LEBANON VOLUNTEER FIRE DEPARTMENT: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LEBANON VOLUNTEER FIRE DEPARTMENT (EIN 10-0006500)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-15
- IRS object ID
- 202331359349309328
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-15T13:06:31-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061092709 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOLDBLATT BOKOFF LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 457 WEST MAIN STREET | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 100006500 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEBANON VOLUNTEER FIRE DEPARTMENT INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEBA | BusinessNameControlTxt |
| Phone | 8606427546 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23 GOSHEN HILL ROAD | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06249 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK ELLIOTT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8606427546 | PhoneNum |
| Signature | 2023-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARK | PersonFirstNm |
| Person Last | ELLIOTT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMBER MOORE | PreparerPersonNm |
| PTIN | P01368565 | PTIN |
| Phone | 8608865108 | PhoneNum |
| Preparation | 2023-05-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK ELLIOTT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 352 BABCOCK HILL ROAD | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06249 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $536,058 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LEBANONFD.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION PROVIDES EMERGENCY FIRE AND MEDICAL SERVICES TO RESIDENTS OF THE TOWN OF LEBANON, CONNECTICUT, AS WELL AS SURROUNDING COMMUNITIES. SERVICES ARE PROVIDED ON AN "AS NEEDED BASIS". | ActivityOrMissionDesc |
| Voting Members Governing Body | 58 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 58 | VotingMembersIndependentCnt |
| Total Employee | 33 | TotalEmployeeCnt |
| Total Volunteers | 58 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $354,056 | PYContributionsGrantsAmt |
| CY Contributions Grants | $319,653 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $169,455 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $211,148 | CYProgramServiceRevenueAmt |
| PY Investment Income | $30,237 | PYInvestmentIncomeAmt |
| CY Investment Income | $102 | CYInvestmentIncomeAmt |
| PY Other Revenue | $509 | PYOtherRevenueAmt |
| CY Other Revenue | -$371 | CYOtherRevenueAmt |
| PY Total Revenue | $554,257 | PYTotalRevenueAmt |
| CY Total Revenue | $530,532 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $195,423 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $139,328 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $345,138 | PYOtherExpensesAmt |
| CY Other Expenses | $329,312 | CYOtherExpensesAmt |
| PY Total Expenses | $540,561 | PYTotalExpensesAmt |
| CY Total Expenses | $468,640 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,696 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $61,892 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,133,276 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,147,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,133,276 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,147,293 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES EMERGENCY FIRE AND MEDICAL SERVICES TO RESIDENTS OF THE TOWN OF LEBANON, CONNECTICUT, AS WELL AS SURROUNDING COMMUNITIES. SERVICES ARE PROVIDED ON AN "AS NEEDED BASIS". | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $414,576 | ExpenseAmt |
| Revenue | $211,198 | RevenueAmt |
| Desc | EMERGENCY FIRE AND MEDICAL SERVICES. DURING THE CURRENT FISCAL YEAR, THE ORGANIZATION RESPONDED TO OVER 750 CALLS FOR FIRE/MEDICAL SERVICES. | Desc |
| Total Program Service Expenses | $414,576 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 33 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 58 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 58 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK ELLIOTT | PersonNm |
| Phone | 8606427546 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 352 BABCOCK HILL ROAD | AddressLine1Txt |
| City | LEBANON | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06249 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|
| BRANDON M DOMINIQUE | |||||
| TREASURER | 16.00 | Yes (X) | $7,622 | $0 | $0 |
| TODD KULMAN | |||||
| VICE-PRESIDENT | 12.00 | Yes (X) | $9,059 | $0 | $0 |
| MARK ELLIOTT | |||||
| PRESIDENT | 12.00 | Yes (X) | $2,941 | $0 | $0 |
| MARGARET MCCAW | |||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 |
| MARY MCCOMBER | |||||
| SECRETARY | 2.00 | Yes (X) | $11,048 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $30,670 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $4,530 | FundraisingAmt |
| Government Grants | $286,572 | GovernmentGrantsAmt |
| All Other Contributions | $28,551 | AllOtherContributionsAmt |
| Total Contributions | $319,653 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FIRE & AMBULANCE BILLI | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $211,148 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,148 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $211,148 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102 | TotalRevenueColumnAmt |
| Exclusion | $102 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,105 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,530 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,526 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$421 | TotalRevenueColumnAmt |
| Exclusion | -$421 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VENDING MACHINE INCOME | Desc |
| Business | 624200 | BusinessCd |
| Total Revenue Column | $50 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $50 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $530,532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $211,198 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$319 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,829 | TotalAmt |
| Program Services | $26,829 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,377 | TotalAmt |
| Program Services | $81,812 | ProgramServicesAmt |
| Management And General | $1,565 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,691 | TotalAmt |
| Program Services | $20,691 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,431 | TotalAmt |
| Program Services | $8,431 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,500 | TotalAmt |
| Management And General | $3,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,777 | TotalAmt |
| Management And General | $4,777 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782 | TotalAmt |
| Management And General | $1,782 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,817 | TotalAmt |
| Management And General | $2,817 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,231 | TotalAmt |
| Program Services | $5,248 | ProgramServicesAmt |
| Management And General | $6,983 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,052 | TotalAmt |
| Management And General | $2,052 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,219 | TotalAmt |
| Program Services | $32,554 | ProgramServicesAmt |
| Management And General | $5,665 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,318 | TotalAmt |
| Program Services | $29,039 | ProgramServicesAmt |
| Management And General | $3,279 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| EQUIPMENT REPAIRS & MAI | $42,881 | $42,881 |
| FIRE PROTECTIVE EQUIPME | $40,714 | $40,714 |
| BILLING SERVICE CONTRAC | $35,548 | $35,548 |
| VEHICLE REPAIRS & MAINT | $32,052 | $32,052 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,421 | TotalAmt |
| Program Services | $58,777 | ProgramServicesAmt |
| Management And General | $21,644 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,640 | TotalAmt |
| Program Services | $414,576 | ProgramServicesAmt |
| Management And General | $54,064 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,556 | BOYAmt |
| EOY | $262,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $570,487 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $349,497 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,404 | BOYAmt |
| EOY | $220,990 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,316 | BOYAmt |
| EOY | $663,438 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,276 | BOYAmt |
| EOY | $1,147,293 | 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 | $1,133,276 | BOYAmt |
| EOY | $1,147,293 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,276 | BOYAmt |
| EOY | $1,147,293 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,276 | BOYAmt |
| EOY | $1,147,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $61,892 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$47,875 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $196,459 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $194,904 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $231,496 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $354,056 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $319,653 | CurrentTaxYearAmt |
| Total | $1,296,568 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $179,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $167,217 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $173,046 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $169,964 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $211,198 | CurrentTaxYearAmt |
| Total | $901,185 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,695 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,943 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,105 | CurrentTaxYearAmt |
| Total | $35,918 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $390,914 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $371,064 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $411,717 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $524,020 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $535,956 | CurrentTaxYearAmt |
| Total | $2,233,671 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,233,671 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,981 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102 | CurrentTaxYearAmt |
| Total | $55,217 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,760 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,981 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,432 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $102 | CurrentTaxYearAmt |
| Total | $55,217 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $2,183 | CurrentTaxYearMinus2YearsAmt |
| Total | $2,183 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $282 | CurrentTaxYearMinus3YearsAmt |
| Total | $2,343 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $409,735 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $384,327 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $427,842 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $535,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $536,058 | CurrentTaxYearAmt |
| Total | $2,293,414 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97400 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96610 | PublicSupportPY509Pct |
| Investment Income CY | 0.02410 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03140 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $570,487 | OtherCostOrOtherBasisAmt |
| Depreciation | $349,497 | DepreciationAmt |
| Book Value | $220,990 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $220,990 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS - VOTING AND NON-VOTING |
| FORM 990, PART VI, SECTION A, LINE 7A | THE EXECUTIVE BOARD IS ELECTED BY THE ORGANIZATION'S FULL VOTING MEMBERSHIP. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN DECISIONS OF THE GOVERNING BOARD REQUIRE APPROVAL OF THE ORGANIZATION'S FULL VOTING MEMBERSHIP |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BOARD REVIEWS THE ORGANIZATION FORM 990 WITH THE ORGANIZATIONS ACCOUNTANT. IF ACCEPTABLE, IT IS THEN FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THROUGH MONTHLY MEETINGS, THE ORGANIZATION REVIEWS ADHERANCE TO THE CONFLICT OF INTEREST POLICY. ACTION, IF NECESSARY, IS TAKEN TO REMOVE ANY IDENTIFIED CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD MEMBERS, OFFICERS, OR KEY EMPLOYEES RECEIVE NO COMPENSATION IN THAT CAPACITY. THEY MAY RECEIVE NOMINAL COMPENSATION FOR OTHER DUTIES PERFORMED. THE ORGANIZATION DETERMINES COMPENSATION PAID TO "PAID RESPONDERS" BY REVIEWING AMOUNTS PAID TO RESPONDERS IN THE LOCAL AREA. MOST SERVICES ARE PROVIDED BY VOULUNTEERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS ARE LOCATED AT THE ORGANIZATION'S OFFICE AND MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 24E | MEDICAL SUPPLIES & OXYGEN: PROGRAM SERVICE EXPENSES 25,630. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,630. TRAINING & SEMINARS: PROGRAM SERVICE EXPENSES 24,337. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,337. VOLUNTEER PHYSICALS & OTHER: PROGRAM SERVICE EXPENSES 3,337. MANAGEMENT AND GENERAL EXPENSES 6,850. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,187. MEMBER RECOGNITION & MEMORIALS: PROGRAM SERVICE EXPENSES 98. MANAGEMENT AND GENERAL EXPENSES 9,086. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,184. TELEPHONE & INTERNET: PROGRAM SERVICE EXPENSES 1,176. MANAGEMENT AND GENERAL EXPENSES 5,708. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,884. BUILDING REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,289. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,289. OTHER EXPENSES-FNDRSNG-990: PROGRAM SERVICE EXPENSES 535. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 535. HAZARDOUS & OTHER WASTE REMOVAL: PROGRAM SERVICE EXPENSES 375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 375. |