STRATEGY STUDIO / PUBLIC DATA EXPLORER

PROVIDENCE SELF SUFFICIENCY MINISTRIES INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PROVIDENCE SELF SUFFICIENCY MINISTRIES INC (EIN 35-1947580)
Tax period
2022-09-01 to 2023-08-31
Filed
2024-07-09
IRS object ID
202401919349300215
Schema version
2022v5.0
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)
Return2024-07-09T09:37:49-05:00ReturnTs
Tax Period End2023-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351947580EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROVIDENCE SELF SUFFICIENCY MINISTRIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPROVBusinessNameControlTxt
Phone8129511878PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOEL HENDERSONPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone8129511878PhoneNum
Signature2024-07-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJOELPersonFirstNm
Person LastHENDERSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEMILIE M KNIERIEM CPAPreparerPersonNm
PTINP01330194PTIN
Phone3176334705PhoneNum
Preparation2024-06-28PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOEL HENDERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$898,120GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GUERININC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDENCE SELF SUFFICIENCY MINISTRIES, INC. OPERATES VARIOUS RESIDENTIAL PROGRAMS, INCLUDING (1) AFFORDABLE RENTAL HOUSING FOR LOW- AND VERY-LOW-INCOME SENIORS, (2) A COMMUNITY SENIOR CENTER, (3) AND PROVIDENCE HOUSE, A RESIDENTIAL TREATMENT PROGRAM THAT PROVIDES CLINICAL AND SOCIAL SERVICES, SELF-SUFFICIENCY PROGRAMMING, AND CASE MANAGEMENT FOR DCS-INVOLVED FAMILIES AT RISK OF SEPARATION BECAUSE OF CHILD NEGLECT OR ABUSE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee108TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,060,944PYContributionsGrantsAmt
CY Contributions Grants$13,373CYContributionsGrantsAmt
PY Program Service Revenue$3,463,454PYProgramServiceRevenueAmt
CY Program Service Revenue$883,968CYProgramServiceRevenueAmt
PY Investment Income$237PYInvestmentIncomeAmt
CY Investment Income$4CYInvestmentIncomeAmt
PY Other Revenue$11,536PYOtherRevenueAmt
CY Other Revenue$775CYOtherRevenueAmt
PY Total Revenue$5,536,171PYTotalRevenueAmt
CY Total Revenue$898,120CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$100,400CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,290,193PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$477,128CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,923,549PYOtherExpensesAmt
CY Other Expenses$420,495CYOtherExpensesAmt
PY Total Expenses$4,213,742PYTotalExpensesAmt
CY Total Expenses$998,023CYTotalExpensesAmt
PY Revenues Less Expenses$1,322,429PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$99,903CYRevenuesLessExpensesAmt
Total Assets BOY$884,076TotalAssetsBOYAmt
Total Assets EOY$600,051TotalAssetsEOYAmt
Total Liabilities BOY$222,274TotalLiabilitiesBOYAmt
Total Liabilities EOY$38,152TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$661,802NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$561,899NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE PROGRAM AND FACILITIES MANAGEMENT, ADMINISTRATION, AND STAFFING FOR THE ORGANIZATION'S AFFORDABLE SENIOR HOUSING, THE COMMUNITY SENIOR CENTER, AND PROVIDENCE HOUSE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$936,572ExpenseAmt
Grant$100,400GrantAmt
Revenue$883,968RevenueAmt
DescPROVIDING RESIDENTIAL FACILITIES AND VARIOUS CLINICAL, SOCIAL, AND LIFE SKILLS SERVICES TO DCS-INVOLVED FAMILIES AT RISK OF SEPARATION BECAUSE OF CHILD NEGLECT OR ABUSE.Desc
Total Program Service Expenses$936,572TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee108EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8129511878PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRYAN WICKENS
CHAIRPERSON1.002.00Yes (X)Yes (X)$0$0$0
JEFF MCCAFFREY
TREASURER1.001.00Yes (X)Yes (X)$0$0$0
SISTER NANCY REYNOLDS
SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
GEORGE GESENHUES
DIRECTOR1.001.00Yes (X)$0$0$0
ALLYSON BRADOW
DIRECTOR1.001.00Yes (X)$0$0$0
DR CARLA HERMAN
DIRECTOR1.001.00Yes (X)$0$0$0
ANN CARRUTHERS
DIRECTOR1.001.00Yes (X)$0$0$0
JAN HEFFERNAN
DIRECTOR1.001.00Yes (X)$0$0$0
SISTER NANCY BODNER
DIRECTOR1.002.00Yes (X)$0$0$0
SISTER LAURA PARKER
DIRECTOR1.001.00Yes (X)$0$0$0
SUSAN GERNERT
FORMER PRESIDENT/CEO25.0015.00Yes (X)$130,698$0$0
JOEL HENDERSON
PRESIDENT/CEO8.0032.00Yes (X)$72,346$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$203,044TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$13,373AllOtherContributionsAmt
Total Contributions$13,373TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLIENT SERVICE REVENUEDesc
Business623110BusinessCd
Total Revenue Column$883,968TotalRevenueColumnAmt
Related Or Exempt Func Income$883,968RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$883,968TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4TotalRevenueColumnAmt
Exclusion$4ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$775TotalRevenueColumnAmt
Exclusion$775ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$775OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$898,120TotalRevenueColumnAmt
Related Or Exempt Func Income$883,968RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$779ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100,400TotalAmt
Program Services$100,400ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$195,186TotalAmt
Program Services$181,523ProgramServicesAmt
Management And General$13,663ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$196,315TotalAmt
Program Services$182,573ProgramServicesAmt
Management And General$13,742ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$55,618TotalAmt
Program Services$51,725ProgramServicesAmt
Management And General$3,893ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$30,009TotalAmt
Program Services$27,908ProgramServicesAmt
Management And General$2,101ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$45,828TotalAmt
Program Services$42,620ProgramServicesAmt
Management And General$3,208ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,572TotalAmt
Program Services$13,552ProgramServicesAmt
Management And General$1,020ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,966TotalAmt
Program Services$40,888ProgramServicesAmt
Management And General$3,078ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,228TotalAmt
Program Services$1,142ProgramServicesAmt
Management And General$86ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,047TotalAmt
Program Services$14,924ProgramServicesAmt
Management And General$1,123ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,516TotalAmt
Program Services$1,410ProgramServicesAmt
Management And General$106ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$148,294TotalAmt
Program Services$137,913ProgramServicesAmt
Management And General$10,381ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,751TotalAmt
Program Services$7,208ProgramServicesAmt
Management And General$543ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,287TotalAmt
Program Services$23,517ProgramServicesAmt
Management And General$1,770ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,679TotalAmt
Program Services$14,581ProgramServicesAmt
Management And General$1,098ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MISCELLANEOUS EXPENSES$70,902$65,940$4,962
PROGRAM EXPENSES$19,746$19,746
MEDICAL EXPENSES$5,933$5,518$415
LICENSES/DUES$3,746$3,484$262

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$998,023TotalAmt
Program Services$936,572ProgramServicesAmt
Management And General$61,451ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$519,356BOYAmt
EOY$274,537EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,659BOYAmt
EOY$17,324EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$267,161BOYAmt
EOY$142,325EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$397,167LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$306,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,900BOYAmt
EOY$90,248EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$75,617EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$884,076BOYAmt
EOY$600,051EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$21,488BOYAmt
EOY$4,919EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$36,464BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$164,322BOYAmt
EOY$33,233EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$222,274BOYAmt
EOY$38,152EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$338,198BOYAmt
EOY-$438,101EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,000,000BOYAmt
EOY$1,000,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$661,802BOYAmt
EOY$561,899EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$884,076BOYAmt
EOY$600,051EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$99,903ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$120,663CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37,515CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,013,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,060,944CurrentTaxYearMinus1YearAmt
Current Tax Year$13,373CurrentTaxYearAmt
Total$3,246,150TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,321,162CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,941,553CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,372,700CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,463,454CurrentTaxYearMinus1YearAmt
Current Tax Year$883,968CurrentTaxYearAmt
Total$26,982,837TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,441,825CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,979,068CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,386,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,524,398CurrentTaxYearMinus1YearAmt
Current Tax Year$897,341CurrentTaxYearAmt
Total$30,228,987TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$30,228,987PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,237CurrentTaxYearMinus1YearAmt
Current Tax Year$4CurrentTaxYearAmt
Total$20,983TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$390CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,237CurrentTaxYearMinus1YearAmt
Current Tax Year$4CurrentTaxYearAmt
Total$20,983TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$352,677CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,675CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,274CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,536CurrentTaxYearMinus1YearAmt
Current Tax Year$775CurrentTaxYearAmt
Total$435,937TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,794,892CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,054,915CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,401,809CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,536,171CurrentTaxYearMinus1YearAmt
Current Tax Year$898,120CurrentTaxYearAmt
Total$30,685,907TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98510PublicSupportCY509Pct
Public Support PY5090.98610PublicSupportPY509Pct
Investment Income CY0.00070InvestmentIncomeCYPct
Investment Income PY0.00060InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2018 AMOUNT: $ 352,677. 2019 AMOUNT: $ 117. 2020 AMOUNT: $ 14,274. 2021 AMOUNT: $ 7,536. 2022 AMOUNT: $ 161. INSURANCE PROCEEDS - 2019 AMOUNT: $ 60,558. 2022 AMOUNT: $ 614.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$376,539OtherCostOrOtherBasisAmt
Depreciation$286,291DepreciationAmt
Book Value$90,248BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,628OtherCostOrOtherBasisAmt
Depreciation$20,628DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$90,248TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDUE FROM RELATED PARTYDesc
Book Value$75,617BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$75,617TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTY$23,660
CREDIT CARD$9,573
FieldValueIRS element (for citing)
Total Liability$33,233TotalLiabilityAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1GUERIN INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18037 UNRUH DRIVEAddressLine1Txt
CityGEORGETOWNCityNm
State AbbreviationINStateAbbreviationCd
ZIP47122ZIPCd
FieldValueIRS element (for citing)
Recipient EIN352061759RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$100,000CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BMANAGEMENT REVIEWS THE 990. THE FINANCE COMMITTEE THEN REVIEWS AND APPROVES FOR FILING. THE 990 IS MADE AVAILABLE TO BOARD MEMBERS VIA EMAIL PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CDIRECTORS ARE REQUIRED TO SIGN AND COMPLY WITH A CONFLICT OF INTEREST STATEMENT, WHICH READS IN RELEVANT PART: "NO BOARD MEMBER OR BOARD COMMITTEE MEMBER, OR ANY MEMBER OF HIS OR HER FAMILY (COLLECTIVELY "DIRECTOR") SHOULD ACCEPT ANY GIFT, ENTERTAINMENT, SERVICE, LOAN, OR PROMISE OF FUTURE BENEFITS FROM ANY PERSON WHO EITHER PERSONALLY OR WHOSE EMPLOYEES MIGHT BENEFIT OR APPEAR TO BENEFIT FROM SUCH DIRECTOR'S CONNECTION WITH [THE ORGANIZATION], UNLESS THE FACTS OF SUCH BENEFIT, GIFT, SERVICE, OR LOAN ARE DISCLOSED IN GOOD FAITH AND ARE AUTHORIZED BY THE BOARD. DIRECTORS SHOULD NOT PROVIDE, FOR ANY PERSONAL GAIN, SERVICES TO ANY SUPPLIER OF GOODS OR SERVICES, AS EMPLOYEE, CONSULTANT, OR IN ANY OTHER CAPACITY WHICH PROMISES COMPENSATION OF ANY KIND, UNLESS THE FACT OF SUCH TRANSACTION OR CONTRACTS ARE DISCLOSED IN GOOD FAITH, AND THE BOARD OR COMMITTEE AUTHORIZES SUCH A TRANSACTION. NO DIRECTOR SHOULD HAVE ANY BENEFICIAL INTEREST IN, OR SUBSTANTIAL OBLIGATION TO ANY [ORGANIZATION] SUPPLIER OF GOODS OR SERVICES OR ANY OTHER ORGANIZATION THAT IS ENGAGED IN DOING BUSINESS WITH OR SERVING [THE ORGANIZATION] UNLESS IT HAS BEEN DETERMINED BY THE BOARD, ON THE BASIS OF FULL DISCLOSURE OF FACTS, THAT SUCH INTEREST DOES NOT GIVE RISE TO A CONFLICT OF INTEREST." IN ADDITION, IF A DIRECTOR WERE TO ABSTAIN FROM VOTING DUE TO A CONFLICT OF INTEREST, IT WOULD BE REFLECTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION FOR THE PRESIDENT IS DETERMINED BY AN INDEPENDENT COMPENSATION CONSULTANT AND A COMPENSATION SURVEY OF OTHER NOT-FOR-PROFIT ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. ALSO, THE ORGANIZATION'S 990 IS AVAILABLE AT WWW.GUIDESTAR.ORG.
FORM 990, PART XII, LINE 2C:THE FULL GOVERNING BOARD OF DIRECTORS IS RESPONSIBLE FOR SELECTING THE AUDITOR AND OVERSEEING THE AUDIT PROCESS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
THE MEADOWS OF GUERIN INC
8037 UNRUH DRIVEGEORGETOWNIN47122261642548OPERATES AN AFFORDABLE APARTMENT RENTAL COMMUNITY FOR SENIORSIN501(C)(3)LINE 10GUERIN INC0
GUERIN INC
8037 UNRUH DRIVEGEORGETOWNIN47122352061759PROVIDE RESIDENTIAL FACILITIES TO SERVE PERSONS IN NEEDIN501(C)(3)LINE 100N/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd