RONALD MCDONALD HOUSE CHARITIES OF AUGUSTA INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RONALD MCDONALD HOUSE CHARITIES OF AUGUSTA INC (EIN 58-1509465)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201332269349304038
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)
Timestamp2013-08-14T11:19:26-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN582429864EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Diane W MARINE CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14542 Windsor Oaks CourtAddressLine1
CityMariettaCity
StateGAState
ZIP Code30066ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581509465EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Ronald McDonald House Charities of Augusta IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRONANameControl
Phone7067245901Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 14189AddressLine1
CityAugustaCity
StateGAState
ZIP Code30919ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFreda BakerName
TitleChairpersonTitle
Phone7067245901Phone
Date Signed2013-07-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDiane MarineName
PTINP00909349PTIN
Phone7709247701Phone
Date Prepared2013-07-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonFreda BakerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 14189AddressLine1
CityAugustaCity
StateGAState
ZIP Code30919ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1385338GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionProvide for the health and well being of children and their families.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees17TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year506753ContributionsGrantsPriorYear
Contributions Grants Current Year1360403ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5983ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year23785InvestmentIncomePriorYear
Investment Income Current Year24131InvestmentIncomeCurrentYear
Other Revenue Prior Year77OtherRevenuePriorYear
Other Revenue Current Year804OtherRevenueCurrentYear
Total Revenue Prior Year536598TotalRevenuePriorYear
Total Revenue Current Year1385338TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20720GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21479GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year273660SalariesEtcPriorYear
Salaries Etc Current Year289378SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year57837TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY101833TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year237106TotalFundrsngExpCurrentYear
Other Expense Prior Year204966OtherExpensePriorYear
Other Expenses Current Year153474OtherExpensesCurrentYear
Total Expenses Prior Year557183TotalExpensesPriorYear
Total Expenses Current Year566164TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-20585RevenuesLessExpensesPriorYear
Revenues Less Expenses CY819174RevenuesLessExpensesCY
Total Assets BOY1453402TotalAssetsBOY
Total Assets EOY2288077TotalAssetsEOY
Total Liabilities BOY40897TotalLiabilitiesBOY
Total Liabilities EOY12080TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1412505NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2275997NetAssetsOrFundBalancesEOY
Mission DescriptionProvide for the health and well being of children and their families.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense282747Expense
Grants0Grants
Revenue0Revenue
DescriptionPatient and Family Housing- Ronald McDonald House provides temporary lodging and other assistance to the out of town families of ill or injured children receiving medical treatment and care in the Augusta area.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense21479Expense
Grants20000Grants
Revenue0Revenue
DescriptionScholarship Program: Future Achievers provides educational scholarship to college for a specific group of Children.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense304226TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees17NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCindye DempseyNamePerson
Telephone Number7068633637TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 15113AddressLine1
CityAugustaCity
StateGAState
ZIP Code30919ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Dr Chantrapa Bunyapen
board member20X000
David Cravens
Board Member20X000
Dee Crawford
Advisor to Board of Directors20X000
Tommy Dozier III
Board member20X000
Beth Fisher RN PNP
Board Member20X000
William Lavery
Board Member20X000
John Martin
Board Member20X000
Bernard Roberson
Board Member20X000
James A Mumford
Board Member20X000
Mary Bryan Robbins
Board member20X000
Jerry Shumpert
Board Member20X000
Pat Goodwin
Board Member20X000
Carrie Hodge
Board member20X000
Linda Miller
Board Member20X000
Abu Khan
Board Member20X000
Donna Webb
Board Member20X000
Kari Baker
Board Member20X000
James O'Neal
Board member20X000
Velvet Perry
Board Member20X000
James Weston
Board Member20X000
Carolyn Tynan
Board member20X000
Freda Baker
Chairperson100000X
Jennifer Bonness
Secretary30000X
Jay Sanders
Treasurer50000X
Betts Murdison
Executive Director5007088400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org70884TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns45164FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events188801FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions1126438AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions1360403TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column24131TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,131ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events188801CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column804TotalRevenueColumn
Related Or Exempt Function Income804RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue804TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1385338TotalRevenueColumn
Related Or Exempt Function Income804RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$24,131ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total21479Total
Program Services21479ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total260672Total
Program Services179199ProgramServices
Management And General7089ManagementAndGeneral
Fundraising74384Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7668Total
Program Services4656ProgramServices
Management And General519ManagementAndGeneral
Fundraising2493Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21038Total
Program Services10856ProgramServices
Management And General857ManagementAndGeneral
Fundraising9325Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9231Total
Program Services0ProgramServices
Management And General9231ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total101833Total
Fundraising101833Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39278Total
Fundraising39278Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10540Total
Program Services9943ProgramServices
Management And General170ManagementAndGeneral
Fundraising427Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total34914Total
Program Services34914ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1994Total
Program Services1794ProgramServices
Management And General100ManagementAndGeneral
Fundraising100Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1376Total
Program Services1101ProgramServices
Management And General0ManagementAndGeneral
Fundraising275Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19305Total
Program Services17374ProgramServices
Management And General1931ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total9054Total
Program Services8601ProgramServices
Management And General453ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Coke vending machine program3877003877
Canister Pick up fee4327004327
Guest Referral fee3615361500
Bank charges2568025680

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13395Total
Program Services10694ProgramServices
Management And General1914ManagementAndGeneral
Fundraising787Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total566164Total
Program Services304226ProgramServices
Management And General24832ManagementAndGeneral
Fundraising237106Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY146666BOY
EOY318318EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY537364EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7123BOY
EOY6601EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis563652LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec342145LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY198877BOY
EOY221507EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1100736BOY
EOY1204287EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1453402BOY
EOY2288077EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY40897BOY
EOY12080EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40897BOY
EOY12080EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY699411BOY
EOY643508EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY191844BOY
EOY1111239EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY521250BOY
EOY521250EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1412505BOY
EOY2275997EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1453402BOY
EOY2288077EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses819174ReconcilationRevenueExpenses
Reconciliation Unrealized Invest55102ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes-10784ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years319919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years271626CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years424545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year506753CurrentTaxYearMinus1Year
Current Tax Year1360403CurrentTaxYear
Total2883246Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years319919CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years271626CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years424545CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year506753CurrentTaxYearMinus1Year
Current Tax Year1360403CurrentTaxYear
Total2883246Total
FieldValueIRS element (for citing)
Public Support Total1702883246PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years47069CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24840CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24149CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year23785CurrentTaxYearMinus1Year
Current Tax Year24131CurrentTaxYear
Total143974Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years6210CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5175CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5311CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6060CurrentTaxYearMinus1Year
Current Tax Year804CurrentTaxYear
Total23560Total
FieldValueIRS element (for citing)
Total Support3050780TotalSupport
Public Support Pertcentage1700.94508PublicSupportPertcentage170
Public Support Pertcent Prior Year0.89262PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationIncludes room fees and misc incomeGeneralExplanation

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

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis52000OtherCostOrOtherBasis
Book Value52000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis412779OtherCostOrOtherBasis
Depreciation298247Depreciation
Book Value114532BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis30675OtherCostOrOtherBasis
Depreciation18405Depreciation
Book Value12270BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis68198OtherCostOrOtherBasis
Depreciation25493Depreciation
Book Value42705BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings221507TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1440440TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments55102NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities0DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F99055102RevenueNotRptdF990
Revenue Subtotal1385338RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901385338TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt566164TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal566164ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990566164TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Agreement Ref Fundraising0AgreementRefFundraising
All StatesAll StatesAllStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf EventNameOfEvent1
Gross Receipts Event165544GrossReceiptsEvent1
Charitable Contributions Event10CharitableContributionsEvent1
Gross Revenue Event165544GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event124616OtherDirectExpensesEvent1
Name Of Event2Direct MailNameOfEvent2
Gross Receipts Event251626GrossReceiptsEvent2
Charitable Contributions Event20CharitableContributionsEvent2
Gross Revenue Event251626GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event20FoodAndBeverageEvent2
Entertainment Event20EntertainmentEvent2
Other Direct Expenses Event247724OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events71631GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events71631GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events14662OtherDirectExpensesOtherEvents
Gross Receipts Total188801GrossReceiptsTotal
Charitable Contributions Total0CharitableContributionsTotal
Gross Revenue Total Events188801GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events87002OtherDirectExpensesTotalEvents
Direct Expense Summary Events87002DirectExpenseSummaryEvents
Net Income Summary101799NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantHigher Education ScholarshipsTypeOfGrant
Number Of Recipients20NumberOfRecipients
Amount Of Cash Grant20000AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of Valuationevaluation by board of directorsMethodOfValuation

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierSchI_P01_S00_L02Identifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationScholarship funds are sent directly to the higher education institution, the funds are not given directly to the recipient.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bForm 990 is sent to the Executive Director, Chairperson and Treasurer prior to filing.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAnnually the conflict of interest is signed by each member of the board of directors.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15The Executive Directors performance and compensation is reviewed on an annual basis by the board of directors.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19All policies and financial information including form 990 are available upon request at the office during regular business hours.
F990_P11_S00_L09Form 990, Part XI, Line 9Unallocated payments to RMHC, Inc

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