NORTHERN NEVADA CHILDRENS CANCER FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHERN NEVADA CHILDRENS CANCER FOUNDATION INC (EIN 20-8623503)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-09
IRS object ID
201331299349301103
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)
Timestamp2013-05-09T08:07:56-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Melvin S Ray CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16900 South McCarran Blvd Suite 1040AddressLine1
CityRenoCity
StateNVState
ZIP Code895096133ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208623503EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northern Nevada ChildrensBusinessNameLine1
Business Name Line2Cancer FoundationBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone7753276275Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13550 Barron Way 5AAddressLine1
CityRenoCity
StateNVState
ZIP Code89511ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDebbie StricklandName
TitleExecutive DirectorTitle
Date Signed2013-05-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELVIN S RAY CPAName
PTINP01206345PTIN
Phone7753220671Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts913171GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.childcancer.org/chapters/renoWebSite
Activity Or Mission DescriptionNorthern Nevada Children's Cancer Foundation (NNCCF) is dedicated to helping families with children who are being treated for cancer, by providing direct financial assistance and emotional support as they cope with their child's illness. Our mission is to enhance the quality of life for children with cancer and their families by providing financial assistance and compassionate support programs while advocating for increased research funds and raising public awareness. NNCCF is the only organization dedicated solely to supporting children with cancer and their families in northern Nevada and the Eastern Sierra region.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year466007ContributionsGrantsPriorYear
Contributions Grants Current Year517710ContributionsGrantsCurrentYear
Program Service Revenue Prior Year29338ProgramServiceRevenuePriorYear
Program Service Revenue CY82785ProgramServiceRevenueCY
Investment Income Prior Year-17340InvestmentIncomePriorYear
Investment Income Current Year15166InvestmentIncomeCurrentYear
Other Revenue Prior Year147737OtherRevenuePriorYear
Other Revenue Current Year151388OtherRevenueCurrentYear
Total Revenue Prior Year625742TotalRevenuePriorYear
Total Revenue Current Year767049TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year238078BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY335040BenefitsPaidToMembersCY
Salaries Etc Prior Year117604SalariesEtcPriorYear
Salaries Etc Current Year172451SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3722TotalFundrsngExpCurrentYear
Other Expense Prior Year40065OtherExpensePriorYear
Other Expenses Current Year74525OtherExpensesCurrentYear
Total Expenses Prior Year395747TotalExpensesPriorYear
Total Expenses Current Year582016TotalExpensesCurrentYear
Revenues Less Expenses Prior Year229995RevenuesLessExpensesPriorYear
Revenues Less Expenses CY185033RevenuesLessExpensesCY
Total Assets BOY642595TotalAssetsBOY
Total Assets EOY824619TotalAssetsEOY
Total Liabilities BOY11209TotalLiabilitiesBOY
Total Liabilities EOY8200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY631386NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY816419NetAssetsOrFundBalancesEOY
Mission DescriptionNorthern Nevada Children's Cancer Foundation (NNCCF) is dedicated to helping families with children who are being treated for cancer, by providing direct financial assistance and emotional support as they cope with their child's illness. Our mission is to enhance the quality of life for children with cancer and their families by providing financial assistance and compassionate support programs while advocating for increased research funds and raising public awareness. NNCCF is the only organization dedicated solely to supporting children with cancer and their families in northern Nevada and the Eastern Sierra region.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense548537Expense
DescriptionDuring 2012, NNCCF's Family Assistance Fund aided 91 families, spending $215,152 in direct financial support by providing coverage for a variety of expenses related to treatment, including: medical expenses, insurance deductibles, uncovered procedures, household living expenses, mortgage payments, rent, food, utilities, travel expenses. NNCCF created a new Inspire Survivorship Program in 2012 and granted 18,000 in scholarships, books & vocational training to 7 cancer survivors over the age of 18. Over 72 patients, siblings and family members attended support group events such as Reel Kids Fly Fishing day, movie night, ball games and other outings. NNCCF raised $287,707 to help fund a cure by hosting 2 St. Baldricks events. Over the holidays NNCCF had 259 family members attend the annual Holiday Party and had 31 families adopted for Christmas receiving $18,144 in giftsDescription
Total Program Service Expense548537TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
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 ContributionstrueDeductibleNonCashContributions
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 RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
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 Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDebbie StricklandNamePerson
Telephone Number7753276275TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13550 Barron Way 5AAddressLine1
CityRenoCity
StateNVState
ZIP Code89511ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Kyle Larkin
MEMBER0.000.00000
Kathleen M Taylor
Member0.000.00000
Steve De Long
MEMBER0.000.00000
Cariann Champagne
Member0.000.00000
Dr Robin White
Member0.000.00000
Christy Smith
Member0.000.00000
Pat Schlosser
Member0.000.00000
Doug Roberts
Treasurer0.000.00000
Amy Riley
Member0.000.00000
Meagon Noin
Member0.000.00000
Shirley-Folkins-Roberts
Secretary0.000.00000
Matt Clafton
Vice President0.000.00000
Daniel Buhrmann
President0.000.00000
Taylor Wondries
Member0.000.00000
Tiffany Williamson
Member0.000.00000
Steven Erger
Member0.000.00000
Joel Grace
Member0.000.00000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions517710AllOtherContributions
Noncash Contributions36145NoncashContributions
Total Contributions517710TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCommunity PartnersDescription
Total Revenue Column82785TotalRevenueColumn
Related Or Exempt Function Income82785RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue82785TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11266TotalRevenueColumn
Related Or Exempt Function Income11266RelatedOrExemptFunctionIncome

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities79841Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities75941Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3900Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column3900TotalRevenueColumn
Related Or Exempt Function Income3900RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events188794GrossIncomeFundraisingEvents
Fundraising Direct Expenses63053FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column125741TotalRevenueColumn
Exclusion$80,588ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming32775GrossIncomeGaming
Gaming Direct Expenses7128GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column25647TotalRevenueColumn
Exclusion$25,647ExclusionAmount

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 Column767049TotalRevenueColumn
Related Or Exempt Function Income97951RelatedOrExemptFunctionIncome
Exclusion$106,235ExclusionAmount

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)
Total335040Total
Program Services335040ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total157484Total
Program Services140494ProgramServices
Management And General16990ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14967Total
Program Services13384ProgramServices
Management And General1583ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2300Total
Program Services1840ProgramServices
Management And General345ManagementAndGeneral
Fundraising115Fundraising

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total11459Total
Program Services9167ProgramServices
Management And General1719ManagementAndGeneral
Fundraising573Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1310Total
Program Services1048ProgramServices
Management And General197ManagementAndGeneral
Fundraising65Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total150Total
Program Services120ProgramServices
Management And General23ManagementAndGeneral
Fundraising7Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7876Total
Program Services6301ProgramServices
Management And General1181ManagementAndGeneral
Fundraising394Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2594Total
Program Services2075ProgramServices
Management And General389ManagementAndGeneral
Fundraising130Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Investment Expense46863749703234
Advocacy50204016753251
Dues & Subscriptions64115129962320
Contracted Services16184129472428809

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total16535Total
Program Services13227ProgramServices
Management And General2484ManagementAndGeneral
Fundraising824Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total582016Total
Program Services548537ProgramServices
Management And General29757ManagementAndGeneral
Fundraising3722Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY48866BOY
EOY214673EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY184971BOY
EOY200401EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

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)
BOY7074BOY
EOY2243EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis154779LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec24525LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY133846BOY
EOY130254EOY

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)
BOY267838BOY
EOY277048EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY642595BOY
EOY824619EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11209BOY
EOY8200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11209BOY
EOY8200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY631386BOY
EOY816419EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY631386BOY
EOY816419EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY642595BOY
EOY824619EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses185033ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
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 Minus2 Years388502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year466007CurrentTaxYearMinus1Year
Current Tax Year517711CurrentTaxYear
Total1372220Total

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 Minus2 Years388502CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year466007CurrentTaxYearMinus1Year
Current Tax Year517711CurrentTaxYear
Total1372220Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701372220PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years3138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5703CurrentTaxYearMinus1Year
Current Tax Year11266CurrentTaxYear
Total20107Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years98526CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year124694CurrentTaxYearMinus1Year
Current Tax Year86686CurrentTaxYear
Total309906Total
FieldValueIRS element (for citing)
Total Support1702233TotalSupport
Gross Receipts From Admissions Etc150144GrossReceiptsFromAdmissionsEtc
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis135000OtherCostOrOtherBasis
Depreciation13312Depreciation
Book Value121688BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis11455OtherCostOrOtherBasis
Depreciation7333Depreciation
Book Value4122BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8324OtherCostOrOtherBasis
Depreciation3880Depreciation
Book Value4444BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings130254TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRoundingDescription
Book Value1BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets277048TotalBookValueOtherAssets

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event1132276GrossReceiptsEvent1
Gross Revenue Event1132276GrossRevenueEvent1
Other Direct Expenses Event151688OtherDirectExpensesEvent1
Name Of Event2Elevate Life CampaignNameOfEvent2
Gross Receipts Event256518GrossReceiptsEvent2
Gross Revenue Event256518GrossRevenueEvent2
Other Direct Expenses Event210718OtherDirectExpensesEvent2
Gross Receipts Total188794GrossReceiptsTotal
Gross Revenue Total Events188794GrossRevenueTotalEvents
Other Direct Expenses Total Events62406OtherDirectExpensesTotalEvents
Direct Expense Summary Events62406DirectExpenseSummaryEvents
Net Income Summary126388NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming32775GrossRevenueOtherGaming
Other Direct Expenses Other Gaming7128OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming32775GrossRevenueTotalGaming
Other Direct Expenses Total Gaming7128OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming7128DirectExpenseSummaryGaming
Net Gaming Income Summary25647NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNVStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionGIFTS & SVCSDescription
Noncash Contribs Rptd F99036145NoncashContribsRptdF990
Method Of Determining RevenuesActual ReceiptMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

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 ProcessNo review was or will be conducted.

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