HEART BROTHERS FOUNDATION INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- HEART BROTHERS FOUNDATION INC (EIN 46-3534947)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202443199349308934
- Schema version
- 2023v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T14:02:40-05:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562407062 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KUMLANDER DONOFRIO HAY & PEHL CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2715 ROUTE 9 STE 101 | AddressLine1Txt |
| City | MALTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12020 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463534947 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HEART BROTHERS FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAR | BusinessNameControlTxt |
| Phone | 5088588779 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 276 WEST MAIN STREET 5 | AddressLine1Txt |
| City | NORTHBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01532 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL ASHWORTH | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 5088588779 | PhoneNum |
| Signature | 2024-09-25 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KENNETH E HAY CPA | PreparerPersonNm |
| PTIN | P00928162 | PTIN |
| Phone | 5188995544 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROBERT D ROMER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11055 N 79TH PLACE | AddressLine1Txt |
| City | SCOTTSDALE | CityNm |
| State Abbreviation | AZ | StateAbbreviationCd |
| ZIP | 85260 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $465,251 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEARTBROTHERS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | TO BRING RESOURCES TOGETHER TO HELP PATIENTS AND THEIR LOVED ONES SURVIVE A LIFE WITH HEART COMPLICATIONS AND ALL ITS CHALLENGES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $253,996 | PYContributionsGrantsAmt |
| CY Contributions Grants | $295,250 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $29,202 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $36,383 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $46,668 | PYOtherRevenueAmt |
| CY Other Revenue | $85,848 | CYOtherRevenueAmt |
| PY Total Revenue | $329,866 | PYTotalRevenueAmt |
| CY Total Revenue | $417,481 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $87,533 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $81,120 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $78,338 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $83,612 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $49,599 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $226,850 | PYOtherExpensesAmt |
| CY Other Expenses | $258,482 | CYOtherExpensesAmt |
| PY Total Expenses | $392,721 | PYTotalExpensesAmt |
| CY Total Expenses | $423,214 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$62,855 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,733 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $68,898 | TotalAssetsBOYAmt |
| Total Assets EOY | $63,167 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $68,898 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,167 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BRING RESOURCES TOGETHER TO HELP PATIENTS AND THEIR LOVED ONES SURVIVE A LIFE WITH HEART COMPILICATIONS AND ALL ITS CHALLENGES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $175,956 | ExpenseAmt |
| Grant | $81,120 | GrantAmt |
| Desc | THE HEART BROTHERS FOUNDATION IS A NON-PROFIT WHO PROVIDES ESSENTIAL SUPPORT TO HEART COMPLICATION PATIENTS AND THEIR FAMILIES BY DISTRIBUTING FINANCIAL AID, MEDICATION ASSISTANCE, EDUCATIONAL WORKSHOPS AND EMOTIONAL SUPPORT TO ENSURE THE PATIENTS HAVE ACCESS TO NECESSARY TREATMENTS AND LIVING ESSENTIALS. THE HEART BROTHERS FOUNDATION RAISES AWARENESS THROUGH COMMUNITY OUTREACH PROGRAMS WHICH PRIORITIZES EDUCATING INDIVIDUALS ABOUT HEART COMPLICATIONS, PROMOTING EARLY DETECTION AND ENCOURAGING PREVENTATIVE MEASURES. OVERALL, THE HEART BROTHERS FOUNDATION COMPREHENSIVE SERVICE SIGNIFICANTLY IMPROVES THE WELL-BEING OF HEART FAILURE PATIENTS AND RAISED AWARENESS WITHIN MULTIPLE COMMUNITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $94,476 | ExpenseAmt |
| Revenue | $36,383 | RevenueAmt |
| Desc | THE HEART BROTHERS FOUNDATION'S RENTAL PROGRAM PROVIDES TEMPORARY HOUSING FOR HEART COMPLICATION PATIENTS AND THEIR FAMILIES UNDERGOING TREATMENT FAR FROM HOME. THIS PROGRAM OFFERS A SAFE, COMFORTABLE, AND FULLY FURNISHED LIVING SPACE, ALLEVIATING THE FINANCIAL BURDEN AND STRESS ASSOCIATED WITH LONG-TERM HOSPITAL STAYS. THIS ESSENTIAL SERVICE ENSURES THAT PATIENTS CAN FOCUS ON THEIR RECOVERY WHILE MAINTAINING CLOSE PROXIMITY TO THEIR HEALTHCARE PROVIDERS, SIGNIFICANTLY ENHANCING THEIR OVERALL TREATMENT EXPERIENCE AND WELL-BEING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $270,432 | 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 | Yes (true) | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| 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 | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT ROMER | PersonNm |
| Phone | 5088588779 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 CEDAR HILL STREET | AddressLine1Txt |
| City | MARLBORO | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01752 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| PATRICK J SULLIVAN | ||||||
| PRESIDENT | 30.00 | Yes (X) | Yes (X) | $52,200 | $0 | $0 |
| SUSAN J ROMER | ||||||
| CLERK | 2.00 | Yes (X) | Yes (X) | $31,412 | $0 | $0 |
| MICHAEL ASHWORTH | ||||||
| DIRECTOR | 6.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID DENOFRIO | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT D ROMER | ||||||
| TREASURER | 30.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LESLIE ANN SULLIVAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $83,612 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $295,250 | AllOtherContributionsAmt |
| Total Contributions | $295,250 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENTAL INCOME | Desc |
| Total Revenue Column | $36,383 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,383 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $36,383 | TotalProgramServiceRevenueAmt |
| Fundraising Gross Income | $133,618 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $47,770 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $85,848 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $417,481 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,383 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,120 | TotalAmt |
| Program Services | $81,120 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,612 | TotalAmt |
| Program Services | $24,552 | ProgramServicesAmt |
| Management And General | $43,400 | ManagementAndGeneralAmt |
| Fundraising | $15,660 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,867 | TotalAmt |
| Program Services | $15,867 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,537 | TotalAmt |
| Management And General | $2,537 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,045 | TotalAmt |
| Program Services | $16,645 | ProgramServicesAmt |
| Management And General | $14,400 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,608 | TotalAmt |
| Program Services | $28,172 | ProgramServicesAmt |
| Fundraising | $23,436 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,015 | TotalAmt |
| Management And General | $1,015 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,625 | TotalAmt |
| Management And General | $1,625 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,397 | TotalAmt |
| Program Services | $57,129 | ProgramServicesAmt |
| Management And General | $2,268 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,892 | TotalAmt |
| Program Services | $770 | ProgramServicesAmt |
| Management And General | $2,122 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,750 | TotalAmt |
| Program Services | $7,500 | ProgramServicesAmt |
| Management And General | $11,250 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66 | TotalAmt |
| Program Services | $66 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,428 | TotalAmt |
| Program Services | $2,400 | ProgramServicesAmt |
| Management And General | $514 | ManagementAndGeneralAmt |
| Fundraising | $514 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CONSULTING/GRANTWRITING | $53,985 | $24,932 | $21,298 | $7,755 |
| BANK/CREDIT CARD FEES | $8,598 | $6,958 | $1,640 | |
| DUES & SUBSCRIPTIONS | $2,972 | $892 | $1,783 | $297 |
| PRINTING AND POSTAGE | $2,694 | $2,020 | $674 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,003 | TotalAmt |
| Program Services | $1,409 | ProgramServicesAmt |
| Management And General | $297 | ManagementAndGeneralAmt |
| Fundraising | $297 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,214 | TotalAmt |
| Program Services | $270,432 | ProgramServicesAmt |
| Management And General | $103,183 | ManagementAndGeneralAmt |
| Fundraising | $49,599 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,522 | BOYAmt |
| EOY | $62,857 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $466 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $156 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376 | BOYAmt |
| EOY | $310 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,898 | BOYAmt |
| EOY | $63,167 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,898 | BOYAmt |
| EOY | $63,167 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,898 | BOYAmt |
| EOY | $63,167 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,898 | BOYAmt |
| EOY | $63,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,733 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $253,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $295,250 | CurrentTaxYearAmt |
| Total | $1,226,921 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $189,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $326,585 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $253,996 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $295,250 | CurrentTaxYearAmt |
| Total | $1,226,921 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,226,921 | PublicSupportTotal170Amt |
| Total Support | $1,226,921 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $287,407 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 1.00000 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $466 | OtherCostOrOtherBasisAmt |
| Depreciation | $156 | DepreciationAmt |
| Book Value | $310 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $310 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $79,242 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $79,242 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $900 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $19,800 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $17,765 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $5,514 | OtherDirectExpensesEvent1Amt |
| Event2 | VIRTUAL 5K RUN/ | Event2Nm |
| Gross Receipts Event2 | $28,935 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $28,935 | GrossRevenueEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $25,441 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $25,441 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $3,791 | NonCashPrizesOtherEventsAmt |
| Gross Receipts Total | $133,618 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $133,618 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,691 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,800 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $17,765 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,514 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $47,770 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $85,848 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL/LODGING | GrantTypeTxt |
| Recipient | 93 | RecipientCnt |
| Cash Grant | $81,120 | CashGrantAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 2 | ROBERT D ROMER SUSAN J ROMER PRESIDENT CLERK SPOUSES |
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD MEMBERS REVIEW THE TAX RETURN PRIOR TO SIGNING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD MEMBERS DETERMINE COMPENSATION BASED ON MARKET RATES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | ROUNDING 2 |