CLIVE COMMUNITY SERVICES: Form 990, tax year 2025
View the entire original 990 at ProPublica ↗
- Organization
- CLIVE COMMUNITY SERVICES (EIN 47-3206742)
- Tax period
- 2025-01-01 to 2025-12-31
- Filed
- 2026-04-24
- IRS object ID
- 202631149349301203
- Schema version
- 2025v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-04-24T09:03:55-06:00 | ReturnTs |
| Tax Period End | 2025-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 200527398 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Ann M Hartz CPA & Associates | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7109 Hickman Road | AddressLine1Txt |
| City | Urbandale | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50322 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2025-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473206742 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIVE COMMUNITY SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % STEPHANIE HORAK | InCareOfNm |
| Business Name Control | CLIV | BusinessNameControlTxt |
| Phone | 5152578550 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2190 NW 82ND ST STE A | AddressLine1Txt |
| City | CLIVE | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50325 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE HORAK | PersonNm |
| Person Title | BOARD PRESIDENT | PersonTitleTxt |
| Phone | 5159871895 | PhoneNum |
| Signature | 2026-02-16 | SignatureDt |
| Discuss With Paid Preparer | false | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIC J SCHULTZ EA | PreparerPersonNm |
| PTIN | P03229556 | PTIN |
| Phone | 5152597779 | PhoneNum |
| Preparation | 2026-04-24 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2025 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $171,447 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CLIVECOMMUNITYSERVICES.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2014 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PROVIDING ASSISTANCE AND LINKING THEM WITH RESOURCES THAT ENABLE THEM TO BECOME HEALTHIER IN MIND, BODY AND SPIRIT.PROVIDE FOOD,CLOTHING,MEDICAL CARE EDUCATION | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $178,576 | PYContributionsGrantsAmt |
| CY Contributions Grants | $170,130 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,236 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,317 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $183,812 | PYTotalRevenueAmt |
| CY Total Revenue | $171,447 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $47,651 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $44,486 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $12,681 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $130,535 | PYOtherExpensesAmt |
| CY Other Expenses | $130,310 | CYOtherExpensesAmt |
| PY Total Expenses | $178,186 | PYTotalExpensesAmt |
| CY Total Expenses | $174,796 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,626 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,349 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $426,990 | TotalAssetsBOYAmt |
| Total Assets EOY | $423,641 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $426,990 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $423,641 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PROVIDING ASSISTANCE AND LINKING THEM WITH RESOURCES THAT ENABLE THEM TO BECOME HEALTHIER IN MIND, BODY AND SPIRIT.PROVIDE FOOD,CLOTHING,MEDICAL CARE EDUCATION | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $35,436 | ExpenseAmt |
| Desc | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PURCHASING A VARIETY OF FOOD AND PERSONAL CARE ITEMS FOR DISTRIBUTION. IN 2025, WE SAW 2,022 VISITS TO OUR MAIN PANTRY AND 1,744 VISITS TO OUR ANYTIME ROOM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,466 | ExpenseAmt |
| Desc | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PURCHASING COATS FOR KIDS AND UNDERWEAR (ALL SIZES) FOR DISTRIBUTION. IN 2025, WE SAW 2,775 VISITS TO OUR CLOTHING CLOSET. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,938 | ExpenseAmt |
| Desc | TO SUPPORT FAMILIES AND INDIVIDUALS IN NEED BY PURCHASING MEDICAL SUPPLIES, LAB SUPPLIES, ETC. IN 2025, THE CLINIC SAW 306 PATIENTS. THIS NUMBER INCLUDES A RECORD 116 SPORTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $473 | ExpenseAmt |
| Desc | DIRECT CLIENT ASSISTANCE | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $473 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $47,313 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELISSA JANSSEN | PersonNm |
| Phone | 5153719246 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 SW KENNYBROOK DR | AddressLine1Txt |
| City | GRIMES | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 50111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| SHELBY CHAVEZ CHUN | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | 0.00 | Yes (X) | $35,780 | $0 | $0 | ||
| CHAD WHITMORE | ||||||||
| BOARD MEMBER | 4.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| LESLEE SHEFFIELD | ||||||||
| BOARD MEMBER | 4.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DOUG HOYNG | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| MIKE SCHMIDT | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JULIE CIRKSENA | ||||||||
| BOARD MEMBER | 4.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| KRISTINE STONE | ||||||||
| BOARD MEMBER | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| NOREEN OSHEA | ||||||||
| BOARD MEMBER | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| STEPHANIE HORAK | ||||||||
| PRESIDENT | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| LUANNE GAFFORD | ||||||||
| TREASURER | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| JENNIFER EASLER | ||||||||
| SECRETARY | 4.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| DEE MANKLE | ||||||||
| VICE PRESIDENT | 10.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $35,780 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $11,217 | FundraisingAmt |
| Government Grants | $15,000 | GovernmentGrantsAmt |
| All Other Contributions | $143,913 | AllOtherContributionsAmt |
| Total Contributions | $170,130 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,317 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,317 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rpt Fundraising Event | $11,217 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $171,447 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,317 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,357 | TotalAmt |
| Management And General | $43,357 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,129 | TotalAmt |
| Management And General | $1,129 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $729 | TotalAmt |
| Management And General | $729 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,269 | TotalAmt |
| Management And General | $1,269 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372 | TotalAmt |
| Management And General | $372 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,128 | TotalAmt |
| Management And General | $1,128 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,804 | TotalAmt |
| Management And General | $2,804 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,636 | TotalAmt |
| Management And General | $58,636 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,551 | TotalAmt |
| Management And General | $4,551 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| VOLUNTEER APPRECIATION | $652 | $652 |
| BANKING | $145 | $145 |
| MISC | $30 | $30 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,994 | TotalAmt |
| Program Services | $47,313 | ProgramServicesAmt |
| Fundraising | $12,681 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,796 | TotalAmt |
| Program Services | $47,313 | ProgramServicesAmt |
| Management And General | $114,802 | ManagementAndGeneralAmt |
| Fundraising | $12,681 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,885 | BOYAmt |
| EOY | $41,219 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $340,558 | BOYAmt |
| EOY | $366,875 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $988 | BOYAmt |
| EOY | $988 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,559 | BOYAmt |
| EOY | $14,559 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,990 | BOYAmt |
| EOY | $423,641 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,990 | BOYAmt |
| EOY | $423,641 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,990 | BOYAmt |
| EOY | $423,641 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $426,990 | BOYAmt |
| EOY | $423,641 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$3,349 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,766 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,000 | CurrentTaxYearAmt |
| Total | $321,516 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,766 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,000 | CurrentTaxYearAmt |
| Total | $321,516 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,000 | CurrentTaxYearAmt |
| Total | $247,500 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $32,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $31,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $122,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,000 | CurrentTaxYearAmt |
| Total | $247,500 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $74,016 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $446 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,317 | CurrentTaxYearAmt |
| Total | $9,265 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $446 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,207 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,236 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,317 | CurrentTaxYearAmt |
| Total | $9,265 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,825 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $47,946 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,707 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $57,986 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35,317 | CurrentTaxYearAmt |
| Total | $330,781 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.22380 | PublicSupportCY509Pct |
| Public Support PY509 | 0.24920 | PublicSupportPY509Pct |
| Investment Income CY | 0.03000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| Private Foundation509 | Yes (X) | PrivateFoundation509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 governing body review Part VI line 11 | FORM 990 IS REVIEWED BY PRESIDENT OF ORGANIZATION |
| Conflict of interest policy compliance Part VI line 12c | ON AN ANNUAL BASIS ALL MEMBERS ARE REQUIRED TO READ, AKNOWLEDGE AND SIGN THE WRITTEN CONFLICT OF INTEREST POLICY |
| Governing documents etc available to public Part VI line 19 | ALL GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST BY CONTACTING EXECUTIVE DIRECTOR |
| List of other expenses Part IX line 24e | PROGRAM EXPENSES - CLINIC EXPENSES $3,938 CLOTHES CLOSET $7,466 PANTRY EXPENSES $35,436 DIRECT CLIENT ASSISTANCE $473 FUNDRAISING EXPENSES - FUNDRAISING $12,681 |
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