KEYSTONE PLACE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: KEYSTONE PLACE INC (EIN 38-3579425)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-12
IRS object ID: 201323169349304087
Schema version: 2012v2.3
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	2013-11-12T12:26:00-06:00	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	LAYTON & RICHARDSON PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 COOLIDGE RD	AddressLine1
City	EAST LANSING	City
State	MI	State
ZIP Code	488232469	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	383579425	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	KEYSTONE PLACE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	KEYS	NameControl
Phone	2694679081	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	505 E MARKET STREET	AddressLine1
City	CENTREVILLE	City
State	MI	State
ZIP Code	49032	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	KELLI TACKETT	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	2694679081	Phone
Date Signed	2013-07-24	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	VICKIE L CROUCH	Name
Phone	5173321900	Phone
Date Prepared	2013-11-05	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	KELLI TACKETT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	505 E MARKET STREET	AddressLine1
City	CENTREVILLE	City
State	MI	State
ZIP Code	49032	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	538674	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2001	YearFormation
State Legal Domicile	MI	StateLegalDomicile
Activity Or Mission Description	HOMELESS SHELTER FOR FAMILIES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	7	TotalNbrEmployees
Total Nbr Volunteers	44	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	589201	ContributionsGrantsPriorYear
Contributions Grants Current Year	523187	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	11380	ProgramServiceRevenuePriorYear
Program Service Revenue CY	11280	ProgramServiceRevenueCY
Investment Income Prior Year	-422	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5340	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	605499	TotalRevenuePriorYear
Total Revenue Current Year	534467	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	36521	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	34243	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	228749	SalariesEtcPriorYear
Salaries Etc Current Year	227047	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	3808	TotalFundrsngExpCurrentYear
Other Expense Prior Year	334066	OtherExpensePriorYear
Other Expenses Current Year	290548	OtherExpensesCurrentYear
Total Expenses Prior Year	599336	TotalExpensesPriorYear
Total Expenses Current Year	551838	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6163	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-17371	RevenuesLessExpensesCY
Total Assets BOY	702354	TotalAssetsBOY
Total Assets EOY	698604	TotalAssetsEOY
Total Liabilities BOY	111576	TotalLiabilitiesBOY
Total Liabilities EOY	125197	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	590778	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	573407	NetAssetsOrFundBalancesEOY
Mission Description	HOMELESS SHELTER FOR FAMILIES	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	486847	Expense
Grants	34241	Grants
Revenue	11280	Revenue
Description	PROVIDE CARE MANAGEMENT, IN HOUSE SERVICES, AFTER CARE SERVICES, TUTORING FOR CHILDREN, AND TRANSPORTATION. PROVIDING EMERGENCY SHELTER	Description
Total Program Service Expense	486847	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	true	ReportOtherLiabilities
Report Fin48 Footnote	true	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	39	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	7	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	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
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	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	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	MI	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	KELLI TACKETT	NamePerson
Telephone Number	2694679081	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	505 E MARKET STREET	AddressLine1
City	CENTREVILLE	City
State	MI	State
ZIP Code	49032	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JEFF MOHNEY
PRESIDENT	1.00	X	X	0	0	0
CAM SPENCE
VICE PRESIDE	1.00	X	X	0	0	0
CAROL FROHRIEP
TREASURER	8.00	X	X	0	0	0
ANNE GOOD
SECRETARY	1.00	X	X	0	0	0
DIANA ARCHER
DIRECTOR	1.00	X		0	0	0
KRISTIN MCCARVER
DIRECTOR	1.00	X		0	0	0
HAROLD HEMEL
DIRECTOR	1.00	X		0	0	0
BARBARA NEWMAN
DIRECTOR	1.00	X		0	0	0
KIM PERSING
DIRECTOR	1.00	X		0	0	0
MARGARET SHULTZ
DIRECTOR	1.00	X		0	0	0
KELLI TACKETT
EXECUTIVE DI	40.00		X	54235	0	9891

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	54235	TotalReportableCompFromOrg
Total Other Compensation	9891	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Federated Campaigns	20000	FederatedCampaigns
Fundraising Events	53772	FundraisingEvents
Government Grants	343862	GovernmentGrants
All Other Contributions	105553	AllOtherContributions
Total Contributions	523187	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RENT 26415	531110	5880	5880
RENT 26421	531110	5400	5400

Field	Value	IRS element (for citing)
Total Program Service Revenue	11280	TotalProgramServiceRevenue
Gross Income Fundraising Events	4207	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	53772	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	4207	FundraisingDirectExpenses

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	534467	TotalRevenueColumn
Related Or Exempt Function Income	11280	RelatedOrExemptFunctionIncome

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	34243	Total
Program Services	34243	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	54235	Total
Program Services	50697	ProgramServices
Management And General	3457	ManagementAndGeneral
Fundraising	81	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	120635	Total
Program Services	112850	ProgramServices
Management And General	7785	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	4696	Total
Program Services	4151	ProgramServices
Management And General	543	ManagementAndGeneral
Fundraising	2	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29128	Total
Program Services	28991	ProgramServices
Management And General	114	ManagementAndGeneral
Fundraising	23	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	18353	Total
Program Services	18087	ProgramServices
Management And General	260	ManagementAndGeneral
Fundraising	6	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5400	Total
Program Services	1400	ProgramServices
Management And General	4000	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	30843	Total
Program Services	13673	ProgramServices
Management And General	17170	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	113	Total
Management And General	113	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	10088	Total
Program Services	7694	ProgramServices
Management And General	2371	ManagementAndGeneral
Fundraising	23	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	168649	Total
Program Services	162156	ProgramServices
Management And General	6493	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	5559	Total
Program Services	5072	ProgramServices
Management And General	487	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3957	Total
Program Services	3957	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	21389	Total
Program Services	17111	ProgramServices
Management And General	4278	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	13111	Total
Program Services	7863	ProgramServices
Management And General	3864	ManagementAndGeneral
Fundraising	1384	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
VOLUNTEER EXPENSES	9320	3950	5370
MISCELLANEOUS	8155	6192	1963
TELEPHONE	6748	5068	1680
SHELTER SUPPLIES	4207	3172	1035

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	3009	Total
Program Services	520	ProgramServices
Management And General	200	ManagementAndGeneral
Fundraising	2289	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	551838	Total
Program Services	486847	ProgramServices
Management And General	61183	ManagementAndGeneral
Fundraising	3808	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	169600	BOY
EOY	111849	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2591	BOY
EOY	10266	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	38039	BOY
EOY	33647	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5694	BOY
EOY	6542	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	700592	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	165292	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	486430	BOY
EOY	535300	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	1000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	702354	BOY
EOY	698604	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11529	BOY
EOY	10228	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	30449	BOY
EOY	49505	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	68592	BOY
EOY	64458	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1006	BOY
EOY	1006	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	111576	BOY
EOY	125197	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	590778	BOY
EOY	563141	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	10266	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	590778	BOY
EOY	573407	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	702354	BOY
EOY	698604	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-17371	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 Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	457520	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	487704	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	757607	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	589201	CurrentTaxYearMinus1Year
Current Tax Year	523187	CurrentTaxYear
Total	2815219	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	457520	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	487704	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	757607	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	589201	CurrentTaxYearMinus1Year
Current Tax Year	523187	CurrentTaxYear
Total	2815219	Total

Field	Value	IRS element (for citing)
Public Support Total170	2815219	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	440	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	14	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	14	CurrentTaxYearMinus2Years
Total	468	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1490	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10480	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9919	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11380	CurrentTaxYearMinus1Year
Current Tax Year	11280	CurrentTaxYear
Total	44549	Total

Field	Value	IRS element (for citing)
Total Support	2860236	TotalSupport
Gross Receipts From Admissions Etc	15487	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.98430	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99960	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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	14000	OtherCostOrOtherBasis
Book Value	14000	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	686592	OtherCostOrOtherBasis
Depreciation	165292	Depreciation
Book Value	521300	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	535300	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
STURGIS HOUSE SECURITY DEPOSIT	$1,000
FUNDS HELD ON BEHALF OF OTHERS	$6

Field	Value	IRS element (for citing)
Total Of Amounts	1006	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	538674	TotRevenueEtcAuditedFinclStmt
Other Revenues	4207	OtherRevenues
Revenue Not Rptd F990	4207	RevenueNotRptdF990
Revenue Subtotal	534467	RevenueSubtotal
Total Revenue Per Form990	534467	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	556044	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	4207	OtherExpensesIncluded
Expenses Not Rptd F990	4207	ExpensesNotRptdF990
Expenses Subtotal	551837	ExpensesSubtotal
Other Expenses Not Included	1	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	1	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	551838	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	PROFESSIONAL STANDARDS PRESCRIBE A MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN. THE ORGANIZATION HAS ANALYZED TAX POSITIONS TAKEN FOR FILING WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION BELIEVES THAT INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT DECEMBER 31, 2012 AND 2011.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 2D	GOLF FEES 4,207
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	GOLF EXPENSE 4,207
EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 4B	BOOK / TAX DEPRECIATION DIFFERENCE 1

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GOLF OUTING	NameOfEvent1
Gross Receipts Event1	57979	GrossReceiptsEvent1
Charitable Contributions Event1	53772	CharitableContributionsEvent1
Gross Revenue Event1	4207	GrossRevenueEvent1
Other Direct Expenses Event1	4207	OtherDirectExpensesEvent1
Gross Receipts Total	57979	GrossReceiptsTotal
Charitable Contributions Total	53772	CharitableContributionsTotal
Gross Revenue Total Events	4207	GrossRevenueTotalEvents
Other Direct Expenses Total Events	4207	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	4207	DirectExpenseSummaryEvents

Schedule I IRS990ScheduleI

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

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
SPECIFIC ASSISTANCE	141	27004
UTILITIES	36	5209
COURT COSTS	3	300
RELOCATION	1	100
MISCELLANEOUS		1630

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO FILING.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	EACH BOARD MEMBER FILLS OUT AN EVALUATION FORM FOR THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS. THE EVALUATION FORMS ARE THEN SCORED BY ONE BOARD MEMBER, THE RESULTS ARE DISCUSSED AMONG THE BOARD. THE EXECUTIVE DIRECTORS COMPENSATION IS BASED ON THE RESULTS OF THE EVALUATIONS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE ONLY UPON REQUEST.

KEYSTONE PLACE 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 (11 entries)

Program Service Revenue ProgramServiceRevenue (2 entries)

Total Revenue TotalRevenue

Grants To Domestic Individuals GrantsToDomesticIndividuals

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Pension Plan Contributions PensionPlanContributions

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Interest Interest

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

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Deferred Revenue DeferredRevenue

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Other Liabilities OtherLiabilities

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

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Other Income170 OtherIncome170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Other Land Buildings OtherLandBuildings

Other Liabilities OtherLiabilities (2 entries)

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule I IRS990ScheduleI

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Comments