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HARBOR HOUSE OF ROCHESTER INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
HARBOR HOUSE OF ROCHESTER INC (EIN 90-0357136)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202433179349307583
Schema version
2023v5.1
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

FieldValueIRS element (for citing)
Return2024-11-12T15:50:27-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN900357136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HARBOR HOUSE OF ROCHESTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHARBBusinessNameControlTxt
Phone5854731779PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 ROSSITER ROADAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14620ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL VOLLMERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5854731779PhoneNum
Signature2024-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL VOLLMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 ROSSITER ROADAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14620ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$194,810GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHARBORHOUSEOFROCHESTER.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE TEMPORARY LODGING FOR FAMILIES OF ADULT CRITICAL CARE PATIENTS WHO LIVE OUTSIDE THE ROCHESTER, NY AREA AND ARE RECEIVING CARE AT LOCAL HOSPITALS.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$145,682PYContributionsGrantsAmt
CY Contributions Grants$133,158CYContributionsGrantsAmt
PY Program Service Revenue$20,264PYProgramServiceRevenueAmt
CY Program Service Revenue$28,527CYProgramServiceRevenueAmt
PY Investment Income$15,646PYInvestmentIncomeAmt
CY Investment Income$19,805CYInvestmentIncomeAmt
PY Other Revenue$2,987PYOtherRevenueAmt
CY Other Revenue$378CYOtherRevenueAmt
PY Total Revenue$184,579PYTotalRevenueAmt
CY Total Revenue$181,868CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$82,485PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$77,162CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,892CYTotalFundraisingExpenseAmt
PY Other Expenses$62,166PYOtherExpensesAmt
CY Other Expenses$45,795CYOtherExpensesAmt
PY Total Expenses$144,651PYTotalExpensesAmt
CY Total Expenses$122,957CYTotalExpensesAmt
PY Revenues Less Expenses$39,928PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$58,911CYRevenuesLessExpensesAmt
Total Assets BOY$951,722TotalAssetsBOYAmt
Total Assets EOY$1,064,354TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$951,722NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,064,354NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE TEMPORARY LODGING FOR FAMILIES OF ADULT CRITICAL CARE PATIENTS WHO LIVE OUTSIDE THE ROCHESTER, NY AREA AND ARE RECEIVING CARE AT LOCAL HOSPITALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$100,524ExpenseAmt
Revenue$28,905RevenueAmt
DescHARBOR HOUSE OF ROCHESTER, INC. (THE HOME) PROVIDES A "HOME-AWAY-FROM-HOME" FOR PATIENTS AND THEIR FAMILIES WHO MUST TRAVEL TO THE ROCHESTER, NY AREA FOR TREATMENT OF SERIOUS OR LIFE-THREATENING ILLNESSES. THE HOME OFFERS CONVENIENT, AFFORDABLE ACCOMODATIONS IN A HOME-LIKE ENVIRONMENT WHICH HELPS TO REDUCE THE EMOTIONAL AND FINANCIAL STRESS FACED BY PEOPLE DEALING WITH A MEDICAL CRISIS. THE HOME PROVIDED MORE THAN 980 NIGHTS OF LODGING FOR MORE THAN 60 INDIVIDUALS, WITH AN AVERAGE LENGTH OF STAY OF APPROXIMATELY 20 NIGHTS DURING 2023.Desc
Total Program Service Expenses$100,524TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 Committees0MinutesOfCommitteesInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
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)
Phone5854731779PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line189 ROSSITER ROADAddressLine1Txt
CityROCHESTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14620ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ROBERT WACKERMAN
MEMBER1.00Yes (X)$0$0$0
GARY ACKER
MEMBER1.00Yes (X)$0$0$0
TOM ARCARA
MEMBER1.00Yes (X)$0$0$0
CHRISTINE ARCARA
MEMBER1.00Yes (X)$0$0$0
DR ANURADHA GODISHALA
MEMBER1.00Yes (X)$0$0$0
MICHAEL VOLLMER
TREASURER1.00Yes (X)$0$0$0Yes (X)
KATIE RUDOW
MEMBER1.00Yes (X)$0$0$0
SCOTT ANTHONY
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
JENNIFER WALLACE
MEMBER1.00Yes (X)$0$0$0
LAWRENCE JONES
EXECUTIVE DIRECTOR40.00$56,530$0$1,696Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$56,530TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$1,696TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$36,390FundraisingAmt
All Other Contributions$96,768AllOtherContributionsAmt
Total Contributions$133,158TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescLODGING INCOMEDesc
Business624200BusinessCd
Total Revenue Column$28,527TotalRevenueColumnAmt
Related Or Exempt Func Income$28,527RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,527TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,805TotalRevenueColumnAmt
Exclusion$19,805ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$12,942FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$36,390ContriRptFundraisingEventAmt
Fundraising Direct Expenses$12,942FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900099BusinessCd
Total Revenue Column$378TotalRevenueColumnAmt
Related Or Exempt Func Income$378RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$378OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$181,868TotalRevenueColumnAmt
Related Or Exempt Func Income$28,905RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$19,805ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$64,763TotalAmt
Program Services$48,572ProgramServicesAmt
Management And General$16,191ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,907TotalAmt
Program Services$10,907ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$115TotalAmt
Management And General$115ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$508TotalAmt
Management And General$508ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$869TotalAmt
Management And General$869ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,937TotalAmt
Program Services$1,403ProgramServicesAmt
Management And General$534ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,279TotalAmt
Management And General$1,279ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,734TotalAmt
Program Services$4,734ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,563TotalAmt
Program Services$1,563ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,955TotalAmt
Program Services$1,955ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,407TotalAmt
Program Services$13,407ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,252TotalAmt
Program Services$2,332ProgramServicesAmt
Management And General$920ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
MAINTENANCE$8,655$8,655
DUES, SUBSCRIPTIONS AND$3,448$3,448
OTHER FUNDRAISING$1,892$1,892
CREDIT CARD FEES$1,644$1,644

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,029TotalAmt
Program Services$1,904ProgramServicesAmt
Management And General$125ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$122,957TotalAmt
Program Services$100,524ProgramServicesAmt
Management And General$20,541ManagementAndGeneralAmt
Fundraising$1,892FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$109,138BOYAmt
EOY$131,075EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$131,319BOYAmt
EOY$163,874EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$313,011LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$209,478LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$116,940BOYAmt
EOY$103,533EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$594,325BOYAmt
EOY$665,872EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$951,722BOYAmt
EOY$1,064,354EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$951,722BOYAmt
EOY$1,064,354EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$951,722BOYAmt
EOY$1,064,354EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$951,722BOYAmt
EOY$1,064,354EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$58,911ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$53,721NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$128,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,911CurrentTaxYearMinus1YearAmt
Current Tax Year$96,768CurrentTaxYearAmt
Total$578,396TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$128,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,112CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$115,355CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,911CurrentTaxYearMinus1YearAmt
Current Tax Year$96,768CurrentTaxYearAmt
Total$578,396TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$223,742SubstantialContributorsTotAmt
Public Support Total170$354,654PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,466CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,594CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,647CurrentTaxYearMinus1YearAmt
Current Tax Year$19,805CurrentTaxYearAmt
Total$76,412TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$863CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$59CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$299CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23CurrentTaxYearMinus1YearAmt
Current Tax Year$378CurrentTaxYearAmt
Total$1,622TotalAmt
FieldValueIRS element (for citing)
Total Support$656,430TotalSupportAmt
Gross Receipts Rltd Activities$90,810GrossReceiptsRltdActivitiesAmt
Public Support CY1700.54030PublicSupportCY170Pct
Public Support PY1700.57430PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$301,434OtherCostOrOtherBasisAmt
Depreciation$197,901DepreciationAmt
Book Value$103,533BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,577OtherCostOrOtherBasisAmt
Depreciation$11,577DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$103,533TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ATBGOEvent1Nm
Gross Receipts Event1$41,832GrossReceiptsEvent1Amt
Charitable Contri Event1$32,785CharitableContriEvent1Amt
Gross Revenue Event1$9,047GrossRevenueEvent1Amt
Food And Beverage Event1$9,047FoodAndBeverageEvent1Amt
Event2SUPERBOWL SQUARESEvent2Nm
Gross Receipts Event2$7,500GrossReceiptsEvent2Amt
Charitable Contri Event2$3,605CharitableContriEvent2Amt
Gross Revenue Event2$3,895GrossRevenueEvent2Amt
Cash Prizes Event2$3,895CashPrizesEvent2Amt
Gross Receipts Total$49,332GrossReceiptsTotalAmt
Charitable Contributions Tot$36,390CharitableContributionsTotAmt
Gross Revenue Total Events$12,942GrossRevenueTotalEventsAmt
Cash Prizes Total Events$3,895CashPrizesTotalEventsAmt
Food And Beverage Total Events$9,047FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events$12,942DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO COMMITTEES OF THE BOARD THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE BOARD.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE 990 WAS DISTRIBUTED TO THE ENTIRE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION PROVIDES EACH BOARD MEMBER WITH A CONFLICT OF INTEREST POLICY PRIOR TO BEING APPOINTED TO THE BOARD, AT WHICH TIME ANY CONFLICTS WOULD BE REPORTED. THE POLICY AND ANY CONFLICTS ARE ALSO REVIEWED ANNUALLY. IF A CONFLICT WERE TO BE INDICATED, THE INDIVIDUAL WOULD RECUSE THEMSELF FROM ALL DISCUSSION AND DELIBERATION RELATED TO THE CONFLICTED MATTER AND SUCH WOULD BE DOCUMENTED IN THE BOARD MEETING MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND IRS FORM 990 ARE AVAILABLE UPON REQUEST.