SURRENDER HOUSE FOR MEN INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SURRENDER HOUSE FOR MEN INC (EIN 36-4526652)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-09
- IRS object ID
- 201342529349200319
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-09T12:46:30-07:00 | 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 | NANCY SIEU WEBB | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 N DALLAS ST | AddressLine1 |
| City | VAN ALSTYNE | City |
| State | TX | State |
| ZIP Code | 754957089 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364526652 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Surrender House for Men Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SURR | NameControl |
| Phone | 9034825956 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 963 250 N Dallas | AddressLine1 |
| City | Van Alsytne | City |
| State | TX | State |
| ZIP Code | 75495 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Charles Ray Phelps MD | Name |
| Title | President | Title |
| Date Signed | 2013-09-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nancy Sieu Webb | Name |
| PTIN | P01256123 | PTIN |
| Phone | 9034825956 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | N/A | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts Less Than25000 | X | GrossReceiptsLessThan25000 |
| Gross Receipts | 13525 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Contributions Gifts Grants Etc | 5800 | ContributionsGiftsGrantsEtc |
| Program Service Revenue | 7725 | ProgramServiceRevenue |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Fundraising Gross Income | 0 | FundraisingGrossIncome |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Total Revenue | 13525 | TotalRevenue |
| Other Expenses Total | 16963 | OtherExpensesTotal |
| Total Expenses | 16963 | TotalExpenses |
| Excess Or Deficit For Year | -3438 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | 76527 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 73089 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1413 | BOY |
| EOY | 520 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74909 | BOY |
| EOY | 72364 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 205 | BOY |
| EOY | 205 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76527 | BOY |
| EOY | 73089 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76527 | BOY |
| EOY | 73089 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Provide low cost shelter to men seeking to rebuild their lives from destructive behaviors(achoholism & drug addiction). There is no other facility like this in the tri-county area. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | Provided low cost housing & utilities for approx 25 men in 2012 enabling them to rebuild their lives from destrucive achololism and drug abuse. | DescriptionProgramServiceAccom |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (3 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|
| Nancy Sieu Webb | ||
| Treasurer | 0 | 0 |
| Abby Arellano | ||
| Vice President | 0 | 0 |
| Charles Ray Phelps MD | ||
| President | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Organization Filed990 T | false | OrganizationFiled990T |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Nancy Sieu Webb | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 N Dallas | AddressLine1 |
| City | Van Astyne | City |
| State | TX | State |
| ZIP Code | 75495 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9034825956 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Form720 Filed | false | Form720Filed |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Related Org Section527 Org | false | RelatedOrgSection527Org |
| Part VI Of Comp Of Highest Paid Empl | NONE | PartVIOfCompOfHighestPaidEmpl |
| Part VIA Hghst Paid Cntrct Prof Ser | NONE | PartVIAHghstPaidCntrctProfSer |
| Filed Schedule A | true | FiledScheduleA |
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 Minus4 Years | 26750 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53849 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7554 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2104 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5800 | CurrentTaxYear |
| Total | 96057 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 23492 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19461 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21601 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26021 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7725 | CurrentTaxYear |
| Total | 98300 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50242 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 73310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29155 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13525 | CurrentTaxYear |
| Total | 194357 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 194357 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 50242 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 73310 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 29155 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 13525 | CurrentTaxYear |
| Total | 194357 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 1.00000 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 1.00000 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990-EZ, Part II, Line 24.4 | Other Assets.4 | Deposits - Beginning $205 Deposits - Ending $205 |
| Form 990-EZ, Part I, Line 16.5 | Other Expenses.5 | Repairs & Improvements $228 |
| Form 990-EZ, Part I, Line 16.4 | Other Expenses.4 | Supplies $680 |
| Form 990-EZ, Part I, Line 16.3 | Other Expenses.3 | Officers & Dir. Insurance $1093 |
| Form 990-EZ, Part I, Line 16.2 | Other Expenses.2 | House Insurance $1649 |
| Form 990-EZ, Part I, Line 16.1 | Other Expenses.1 | House Utilities $10768 |
| Form 990-EZ, Part I, Line 16.1009 | Other Expenses.1009 | Depreciation $2545 |