STRATEGY STUDIO / PUBLIC DATA EXPLORER

HAROLD HAL KELLEY RESPITE FOUNDATION INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HAROLD HAL KELLEY RESPITE FOUNDATION INC (EIN 26-4398254)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-05-19
IRS object ID
202341399349301024
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-19T13:09:16-04:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351785900PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MORTENSEN CPA GROUPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12056 S STATE ROAD 2AddressLine1Txt
CityVALPARAISOCityNm
State AbbreviationINStateAbbreviationCd
ZIP463859061ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264398254EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAROLD HAL KELLEY RESPITEBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHAROBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11408 CHICAGO STAddressLine1Txt
CityVALPARAISOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLITA PETERSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Signature2023-05-18SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLITAPersonFirstNm
Person LastPETERSPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHARON A MORTENSENPreparerPersonNm
PTINP00107578PTIN
Phone2194651100PhoneNum
Preparation2023-05-18PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1RESPITE HOUSEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRYAN PETERSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11408 CHICAGO STAddressLine1Txt
CityVALPARAISOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$452,766GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressRESPITEHOUSE.ORG/VALPO-HALFWAY-HOUSEWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionWE ARE A HALF-WAY HOUSE FOR MEN IN PORTER COUNTY WHO ARE SEEKING RECOVERY FROM THE DISEASE OF ADDICTION AND REQUIRE ASSISTANCE IN THEIR HOUSING, CARE, AND RECOVERY PROCESS.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$240,539PYContributionsGrantsAmt
CY Contributions Grants$226,991CYContributionsGrantsAmt
PY Program Service Revenue$108,717PYProgramServiceRevenueAmt
CY Program Service Revenue$214,658CYProgramServiceRevenueAmt
PY Investment Income$8PYInvestmentIncomeAmt
CY Investment Income$2CYInvestmentIncomeAmt
PY Other Revenue$3,946PYOtherRevenueAmt
CY Other Revenue$11,115CYOtherRevenueAmt
PY Total Revenue$353,210PYTotalRevenueAmt
CY Total Revenue$452,766CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$76,539PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,030CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,385CYTotalFundraisingExpenseAmt
PY Other Expenses$203,857PYOtherExpensesAmt
CY Other Expenses$239,391CYOtherExpensesAmt
PY Total Expenses$280,396PYTotalExpensesAmt
CY Total Expenses$341,421CYTotalExpensesAmt
PY Revenues Less Expenses$72,814PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$111,345CYRevenuesLessExpensesAmt
Total Assets BOY$1,166,792TotalAssetsBOYAmt
Total Assets EOY$1,263,762TotalAssetsEOYAmt
Total Liabilities BOY$426,851TotalLiabilitiesBOYAmt
Total Liabilities EOY$412,476TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$739,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$851,286NetAssetsOrFundBalancesEOYAmt
MissionWE ARE A HALF-WAY HOUSE FOR MEN IN PORTER COUNTY WHO ARE SEEKING RECOVERY FROM THE DISEASE OF ADDICTION AND REQUIRE ASSISTANCE IN THEIR HOUSING, CARE, AND RECOVERY PROCESS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$336,036ExpenseAmt
DescASSIST CLIENTS IN THEIR RECOVERY PROCESS (PHYSICALLY, EMOTIONALLY, AND SPRITITUALLY) WITH THE HOPE THAT THEY WILL BECOME RESPONSIBLE AND PRODUCTIVE MEMBERS OF THE COMMUNITY.Desc
Total Program Service Expenses$336,036TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLITA PETERSPersonNm
Phone2195481300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11408 CHICAGO STREETAddressLine1Txt
CityVALPARAISOCityNm
State AbbreviationINStateAbbreviationCd
ZIP46383ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFF BALON
BOARD MEMBERYes (X)$0$0$0
TANIKA BRINEY
DIRECTORYes (X)$0$0$0
KEN BROWN
BOARD MEMBERYes (X)$0$0$0
SAMANTHA BURGETT
BOARD MEMBERYes (X)$0$0$0
SCOTT CVELBAR
SECRETARYYes (X)$0$0$0
HOWARD GUTENSTEIN
BOARD MEMBERYes (X)$0$0$0
SCOTT HAMILTON
GRANT WRITERYes (X)$0$0$0
MEGAN JOHNSON
BOARD MEMBERYes (X)$0$0$0
SCOTT KACZYNSKI
VICE CHAIRPEYes (X)$0$0$0
LITA PETERS
EXECUTIVE DIYes (X)$0$0$0
MITCH PETERS
BOARD MEMBERYes (X)$0$0$0
RYAN PETERS
CHAIRPERSONYes (X)$0$0$0
BENJAMIN ROSENBERGER
BOARD MEMBERYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$67,100GovernmentGrantsAmt
All Other Contributions$159,891AllOtherContributionsAmt
Total Contributions$226,991TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Total Revenue Column$214,658TotalRevenueColumnAmt
Related Or Exempt Func Income$214,658RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$214,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2TotalRevenueColumnAmt
Exclusion$2ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$11,115FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,115TotalRevenueColumnAmt
Exclusion$11,115ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$452,766TotalRevenueColumnAmt
Related Or Exempt Func Income$214,658RelatedOrExemptFuncIncomeAmt
Exclusion$11,117ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$93,650TotalAmt
Program Services$93,650ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,380TotalAmt
Program Services$8,380ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,156TotalAmt
Program Services$2,156ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$12,100TotalAmt
Program Services$8,600ProgramServicesAmt
Fundraising$3,500FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$528TotalAmt
Program Services$528ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$15,135TotalAmt
Program Services$15,135ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$44,162TotalAmt
Program Services$44,162ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,840TotalAmt
Program Services$3,840ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,513TotalAmt
Program Services$4,513ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,489TotalAmt
Program Services$15,489ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$40,021TotalAmt
Program Services$40,021ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,580TotalAmt
Program Services$12,580ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
FOOD$47,305$47,305
REPAIRS & MAINTENANCE$31,391$31,391
PROGRAM SUPPLIES$7,240$7,240
SUPPLIES$1,885$1,885

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,046TotalAmt
Program Services$1,046ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$341,421TotalAmt
Program Services$336,036ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$5,385FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$37,813BOYAmt
EOY$31,430EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,841BOYAmt
EOY$72,479EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$6,953EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,387,270LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$235,185LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,116,323BOYAmt
EOY$1,152,085EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$815BOYAmt
EOY$815EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,166,792BOYAmt
EOY$1,263,762EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$400,284BOYAmt
EOY$385,909EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$26,567BOYAmt
EOY$26,567EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$426,851BOYAmt
EOY$412,476EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$739,941BOYAmt
EOY$851,286EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$739,941BOYAmt
EOY$851,286EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,166,792BOYAmt
EOY$1,263,762EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$111,345ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$30,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$172,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240,539CurrentTaxYearMinus1YearAmt
Current Tax Year$226,991CurrentTaxYearAmt
Total$798,495TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,190CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,200CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$172,575CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$240,539CurrentTaxYearMinus1YearAmt
Current Tax Year$226,991CurrentTaxYearAmt
Total$798,495TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$798,495PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$5CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8CurrentTaxYearMinus1YearAmt
Current Tax Year$2CurrentTaxYearAmt
Total$29TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,764CurrentTaxYearMinus1YearAmt
Current Tax Year$11,115CurrentTaxYearAmt
Total$20,879TotalAmt
FieldValueIRS element (for citing)
Total Support$819,403TotalSupportAmt
Gross Receipts Rltd Activities$648,982GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97450PublicSupportCY170Pct
Public Support PY1700.98370PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 9,764ExplanationTxt

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,326OtherCostOrOtherBasisAmt
Book Value$108,326BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,278,944OtherCostOrOtherBasisAmt
Depreciation$235,185DepreciationAmt
Book Value$1,043,759BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,152,085TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescUNEARNED INCOMEDesc
Amt$26,567Amt
FieldValueIRS element (for citing)
Total Liability$26,567TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE EXECUTIVE DIRECTOR WILL REVIEW THE RETURN WITH THE BOARD BEFORE IT IS FILED.
FORM 990, PAGE 6, PART VI, LINE 12CTHE ORGANIZATION DOES REGULARLY AND CONSISTENTLY MONITOR AND ENFORCE COMPLINACE WITH THE CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ATHE EXECUTIVE DIRECTOR SALARY IS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BALL OF THE EMPLOYEES SALARY ARE SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.