MISSION HOUSE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MISSION HOUSE INC (EIN 59-3376704)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-08
IRS object ID: 201212219349301171
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-08T15:07:24-05:00	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	JAMES KNUTZEN & ASSOC CPA'S PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5150 BELFORT RD BLDG 300	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32256	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	593376704	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MISSION HOUSE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MISS	NameControl
Phone	9042416767	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PHILLIP WISE	Name
Title	TREASURER	Title
Phone	9042416767	Phone
Date Signed	2012-06-09	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BARBARA TOWLE	Name
Phone	9047255832	Phone
Date Prepared	2012-08-08	DatePrepared

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	LORI DELGADO ANDERSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	436189	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MISSIONHOUSEJAX.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1996	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	PROVIDING LIFE SERVICES TO THE NEEDY, SUCH AS MEALS, CLOTHING, SHOWERS, MEDICAL SERVICES, HOUSING AND EMPLOYMENT REFERRALS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	16	TotalNbrEmployees
Total Nbr Volunteers	431	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	500925	ContributionsGrantsPriorYear
Contributions Grants Current Year	345978	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	23189	InvestmentIncomePriorYear
Investment Income Current Year	1632	InvestmentIncomeCurrentYear
Other Revenue Prior Year	15842	OtherRevenuePriorYear
Other Revenue Current Year	75361	OtherRevenueCurrentYear
Total Revenue Prior Year	539956	TotalRevenuePriorYear
Total Revenue Current Year	422971	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	89500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	80066	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	224083	SalariesEtcPriorYear
Salaries Etc Current Year	260761	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	17681	TotalFundrsngExpCurrentYear
Other Expense Prior Year	105943	OtherExpensePriorYear
Other Expenses Current Year	98602	OtherExpensesCurrentYear
Total Expenses Prior Year	419526	TotalExpensesPriorYear
Total Expenses Current Year	439429	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	120430	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-16458	RevenuesLessExpensesCY
Total Assets BOY	888358	TotalAssetsBOY
Total Assets EOY	872863	TotalAssetsEOY
Total Liabilities BOY	3223	TotalLiabilitiesBOY
Total Liabilities EOY	4186	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	885135	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	868677	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDING LIFE SERVICES TO THE NEEDY, SUCH AS MEALS, CLOTHING, SHOWERS, MEDICAL SERVICES, HOUSING AND EMPLOYMENT REFERRALS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	341804	Expense
Grants	80066	Grants
Description	MAINTENANCE OF BUILDING & AMENITIES IN ORDER TO PREPARE & SERVE FOOD & PROVIDE EMERGENCY ASSISTANCE IN THE FORM OF HOUSING, HEAT, TRANSPORTATION, LODGING, & JOB PREPAREDNESS TO THE HOMELESS AND NEEDY. SECURING SAFE TEMPORARY HOUSING FOR HOMELESS INDIVIDUALS WITH THE GOAL OF TRANSITION INTO THE MAINSTREAM OF COMMUNITY LIFE.	Description
Total Program Service Expense	341804	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	false	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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	16	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	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	true	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	FL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	LORI DELGADO ANDERSON	NamePerson
Telephone Number	9042416767	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	800 SHETTER AVENUE	AddressLine1
City	JACKSONVILLE BEACH	City
State	FL	State
ZIP Code	32250	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
BOB HAYES
PAST PRESIDE	2.00	X	X	0	0	0
JIM SHIELDS
SECRETARY	2.00	X	X	0	0	0
CHARLYN BARRETT
PRESIDENT	2.00	X	X	0	0	0
FRED SCHANTZ
PAST TREASUR	2.00	X	X	0	0	0
JENNIFER CAHOON
DIRECTOR	2.00	X		0	0	0
JOYE SCOTT
DIRECTOR	2.00	X		0	0	0
PAULINE ADAMS
DIRECTOR	2.00	X		0	0	0
DICK BURGESS
DIRECTOR	2.00	X		0	0	0
JOE JENKINS
DIRECTOR	2.00	X		0	0	0
ADA HAMMOND
VICE PRESIDE	2.00	X	X	0	0	0
MARY JANE TRAVIS
REC. SECRETA	2.00	X	X	0	0	0
DEBRA WAGNER
DIRECTOR	2.00	X		0	0	0
JULIE ANNE WEBER
DIRECTOR	2.00	X		0	0	0
PHIL WISE
TREASURER	2.00	X	X	0	0	0
REV KATHRYN M YOUNG
DIRECTOR	2.00	X		0	0	0
STEVEN LANGE
DIRECTOR	2.00	X		0	0	0
LUKE JERIAGAN
DIRECTOR	2.00	X		0	0	0
LORI DELGADO ANDERSON
EXECUTIVE DI	40.00		X	58269	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	58269	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	24649	GovernmentGrants
All Other Contributions	321329	AllOtherContributions
Total Contributions	345978	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1632	TotalRevenueColumn
Exclusion	$1,632	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	88579	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	13218	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	75361	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	422971	TotalRevenueColumn
Exclusion	$1,632	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	80066	Total
Program Services	80066	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	58269	Total
Program Services	14567	ProgramServices
Management And General	29135	ManagementAndGeneral
Fundraising	14567	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	156549	Total
Program Services	156549	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	29846	Total
Program Services	23775	ProgramServices
Management And General	4048	ManagementAndGeneral
Fundraising	2023	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	16097	Total
Program Services	12823	ProgramServices
Management And General	2183	ManagementAndGeneral
Fundraising	1091	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	19350	Total
Management And General	19350	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	3984	Total
Management And General	3984	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	29889	Total
Program Services	25406	ProgramServices
Management And General	4483	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	10429	Total
Program Services	8865	ProgramServices
Management And General	1564	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	7793	Total
Program Services	6624	ProgramServices
Management And General	1169	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MAINTENANCE & REPAIRS	11315	9618	1697
DUES AND LICENSES	5488		5488
POSTAGE AND PRINTING	4549		4549
TELEPHONE	4131	3511	620

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1674	Total
Management And General	1674	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	439429	Total
Program Services	341804	ProgramServices
Management And General	79944	ManagementAndGeneral
Fundraising	17681	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	75357	BOY
EOY	91301	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	469046	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	221090	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	256407	BOY
EOY	247956	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	556194	BOY
EOY	533606	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	400	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	888358	BOY
EOY	872863	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3223	BOY
EOY	4186	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3223	BOY
EOY	4186	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	885135	BOY
EOY	868677	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	885135	BOY
EOY	868677	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	888358	BOY
EOY	872863	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-16458	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	335403	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	283008	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	328132	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	500925	CurrentTaxYearMinus1Year
Current Tax Year	345978	CurrentTaxYear
Total	1793446	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	26102	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19595	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	32345	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	19304	CurrentTaxYearMinus1Year
Current Tax Year	88579	CurrentTaxYear
Total	185925	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	361505	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	302603	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	360477	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	520229	CurrentTaxYearMinus1Year
Current Tax Year	434557	CurrentTaxYear
Total	1979371	Total

Field	Value	IRS element (for citing)
Public Support Total509	1979371	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	22451	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12591	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13360	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23189	CurrentTaxYearMinus1Year
Current Tax Year	1632	CurrentTaxYear
Total	73223	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	22451	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	12591	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	13360	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	23189	CurrentTaxYearMinus1Year
Current Tax Year	1632	CurrentTaxYear
Total	73223	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	383956	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	315194	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	373837	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	543418	CurrentTaxYearMinus1Year
Current Tax Year	436189	CurrentTaxYear
Total	2052594	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.96430	PublicSupportPercentage509
Prior Year Support Percentage	0.95470	PriorYearSupportPercentage
Investment Income Percentage	0.04000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.05000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	37500	OtherCostOrOtherBasis
Book Value	37500	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	319281	OtherCostOrOtherBasis
Depreciation	118418	Depreciation
Book Value	200863	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	112265	OtherCostOrOtherBasis
Depreciation	102672	Depreciation
Book Value	9593	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	247956	TotalOfBookValueLandBuildings
Total Revenue	422971	TotalRevenue
Total Expenses	439429	TotalExpenses
Excess Or Deficit For Year	-16458	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-16458	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	422971	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	422971	RevenueSubtotal
Total Revenue Per Form990	422971	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	439429	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	439429	ExpensesSubtotal
Total Expenses Per Form990	439429	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FALL FUNDRAISER	NameOfEvent1
Gross Receipts Event1	88579	GrossReceiptsEvent1
Gross Revenue Event1	88579	GrossRevenueEvent1
Rent Facility Costs Event1	6789	RentFacilityCostsEvent1
Food And Beverage Event1	159	FoodAndBeverageEvent1
Entertainment Event1	300	EntertainmentEvent1
Other Direct Expenses Event1	5970	OtherDirectExpensesEvent1
Gross Receipts Total	88579	GrossReceiptsTotal
Gross Revenue Total Events	88579	GrossRevenueTotalEvents
Rent Facility Costs Total Events	6789	RentFacilityCostsTotalEvents
Food And Beverage Total Events	159	FoodAndBeverageTotalEvents
Entertainment Total Events	300	EntertainmentTotalEvents
Other Direct Expenses Total Events	5970	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	13218	DirectExpenseSummaryEvents
Net Income Summary	75361	NetIncomeSummary

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Type Of GrantTypeOfGrant	Amount Of Cash GrantAmountOfCashGrant
FOOD & SUPPLIES	19360
MEDICAL	32323
EMERGENCY HOUSING	18098
MISCELLANEOUS SERVICES	9658
TRANSPORTATION	627

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS	FORM 990, PAGE 6, PART VI, LINE 4	DURING 2011, MISSION HOUSE, INC. BEGAN A PROJECT TO UPDATE THE ORGANIZATION'S BYLAWS. CHANGES INCLUDE: 1. A CLARIFICATION OF THE THE POWERS OF THE BOARD OF DIRECTORS. 2. CHANGED THE NUMBER OF MEMBERS OF THE BOARD TO BE UP TO 15, WITH A MINUMUM NUMBER OF 5. 3. PROVIDED THAT THE BOARD MAY ELECT TO INCLUDE EX-OFFICIO MEMBERS. 4. CLARIFIED THE PROCESS FOR NOMINATING AND ELECTING NEW MEMBERS. 5. ADDED A PROCESS FOR FILLING BOARD VACANCIES. 6. REQUIRED 3 DAY NOTICE TO BOARD MEMBERS PRIOR TO BOARD MEETINGS. 7. CLARIFIED THAT MEMBERS MAY BE CONSIDERED PRESENT IF THEY PARTICIPATE IN MEETINGS VIA A CONFERENCE CALL. 8. CLARIFIED THAT THE EXECUTIVE DIRECTOR, A NON-VOTING MEMBER OF THE BOARD, IS THE ONLY BOARD MEMBER WHO RECEIVES COMPENSATION. 9. INCLUDED SUPERVISION OF THE EXECUTIVE DIRECTOR AS A DUTY OF THE BOARD PRESIDENT. 10. PROVIDED THAT THE BOARD OF DIRECTORS SHALL EMPLOY AN EXECUTIVE DIRECTOR, AND ENUMERATED THE DUTIES OF THE EXECUTIVE DIRECTOR. 11. CHANGED THE STANDING COMMITTEES OF THE BOARD TO INCLUDE: EXECUTIVE COMMITTEE, BOARD GOVERNANCE COMMITTEE, AND FINANCE COMMITTEE. THE BOARD HAS THE AUTHORITY TO ESTABLISH OTHER COMMITTEES. 12. ADDED OR UPDATED MISCELLANEOUS PROVISIONS INCLUDING: A PROHIBITION AGAINST POLITICAL ADVOCACY, REQUIREMENTS REGARDING CONFLICTS OF INTEREST, DELEGATION OF POWERS BY THE BOARD, AND DISSOLUTION OF THE CORPORATION. 13. ADDED INDEMIFICATION PROVISIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER, AND THEN SIGNED BY THE EXECUTIVE DIRECTOR.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	POSSIBLE CONFLICTS OF INTEREST ARE DISCUSSED AT EITHER THE BOARD MEETINGS OR EXECUTIVE COMMITTEE MEETINGS.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE EXECUTIVE DIRECTOR MEETS WITH THE BOARD PRESIDENT AND AT LEAST ONE OTHER BOARD OFFICER FOR AN ANNUAL REVIEW. AN ASSESSMENT OF THE EXECUTIVE DIRECTOR'S PERFORMANCE AND COMPENSATION IS DISCUSSED AT THE REVIEW. THE COMPENSATION IS THEN TAKEN TO THE FULL BOARD FOR A VOTE.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	AVAILABLE UPON REQUEST.

MISSION HOUSE INC: Form 990, tax year 2011

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

Investment Income InvestmentIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Total Revenue TotalRevenue

Grants To Domestic Individuals GrantsToDomesticIndividuals

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Other FeesForServicesOther

Office Expenses OfficeExpenses

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Total509 Total509

Gross Investment Income509 GrossInvestmentIncome509

Investment Income And UBTI InvestmentIncomeAndUBTI

Total Support Total TotalSupportTotal

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule I IRS990ScheduleI

Form990 Schedule I Part III Form990ScheduleIPartIII (5 entries)

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

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