SANTA ROSA KIDS HOUSE INC: Form 990, tax year 2011
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- Organization
- SANTA ROSA KIDS HOUSE INC (EIN 20-1524354)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-13
- IRS object ID
- 201202269349300230
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T07:25:05-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSHUA C DURST CPA PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4459-B HIGHWAY 90 | AddressLine1 |
| City | PACE | City |
| State | FL | State |
| ZIP Code | 32571 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201524354 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA ROSA KIDS' HOUSE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANT | NameControl |
| Phone | 8506231112 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1 |
| City | MILTON | City |
| State | FL | State |
| ZIP Code | 32570 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WENDELL HALL | Name |
| Title | CHAIRMAN | Title |
| Phone | 8506231112 | Phone |
| Date Signed | 2012-08-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSHUA C DURST | Name |
| Phone | 8509955000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WENDELL HALL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1 |
| City | MILTON | City |
| State | FL | State |
| ZIP Code | 32570 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 246634 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SRKIDSHOUSE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO DELIVER A WELL COORDINATED AND MULTI-DISCIPLINED RESPONSE TO CHILD ABUSE IN AN ENVIRONMENT THAT PUTS THE NEEDS OF CHILDREN FIRST | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 25 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 25 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3 | TotalNbrEmployees |
| Total Nbr Volunteers | 70 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 183664 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 170978 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 74910 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 74808 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 97 | InvestmentIncomePriorYear |
| Investment Income Current Year | 848 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 258671 | TotalRevenuePriorYear |
| Total Revenue Current Year | 246634 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 104715 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 71813 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 31731 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 177909 | OtherExpensePriorYear |
| Other Expenses Current Year | 177882 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 282624 | TotalExpensesPriorYear |
| Total Expenses Current Year | 249695 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -23953 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -3061 | RevenuesLessExpensesCY |
| Total Assets BOY | 1482844 | TotalAssetsBOY |
| Total Assets EOY | 1472374 | TotalAssetsEOY |
| Total Liabilities BOY | 15352 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7943 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1467492 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1464431 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO DELIVER A WELL COORDINATED | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 199011 | Expense |
| Grants | 42587 | Grants |
| Revenue | 246634 | Revenue |
| Description | PROGRAM SERVICES PROVIDED INCLUDE MANAGING A FACILITY TO HOUSE MULTIPLE SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES TO CHILD ABUSE VICTIMS AND THEIR FAMILIES AND FACILITATE THE PROSECUTION OF THEIR ABUSERS IN SANTA ROSA COUNTY, FLORIDA. THESE SERVICES ARE PROVIDED FREE OF CHARGE IN A CHILD FRIENDLY ENVIRONMENT THEREBY REDUCING THE TRAUMA A CHILD HAS EXPERIENCED AS A RESULT OF ABUSE. DIRECT SERVICES INCLUDING CRISIS INTERVENTION, DEVELOPMENTALLY APPROPRIATE INTERVIEWS, MEDICAL EXAMS, MENTAL HEALTH COUNSELING, CASE MANAGEMENT AND VICTIM ADVOCACY WERE PROVIDED TO 248 CHILD VICTIMS OF PHYSICAL AND SEXUAL ABUSE DURING 2011. | Description |
| Total Program Service Expense | 199011 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | 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 | true | 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 | false | 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 |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 3 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| 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 | true | QuidProQuoContributions |
| Quid Pro Quo Disclosure | true | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 25 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 25 | 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 | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | BRIANA TAYLOR | NamePerson |
| Telephone Number | 8506231112 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREET | AddressLine1 |
| City | MILTON | City |
| State | FL | State |
| ZIP Code | 32570 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| WENDELL HALL | ||||||
| CHAIRMAN | 5.00 | X | X | 0 | 0 | 0 |
| JASON ENGLISH | ||||||
| VICE CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| LISA EDDINS | ||||||
| SECRETARY | 2.00 | X | X | 0 | 0 | 0 |
| CONNIE CUSHING | ||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 |
| ROY ANDREWS | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| PAUL LIO | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MARGARET PORTER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ADAIR COTTON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| TAMIE PETERSON | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| ROBIN PUNYKO | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MICHELE TUCKER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| AMY JO TRAYLOR | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| DARRELL GREER | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SID BRAUNSTIEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| SANDY PARK | ||||||
| DIRECTOR | 1 | X | ||||
| ELBA ROBERTSON | ||||||
| DIRECTOR | 1 | X | ||||
| LIZ SIMMONS | ||||||
| DIRECTOR | 1 | X | ||||
| JERRY BURDEN | ||||||
| DIRECTOR | 1 | X | ||||
| LORETTA SANSOM | ||||||
| DIRECTOR | 1 | X | ||||
| RANDY TIFFT | ||||||
| DIRECTOR | 1 | X | ||||
| JIMMIE MELVIN | ||||||
| DIRECTOR | 1 | X | ||||
| TRACEY CARPENTER | ||||||
| DIRECTOR | 1 | X | ||||
| ED CARSON | ||||||
| DIRECTOR | 1 | X | ||||
| CAROL ALLEN | ||||||
| DIRECTOR | 1 | X | ||||
| ANNETTE BANKICH | ||||||
| DIRECTOR | 1 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 79809 | FundraisingEvents |
| All Other Contributions | 91169 | AllOtherContributions |
| Noncash Contributions | 2061 | NoncashContributions |
| Total Contributions | 170978 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROGRAM | Description |
| Business Code | 531120 | BusinessCode |
| Total Revenue Column | 74808 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 74808 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 848 | TotalRevenueColumn |
| Exclusion | $848 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 79809 | CntrbtnsRprtdFundraisingEvents |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 246634 | TotalRevenueColumn |
| Related Or Exempt Function Income | 74808 | RelatedOrExemptFunctionIncome |
| Exclusion | $848 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71813 | Total |
| Program Services | 55296 | ProgramServices |
| Management And General | 7899 | ManagementAndGeneral |
| Fundraising | 8618 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13750 | Total |
| Program Services | 8938 | ProgramServices |
| Management And General | 4125 | ManagementAndGeneral |
| Fundraising | 687 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1587 | Total |
| Program Services | 1032 | ProgramServices |
| Management And General | 476 | ManagementAndGeneral |
| Fundraising | 79 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 438 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 438 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 58 | Total |
| Program Services | 58 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74515 | Total |
| Program Services | 73025 | ProgramServices |
| Management And General | 745 | ManagementAndGeneral |
| Fundraising | 745 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18329 | Total |
| Program Services | 15580 | ProgramServices |
| Management And General | 1833 | ManagementAndGeneral |
| Fundraising | 916 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBTS | 300 | 0 | 300 | 0 |
| CLEANING | 7898 | 7740 | 79 | 79 |
| DUES/MEMBERSHIPS | 3303 | 2147 | 991 | 165 |
| FUNDRAISING | 19273 | 0 | 0 | 19273 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38431 | Total |
| Program Services | 35195 | ProgramServices |
| Management And General | 2067 | ManagementAndGeneral |
| Fundraising | 1169 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249695 | Total |
| Program Services | 199011 | ProgramServices |
| Management And General | 18953 | ManagementAndGeneral |
| Fundraising | 31731 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200 | BOY |
| EOY | 200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 78701 | BOY |
| EOY | 131022 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10067 | BOY |
| EOY | 10170 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500 | BOY |
| EOY | 9689 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255 | BOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5476 | BOY |
| EOY | 6316 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1585679 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 273202 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1385145 | BOY |
| EOY | 1312477 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2500 | BOY |
| EOY | 2500 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1482844 | BOY |
| EOY | 1472374 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3600 | BOY |
| EOY | 6138 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2504 | BOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9248 | BOY |
| EOY | 1805 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15352 | BOY |
| EOY | 7943 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1467492 | BOY |
| EOY | 1464431 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1467492 | BOY |
| EOY | 1464431 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1482844 | BOY |
| EOY | 1472374 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -3061 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 245680 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 135640 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 183665 | CurrentTaxYearMinus1Year |
| Current Tax Year | 171826 | CurrentTaxYear |
| Total | 1024326 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 287515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 245680 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 135640 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 183665 | CurrentTaxYearMinus1Year |
| Current Tax Year | 171826 | CurrentTaxYear |
| Total | 1024326 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 1024326 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 67469 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4976 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 240 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 97 | CurrentTaxYearMinus1Year |
| Current Tax Year | 848 | CurrentTaxYear |
| Total | 73630 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 29 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33539 | CurrentTaxYearMinus2Years |
| Total | 33568 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1131524 | TotalSupport |
| Public Support Pertcentage170 | 0.90530 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.89000 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
| Facts And Circumstances Test | OTHER INCOME PART II, LINE 10; 2008: 29.; 2009: 33539.; | FactsAndCircumstancesTest |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 66000 | InvestmentCostOrOtherBasis |
| Book Value | 66000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1168985 | InvestmentCostOrOtherBasis |
| Depreciation | 273202 | Depreciation |
| Book Value | 895783 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 96522 | InvestmentCostOrOtherBasis |
| Book Value | 96522 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 218388 | InvestmentCostOrOtherBasis |
| Book Value | 218388 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 35784 | InvestmentCostOrOtherBasis |
| Book Value | 35784 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1312477 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LEASES PAYABLE | $848 |
| INSURANCE LOAN PAYABLE | $957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1805 | TotalOfAmounts |
| Total Revenue | 246634 | TotalRevenue |
| Total Expenses | 249695 | TotalExpenses |
| Excess Or Deficit For Year | -3061 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -3061 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 246634 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 246634 | RevenueSubtotal |
| Total Revenue Per Form990 | 246634 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 249695 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 249695 | ExpensesSubtotal |
| Total Expenses Per Form990 | 249695 | TotalExpensesPerForm990 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 24268 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 18974 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 5294 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 5294 | OtherDirectExpensesEvent1 |
| Name Of Event2 | LUNCHEON | NameOfEvent2 |
| Gross Receipts Event2 | 13665 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 10610 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 3055 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 3055 | FoodAndBeverageEvent2 |
| Gross Receipts Other Events | 28224 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 21628 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 6596 | GrossRevenueOtherEvents |
| Food And Beverage Other Events | 4587 | FoodAndBeverageOtherEvents |
| Other Direct Expenses Other Events | 2009 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 66157 | GrossReceiptsTotal |
| Charitable Contributions Total | 51212 | CharitableContributionsTotal |
| Gross Revenue Total Events | 14945 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 7642 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 7303 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 14945 | DirectExpenseSummaryEvents |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Gaming Rec Keeper Person | ASHLEY ALONSO | NameOfGamingRecKeeperPerson |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5643 STEWART STREEET | AddressLine1 |
| City | MILTON | City |
| State | FL | State |
| ZIP Code | 32570 | ZIPCode |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 11a | THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS |
| Pt VI, Line 12c | THE CONFLICT OF INTEREST POLICY IS CIRCULATED ANNUALLY TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND SIGNATURE |
| Pt VI, Line 15 | NO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED. |
| THE PROCESS TO DETERMINE THE COMPENSATION OF THE FACILITY COORDINATOR INCLUDES REVIEW AND | |
| APPROVAL BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA. ALL DELIBERATION | |
| AND DECISIONS ARE CONTEMPORANEOUSLY DOCUMENTED. | |
| Form 990, Part IX, Line 24f | MAINTENANCE 2087. 2045. 21. 21. MISC 100. 0. 100. 0. PEST CONTROL 1176. 1152. 12. 12. POSTAGE 413. 269. 124. 20. PRINTING 362. 254. 108. 0. PROMOTIONS AND AWARDS 433. 281. 130. 22. SECURITIES 1153. 1129. 12. 12. SUPPLIES 453. 385. 45. 23. TELEPHONE & INTERNET 10829. 10612. 108. 109. TRAINING 859. 859. 0. 0. UTILITIES 17937. 17578. 180. 179. LICENSES 388. 380. 4. 4. BANK CHARGES 7. 7. COMPUTER 661. 0. 596. 65. CREDIT CARD FEES 906. 0. 454. 452. FINANCE 50. 0. 50. 0. MEALS 16. 0. 16. 0. WEBSITE 50 |
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