PINE RIVER GROUP HOME INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PINE RIVER GROUP HOME INC (EIN 41-1305200)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-04-23
IRS object ID
201211149349300026
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)
Timestamp2012-04-23T13:45:43-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Mathias C Justin LtdBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14325 W Woodman St Box 90AddressLine1
CityPequot LakesCity
StateMNState
ZIP Code56472ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411305200EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Pine River Group Home IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPINENameControl
Phone2185874888Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 96AddressLine1
CityPine RiverCity
StateMNState
ZIP Code56474ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNathan KempkaName
TitleChairpersonTitle
Date Signed2012-04-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMathias C JustinName
Phone2185685242Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNathan KempkaNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 96AddressLine1
CityPine RiverCity
StateMNState
ZIP Code56474ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2616049GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.pinerivergrouphome.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionTo enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees88TotalNbrEmployees
Total Nbr Volunteers9TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year6248ContributionsGrantsPriorYear
Contributions Grants Current Year4915ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2343360ProgramServiceRevenuePriorYear
Program Service Revenue CY2601572ProgramServiceRevenueCY
Investment Income Prior Year-54804InvestmentIncomePriorYear
Investment Income Current Year9562InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2294804TotalRevenuePriorYear
Total Revenue Current Year2616049TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1945226SalariesEtcPriorYear
Salaries Etc Current Year2067543SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year405480OtherExpensePriorYear
Other Expenses Current Year414929OtherExpensesCurrentYear
Total Expenses Prior Year2350706TotalExpensesPriorYear
Total Expenses Current Year2482472TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-55902RevenuesLessExpensesPriorYear
Revenues Less Expenses CY133577RevenuesLessExpensesCY
Total Assets BOY1438354TotalAssetsBOY
Total Assets EOY1562993TotalAssetsEOY
Total Liabilities BOY375133TotalLiabilitiesBOY
Total Liabilities EOY320978TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1063221NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1242015NetAssetsOrFundBalancesEOY
Mission DescriptionTo enhance the community welfare through the development of group homes for developmentally disabled residents and to develop and provide community based services for these residents.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2240079Expense
DescriptionCare for Developmentally handicapped. Intermediate care facility for developmentally handicapped and supervised living facility. 6 group homes and 2 appartments in operation serving approximately 27 residents and 20 to 25 in-home individuals.Description
Total Program Service Expense2240079TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
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 With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees88NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
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 ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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 Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
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 FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonEd BettinoNamePerson
Telephone Number2185874888TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1103 5th Street PO Box 96AddressLine1
CityPine RiverCity
StateMNState
ZIP Code56474ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Susan Longstaff
Director1.00X000
Sue Buche
Director1.00X000
Sarah Myhill
Treasurer1.00X000X
Nathan Kempka
Chairperson1.00X000X
Lloyd Solarz
Vice Chair1.00X000X
Katy Botz
Director1.00X000
John Puleo
Secretary1.00X000X
Ed Bettino
Executive Direc40.00X7218300X
Dick Buche
Director1.00X000
Bev Wignes
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org72183TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions4915AllOtherContributions
Total Contributions4915TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionResidentsDescription
Business Code623990BusinessCode
Total Revenue Column2601572TotalRevenueColumn
Related Or Exempt Function Income2601572RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue2601572TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9562TotalRevenueColumn
Exclusion$9,562ExclusionAmount

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

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2616049TotalRevenueColumn
Related Or Exempt Function Income2601572RelatedOrExemptFunctionIncome
Exclusion$9,562ExclusionAmount

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)
Total72183Total
Management And General72183ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1482497Total
Program Services1467773ProgramServices
Management And General14724ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total13899Total
Program Services13899ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total375270Total
Program Services345248ProgramServices
Management And General30022ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total123694Total
Program Services106875ProgramServices
Management And General16819ManagementAndGeneral

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)
Total4900Total
Management And General4900ManagementAndGeneral

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)
Total169Total
Management And General169ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3903Total
Management And General3903ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25455Total
Program Services25455ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total43056Total
Program Services43056ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3102Total
Management And General3102ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total45208Total
Program Services39425ProgramServices
Management And General5783ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total56888Total
Management And General56888ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Resident Programs1575415754
Maintenance Personal Services2299522995
Food9184291842
Contract Services2480524805
Bookkeeping1654416544

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total60308Total
Program Services42952ProgramServices
Management And General17356ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2482472Total
Program Services2240079ProgramServices
Management And General242393ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY316548BOY
EOY392329EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY173607BOY
EOY333818EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY183987BOY
EOY204304EOY

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)
BOY9304BOY
EOY15454EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1173485LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec759630LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY417180BOY
EOY413855EOY

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)
BOY10610BOY
EOY9207EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY327118BOY
EOY194026EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1438354BOY
EOY1562993EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY71273BOY
EOY75290EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY303860BOY
EOY245688EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY375133BOY
EOY320978EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1063221BOY
EOY1242015EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1063221BOY
EOY1242015EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1438354BOY
EOY1562993EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses133577ReconcilationRevenueExpenses
Reconcilation Other Changes45217ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6248CurrentTaxYearMinus1Year
Current Tax Year4915CurrentTaxYear
Total11238Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2347151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2648183CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2719594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2343360CurrentTaxYearMinus1Year
Current Tax Year2601572CurrentTaxYear
Total12659860Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2347176CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2648208CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2719619CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2349608CurrentTaxYearMinus1Year
Current Tax Year2606487CurrentTaxYear
Total12671098Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50912671098PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16543CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9979CurrentTaxYearMinus1Year
Current Tax Year8606CurrentTaxYear
Total78092Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21227CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16543CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9979CurrentTaxYearMinus1Year
Current Tax Year8606CurrentTaxYear
Total78092Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years100CurrentTaxYearMinus4Years
Total100Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2368503CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2669945CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2736162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2359587CurrentTaxYearMinus1Year
Current Tax Year2615093CurrentTaxYear
Total12749290Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99390PublicSupportPercentage509
Prior Year Support Percentage0.99290PriorYearSupportPercentage
Investment Income Percentage0.00610InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis20689OtherCostOrOtherBasis
Book Value20689BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis555477OtherCostOrOtherBasis
Book Value555477BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis289988OtherCostOrOtherBasis
Book Value289988BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis132631OtherCostOrOtherBasis
Depreciation759630Depreciation
Book Value-626999BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis174700OtherCostOrOtherBasis
Book Value174700BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings413855TotalOfBookValueLandBuildings
Total Book Value Other Assets194026TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUpon request
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesAnnual compensation review by Board of Directors
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessForm 990 is reviewed and approved at a monthly meeting.
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtDick and Sue Buche husband and wife.Lloyd and LaVonne Solarz husband and wife.

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