	954557	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	78838	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
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	283008	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	328132	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	500925	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	345978	CurrentTaxYearMinus1Year
Current Tax Year	381709	CurrentTaxYear
Total	1839752	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	19595	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	32345	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	19304	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	88579	CurrentTaxYearMinus1Year
Current Tax Year	115033	CurrentTaxYear
Total	274856	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	302603	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	360477	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	520229	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	434557	CurrentTaxYearMinus1Year
Current Tax Year	496742	CurrentTaxYear
Total	2114608	Total

Field	Value	IRS element (for citing)
Public Support Total509	2114608	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12591	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13360	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	23189	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1632	CurrentTaxYearMinus1Year
Current Tax Year	42550	CurrentTaxYear
Total	93322	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	12591	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13360	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	23189	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1632	CurrentTaxYearMinus1Year
Current Tax Year	42550	CurrentTaxYear
Total	93322	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	315194	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	373837	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	543418	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	436189	CurrentTaxYearMinus1Year
Current Tax Year	539292	CurrentTaxYear
Total	2207930	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.95770	PublicSupportPercentage509
Prior Year Support Percentage	0.96430	PriorYearSupportPercentage
Investment Income Percentage	0.04000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.04000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37500	OtherCostOrOtherBasis
Book Value	37500	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	319282	OtherCostOrOtherBasis
Depreciation	126605	Depreciation
Book Value	192677	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	125670	OtherCostOrOtherBasis
Depreciation	105727	Depreciation
Book Value	19943	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	250120	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	487867	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	487867	RevenueSubtotal
Total Revenue Per Form990	487867	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	409029	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	409029	ExpensesSubtotal
Total Expenses Per Form990	409029	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FALL FUNDRAISER	NameOfEvent1
Gross Receipts Event1	79958	GrossReceiptsEvent1
Gross Revenue Event1	79958	GrossRevenueEvent1
Rent Facility Costs Event1	4000	RentFacilityCostsEvent1
Food And Beverage Event1	425	FoodAndBeverageEvent1
Entertainment Event1	1000	EntertainmentEvent1
Other Direct Expenses Event1	10925	OtherDirectExpensesEvent1
Gross Receipts Total	79958	GrossReceiptsTotal
Gross Revenue Total Events	79958	GrossRevenueTotalEvents
Rent Facility Costs Total Events	4000	RentFacilityCostsTotalEvents
Food And Beverage Total Events	425	FoodAndBeverageTotalEvents
Entertainment Total Events	1000	EntertainmentTotalEvents
Other Direct Expenses Total Events	10925	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16350	DirectExpenseSummaryEvents
Net Income Summary	63608	NetIncomeSummary

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Amount Of Cash GrantAmountOfCashGrant
FOOD & SUPPLIES	15607
MEDICAL	29540
EMERGENCY HOUSING	2596
MISCELLANEOUS SERVICES	8082
TRANSPORTATION	1072

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER, AND THEN SIGNED BY THE EXECUTIVE DIRECTOR.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	POSSIBLE CONFLICTS OF INTEREST ARE DISCUSSED AT EITHER THE BOARD MEETINGS OR EXECUTIVE COMMITTEE MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE EXECUTIVE DIRECTOR MEETS WITH THE BOARD PRESIDENT AND AT LEAST ONE OTHER BOARD OFFICER FOR AN ANNUAL REVIEW. AN ASSESSMENT OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DISCUSSED AT THE REVIEW. THE COMPENSATION IS THEN TAKEN TO THE FULL BOARD FOR A VOTE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	AVAILABLE UPON REQUEST.

MISSION HOUSE INC: 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

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

Investment Income InvestmentIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Total Revenue TotalRevenue

Grants To Domestic Individuals GrantsToDomesticIndividuals

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

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 B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule I IRS990ScheduleI

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

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