RACHELS HAVEN INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: RACHELS HAVEN INC (EIN 20-2236485)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-15
IRS object ID: 201233209349309593
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 D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T14:49:20-06:00	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	THROWER BLANTON & ASSOCIATES PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1266	AddressLine1
City	NORTON	City
State	VA	State
ZIP Code	242731266	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	202236485	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	RACHELS HAVEN INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	RACH	NameControl
Phone	2767964491	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 148	AddressLine1
City	POUND	City
State	VA	State
ZIP Code	24279	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JANCICE PAYNE	Name
Title	PRESIDENT	Title
Phone	2767964491	Phone
Date Signed	2012-11-15	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	BRIAN K BLANTON CPA	Name
Phone	2766792780	Phone
Date Prepared	2012-11-15	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	JANICE PAYNE	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	7530 DAKOTA ROAD	AddressLine1
City	WISE	City
State	VA	State
ZIP Code	24293	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	694409	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2005	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	PROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	3	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	3	NbrIndependentVotingMembers
Total Nbr Employees	33	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	519966	ContributionsGrantsPriorYear
Contributions Grants Current Year	694409	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2762	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	522728	TotalRevenuePriorYear
Total Revenue Current Year	694409	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	324878	SalariesEtcPriorYear
Salaries Etc Current Year	444489	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	181049	OtherExpensePriorYear
Other Expenses Current Year	238267	OtherExpensesCurrentYear
Total Expenses Prior Year	505927	TotalExpensesPriorYear
Total Expenses Current Year	682756	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16801	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11653	RevenuesLessExpensesCY
Total Assets BOY	80369	TotalAssetsBOY
Total Assets EOY	120938	TotalAssetsEOY
Total Liabilities BOY	3605	TotalLiabilitiesBOY
Total Liabilities EOY	32521	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	76764	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	88417	NetAssetsOrFundBalancesEOY
Mission Description	PROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	674494	Expense
Description	THE ORGANIZATION PROVIDES HOUSING FOR MENTALLY CHALLANGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.	Description
Total Program Service Expense	674494	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	false	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	false	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	33	NumberOfEmployees
Employment Tax Returns Filed	false	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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	3	NbrVotingGoverningBodyMembers
Number Independent Voting Members	3	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	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	false	ConflictOfInterestPolicy
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	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	JANICE PAYNE	NamePerson
Telephone Number	2767964491	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	7503B ORBY CANTRELL HIGHWAY	AddressLine1
City	POUND	City
State	VA	State
ZIP Code	24279	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitle	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
JANICE PAYNE
PRESIDENT	X	X	0	0	0
TERRY PAYNE
VICE PRESIDE	X	X	0	0	0
JODIE COVINGTON
DIRECTOR	X		0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	657070	GovernmentGrants
All Other Contributions	37339	AllOtherContributions
Total Contributions	694409	TotalContributions

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	694409	TotalRevenueColumn

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	381270	Total
Program Services	381270	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	34983	Total
Program Services	34983	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	28236	Total
Program Services	28236	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1065	Total
Management And General	1065	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	100	Total
Program Services	100	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	658	Total
Management And General	658	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	33471	Total
Program Services	33471	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	1714	Total
Management And General	1714	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2963	Total
Management And General	2963	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8696	Total
Program Services	8696	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	15962	Total
Program Services	15962	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
SUPPLIES	59690	59690
MEALS FOR RESIDENTS	28654	28654
REPAIRS & MAINTENANCE	27679	27679
OUTSIDE SERVICES	16305	16305

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	41310	Total
Program Services	39448	ProgramServices
Management And General	1862	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	682756	Total
Program Services	674494	ProgramServices
Management And General	8262	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	12196	BOY
EOY	31794	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	120051	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	30907	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	68173	BOY
EOY	89144	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	80369	BOY
EOY	120938	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	4354	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	3605	BOY
EOY	28167	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3605	BOY
EOY	32521	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	76764	BOY
EOY	88417	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	76764	BOY
EOY	88417	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	80369	BOY
EOY	120938	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	11653	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
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	157625	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	374978	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	399599	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	519966	CurrentTaxYearMinus1Year
Current Tax Year	694409	CurrentTaxYear
Total	2146577	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	157625	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	374978	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	399599	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	519966	CurrentTaxYearMinus1Year
Current Tax Year	694409	CurrentTaxYear
Total	2146577	Total

Field	Value	IRS element (for citing)
Public Support Total170	2146577	PublicSupportTotal170
Total Support	2146577	TotalSupport
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

RACHELS HAVEN 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 (3 entries)

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

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 Received170 GiftsGrantsContribReceived170

Total170 Total170

Schedule D IRS990ScheduleD

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

Comments