PHILOS HOSPITALITY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PHILOS HOSPITALITY INC (EIN 20-1825789)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201223199349306562
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)
Timestamp2012-11-14T10:34:00-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN201825789EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPITALITY HOUSE OF TULSA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone9187940088Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11135 South Victor AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code74104ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameToni MooreName
TitlePresident/CEOTitle
Phone9185516670Phone
Date Signed2012-11-14DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonToni L MooreNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11135 South Victor AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code74104ZIPCode
FieldValueIRS element (for citing)
Gross Receipts651120GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitetulsahospitalityhouse.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileOKStateLegalDomicile
Activity Or Mission DescriptionWe offer a 'home away from home' for families caring for loved ones in medical crisis.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers586TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year451262ContributionsGrantsPriorYear
Contributions Grants Current Year637933ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1023InvestmentIncomePriorYear
Investment Income Current Year712InvestmentIncomeCurrentYear
Other Revenue Prior Year163OtherRevenuePriorYear
Other Revenue Current Year-964OtherRevenueCurrentYear
Total Revenue Prior Year452448TotalRevenuePriorYear
Total Revenue Current Year637681TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year153945SalariesEtcPriorYear
Salaries Etc Current Year166273SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year11318TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year61235TotalFundrsngExpCurrentYear
Other Expense Prior Year198006OtherExpensePriorYear
Other Expenses Current Year263628OtherExpensesCurrentYear
Total Expenses Prior Year363269TotalExpensesPriorYear
Total Expenses Current Year429901TotalExpensesCurrentYear
Revenues Less Expenses Prior Year89179RevenuesLessExpensesPriorYear
Revenues Less Expenses CY207780RevenuesLessExpensesCY
Total Assets BOY1216535TotalAssetsBOY
Total Assets EOY1463217TotalAssetsEOY
Total Liabilities BOY12827TotalLiabilitiesBOY
Total Liabilities EOY13952TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1203708NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1449265NetAssetsOrFundBalancesEOY
Mission DescriptionWe provide lodging, meals, and religious and emotional support services to needy families of patients who travel to Tulsa, Oklahoma for medical treatments.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense288345Expense
Grants0Grants
Revenue0Revenue
DescriptionProvide overnight lodging in 13 apartments for a 2-week minimum stay for out-of-town needy families of medical patients based on referrals from 14 Tulsa area hospitals. 2011 Statistics: housed a total of 745 individuals with 586 volunteers performing 6,610 hours of service providing lodging, meals and prayer support.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense288345TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109610NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKeri AkersNamePerson
Telephone Number9185516670TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11135 South Victor AvenueAddressLine1
CityTulsaCity
StateOKState
ZIP Code74104ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Les Austin
Director1.5X000
John Crouch
Director1X000
Bill Dudney
Director1X000
Darlene Fagin
Director1.5X000
Clydella Hentschel
Director1X000
Barry Janssen
Director1X000
Gary Jergensen
Director1X000
Martin Rinehart
Director1X000
Dominic Sokolosky
Director1X000
Belinda Love
Director1X000
Kevin Willson
Chairman4X000X
Debbie Barbe
Secretary1.5X000X
Toni Moore
President/CEO605291700XX
FieldValueIRS element (for citing)
Total Reportable Comp From Org52917TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Property Arts LLCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13220 W Lansing AvenueAddressLine1
CityBroken ArrowCity
StateOKState
ZIP Code74012ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesGeneral Contractors remodeling apartment buildingDescriptionOfServices
Compensation112345Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events30531FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants0GovernmentGrants
All Other Contributions607402AllOtherContributions
Noncash Contributions33107NoncashContributions
Total Contributions637933TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column712TotalRevenueColumn
Related Or Exempt Function Income712RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Gross Income Fundraising Events12475GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events30531CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses13439FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-964TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$964ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column637681TotalRevenueColumn
Related Or Exempt Function Income712RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$964ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total53000Total
Program Services18550ProgramServices
Management And General13250ManagementAndGeneral
Fundraising21200Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total97571Total
Program Services66992ProgramServices
Management And General7232ManagementAndGeneral
Fundraising23347Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3921Total
Program Services2221ProgramServices
Management And General535ManagementAndGeneral
Fundraising1165Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total11781Total
Program Services6716ProgramServices
Management And General1593ManagementAndGeneral
Fundraising3472Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total643Total
Program Services64ProgramServices
Management And General579ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17552Total
Program Services525ProgramServices
Management And General15713ManagementAndGeneral
Fundraising1314Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3432Total
Program Services2746ProgramServices
Management And General686ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total804Total
Program Services0ProgramServices
Management And General804ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16240Total
Program Services4067ProgramServices
Management And General8501ManagementAndGeneral
Fundraising3672Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5151Total
Program Services181ProgramServices
Management And General2551ManagementAndGeneral
Fundraising2419Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total169014Total
Program Services146297ProgramServices
Management And General22717ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total2627Total
Program Services1235ProgramServices
Management And General762ManagementAndGeneral
Fundraising630Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1606Total
Program Services723ProgramServices
Management And General506ManagementAndGeneral
Fundraising377Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total1799Total
Program Services450ProgramServices
Management And General270ManagementAndGeneral
Fundraising1079Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5123Total
Program Services5123ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6627Total
Program Services2537ProgramServices
Management And General3773ManagementAndGeneral
Fundraising317Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Other Fundraising Expenses2243002243
Guest Meals, Night of Hospitality6876687600
Volunteer Recognition1432143200
Staff Development9717771940

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total21488Total
Program Services20833ProgramServices
Management And General655ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total429901Total
Program Services288345ProgramServices
Management And General80321ManagementAndGeneral
Fundraising61235Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7965BOY
EOY30086EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY204847BOY
EOY359850EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY768360BOY
EOY627562EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis521662LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec75943LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY235363BOY
EOY445719EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1216535BOY
EOY1463217EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11814BOY
EOY9704EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1013BOY
EOY4248EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12827BOY
EOY13952EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY1203708BOY
EOY1449265EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1203708BOY
EOY1449265EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1216535BOY
EOY1463217EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses207780ReconcilationRevenueExpenses
Reconcilation Other Changes37777ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years227520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years418033CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year451262CurrentTaxYearMinus1Year
Current Tax Year637933CurrentTaxYear
Total1919709Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184961CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years227520CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years418033CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year451262CurrentTaxYearMinus1Year
Current Tax Year637933CurrentTaxYear
Total1919709Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1107071AmountsSubstContributorsTotal
Public Support Total170812638PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1616CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2888CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1849CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1023CurrentTaxYearMinus1Year
Current Tax Year712CurrentTaxYear
Total8088Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Total Support1927797TotalSupport
Gross Receipts From Admissions Etc0GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.42154PublicSupportPertcentage170
Public Support Pertcent Prior Year0.51PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis436523OtherCostOrOtherBasis
Depreciation52353Depreciation
Book Value384170BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis85139OtherCostOrOtherBasis
Depreciation23590Depreciation
Book Value61549BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings445719TotalOfBookValueLandBuildings
Federal Income Tax Liability4248FederalIncomeTaxLiability
Total Of Amounts4248TotalOfAmounts
Total Revenue637681TotalRevenue
Total Expenses429901TotalExpenses
Excess Or Deficit For Year207780ExcessOrDeficitForYear
Net Unrealized GL On Investments-310NetUnrealizedGLOnInvestments
Donated Services And Facilities38088DonatedServicesAndFacilities
Investment Expenses0InvestmentExpenses
Prior Period Adjustments0PriorPeriodAdjustments
Other$0OtherAmount
Total Adjustments37778TotalAdjustments
Excess Or Deficit Per FS245558ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt688899TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-309NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities38088DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues13439OtherRevenues
Revenue Not Rptd F99051218RevenueNotRptdF990
Revenue Subtotal637681RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990637681TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt443340TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities0DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included13439OtherExpensesIncluded
Expenses Not Rptd F99013439ExpensesNotRptdF990
Expenses Subtotal429901ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990429901TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchD_P12_S00_L02dSchedule D, Part XII, Line 2dRemaining gross income from fundraising event - ticket sales.
SchD_P13_S00_L02dSchedule D, Part XIII, Line 2dDirect expenses for Fundraising event.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1A Time to Dance with Our StarsNameOfEvent1
Gross Receipts Event143006GrossReceiptsEvent1
Charitable Contributions Event130531CharitableContributionsEvent1
Gross Revenue Event112475GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event1154NonCashPrizesEvent1
Rent Facility Costs Event1500RentFacilityCostsEvent1
Food And Beverage Event18691FoodAndBeverageEvent1
Entertainment Event13000EntertainmentEvent1
Other Direct Expenses Event11094OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total43006GrossReceiptsTotal
Charitable Contributions Total30531CharitableContributionsTotal
Gross Revenue Total Events12475GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events154NonCashPrizesTotalEvents
Rent Facility Costs Total Events500RentFacilityCostsTotalEvents
Food And Beverage Total Events8691FoodAndBeverageTotalEvents
Entertainment Total Events3000EntertainmentTotalEvents
Other Direct Expenses Total Events1094OtherDirectExpensesTotalEvents
Direct Expense Summary Events13439DirectExpenseSummaryEvents
Net Income Summary-964NetIncomeSummary

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9909448NoncashContribsRptdF990
Method Of Determining RevenuesSelling price of goodMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions35NumberOfContributions
Noncash Contribs Rptd F9902351NoncashContribsRptdF990
Method Of Determining RevenuesCost of ItemsMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XBuilding Materials418984Selling price of materials
XComputer equipment21897Selling price of equipment
XOffice Supplies10426Selling price of supplies
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bProcess to review Form 990 before submission as follows: Prior to review by Board of Directors, Form 990 and schedules are reviewed and approved for submission by the Finance Committee. Upon approval, Form 990 is presented to the Board via email for review and discussion as needed. Consensus approval from the Board is reached and Form 990 is filed.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cProcess to monitor and enforce compliance with conflict of interest polict as follows: Each Board Member Commitment form states the conflict of interest policy. Any business decision involving a Board member is reviewed and any benefits to the Board member are disclosed before decisions are made. Any Board member with a conflict of interest is excluded from voting on the matter.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Process to determine compensation of organization's CEO reviewed and approved as follows: Representatives from the Board of Directors gather annual information including salary history, completion of performance objectives, and substantiation of industry norms for compensation of CEO of similar non-profits. Data is reviewed and a recommendation made to the Board without attendance of CEO. Recommendation is voted on and approved by Board of Directors annually.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Process to make governing documents, conflict of interest policy, and financial statements available to the public is as follows: Above mentioned documents are made available upon request and annual financial statements are published in reports to funders.
F990_P11_S00_L05Form 990, Part XI, Line 5Increase/(Decrease) in net assets as follows: Unrealized loss on investment ($310), Donated services $31,977, Donated use of facilities $6,110.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationLate filing of the 2011 990 form in order to submit the return after the financial audit of 2011 is completed. The Finance Committee was delayed in scheduling a 2011 financial audit due to the difficulty in contracting an audit firm which could complete the audit in the time frame and budget that is viable for the size of the organization. The audit will be contracted and Form 990 submitted by 11/15/12.Explanation

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