RACHELS HAVEN INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: RACHELS HAVEN INC (EIN 20-2236485)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-15
IRS object ID: 201323199349311712
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 O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-15T19:47:07-06:00	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	THROWER BLANTON & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	612 TRENT ST NE	AddressLine1
City	NORTON	City
State	VA	State
ZIP Code	242731532	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	202236485	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RACHELS HAVEN INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RACH	NameControl
Phone	2767964491	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 148	AddressLine1
City	POUND	City
State	VA	State
ZIP Code	24279	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JANCICE PAYNE	Name
Title	PRESIDENT	Title
Phone	2767964491	Phone
Date Signed	2013-11-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHARLES F LAWSON CPA	Name
Phone	2766792780	Phone
Date Prepared	2013-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JANICE PAYNE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	7530 DAKOTA ROAD	AddressLine1
City	WISE	City
State	VA	State
ZIP Code	24293	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	940734	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2005	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	PROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	45	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	694409	ContributionsGrantsPriorYear
Contributions Grants Current Year	931819	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	8915	OtherRevenueCurrentYear
Total Revenue Prior Year	694409	TotalRevenuePriorYear
Total Revenue Current Year	940734	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	444489	SalariesEtcPriorYear
Salaries Etc Current Year	667986	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	238267	OtherExpensePriorYear
Other Expenses Current Year	275001	OtherExpensesCurrentYear
Total Expenses Prior Year	682756	TotalExpensesPriorYear
Total Expenses Current Year	942987	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11653	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2253	RevenuesLessExpensesCY
Total Assets BOY	120938	TotalAssetsBOY
Total Assets EOY	94089	TotalAssetsEOY
Total Liabilities BOY	32521	TotalLiabilitiesBOY
Total Liabilities EOY	51012	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	88417	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	43077	NetAssetsOrFundBalancesEOY
Mission Description	PROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	893307	Expense
Description	THE ORGANIZATION PROVIDES HOUSING FOR MENTALLY CHALLANGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	Description
Total Program Service Expense	893307	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	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	false	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	45	NumberOfEmployees
Employment Tax Returns Filed	false	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
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	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	false	ConflictOfInterestPolicy
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	JANICE PAYNE	NamePerson
Telephone Number	2767964491	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7503B ORBY CANTRELL HIGHWAY	AddressLine1
City	POUND	City
State	VA	State
ZIP Code	24279	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JANICE PAYNE
PRESIDENT	40.00	X	X	40500	0	0
TERRY PAYNE
VICE PRESIDE	20.00	X	X	20790	0	0
JODIE COVINGTON
DIRECTOR	1.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	61290	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	931819	AllOtherContributions
Total Contributions	931819	TotalContributions

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER INCOME	Description
Total Revenue Column	8915	TotalRevenueColumn
Related Or Exempt Function Income	8915	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	8915	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	940734	TotalRevenueColumn
Related Or Exempt Function Income	8915	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	571566	Total
Program Services	551316	ProgramServices
Management And General	20250	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	41809	Total
Program Services	41809	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	54611	Total
Program Services	54611	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1241	Total
Management And General	1241	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7270	Total
Management And General	7270	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	30542	Total
Program Services	30542	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	763	Total
Management And General	763	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3451	Total
Management And General	3451	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	11475	Total
Program Services	11475	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	32178	Total
Program Services	32178	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUPPLIES	61942	59650	2292
MEALS FOR RESIDENTS	43428	43428
REPAIRS & MAINTENANCE	18608	18608
AUTO EXPENSE	16576	16576

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	47527	Total
Program Services	33114	ProgramServices
Management And General	14413	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	942987	Total
Program Services	893307	ProgramServices
Management And General	49680	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	31794	BOY
EOY	9125	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	127346	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	42382	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	89144	BOY
EOY	84964	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	120938	BOY
EOY	94089	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4354	BOY
EOY	10144	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	28167	BOY
EOY	40868	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	32521	BOY
EOY	51012	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	88417	BOY
EOY	43077	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	88417	BOY
EOY	43077	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	120938	BOY
EOY	94089	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-2253	ReconcilationRevenueExpenses
Reconcilation Other Changes	-43087	ReconcilationOtherChanges
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
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	374978	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	399599	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	519966	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	694409	CurrentTaxYearMinus1Year
Current Tax Year	931819	CurrentTaxYear
Total	2920771	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	374978	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	399599	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	519966	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	694409	CurrentTaxYearMinus1Year
Current Tax Year	931819	CurrentTaxYear
Total	2920771	Total

Field	Value	IRS element (for citing)
Public Support Total170	2920771	PublicSupportTotal170
Total Support	2920771	TotalSupport
Gross Receipts From Admissions Etc	8915	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	127346	OtherCostOrOtherBasis
Depreciation	42382	Depreciation
Book Value	84964	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	84964	TotalOfBookValueLandBuildings

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	NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	PRIOR NOTE PAYABLE ADJUSTMENT 43,087

RACHELS HAVEN 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 (3 entries)

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

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

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Schedule D IRS990ScheduleD

Equipment Equipment

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Comments