STRATEGY STUDIO / PUBLIC DATA EXPLORER

GEORGIA REHABILITATION INSTITUTE INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GEORGIA REHABILITATION INSTITUTE INC (EIN 58-1705662)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202321359349105962
Schema version
2021v4.2
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)
Return2023-05-15T17:29:13-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN882730877PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHERRY BEKAERT ADVISORY LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11029 GREENE STREETAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581705662EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GEORGIA REHABILITATION INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGEORBusinessNameControlTxt
Phone7068238779PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1523 13TH STAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS B SKELLEYPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7064341240PhoneNum
Signature2023-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDENNISPersonFirstNm
Person LastSKELLEYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMANDA ADAMSPreparerPersonNm
PTINP00748038PTIN
Phone7067243557PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$28,029,820FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$100ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$1,058,230DividendsRevAndExpnssAmt
Dividends Net Invst Incm$1,058,230DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,532,050NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$4,542,858GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,532,050CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$216,170OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$2,806,550TotalRevAndExpnssAmt
Total Net Invst Incm$2,590,280TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$87,262CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$15,300CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$71,962CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$114,578OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$10,199OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$104,402OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$82,402PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$12,622PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$69,780PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$500LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$500LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$40,161AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$39,561AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$151,508OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$151,508OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$72,209TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$724TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$11,296DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$2,355DeprecAndDpltnNetInvstIncmAmt
Occupancy Rev And Expnss$19,840OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$0OccupancyNetInvstIncmAmt
Occupancy Dsbrs Chrtbl$19,992OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$76,883OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$61,046OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$656,639TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$191,984TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$367,967TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,204,792ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,050,257ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,861,431TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$191,984TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,418,224TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$945,119ExcessRevenueOverExpensesAmt
Net Investment Income$2,398,296NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$88,744CashBOYAmt
Cash EOY$285,187CashEOYAmt
Cash EOYFMV$285,187CashEOYFMVAmt
Sav And Temp Cash Invst BOY$480,907SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$828,111SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$828,111SavAndTempCashInvstEOYFMVAmt
Prepaid Expenses BOY$64,189PrepaidExpensesBOYAmt
Prepaid Expenses EOY$55,735PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$55,735PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$291,524USGovernmentObligationsBOYAmt
US Government Obligations EOY$349,856USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$349,856USGovtObligationsEOYFMVAmt
Corporate Stock BOY$18,548,705CorporateStockBOYAmt
Corporate Stock EOY$15,578,010CorporateStockEOYAmt
Corporate Stock EOYFMV$15,578,010CorporateStockEOYFMVAmt
Corporate Bonds BOY$6,771,151CorporateBondsBOYAmt
Corporate Bonds EOY$7,304,883CorporateBondsEOYAmt
Corporate Bonds EOYFMV$7,304,883CorporateBondsEOYFMVAmt
Other Investments BOY$3,262,681OtherInvestmentsBOYAmt
Other Investments EOY$2,775,444OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,775,444OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$482,910LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$304,298LandBldgEquipAccumDeprecAmt
Land BOY$189,910LandBOYAmt
Land EOY$178,612LandEOYAmt
Land EOYFMV$178,612LandEOYFMVAmt
Other Assets BOY$726,243OtherAssetsBOYAmt
Other Assets EOY$673,982OtherAssetsEOYAmt
Other Assets EOYFMV$673,982OtherAssetsEOYFMVAmt
Total Assets BOY$30,424,054TotalAssetsBOYAmt
Total Assets EOY$28,029,820TotalAssetsEOYAmt
Total Assets EOYFMV$28,029,820TotalAssetsEOYFMVAmt
Accounts Payable BOY$168,167AccountsPayableBOYAmt
Accounts Payable EOY$301,604AccountsPayableEOYAmt
Total Liabilities BOY$168,167TotalLiabilitiesBOYAmt
Total Liabilities EOY$301,604TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$30,255,887NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$27,728,216NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$30,255,887TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$27,728,216TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$30,424,054TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$28,029,820TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$30,255,887TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$945,119ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$31,201,006SubtotalAmt
Other Decreases$3,472,790OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$27,728,216TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
Gross Sales Price$4,542,858GrossSalesPriceAmt
Cost Or Other Basis$3,010,808CostOrOtherBasisAmt
Gain Or Loss$1,532,050GainOrLossAmt
Gains Minus Excess Or Losses$1,532,050GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,532,050CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$33,336InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$33,336SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$33,336TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$70,560EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$70,560TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$23EsPenaltyAmt
Overpayment$37,201OverpaymentAmt
Applied To ES Tax$37,201AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateGAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressGEORGIAREHABINSTITUTE.COMWebsiteAddressTxt
Individual With BooksDENNIS B SKELLEYIndividualWithBooksNm
Phone7069418270PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1523 13TH STAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BROCK DANIELS
523 13TH STAUGUSTAGA30901CHAIRMAN1.00$0$0$0
BETH MCLEOD
523 13TH STAUGUSTAGA30901SECRETARY/TREASURER1.00$0$0$0
THOMAS BLANCHARD III
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
DON HOWARD
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
LARRY KNOX
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
DENNIS B SKELLEY
523 13TH STAUGUSTAGA30901PRESIDENT/CEO39.00$87,262$27,837$0
BENTON STARKS
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
GERRY OWEN
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
DEBBIE BANKS
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0
TERRA CARROLL
523 13TH STAUGUSTAGA30901DIRECTOR1.00$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
KISHA CAREY SPANN
523 13TH STAUGUSTAGA30901HOUSING DIRECTOR40.00$68,204$22,856$0
TAMMY WILLIAMS
523 13TH STAUGUSTAGA30901CONTROLLER40.00$63,089$14,915$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
CHARLIE ROYAL
2981 CLARKSTON ROADAUGUSTAGA30909APARTMENT REPAIRS$149,305
CHERRY BEKAERT LLP
1029 GREENE STREETAUGUSTAGA30901ACCOUNTING SERVICES$140,620
EDENFIELD LANDSCAPE CONCEPTS
1115 SPRINGWOOD CONNECTOR UNIT 411SANDY SPRINGGA30328LANDSCAPING$106,752
UBS
1285 AVENUE OF THE AMERICASNEW YORKNY10019INVESTMENT MGMT$95,273
CRAWFORD INVST COUNSEL INC
600 GALLERIA PKWY SE STE 1650ATLANTAGA303395994INVESTMENT MGMT$56,234
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$28,373,957AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$707,867AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$29,081,824TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$29,081,824AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$436,227CashDeemedCharitableAmt
Net Vl Noncharitable Assets$28,645,597NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,432,280MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,432,280MinimumInvestmentReturnAmt
Tax Based On Investment Income$33,336TaxBasedOnInvestmentIncomeAmt
Total Tax$33,336TotalTaxAmt
Distributable Before Adj$1,398,944DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,398,944DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,398,944DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,418,224ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,418,224QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,398,944DistributableAsAdjustedAmt
Undistributed Income PY$86,777UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$1,418,224QualifyingDistributionsAmt
Applied To Year1$86,777AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,331,447AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$67,497UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (14 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AUGUSTA HOUSING & COMMUNITY DEVELOPMENT
510 FENWICK STREETAUGUSTAGA30901N/AGOVACCESSIBLE HOUSING PROJECTS FOR L. WASHINGTON, T. BAKER, H. WILLIAMS AND T. JOHNSON.$20,000
AUGUSTA SPORTS COUNCIL
PO BOX 1331AUGUSTAGA30903N/APCACCESSIBLE SPORTS AUDIT CONTRIBUTION$8,000
AUGUSTA TRAINING SHOP INC
1704 JENKINS STAUGUSTAGA30904N/APCCARGO VAN FUNDS, ATLANTA MARKET FEE, AND FUND RAISER$58,000
AUGUSTA UNIVERSITY
1120 15TH STAUGUSTAGA30912N/APCDEPARTMENT OF ART & DESIGN COURAGE & CREATIVITY SCHOLARSHIP$1,000
AUGUSTA UNIVERSITY RESEARCH INSTITUTE INC
1120 15TH STAUGUSTAGA30912N/APCCLINICAL TRIAL FUNDING AGREEMENT AND RETOTE RESEARCH$89,352
CHILDREN'S PLACE INC
310 BARNWELL AVENUE NEAIKENSC29801N/APCBUILDING FUND AND A NEW OR USED BUS PURCHASE$75,000
COMMUNITY FOUNDATION FOR THE CSRA
PO BOX 31358AUGUSTAGA30903N/APCALL IN AUGUSTA.$3,000
GEORGIA ARTISTS WITH DISABILITIES INC
190 AUTUMN CTCOVINGTONGA30016N/APCPURCHASE OF ARTIST WITH DISABILITIES PAINTINGS FOR 523 GALLERY$4,005
GREATER AUGUSTA ARTS COUNCIL
PO BOX 1776AUGUSTAGA30903N/APCOTOCAST FOR PUBLIC ART AND TWIGGS CIRCLE ROUNDABOUT CONTRIBUTION$17,500
M3 AGENCY
229 FURYS FERRY RDAUGUSTAGA30907N/APCAUGUSTA TRANSIT CAMPAIGN AND HIRE ME GA CAMPAIGN$66,145
PENDLETON KING PARK FOUNDATION
PO BOX 40113AUGUSTAGA30909N/ASO III FIACCESSIBLE WALKWAYS AND CURB GUTTER CONTRIBUTION$30,000
THE FAMILY YMCA
1058 CLAUSSEN RDAUGUSTAGA30907N/APCCAMP LAKESIDE CONTRIBUTIONS FOR SIDEWALKS, POOL, AND CHAPEL FUND.$162,000
THE RECING CREW
615 GEORGIA AVENUENORTH AUGUSTASC29841N/APCMIRACLE FIELD & KELLI HOWARD FIELD CONTRIBUTIONS$98,000
WALTON OPTIONS FOR INDEPENDENT LIVING
948 WALTON WAYAUGUSTAGA30901N/APCBUILDING CONTRIBUTION, OPERATIONAL CONTRIBUTION, HIRE ME GA CAMPAIGN CONTRIBUTION, OPERATION GRANT, AND WIFI CONTRIBUTIONS$418,255
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,050,257TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
GAP MINISTRIES OF AUGUSTA INC
1235 GREENE STAUGUSTAGA30901N/APCDONATION IN HONOR OF REV. ROBERT HUNT$3,000
GREAT OAK EQUINE ASSISTED PROGRAMS
PO BOX 1288AIKENSC29802N/APCOPERATIONAL SUPPORT$15,000
M3 AGENCY
229 FURYS FERRY RDAUGUSTAGA30907N/APCAUGUSTA TRANSIT CAMPAIGN AND HIRE ME GA CAMPAIGN$6,535
WALTON OPTIONS FOR INDEPENDENT LIVING
948 WALTON WAYAUGUSTAGA30901N/APCBUILDING CONTRIBUTION, OPERATIONAL CONTRIBUTION, HIRE ME GA CAMPAIGN CONTRIBUTION, OPERATION GRANT, AND WIFI CONTRIBUTIONS$130,000
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$154,535TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,058,230ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,532,050ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMEDICARE AND OTHER PROGRAM REVENUEDesc
Related Or Exempt Function Incm$216,170RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$2,590,280ExclusionAmt
Related Or Exempt Function Incm$216,170RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,806,450TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship StatementGEORGIA REHABILITATION INSTITUTE, INC. USED TO OPERATE A HOSPITAL. THE HOSPITAL WAS SOLD IN 2013 BUT THE INSTITUTE RECEIVED INCOME THIS YEAR RELATED TO PROGRAM ACTIVITIES CARRIED OUT IN THE PAST SUCH AS MEDICARE REVENUE AND COLLECTIONS OF DEBTS PREVIOUSLY WRITTEN OFF.RelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryFINANCIAL STATEMENT AUDIT AND TAX RETURN PREPCategoryTxt
Amt$40,161Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$39,561DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CORPORATE BONDS$1,860,844$1,860,844
FIXED INCOME MUTUAL FUNDS$5,444,039$5,444,039

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
COMMON STOCKS - TECHNOLOGY$1,318,723$1,318,723
MUTUAL FUNDS$2,235,119$2,235,119
COMMON STOCKS - FINANCIALS$2,602,555$2,602,555
COMMON STOCKS - HEALTH CARE$1,624,180$1,624,180
COMMON STOCKS - INDUSTRIALS$2,000,673$2,000,673
COMMON STOCKS - OTHER$5,796,760$5,796,760

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$99,805USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$99,805USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$250,051StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$250,051StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
REAL ESTATE INVESTMENT TRUSTSFMV$1,942,608$1,942,608
EXCHANGE TRADED FUNDSFMV$832,836$832,836

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (4 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
LAND$85,219$0$85,219$85,219
LAND IMPROVEMENTS$28,954$28,500$454$454
BUILDINGS AND IMPROVEMENTS$288,406$202,994$85,412$85,412
EQUIPMENT$80,331$72,804$7,527$7,527

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL EXPENSE - PROJECTCategoryTxt
Legal Fees$500LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$500DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDUE FROM AFFILIATED NFPSDesc
BOY Book Value$726,243BOYBookValueAmt
EOY Book Value$673,982EOYBookValueAmt
EOYFMV$673,982EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
UNREALIZED INCREASE/DECREASE IN VALUE OF INVESTMENTS$3,394,532
WRITE OFF OF INTERCOMPANY DEBT$78,258

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (10 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK SERVICE CHARGE$2,894$0$2,303
CONTRACTS$20,537$0$5,527
DUES & SUBS$6,042$0$6,222
GALLERY EXPENSES$8,009$0$8,009
INSURANCE$12,732$0$12,732
MISCELLANEOUS$6,240$0$5,972
OFFICE EXPENSES$8,126$0$7,978
POSTAGE$1,155$0$1,155
REGISTRATION FEE$10,000$0$10,000
SUPPLIES & MAINTENANCE$1,148$0$1,148

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMEDICARE AND OTHER PROGRAM REVENUEDesc
Revenue And Expenses Per Books$216,170RevenueAndExpensesPerBooksAmt
Adjusted Net Income$216,170AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$151,508Amt
Net Investment Income$151,508NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAXES$71,485$0$0
REAL ESTATE TAXES$724$0$724