HAILEY MAYZ FOUNDATION: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HAILEY MAYZ FOUNDATION (EIN 80-0459455)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-30
- IRS object ID
- 201333039349301283
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-30T16:59:26-05:00 | 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 | FA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3100 BRISTOL ST STE 125 | AddressLine1 |
| City | COSTA MESA | City |
| State | CA | State |
| ZIP Code | 92626 | 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 | 800459455 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAILEY MAYZ FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HAIL | NameControl |
| Phone | 9496673631 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20902 BAKE PARKWAY | AddressLine1 |
| Address Line2 | ROOM/SUITE 100 | AddressLine2 |
| City | LAKE FOREST | City |
| State | CA | State |
| ZIP Code | 92630 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SEAN VASSILAROS | Name |
| Title | COO | Title |
| Phone | 9496673631 | Phone |
| Date Signed | 2013-05-10 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL MCGRATH | Name |
| Phone | 7142410212 | Phone |
| Date Prepared | 2013-10-28 | DatePrepared |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMAYZING KIDS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERIK LARSEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20902 BAKE PARKWAY SUITE 100 | AddressLine1 |
| City | LAKE FOREST | City |
| State | CA | State |
| ZIP Code | 92630 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 457058 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.AMAYZING.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE FINANCIAL ASSISTANCE TO FAMILIES THAT CANNOT AFFORD MEDICAL & OTHER COSTS ASSOCIATED WITH CHILDREN SUFFERING FROM SPECIAL MEDICAL NEEDS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 49290 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 14919 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32659 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 398015 | ProgramServiceRevenueCY |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6389 | OtherRevenuePriorYear |
| Other Revenue Current Year | 21758 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 88338 | TotalRevenuePriorYear |
| Total Revenue Current Year | 434692 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2700 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 200 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 0 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 75945 | OtherExpensePriorYear |
| Other Expenses Current Year | 491416 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 78645 | TotalExpensesPriorYear |
| Total Expenses Current Year | 491616 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 9693 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -56924 | RevenuesLessExpensesCY |
| Total Assets BOY | 28556 | TotalAssetsBOY |
| Total Assets EOY | 47439 | TotalAssetsEOY |
| Total Liabilities BOY | 9484 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 85291 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19072 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -37852 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE FINANCIAL ASSISTANCE TO FAMILIES THAT CANNOT AFFORD MEDICAL & OTHER COSTS ASSOCIATED WITH CHILDREN SUFFERING FROM SPECIAL MEDICAL NEEDS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 381897 | Expense |
| Grants | 200 | Grants |
| Revenue | 398015 | Revenue |
| Description | TO PROVIDE FINANCIAL ASSISTANCE WITH COSTS FOR THE FOLLOWING: - TRAVEL EXPENSES FOR THE CHILD & FAMILY TO A CITY OFFERING PROPER CARE - MEALS & LODGING WHILE THE FAMILY IS AWAYS FROM HOME TO OBTAIN CARE - SMALL ITEMS TO AID & COMFORT THE CHILD | Description |
| Total Program Service Expense | 381897 | 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 | true | 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 | true | 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 | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 25 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SEAN VASSILAROS | NamePerson |
| Telephone Number | 9496005437 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 20902 BAKE PARKWAY SUITE 100 | AddressLine1 |
| Address Line2 | 20902 BAKE PARKWAY SUITE 100 | AddressLine2 |
| City | LAKE FOREST | City |
| State | CA | State |
| ZIP Code | 92630 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (5 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| SEAN VASSILAROS | ||||||
| COO | 5.00 | X | 0 | 0 | 0 | |
| KRISTINA LEE STUCKEY | ||||||
| SECRETARY | 0.25 | X | 0 | 0 | 0 | |
| MATT OSBORNE | ||||||
| TREASURER | 0.25 | X | 0 | 0 | 0 | |
| CHRISTIAN ROBINSON | ||||||
| GENERAL COUN | 0.25 | 0 | 0 | 0 | X | |
| ERIK LARSON | ||||||
| CEO | 20.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| All Other Contributions | 14919 | AllOtherContributions |
| Total Contributions | 14919 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 398015 | TotalRevenueColumn |
| Related Or Exempt Function Income | 398015 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 398015 | TotalProgramServiceRevenue |
| Gross Income Fundraising Events | 44124 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 22366 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21758 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 434692 | TotalRevenueColumn |
| Related Or Exempt Function Income | 398015 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200 | Total |
| Program Services | 200 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214648 | Total |
| Program Services | 214648 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1601 | Total |
| Program Services | 1601 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10926 | Total |
| Program Services | 1702 | ProgramServices |
| Management And General | 9224 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83263 | Total |
| Management And General | 83263 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4390 | Total |
| Management And General | 4390 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1944 | Total |
| Program Services | 1944 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROGRAM SERVICE PT | 145100 | 145100 | |
| FINANCE CHARGES | 6230 | 6230 | |
| AUTOMOBILE EXPENSES | 4939 | 4939 | |
| OFFICE MANAGER | 3819 | 3819 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14556 | Total |
| Program Services | 7944 | ProgramServices |
| Management And General | 6612 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 491616 | Total |
| Program Services | 381897 | ProgramServices |
| Management And General | 109719 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14720 | BOY |
| EOY | 24352 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 28618 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5531 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13836 | BOY |
| EOY | 23087 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28556 | BOY |
| EOY | 47439 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 869 | BOY |
| EOY | 6453 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8615 | BOY |
| EOY | 54711 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 24127 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9484 | BOY |
| EOY | 85291 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19072 | BOY |
| EOY | -37852 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19072 | BOY |
| EOY | -37852 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28556 | BOY |
| EOY | 47439 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -56924 | ReconcilationRevenueExpenses |
| 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 Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 24129 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 49290 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14919 | CurrentTaxYear |
| Total | 88338 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 42716 | CurrentTaxYearMinus1Year |
| Current Tax Year | 442139 | CurrentTaxYear |
| Total | 484855 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 24129 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 92006 | CurrentTaxYearMinus1Year |
| Current Tax Year | 457058 | CurrentTaxYear |
| Total | 573193 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Total | 10000 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1500 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Total | 10000 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 563193 | PublicSupportTotal509 |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 24129 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 92006 | CurrentTaxYearMinus1Year |
| Current Tax Year | 457058 | CurrentTaxYear |
| Total | 573193 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6177 | OtherCostOrOtherBasis |
| Depreciation | 618 | Depreciation |
| Book Value | 5559 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10027 | OtherCostOrOtherBasis |
| Depreciation | 2575 | Depreciation |
| Book Value | 7452 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12414 | OtherCostOrOtherBasis |
| Depreciation | 2338 | Depreciation |
| Book Value | 10076 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 23087 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | US BANK VISA | Description |
| Amount | $24,127 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 24127 | TotalOfAmounts |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 35024 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 35024 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 2200 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 5460 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 4940 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 3646 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 1727 | OtherDirectExpensesEvent1 |
| Name Of Event2 | CHARITY WALK | NameOfEvent2 |
| Gross Receipts Event2 | 9100 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 9100 | GrossRevenueEvent2 |
| Cash Prizes Event2 | 250 | CashPrizesEvent2 |
| Food And Beverage Event2 | 1600 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 2543 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 44124 | GrossReceiptsTotal |
| Gross Revenue Total Events | 44124 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 2450 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 5460 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 4940 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 5246 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 4270 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 22366 | DirectExpenseSummaryEvents |
| Net Income Summary | 21758 | NetIncomeSummary |
Schedule L IRS990ScheduleL
Loan Table LoanTable (2 entries)
| Relationship With OrganizationRelationshipWithOrganization | Purpose Of LoanPurposeOfLoan | Loan To OrganizationLoanToOrganization | Original PrincipalOriginalPrincipalAmount | Balance DueBalanceDue | DefaultDefault | Approved By BoardApprovedByBoard | Written AgreementWrittenAgreement |
|---|---|---|---|---|---|---|---|
| ERIK LARSON | |||||||
| CEO | OPERATING EXPENSES | X | $35,494 | 35494 | false | true | true |
| SEAN VASSILAROS | |||||||
| COO | OPERATING EXPENSES | X | $8,615 | 19217 | false | true | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 54711 | TotalBalanceDue |
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 | THE TAXPAYER'S ACCOUNTING FIRM PROVIDED THE FORM 990 TO THE COO AND CEO WHO FORWARDED THE RETURN TO THE BOARD MEMBERS FOR THEIR REVIEW. PRIOR TO FILING, BOARD MEMBERS WERE ENCOURAGED TO REVIEW THE FORM 990 AND TO FORWARD THEIR QUESTIONS TO THE COO OR CEO. THE COO, CEO OR ACCOUNTING FIRM ADDRESSED THE QUESTIONS FROM THE BOARD. |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| OTHER FEES FOR SERVICES | FORM 990, PART IX, LINE 11G | OUTSIDE SERVICES 182,126 0 0 CONTRACT SERVICES 24,970 0 0 BILLING SERVICES 7,552 0 0 |
Comments