STRATEGY STUDIO / PUBLIC DATA EXPLORER

CLUB NOVA COMMUNITY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CLUB NOVA COMMUNITY INC (EIN 27-0103430)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-06-22
IRS object ID
202301739349300815
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)
Return2023-06-22T09:46:32-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561304727PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLACKMAN & SLOOP CPAS PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11414 RALEIGH RD SUITE 300AddressLine1Txt
CityCHAPEL HILLCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27517ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270103430EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLUB NOVA COMMUNITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLUBBusinessNameControlTxt
Phone9199686682PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103-D WEST MAIN STAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTHOMAS BONDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9197241710PhoneNum
Signature2023-06-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTHOMASPersonFirstNm
Person LastBONDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBIN MCDUFFIEPreparerPersonNm
PTINP00098611PTIN
Phone9199428700PhoneNum

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 IRS990

FieldValueIRS element (for citing)
Principal OfficerTHOMAS BONDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103-D WEST MAIN STREETAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,146,733GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLUBNOVA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionCLUB NOVA COMMUNITY, INC PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS TO LEAD MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,038,673PYContributionsGrantsAmt
CY Contributions Grants$946,689CYContributionsGrantsAmt
PY Program Service Revenue$389,556PYProgramServiceRevenueAmt
CY Program Service Revenue$195,600CYProgramServiceRevenueAmt
PY Investment Income-$190,649PYInvestmentIncomeAmt
CY Investment Income$880CYInvestmentIncomeAmt
PY Other Revenue$5,365PYOtherRevenueAmt
CY Other Revenue$3,564CYOtherRevenueAmt
PY Total Revenue$2,242,945PYTotalRevenueAmt
CY Total Revenue$1,146,733CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$545,362PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$422,172CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$71,276CYTotalFundraisingExpenseAmt
PY Other Expenses$226,439PYOtherExpensesAmt
CY Other Expenses$178,812CYOtherExpensesAmt
PY Total Expenses$771,801PYTotalExpensesAmt
CY Total Expenses$600,984CYTotalExpensesAmt
PY Revenues Less Expenses$1,471,144PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$545,749CYRevenuesLessExpensesAmt
Total Assets BOY$3,823,879TotalAssetsBOYAmt
Total Assets EOY$4,185,304TotalAssetsEOYAmt
Total Liabilities BOY$186,757TotalLiabilitiesBOYAmt
Total Liabilities EOY$48,544TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,637,122NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,136,760NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCLUB NOVA COMMUNITY, INC PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS TO MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$375,232ExpenseAmt
Revenue$195,600RevenueAmt
DescCLUB NOVA, ACCREDITED BY CLUBHOUSE INTERNATIONAL, PROVIDED THE FULL RANGE OF CLUBHOUSE MODEL SUPPORTS AND OPPORTUNITIES TO OVER 124 INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. THESE SUPPORTS AND OPPORTUNITIES INCLUDED MEANINGFUL RELATIONSHIPS, MEANINGFUL WORK, EMPLOYMENT AT LOCAL BUSINESSES, SUPPORTED EDUCATION, EVENING/WEEKEND PROGRAMS AND ASSISTANCE WITH COMMUNITY SUPPORT (HOUSING, BENEFITS, QUALITY MEDICAL CARE, AND CRISIS PREVENTION AND RESPONSE).Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescCLUB NOVA IS IN THE FINAL PHASE OF A $4.1 M CAPITAL CAMPAIGN FOR CLUBHOUSE EXPANSION. THE EXPANSION INCLUDES: 1) CONSTRUCTION OF AN APPROXIMATELY 9,100 SQ. FT. FACILITY EXPECTED TO BE COMPLETED BY THE MAY 2022; 2) EXPANSION OF CAPACITY AND PROGRAMMING TO MEET THE UNMET AND EMERGING NEEDS OF PEOPLE WITH SERIOUS MENTAL ILLNESS, EDUCATIONAL INSTITUTIONS, AND THE BROADER COMMUNITY; AND 3) OPPORTUNITY FOR SYSTEMIC IMPACT THROUGH STATE-WIDE REPLICATION OF THIS EVIDENCE-BASED MODEL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$375,232TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN KINCAID DUNNPersonNm
Phone9199686682PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103-D WEST MAIN STAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JANE PAULSEN
BOARD MEMBER2.00Yes (X)$0$0$0
MATTHEW COX
BOARD MEMBER2.00Yes (X)$0$0$0
ERRIN STAUNTON
BOARD MEMBER2.00Yes (X)$0$0$0
JAY MILLER
BOARD MEMBER2.00Yes (X)$0$0$0
GRETCHEN DAVIS
CHAIRPERSON15.00Yes (X)$0$0$0Yes (X)
MARGARET MILLER GROWE
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
SUE ESTROFF
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GARY D GADDY
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
TOM BOND
TREASURER5.00Yes (X)$0$0$0Yes (X)
CHARLENE LEE
SECRETARY2.00Yes (X)$0$0$0Yes (X)
KAREN KINCAID DUNN
EXECUTIVE DIRECTOR40.00$85,414$0$17,937Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$85,414TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,937TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PROFESSIONAL BUILDING SYSTEMSBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 MILLSTONE DRIVE 101AddressLine1Txt
CityHILLSBOROUGHCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27278ZIPCd
FieldValueIRS element (for citing)
ServicesCONTRACTING SERVICESServicesDesc
Compensation$1,255,373CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$34,134FederatedCampaignsAmt
Government Grants$249,867GovernmentGrantsAmt
All Other Contributions$662,688AllOtherContributionsAmt
Noncash Contributions$114,689NoncashContributionsAmt
Total Contributions$946,689TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623990$192,057$192,057
MEAL SALES722210$3,543$3,543
FieldValueIRS element (for citing)
Total Program Service Revenue$195,600TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$880TotalRevenueColumnAmt
Exclusion$880ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$3,564TotalRevenueColumnAmt
Exclusion$3,564ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,564OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,146,733TotalRevenueColumnAmt
Related Or Exempt Func Income$195,600RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,444ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$108,168TotalAmt
Program Services$27,042ProgramServicesAmt
Management And General$28,100ManagementAndGeneralAmt
Fundraising$53,026FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$253,355TotalAmt
Program Services$179,725ProgramServicesAmt
Management And General$66,544ManagementAndGeneralAmt
Fundraising$7,086FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,522TotalAmt
Program Services$4,190ProgramServicesAmt
Management And General$332ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$29,610TotalAmt
Program Services$21,981ProgramServicesAmt
Management And General$7,629ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,517TotalAmt
Program Services$15,611ProgramServicesAmt
Management And General$6,877ManagementAndGeneralAmt
Fundraising$4,029FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$26,582TotalAmt
Management And General$26,582ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Program Services$500ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,940TotalAmt
Program Services$14,317ProgramServicesAmt
Management And General$2,906ManagementAndGeneralAmt
Fundraising$2,717FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$35,980TotalAmt
Program Services$30,555ProgramServicesAmt
Management And General$5,425ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,102TotalAmt
Program Services$16,854ProgramServicesAmt
Management And General$661ManagementAndGeneralAmt
Fundraising$1,587FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,348TotalAmt
Program Services$1,348ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,666TotalAmt
Program Services$13,316ProgramServicesAmt
Management And General$1,567ManagementAndGeneralAmt
Fundraising$783FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,877TotalAmt
Program Services$11,944ProgramServicesAmt
Management And General$5,175ManagementAndGeneralAmt
Fundraising$758FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
AUTO EXPENSE$11,497$11,497
BILLING AND SERVICE FEE$9,073$9,073
EQUIPMENT RENTAL$5,299$4,375$924
FOOD AND PROVISIONS$5,049$5,049

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,899TotalAmt
Program Services$7,855ProgramServicesAmt
Management And General$1,754ManagementAndGeneralAmt
Fundraising$1,290FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$600,984TotalAmt
Program Services$375,232ProgramServicesAmt
Management And General$154,476ManagementAndGeneralAmt
Fundraising$71,276FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$170,637BOYAmt
EOY$341,212EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,446,313BOYAmt
EOY$1,191,693EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$232,949BOYAmt
EOY$148,136EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$61,350BOYAmt
EOY$21,586EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,331BOYAmt
EOY$19,656EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$227,738LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$177,358LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$66,045BOYAmt
EOY$50,380EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,201,284BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$640,970BOYAmt
EOY$2,412,641EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,823,879BOYAmt
EOY$4,185,304EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$58,537BOYAmt
EOY$48,544EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$128,220BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$186,757BOYAmt
EOY$48,544EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,682,849BOYAmt
EOY$3,636,760EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,954,273BOYAmt
EOY$500,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,637,122BOYAmt
EOY$4,136,760EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,823,879BOYAmt
EOY$4,185,304EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$545,749ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$46,111OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$721,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,280,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$528,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,045,514CurrentTaxYearMinus1YearAmt
Current Tax Year$946,454CurrentTaxYearAmt
Total$5,522,126TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$85,790CurrentTaxYearMinus1YearAmt
Current Tax Year$343,395CurrentTaxYearAmt
Total$429,185TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$721,057CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,280,990CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$528,111CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,131,304CurrentTaxYearMinus1YearAmt
Current Tax Year$1,289,849CurrentTaxYearAmt
Total$5,951,311TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,303,246SubstantialContributorsTotAmt
Public Support Total170$4,648,065PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,055CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,090CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$26,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,090CurrentTaxYearMinus1YearAmt
Current Tax Year$880CurrentTaxYearAmt
Total$48,965TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$703CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,157CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,365CurrentTaxYearMinus1YearAmt
Current Tax Year$3,564CurrentTaxYearAmt
Total$15,819TotalAmt
FieldValueIRS element (for citing)
Total Support$6,016,095TotalSupportAmt
Gross Receipts Rltd Activities$2,349,881GrossReceiptsRltdActivitiesAmt
Public Support CY1700.77260PublicSupportCY170Pct
Public Support PY1700.68860PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,329OtherCostOrOtherBasisAmt
Book Value$49,329BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$143,088OtherCostOrOtherBasisAmt
Depreciation$143,046DepreciationAmt
Book Value$42BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,321OtherCostOrOtherBasisAmt
Depreciation$34,312DepreciationAmt
Book Value$1,009BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,380TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION IN PROCESSDesc
Book Value$2,412,641BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$2,412,641TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,489,893TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$343,160DonatedServicesAndUseFcltsAmt
Revenue Not Reported$343,160RevenueNotReportedAmt
Revenue Subtotal$1,146,733RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,146,733TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$990,255TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$343,160DonatedServicesUseFcltsAmt
Other Expenses Included$46,111OtherExpensesIncludedAmt
Expenses Not Reported$389,271ExpensesNotReportedAmt
Expenses Subtotal$600,984ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$600,984TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XII, LINE 2D - OTHER ADJUSTMENTS:FormAndLineReferenceDesc
ExplanationBAD DEBT EXPENSE 46,111.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$114,454NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescNONCASH CONTRIBUTIONDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$235NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3CLUB NOVA - CRITICAL SAFETY NET - UPDATE: RETURNED TO PROVIDING ON-SITE SERVICE, WHILE RETAINING REMOTE ACCESS OPPORTUNITIES. THE COVID-19 PANDEMIC DRAMATICALLY AFFECTED HOW CLUB NOVA PROVIDES SERVICES. CLUB NOVA NOW PROVIDES BOTH THE OPPORTUNITY TO SERVE MEMBERS REMOTELY AND ON-SITE. NOT ONLY ARE OUR MEMBERS LIVING WITH SERIOUS MENTAL ILLNESS, THE MAJORITY OF OUR MEMBERS ARE IN THE HIGH RISK CATEGORY FOR COVID-19 DUE TO CO-OCCURING SERIOUS HEALTH CONDITIONS INCLUDING A HIGH PREVALENCE OF DIABETES, AS WELL AS RESPIRATORY AND HEART CONDITIONS, AND COMPROMISED IMMUNE SYSTEMS. THE FACILITY IS NO LONGER CLOSED TO MEMBERS DUE TO COVID-19, WE PROACTIVELY UPDATED EMERGENCY CONTACTS, ENSURED MEMBERS HAD MEDICATION AND FOOD, PROVIDED EDUCATION ON PRECAUTIONS, AND IDENTIFIED ACCESS TO TECHNOLOGY. DESPITE FUNDING UNCERTAINTY, CLUB NOVA CONTINUES TO PROVIDE INTENSIVE, DAILY OUTREACH TO CHECK ON HEALTH AND WELL- BEING OF MEMBERS, AS WELL AS MEDICATION AND FOOD SUPPLIES; HOME WELLNESS VISITS; CRISIS INTERVENTION; SOLVING HOUSING CRISES; PREPARATION AND DELIVERY OF 2,000 + MEALS TO MEMBERS; SECURING, SETTING UP, AND DISTRIBUTING 15 SMART PHONES FOR MEMBERS TO JOIN OUR VIRTUAL PLATFORM; ESTABLISHING A VIRTUAL CLUBHOUSE PROGRAM WITH OVER 40 HOURS OF STRUCTURED WORKGROUPS OF MEMBERS AND STAFF INCLUDING: REACH OUT NOTE TRACKING AND BILLING BUSINESS CONTINUATION RESOURCE DEVELOPMENT ADMINISTRATION NEWSLETTER WELLNESS SOCIAL AND WELLNESS PLANNING CLUB NOVA RACIAL INJUSTICE STATEMENT SURVEY CLUBHOUSE CULTURE TECHNOLOGY U.S. CENSUS COMPLETION OUR GREATEST FINANCIAL CHALLENGE COMES FROM THE SIGNIFICANT REDUCTION IN MEDICAID AND STATE REIMBURSEMENT DUE TO THE SHIFTS IN SERVICE DELIVERY BECAUSE OF COVID-19 AND FROM BEING LOCATED IN A TEMPORARY FACILITY, WHILE OUR PERMANENT BUILDING IS IN THE FINAL PHASE OF CONSTRUCTION. CLUB NOVA CONSISTENTLY WEAVES AND MENDS CRITICAL SAFETY NETS IN OUR LOCAL MENTAL HEALTH CARE SYSTEM. WE HAVE STEADFASTLY DEMONSTRATED ADAPTABILITY, FLEXIBILITY, PERSISTENCE, AND THE ABILITY TO CREATIVELY ADDRESS CHALLENGES AND MEET THE NEEDS OF MEMBERS AND THE COMMUNITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND EXECUTIVE DIRECTOR BEFORE PROVIDING TO THE BOARD PRIOR TO APPROVAL AND SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS RECEIVES THE CONFLICT OF INTEREST POLICY AS WELL AS CORPORATE COMPLIANCE POLICIES AND PROCEDURES. COMPLIANCE IS MONITORED BY THE BOARD AND EXECUTIVE DIRECTOR WHO ARE KEENLY AWARE OF THE IMPORTANCE OF THESE POLICIES.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION LEVELS ARE REVIEWED BY THE PRESIDENT AND HR COMMITTEE WHO RESEARCH COMPENSATION LEVELS FOR EQUIVALENT POSITIONS AND DETERMINE IF ANY CHANGES ARE NECESSARY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 24ESTAFF TRAINING: PROGRAM SERVICE EXPENSES 2,876. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,876. BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 1,270. MANAGEMENT AND GENERAL EXPENSES 10. FUNDRAISING EXPENSES 1,029. TOTAL EXPENSES 2,309. SUPPLIES - PROGRAM: PROGRAM SERVICE EXPENSES 1,114. MANAGEMENT AND GENERAL EXPENSES 109. FUNDRAISING EXPENSES 261. TOTAL EXPENSES 1,484. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,438. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,438. TAXES: PROGRAM SERVICE EXPENSES 987. MANAGEMENT AND GENERAL EXPENSES 197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,184. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 833. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 833. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 775.
FORM 990, PART XI, LINE 9:BAD DEBT EXPENSE -46,111.
FORM 990, PART XII, LINE 2CFINANCE/AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FOR THE CURRENT YEAR.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationREASONABLE CAUSE STATEMENTPLEASE ACCEPT THIS LETTER AS A REASONABLE CAUSE STATEMENT FOR CONSIDERATION OF LATE FILING PENALTY ABATEMENT. WE ASK THAT YOU CONSIDER THESE FACTS:BEGINNING, MAY 8, 2023 ALL OF OUR ACCOUNTING FIRM'S E-FILED RETURNS BEGAN TO BE REJECTED DUE TO AN INCORRECT EFIN NUMBER. AFTER CONVERSATION WITH THE IRS, IT APPEARS THAT THE FIRM'S EFIN NUMBER WAS MISTAKENLY DE-ACTIVATED ON MAY 8, 2023 WITHOUT NOTICE TO THE FIRM. IT TOOK SEVERAL DAYS FOR THE NEW EFIN NUMBER TO BE ACTIVATED IN THE IRS SYSTEM.WHILE A NEW EFIN WAS PROVIDED TO THEIR CCH TAX FILING SOFTWARE PROVIDER BY THE IRS, CCH WAS NOT ABLE TO UPDATE THE EFIN AND VENDER CONTROL NUMBER IN THE TAX SOFTWARE IN TIME TO ALLOW FOR TIMELY ELECTRONIC FILING OF OUR FORM 990. IN FACT, THE SOFTWARE VENDOR CCH TOLD OUR ACCOUNTING FIRM THAT THEY WOULD NOT BE ABLE TO ELECTRONICALLY FILE 2021 RETURNS GOING FORWARD. WITHOUT THE ABILITY TO E-FILE THE 990S BY THE MAY 15, 2023 DUE DATE, OUR ACCOUNTING FIRM WAS FORCED TO PAPER FILE TO ENSURE THAT THE RETURNS WERE FILED BY THE MAY 15, 2023 DEADLINE.ALTHOUGH WE ATTACHED A COVER LETTER EXPLAINING THE SITUATION AND OUR INABILITY TO E-FILE, OUR ACCOUNTING FIRM RECEIVED NOTICE FOR ONE OF THEIR CLIENTS THAT THE IRS DID NOT ACCEPT THEIR PAPER FILED RETURN REGARDLESS OF E-FILE ISSUES. WITH THE PASSAGE OF TIME, OUR ACCOUNTING FIRM'S SOFTWARE VENDOR AND THE IRS HAVE COORDINATED THEIR SYSTEMS TO ALLOW E-FILING OF 2021 RETURNS AGAIN. OUR FIRM HAS DECIDED TO PROACTIVELY E-FILE ALL OF THE 990S THAT WERE PAPER FILED ON MAY 15TH IN ANTICIPATION THAT OUR PAPER FILED FORM 990 WILL NOT BE ACCEPTED BY THE IRS.WE ASK THAT YOU CONSIDER THAT A GOOD FAITH EFFORT WAS MADE TO FILE ON-TIME AND THAT WE NOT BE PENALIZED FOR E-FILING ISSUES RELATED TO A CHANGE IN EFIN MADE BY THE IRS JUST DAYS BEFORE THE FILING DEADLINE.BASED ON THE FOREGOING FACTS AND CIRCUMSTANCES, WE RESPECTFULLY REQUEST LATE FILING PENALTIES NOT BE ASSESSED.ExplanationTxt