KAREN ANN QUINLAN CENTER OF HOPE HOSPICE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KAREN ANN QUINLAN CENTER OF HOPE HOSPICE (EIN 22-2191055)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-06-26
IRS object ID
201201789349300320
Schema version
2011v1.2
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)
Timestamp2012-06-26T10:57:42-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Caristia Kulsar & Wade LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1336 Sparta AveAddressLine1
CitySpartaCity
StateNJState
ZIP Code07871ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222191055EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Karen Ann Quinlan Memorial FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKARENameControl
Phone9733830115Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line199 Sparta AveAddressLine1
CityNewtonCity
StateNJState
ZIP Code07860ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLou LuddeckeName
TitleTreasurerTitle
Date Signed2012-06-26DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJames J Caristia CPAName
Phone9737298968Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts8106674GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitekarenannquinlanhospic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees133TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year112555ContributionsGrantsPriorYear
Contributions Grants Current Year45478ContributionsGrantsCurrentYear
Program Service Revenue Prior Year7075894ProgramServiceRevenuePriorYear
Program Service Revenue CY7925811ProgramServiceRevenueCY
Investment Income Prior Year6277InvestmentIncomePriorYear
Investment Income Current Year4794InvestmentIncomeCurrentYear
Other Revenue Prior Year100842OtherRevenuePriorYear
Other Revenue Current Year100284OtherRevenueCurrentYear
Total Revenue Prior Year7295568TotalRevenuePriorYear
Total Revenue Current Year8076367TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3857563SalariesEtcPriorYear
Salaries Etc Current Year4409610SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3605182OtherExpensePriorYear
Other Expenses Current Year4302850OtherExpensesCurrentYear
Total Expenses Prior Year7462745TotalExpensesPriorYear
Total Expenses Current Year8712460TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-167177RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-636093RevenuesLessExpensesCY
Total Assets BOY3405047TotalAssetsBOY
Total Assets EOY2731832TotalAssetsEOY
Total Liabilities BOY503950TotalLiabilitiesBOY
Total Liabilities EOY466828TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2901097NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2265004NetAssetsOrFundBalancesEOY
Mission DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6013598Expense
Revenue7925811Revenue
DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey and Pike County, Pennsylvania.Description
Total Program Service Expense6013598TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
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 ContributionsfalseDeductibleNonCashContributions
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 RequiredtrueScheduleORequired
Number Forms Transmitted With109632NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees133NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
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 BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonOrganizationNamePerson
Telephone Number9733830115TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line199 Sparta AveAddressLine1
CityNewtonCity
StateNJState
ZIP Code07860ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Judith Wiegand
Trustee5.00X000
Edward Tirpack DDS
Trustee5.00X000
Patricia Sweeney
Trustee5.00X000
Kevin Stroyan
Trustee5.00X000
Linda Ries
Trustee5.00X000
John Quinlan
Trustee5.00X000
Glen Vetrano
Trustee5.00X000
Scott Norton
Trustee5.00X000
Tammy Horsfield
Trustee5.00X000
William Hinkes Esq
Trustee5.00X000
Lucian Fletcher Jr MD
Trustee5.00X000
Paul Ferguson
Trustee5.00X000
Ken Carter
Trustee5.00X000
Jodi Butler
Trustee5.00X000
Mary Ellen Quinlan
V. Chairperson20.00X000X
Lou Luddecke
Treasurer20.00X000X
Julia Quinlan
Chairperson20.00X000X
Louis Ruggiero
Secretary20.00X000X
Cecelia Clayton
Executive Direc40.009627002941X
FieldValueIRS element (for citing)
Total Reportable Comp From Org96270TotalReportableCompFromOrg
Total Other Compensation2941TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUSSEX COUNTY HOMESTEAD
129 MORRIS TURNPIKENEWTONNJ07860NURSING HOME209749
HOSPICE PHARMACIA
PO BOX 51081PHILADELPHIAPA19175PRESCRIPTION SERVICE452237
AT HOME MEDICAL
200 AMERICAN ROADMORRIS PLAINSNJ07950DURABLE MED. EQUIPT133639
Andover SubacuteRehab
1 OBrien LaneAndoverNJ07821Nursing Home Facil.235192
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Government Grants17396GovernmentGrants
All Other Contributions28082AllOtherContributions
Total Contributions45478TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMedicare and InsuranceDescription
Total Revenue Column7925811TotalRevenueColumn
Related Or Exempt Function Income7925811RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7925811TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4794TotalRevenueColumn
Exclusion$4,794ExclusionAmount

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

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events56610GrossIncomeFundraisingEvents
Fundraising Direct Expenses30307FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column26303TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous incomeDescription
Total Revenue Column73981TotalRevenueColumn
Related Or Exempt Function Income73981RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue73981TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8076367TotalRevenueColumn
Related Or Exempt Function Income7999792RelatedOrExemptFunctionIncome
Exclusion$4,794ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

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)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total96270Total
Management And General96270ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3726736Total
Program Services3132450ProgramServices
Management And General594286ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total277994Total
Program Services227779ProgramServices
Management And General50215ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total308610Total
Program Services252865ProgramServices
Management And General55745ManagementAndGeneral

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)
Total0Total

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)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total84309Total
Program Services21077ProgramServices
Management And General63232ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total106418Total
Program Services53209ProgramServices
Management And General53209ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total243188Total
Program Services237638ProgramServices
Management And General5550ManagementAndGeneral

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)
Total39701Total
Program Services19850ProgramServices
Management And General19851ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total191288Total
Program Services95644ProgramServices
Management And General95644ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Public relations172553172553
Pharmacy433719433719
Nursing Home Room & Board680717680717
Durable equipment204277204277
DONATIONS13000001300000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total846680Total
Program Services654373ProgramServices
Management And General192307ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8712460Total
Program Services6013598ProgramServices
Management And General2698862ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2046458BOY
EOY1505064EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY907920BOY
EOY891697EOY

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)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY143471BOY
EOY131224EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis641646LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec479382LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY191842BOY
EOY162264EOY

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)
BOY115356BOY
EOY41583EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3405047BOY
EOY2731832EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY387666BOY
EOY395766EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY116284BOY
EOY71062EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY503950BOY
EOY466828EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2901097BOY
EOY2265004EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2901097BOY
EOY2265004EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3405047BOY
EOY2731832EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-636093ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years115115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116599CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108748CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112555CurrentTaxYearMinus1Year
Current Tax Year45478CurrentTaxYear
Total498495Total

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 Minus4 Years115115CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116599CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108748CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year112555CurrentTaxYearMinus1Year
Current Tax Year45478CurrentTaxYear
Total498495Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170498495PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years54883CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31371CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13306CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6277CurrentTaxYearMinus1Year
Current Tax Year4794CurrentTaxYear
Total110631Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support609126TotalSupport
Public Support Pertcentage1700.81840PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77410PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6835OtherCostOrOtherBasis
Depreciation4870Depreciation
Book Value1965BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis446157OtherCostOrOtherBasis
Depreciation382556Depreciation
Book Value63601BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis188654OtherCostOrOtherBasis
Depreciation91956Depreciation
Book Value96698BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings162264TotalOfBookValueLandBuildings
Total Revenue8076367TotalRevenue
Total Expenses8712460TotalExpenses
Excess Or Deficit For Year-636093ExcessOrDeficitForYear
Excess Or Deficit Per FS-636093ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8106674TotRevenueEtcAuditedFinclStmt
Other Revenues30307OtherRevenues
Revenue Not Rptd F99030307RevenueNotRptdF990
Revenue Subtotal8076367RevenueSubtotal
Total Revenue Per Form9908076367TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8742767TotExpensesEtcAuditedFinclStmt
Other Expenses Included30307OtherExpensesIncluded
Expenses Not Rptd F99030307ExpensesNotRptdF990
Expenses Subtotal8712460ExpensesSubtotal
Total Expenses Per Form9908712460TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteThe Organization qualifies as a tax-exempt organization under Internal Revenue Code Section 501(c)(3) and, accordingly, is exempt from federal and state income taxes. This code section enables the Organization to accept donations, which qualify as charitable contributions to the donor. The Organization is not classified as a private foundation.The Organization adopted "Accounting for Uncertainty in Income Taxes," in accordance with GAAP. The determination of uncertain tax positions uses tax judgments which are based on the requirements for maintaining tax-exempt status and on the filing of various information returns. The Organization's tax filings are subject to audit by various taxing authorities. The Organization's open audit periods are 2008-2011.
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SFundraising expense $30307
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Fundraising expense $30307

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Harley EventNameOfEvent1
Gross Receipts Event133990GrossReceiptsEvent1
Gross Revenue Event133990GrossRevenueEvent1
Other Direct Expenses Event120772OtherDirectExpensesEvent1
Name Of Event2Wine & Cheese EventNameOfEvent2
Gross Receipts Event219767GrossReceiptsEvent2
Gross Revenue Event219767GrossRevenueEvent2
Other Direct Expenses Event27659OtherDirectExpensesEvent2
Gross Receipts Total53757GrossReceiptsTotal
Gross Revenue Total Events53757GrossRevenueTotalEvents
Other Direct Expenses Total Events28431OtherDirectExpensesTotalEvents
Direct Expense Summary Events28431DirectExpenseSummaryEvents
Net Income Summary25326NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAVAILABLE UPON REQUEST
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBoard approves Executive Directors salary and all other employees of the Organization
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, individuals involved with the Organization complete and sign a conflict of interest disclosure form. Executive director reviews board roster to ensure that all board members are completing the form and reviews forms for any potential issues.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessExecutive Director and outside accountants review Form 990 prior to filing
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMother is chairperson, daughter is vice chairperson, and son is a board member.

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