RACHELS HAVEN INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RACHELS HAVEN INC (EIN 20-2236485)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349310154
Schema version
2010v3.4
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)
Timestamp2011-11-15T17:01:27-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1THROWER BLANTON & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1266AddressLine1
CityNORTONCity
StateVAState
ZIP Code242731266ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN202236485EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RACHELS HAVEN INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRACHNameControl
Phone2767964491Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 148AddressLine1
CityPOUNDCity
StateVAState
ZIP Code24279ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJANCICE PAYNEName
TitlePRESIDENTTitle
Phone2767964491Phone
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameM BARDIN THROWER JR CPAName
Phone2766792780Phone
Date Prepared2011-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJANICE PAYNENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line17530 DAKOTA ROADAddressLine1
CityWISECity
StateVAState
ZIP Code24293ZIPCode
FieldValueIRS element (for citing)
Gross Receipts522728GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2005YearFormation
State Legal DomicileVAStateLegalDomicile
Activity Or Mission DescriptionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees26TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year399599ContributionsGrantsPriorYear
Contributions Grants Current Year519966ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year3326OtherRevenuePriorYear
Other Revenue Current Year2762OtherRevenueCurrentYear
Total Revenue Prior Year402925TotalRevenuePriorYear
Total Revenue Current Year522728TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year251426SalariesEtcPriorYear
Salaries Etc Current Year324878SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year158968OtherExpensePriorYear
Other Expenses Current Year181049OtherExpensesCurrentYear
Total Expenses Prior Year410394TotalExpensesPriorYear
Total Expenses Current Year505927TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-7469RevenuesLessExpensesPriorYear
Revenues Less Expenses CY16801RevenuesLessExpensesCY
Total Assets BOY75455TotalAssetsBOY
Total Assets EOY80369TotalAssetsEOY
Total Liabilities BOY15492TotalLiabilitiesBOY
Total Liabilities EOY3605TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY59963NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY76764NetAssetsOrFundBalancesEOY
Mission DescriptionPROVISION OF HOUSING AND ACCOMODATION SERVICES FOR MENTALLY CHALLENGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense462685Expense
DescriptionTHE ORGANIZATION PROVIDES HOUSING FOR MENTALLY CHALLANGED INDIVIDUALS WITH THE PURPOSE OF ENRICHING THEIR LIVES.Description
Total Program Service Expense462685TotalProgramServiceExpense
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 StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees26NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
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
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJANICE PAYNENamePerson
Telephone Number2767964491TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line17503B ORBY CANTRELL HIGHWAYAddressLine1
CityPOUNDCity
StateVAState
ZIP Code24279ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (3 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JANICE PAYNE
PRESIDENT20.00XX3165000
JODIE COVINGTON
DIRECTOR4.00X1696900
TERRY PAYNE
VICE PRESIDE2.00XX110200
FieldValueIRS element (for citing)
Total Reportable Comp From Org49721TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants482624GovernmentGrants
All Other Contributions37342AllOtherContributions
Total Contributions519966TotalContributions

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Total Revenue Column2762TotalRevenueColumn
Related Or Exempt Function Income2762RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2762TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column522728TotalRevenueColumn
Related Or Exempt Function Income2762RelatedOrExemptFunctionIncome

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total49721Total
Program Services15825ProgramServices
Management And General33896ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total214452Total
Program Services214452ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32100Total
Program Services32100ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total28605Total
Program Services24935ProgramServices
Management And General3670ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1472Total
Management And General1472ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total53Total
Program Services53ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total570Total
Management And General570ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total39313Total
Program Services39313ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total470Total
Management And General470ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2124Total
Management And General2124ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6399Total
Program Services6399ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total10803Total
Program Services10803ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
SUPPLIES4525945259
REPAIRS & MAINTENANCE2658926589
MEALS FOR RESIDENTS2008020080
AUTO EXPENSE67846784
UTILITIES58105810

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total15323Total
Program Services14283ProgramServices
Management And General1040ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total505927Total
Program Services462685ProgramServices
Management And General43242ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY883BOY
EOY12196EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis90384LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec22211LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY74572BOY
EOY68173EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY75455BOY
EOY80369EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15492BOY
EOY3605EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15492BOY
EOY3605EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY59963BOY
EOY76764EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY59963BOY
EOY76764EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY75455BOY
EOY80369EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses16801ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years374978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year399599CurrentTaxYearMinus1Year
Current Tax Year519966CurrentTaxYear
Total1491698Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years157625CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years374978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year399599CurrentTaxYearMinus1Year
Current Tax Year519966CurrentTaxYear
Total1491698Total
FieldValueIRS element (for citing)
Public Support Total1701491698PublicSupportTotal170
Total Support1491698TotalSupport
Gross Receipts From Admissions Etc2762GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1701.00000PublicSupportPertcentage170
Public Support Pertcent Prior Year1.00000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis70384OtherCostOrOtherBasis
Depreciation7971Depreciation
Book Value62413BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20000OtherCostOrOtherBasis
Depreciation14240Depreciation
Book Value5760BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings68173TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

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