KAREN ANN QUINLAN CENTER OF HOPE HOSPICE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KAREN ANN QUINLAN CENTER OF HOPE HOSPICE (EIN 22-2191055)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-17
IRS object ID
201101689349300005
Schema version
2010v3.2
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)
Timestamp2011-06-17T07:01:56-07:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Caristia Kulsar & Wade LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1336 Sparta AveAddressLine1
CitySpartaCity
StateNJState
ZIP Code07871ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222191055EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Karen Ann Quinlan Memorial FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKARENameControl
Phone9733830115Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line199 Sparta AveAddressLine1
CityNewtonCity
StateNJState
ZIP Code07860ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLou LuddeckeName
TitleTreasurerTitle
Date Signed2011-06-17DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJames J Caristia CPAName
Phone9737298968Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts7328107GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitekarenannquinlanhospic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileNJStateLegalDomicile
Activity Or Mission DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees142TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year108748ContributionsGrantsPriorYear
Contributions Grants Current Year112555ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6164091ProgramServiceRevenuePriorYear
Program Service Revenue CY7075894ProgramServiceRevenueCY
Investment Income Prior Year13306InvestmentIncomePriorYear
Investment Income Current Year6277InvestmentIncomeCurrentYear
Other Revenue Prior Year129421OtherRevenuePriorYear
Other Revenue Current Year100842OtherRevenueCurrentYear
Total Revenue Prior Year6415566TotalRevenuePriorYear
Total Revenue Current Year7295568TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3288709SalariesEtcPriorYear
Salaries Etc Current Year3857563SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2576311OtherExpensePriorYear
Other Expenses Current Year3605182OtherExpensesCurrentYear
Total Expenses Prior Year5865020TotalExpensesPriorYear
Total Expenses Current Year7462745TotalExpensesCurrentYear
Revenues Less Expenses Prior Year550546RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-167177RevenuesLessExpensesCY
Total Assets BOY3619969TotalAssetsBOY
Total Assets EOY3405047TotalAssetsEOY
Total Liabilities BOY551695TotalLiabilitiesBOY
Total Liabilities EOY503950TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3068274NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2901097NetAssetsOrFundBalancesEOY
Mission DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5036405Expense
Revenue6277Revenue
DescriptionThe Organization was formed for charitable purposes to provide appropriate care to terminally ill patients and services to their families who reside primarily in Sussex and Warren Counties, New Jersey.Description
Total Program Service Expense5036405TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
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 With109612NumberFormsTransmittedWith1096
Number W2 G Included1NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees142NumberOfEmployees
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 ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 FiledNJStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonOrganizationNamePerson
Telephone Number9733830115TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line199 Sparta AveAddressLine1
CityNewtonCity
StateNJState
ZIP Code07860ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
William Hinkes Esq
Trustee5.00X000
Scott Norton
Trustee5.00X000
Richard D Pompelio
Trustee5.00X000
Paul Ferguson
Trustee5.00X000
Patricia Sweeney
Trustee5.00X000
Mary Ellen Quinlan
V. Chairperson20.00X000X
Lucian Fletcher Jr MD
Trustee5.00X000
Louis Ruggiero
Secretary20.00X000X
Lou Luddecke
Treasurer20.00X000X
Linda Ries
Trustee5.00X000
Kevin Stroyan
Trustee5.00X000
Ken Carter
Trustee5.00X000
Julia Quinlan
Chairperson20.00X000X
Judith Wiegand
Trustee5.00X000
John Quinlan
Trustee5.00X000
Jodi Butler
Trustee5.00X000
Edward Tirpack DDS
Trustee5.00X000
Debra Meister
Trustee5.00X000
Cecelia Clayton
Executive Direc40.0094942013000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org94942TotalReportableCompFromOrg
Total Other Compensation13000TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SUSSEX COUNTY HOMESTEAD
129 MORRIS TURNPIKENEWTONNJ07860NURSING HOME246249
HOSPICE PHARMACIA
PO BOX 51081PHILADELPHIAPA19175PRESCRIPTION SERVICE359400
AT HOME MEDICAL
200 AMERICAN ROADMORRIS PLAINSNJ07950DURABLE MED. EQUIPT189260
Andover SubacuteRehab
1 OBrien LaneAndoverNJ07821Nursing Home Facil.154594
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
All Other Contributions112555AllOtherContributions
Total Contributions112555TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMedicare and InsuranceDescription
Total Revenue Column7075894TotalRevenueColumn
Related Or Exempt Function Income7075894RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7075894TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6277TotalRevenueColumn
Exclusion$6,277ExclusionAmount

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
FieldValueIRS element (for citing)
Gross Income Fundraising Events61601GrossIncomeFundraisingEvents
Fundraising Direct Expenses32539FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column29062TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous incomeDescription
Total Revenue Column71780TotalRevenueColumn
Related Or Exempt Function Income71780RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue71780TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7295568TotalRevenueColumn
Related Or Exempt Function Income7176736RelatedOrExemptFunctionIncome
Exclusion$6,277ExclusionAmount

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)
Total94942Total
Management And General94942ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3219716Total
Program Services2648732ProgramServices
Management And General570984ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total261504Total
Program Services208967ProgramServices
Management And General52537ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total281401Total
Program Services224867ProgramServices
Management And General56534ManagementAndGeneral

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)
Total0Total

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)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31276Total
Program Services10482ProgramServices
Management And General20794ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total70617Total
Program Services32330ProgramServices
Management And General38287ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total211288Total
Program Services206086ProgramServices
Management And General5202ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total42481Total
Program Services21241ProgramServices
Management And General21240ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total90616Total
Program Services40393ProgramServices
Management And General50223ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Public relations161745161745
Pharmacy412802412802
Nursing Home Room & Board509874509874
Durable equipment170489170489
DONATIONS12011341201134

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total702860Total
Program Services550142ProgramServices
Management And General152718ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7462745Total
Program Services5036405ProgramServices
Management And General2426340ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY2046458EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2442044BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY825842BOY
EOY907920EOY

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)
BOY112312BOY
EOY143471EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis631524LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec439682LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY212070BOY
EOY191842EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27701BOY
EOY115356EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3619969BOY
EOY3405047EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY461855BOY
EOY387666EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY89840BOY
EOY116284EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY551695BOY
EOY503950EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3068274BOY
EOY2901097EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3068274BOY
EOY2901097EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3619969BOY
EOY3405047EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-167177ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115115CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years116599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108748CurrentTaxYearMinus1Year
Current Tax Year112555CurrentTaxYear
Total512133Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years59116CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115115CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years116599CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108748CurrentTaxYearMinus1Year
Current Tax Year112555CurrentTaxYear
Total512133Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170512133PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years43633CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54883CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13306CurrentTaxYearMinus1Year
Current Tax Year6277CurrentTaxYear
Total149470Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support661603TotalSupport
Public Support Pertcentage1700.77410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77290PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis6835OtherCostOrOtherBasis
Depreciation4548Depreciation
Book Value2287BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis436884OtherCostOrOtherBasis
Depreciation359316Depreciation
Book Value77568BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis187805OtherCostOrOtherBasis
Depreciation75818Depreciation
Book Value111987BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings191842TotalOfBookValueLandBuildings
Total Revenue7295568TotalRevenue
Total Expenses7462745TotalExpenses
Excess Or Deficit For Year-167177ExcessOrDeficitForYear
Excess Or Deficit Per FS-167177ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7328107TotRevenueEtcAuditedFinclStmt
Other Revenues32539OtherRevenues
Revenue Not Rptd F99032539RevenueNotRptdF990
Revenue Subtotal7295568RevenueSubtotal
Total Revenue Per Form9907295568TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt7495284TotExpensesEtcAuditedFinclStmt
Other Expenses Included32539OtherExpensesIncluded
Expenses Not Rptd F99032539ExpensesNotRptdF990
Expenses Subtotal7462745ExpensesSubtotal
Total Expenses Per Form9907462745TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SFundraising expense $32539
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Fundraising expense $32539

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Harley EventNameOfEvent1
Gross Receipts Event135237GrossReceiptsEvent1
Gross Revenue Event135237GrossRevenueEvent1
Other Direct Expenses Event119841OtherDirectExpensesEvent1
Name Of Event2Wine & Cheese EventNameOfEvent2
Gross Receipts Event218679GrossReceiptsEvent2
Gross Revenue Event218679GrossRevenueEvent2
Other Direct Expenses Event25175OtherDirectExpensesEvent2
Gross Receipts Total53916GrossReceiptsTotal
Gross Revenue Total Events53916GrossRevenueTotalEvents
Other Direct Expenses Total Events25016OtherDirectExpensesTotalEvents
Direct Expense Summary Events25016DirectExpenseSummaryEvents
Net Income Summary28900NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAVAILABLE UPON REQUEST
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBoard approves Executive Directors salary and all other employees of the Organization
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually, individuals involved with the Organization complete and sign a conflict of interest disclosure form. Executive director reviews board roster to ensure that all board members are completing the form and reviews forms for any potential issues.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessExecutive Director and outside accountants review Form 990 prior to filing
Form 990, Part VI, Line 2Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtMother is chairperson, daughter is vice chairperson, and son is a board member.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.