SERVICES BY DESIGN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SERVICES BY DESIGN INC (EIN 03-0374478)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201323189349307157
Schema version
2012v2.0
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)
Timestamp2013-11-14T12:25:21-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Hochschild Bloom & Co LLP CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line116100 Chesterfield Pkwy W 125AddressLine1
CityChesterfieldCity
StateMOState
ZIP Code630174829ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN030374478EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SERVICES BY DESIGN INCBusinessNameLine1
Business Name Line2DBA CARING SOLUTIONSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSERVNameControl
Phone3149427350Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11240 DIELMAN INDUSTRIAL CTAddressLine1
CitySAINT LOUISCity
StateMOState
ZIP Code63132ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMADELEINE HAWNName
TitleExecutive DirectorTitle
Date Signed2013-11-14DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAngela Dorn CPAName
PTINP01269368PTIN
Phone6365329525Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMADELEINE HAWNNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1113 APPLEGATE LNAddressLine1
CityBALLWINCity
StateMOState
ZIP Code63011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4434801GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.CARINGSOLUTIONS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionCARING SOLUTIONS PROVIDES COMMUNITY BASED SERVICES TO CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES, MEDICAL NEEDS, AND/OR PSYCHIATRIC AND BEHAVIORAL NEEDS. SERVICES ARE PROVIDED IN SUPPORTED LIVING HOMES, HOST FAMILIES, COMPANION HOMES OR NATURAL HOMES.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year104893ContributionsGrantsPriorYear
Contributions Grants Current Year83243ContributionsGrantsCurrentYear
Program Service Revenue Prior Year3766288ProgramServiceRevenuePriorYear
Program Service Revenue CY4300999ProgramServiceRevenueCY
Investment Income Prior Year1InvestmentIncomePriorYear
Investment Income Current Year3InvestmentIncomeCurrentYear
Other Revenue Prior Year27501OtherRevenuePriorYear
Other Revenue Current Year27985OtherRevenueCurrentYear
Total Revenue Prior Year3898683TotalRevenuePriorYear
Total Revenue Current Year4412230TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2850280SalariesEtcPriorYear
Salaries Etc Current Year3063938SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year93477TotalFundrsngExpCurrentYear
Other Expense Prior Year996518OtherExpensePriorYear
Other Expenses Current Year1425233OtherExpensesCurrentYear
Total Expenses Prior Year3846798TotalExpensesPriorYear
Total Expenses Current Year4489171TotalExpensesCurrentYear
Revenues Less Expenses Prior Year51885RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-76941RevenuesLessExpensesCY
Total Assets BOY512652TotalAssetsBOY
Total Assets EOY572392TotalAssetsEOY
Total Liabilities BOY473641TotalLiabilitiesBOY
Total Liabilities EOY622842TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY39011NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-50450NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCARING SOLUTIONS PROVIDES COMMUNITY BASED SERVICES TO CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES, MEDICAL NEEDS, AND/OR PSYCHIATRIC AND BEHAVIORAL NEEDS. SERVICES ARE PROVIDED IN SUPPORTED LIVING HOMES, HOST FAMILIES, COMPANION HOMES OR NATURAL HOMES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3788229Expense
Revenue4300999Revenue
DescriptionPROVIDE INDIVIDUALIZED ASSISTANCE AND SERVICES TO ADULTS AND CHILDREN WITH DEVELOPMENTAL DISABILITIES.Description
Total Program Service Expense3788229TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees181NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMADELEINE HAWNNamePerson
Telephone Number3149427350TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11240 DIELMAN INDUSTRIAL CTAddressLine1
CitySAINT LOUISCity
StateMOState
ZIP Code63132ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
PRISCELLA BASS-TIMMERBERG
Secretary0.000.00XX000
ROBIN SMITH
Director0.000.00X000
DAVID HOTLE
Director0.000.00X000
JOHN HUTCHENS
Director0.000.00X000
JEANENNE DALLAS
Director0.000.00X000
MARK FELTEN
Director0.000.00X000
BRIAN CORRIGAN
Director0.000.00X000
JIM ZIMMERMAN
Treasurer0.000.00XX000
TOM TENHULA
President0.000.00XX000
RENEE EICKMEIER
Director0.000.00X000
DENNIS WOLDUM
Vice President0.000.00XX000
MICHAEL BLY
Director0.000.00X000
DON KNESE
COO40.000.00X7840600
MADELEINE HAWN
Executive Dir.40.000.00X8957100
SALLY BOYD
DIRECTOR OF DEVELOPMENT20.000.002219700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org190174TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events8315FundraisingEvents
All Other Contributions74928AllOtherContributions
Total Contributions83243TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ASSIST DISABLED ADULTS62161043009994300999
AND CHILDREN
FieldValueIRS element (for citing)
Total Program Service Revenue4300999TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3TotalRevenueColumn
Exclusion$3ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events50556GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events8315CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses22571FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27985TotalRevenueColumn
Exclusion$27,985ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4412230TotalRevenueColumn
Related Or Exempt Function Income4300999RelatedOrExemptFunctionIncome
Exclusion$27,988ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total190174Total
Program Services95088ProgramServices
Management And General47543ManagementAndGeneral
Fundraising47543Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2616773Total
Program Services2385972ProgramServices
Management And General206722ManagementAndGeneral
Fundraising24079Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8203Total
Management And General8203ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3434Total
Program Services3034ProgramServices
Management And General312ManagementAndGeneral
Fundraising88Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total245354Total
Program Services216869ProgramServices
Management And General22225ManagementAndGeneral
Fundraising6260Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12611Total
Management And General12611ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total12490Total
Management And General12490ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total18374Total
Management And General18374ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55050Total
Program Services13762ProgramServices
Management And General35783ManagementAndGeneral
Fundraising5505Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21222Total
Management And General21222ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19000Total
Management And General19000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total21029Total
Program Services498ProgramServices
Management And General20531ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6454Total
Program Services6454ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total302867Total
Program Services146668ProgramServices
Management And General151433ManagementAndGeneral
Fundraising4766Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TELEPHONE451992188822600711
CLIENT RELATED EXPENSES5309153091
AUTO EXPENSE144461144461
CONTRACT SERVICES691245691245

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22140Total
Program Services9199ProgramServices
Management And General8416ManagementAndGeneral
Fundraising4525Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4489171Total
Program Services3788229ProgramServices
Management And General607465ManagementAndGeneral
Fundraising93477Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY3368EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY4005EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY447764BOY
EOY483143EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9838BOY
EOY13020EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43670LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12197LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19260BOY
EOY31473EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY35790BOY
EOY37383EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY512652BOY
EOY572392EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY170632BOY
EOY148020EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY243828BOY
EOY387633EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY59181BOY
EOY87189EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY473641BOY
EOY622842EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY39011BOY
EOY-50450EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY39011BOY
EOY-50450EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY512652BOY
EOY572392EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-76941ReconcilationRevenueExpenses
Reconcilation Prior Adjustment-12520ReconcilationPriorAdjustment
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year118303CurrentTaxYearMinus1Year
Current Tax Year74928CurrentTaxYear
Total526708Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139493CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years105084CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year118303CurrentTaxYearMinus1Year
Current Tax Year74928CurrentTaxYear
Total526708Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170526708PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year1CurrentTaxYearMinus1Year
Current Tax Year3CurrentTaxYear
Total314Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support527022TotalSupport
Public Support Pertcentage1700.99940PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99850PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis43670OtherCostOrOtherBasis
Depreciation12197Depreciation
Book Value31473BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31473TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
SECURITY DEPOSIT30700
DUE FROM CONSUMERS6683
FieldValueIRS element (for citing)
Total Book Value Other Assets37383TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionBANK OVERDRAFTDescription
Amount$87,189Amount
FieldValueIRS element (for citing)
Total Of Amounts87189TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt4412230TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4412230RevenueSubtotal
Total Revenue Per Form9904412230TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4489171TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4489171ExpensesSubtotal
Total Expenses Per Form9904489171TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Organization follows FASB accounting standards for uncertainty in income taxes. These standards require that uncertain income tax positions be "more lkely than not" before the amounts are recognized in the financial statements. Further, the standards require the benefit or expense be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. The Organization has assessed its federal and state tax positions and determined there were no uncertainties or possible related effects that need to be recorded as of and for the years ended December 31, 2012 and 2011.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GRAND GALANameOfEvent1
Gross Receipts Event140854GrossReceiptsEvent1
Charitable Contributions Event17315CharitableContributionsEvent1
Gross Revenue Event133539GrossRevenueEvent1
Non Cash Prizes Event1524NonCashPrizesEvent1
Rent Facility Costs Event15622RentFacilityCostsEvent1
Food And Beverage Event15622FoodAndBeverageEvent1
Entertainment Event1606EntertainmentEvent1
Other Direct Expenses Event13111OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event214045GrossReceiptsEvent2
Charitable Contributions Event21000CharitableContributionsEvent2
Gross Revenue Event213045GrossRevenueEvent2
Non Cash Prizes Event2300NonCashPrizesEvent2
Rent Facility Costs Event22769RentFacilityCostsEvent2
Food And Beverage Event21604FoodAndBeverageEvent2
Other Direct Expenses Event21388OtherDirectExpensesEvent2
Gross Receipts Total54899GrossReceiptsTotal
Charitable Contributions Total8315CharitableContributionsTotal
Gross Revenue Total Events46584GrossRevenueTotalEvents
Non Cash Prizes Total Events824NonCashPrizesTotalEvents
Rent Facility Costs Total Events8391RentFacilityCostsTotalEvents
Food And Beverage Total Events7226FoodAndBeverageTotalEvents
Entertainment Total Events606EntertainmentTotalEvents
Other Direct Expenses Total Events4499OtherDirectExpensesTotalEvents
Direct Expense Summary Events21546DirectExpenseSummaryEvents
Net Income Summary25038NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessTHE CEO, CFO, AND TREASURER REVIEW THE 990 PRIOR TO ITS FILING WITH THE IRS

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