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ADAMS WELLS CRISIS CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ADAMS WELLS CRISIS CENTER INC (EIN 35-2014231)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-06-05
IRS object ID
202321569349301152
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)
Return2023-06-05T12:17:40-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201695613PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BOLLENBACHER AND ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1915 N MERIDIAN STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationINStateAbbreviationCd
ZIP47371ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352014231EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADAMS WELLS CRISIS CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADAMBusinessNameControlTxt
Phone2603687288PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 253AddressLine1Txt
CityDECATURCityNm
State AbbreviationINStateAbbreviationCd
ZIP46733ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMEGAN JINNINGSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2607289800PhoneNum
Signature2023-05-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMEGANPersonFirstNm
Person LastJINNINGSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAKAYLA M SCHLOSSER CPAPreparerPersonNm
PTINP02151496PTIN
Phone2607264207PhoneNum
Preparation2023-05-23PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMEGAN JINNINGSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 253AddressLine1Txt
CityDECATURCityNm
State AbbreviationINStateAbbreviationCd
ZIP46733ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$226,630GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADAMSWELLSCRISISCENTER.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionBATTERED FAMILY FACILITYActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$205,629PYContributionsGrantsAmt
CY Contributions Grants$193,083CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$382PYInvestmentIncomeAmt
CY Investment Income$377CYInvestmentIncomeAmt
PY Other Revenue$50,639PYOtherRevenueAmt
CY Other Revenue$21,955CYOtherRevenueAmt
PY Total Revenue$256,650PYTotalRevenueAmt
CY Total Revenue$215,415CYTotalRevenueAmt
PY Grants And Similar Paid$266PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$116,380PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$153,184CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,245PYOtherExpensesAmt
CY Other Expenses$59,241CYOtherExpensesAmt
PY Total Expenses$179,891PYTotalExpensesAmt
CY Total Expenses$212,675CYTotalExpensesAmt
PY Revenues Less Expenses$76,759PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,740CYRevenuesLessExpensesAmt
Total Assets BOY$323,609TotalAssetsBOYAmt
Total Assets EOY$323,569TotalAssetsEOYAmt
Total Liabilities BOY$4,662TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,882TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$318,947NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$321,687NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE SHELTER AND ASSISTANCE FOR ABUSED FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$212,675ExpenseAmt
Grant$250GrantAmt
DescTO PROVIDE SHELTER AND ASSISTANCE FOR ABUSED FAMILIES.Desc
Total Program Service Expenses$212,675TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 Contri0DeductibleNonCashContriInd
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
Employee4EmployeeCnt
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
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADAMS WELLS CRISIS CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2603687288PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 253AddressLine1Txt
CityDECATURCityNm
State AbbreviationINStateAbbreviationCd
ZIP46733ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
IAN GILBERT
DIRECTOR0.00Yes (X)$0$0$0
LISA GABLE
DIRECTOR0.00Yes (X)$0$0$0
NICHOLE HECKERT
DIRECTOR0.00Yes (X)$0$0$0
JANELLA STRONCZEK
DIRECTOR0.00Yes (X)$0$0$0
BALDEMAR SILVA
DIRECTOR0.00Yes (X)$0$0$0
APRIL FULLENKAMP
DIRECTOR0.00Yes (X)$0$0$0
ABBY HOLLOWAY
DIRECTOR0.00Yes (X)$0$0$0
MEGAN ROSS-ESPINOZA
DIRECTOR0.00Yes (X)$0$0$0
BRIANNA LEE
DIRECTOR0.00Yes (X)$0$0$0
CLAYTON LENGERICH
DIRECTOR0.00Yes (X)$0$0$0
JODI MAWHORR
PRESIDENT0.00$0$0$0Yes (X)
BARRY HUMBLE
VICE PRESIDENT1.00$0$0$0Yes (X)
AMY BIEBERICH
SECRETARY0.00$0$0$0Yes (X)
HALEY CHAIRES
TREASURER0.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$193,083AllOtherContributionsAmt
Total Contributions$193,083TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$377TotalRevenueColumnAmt
Exclusion$377ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$33,118FundraisingGrossIncomeAmt
Fundraising Direct Expenses$11,215FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,903TotalRevenueColumnAmt
Exclusion$21,903ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISC INCOMEDesc
Business900099BusinessCd
Total Revenue Column$52TotalRevenueColumnAmt
Exclusion$52ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$52OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$215,415TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$22,332ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Program Services$250ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$138,988TotalAmt
Program Services$138,988ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,332TotalAmt
Program Services$3,332ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,864TotalAmt
Program Services$10,864ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$454TotalAmt
Program Services$454ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,070TotalAmt
Program Services$7,070ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$419TotalAmt
Program Services$419ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,912TotalAmt
Program Services$10,912ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,112TotalAmt
Program Services$11,112ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,944TotalAmt
Program Services$2,944ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,061TotalAmt
Program Services$4,061ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,204TotalAmt
Program Services$9,204ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM EXPENSE$7,478$7,478
SECURITY$1,801$1,801
CONTRACT LABOR$1,028$1,028
DUES AND SUBSCRIPTIONS$874$874

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,884TotalAmt
Program Services$1,884ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$212,675TotalAmt
Program Services$212,675ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$198,650BOYAmt
EOY$91,756EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$106,538EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$212,215LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$87,842LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$124,057BOYAmt
EOY$124,373EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$902BOYAmt
EOY$902EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$323,609BOYAmt
EOY$323,569EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,662BOYAmt
EOY$1,882EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,662BOYAmt
EOY$1,882EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$318,947BOYAmt
EOY$321,687EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$318,947BOYAmt
EOY$321,687EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$323,609BOYAmt
EOY$323,569EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,740ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$323,964CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,969CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$205,629CurrentTaxYearMinus1YearAmt
Current Tax Year$193,083CurrentTaxYearAmt
Total$1,017,374TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$323,964CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,969CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$138,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$205,629CurrentTaxYearMinus1YearAmt
Current Tax Year$193,083CurrentTaxYearAmt
Total$1,017,374TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,017,374PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$100CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$335CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$382CurrentTaxYearMinus1YearAmt
Current Tax Year$377CurrentTaxYearAmt
Total$1,374TotalAmt
FieldValueIRS element (for citing)
Total Support$1,018,748TotalSupportAmt
Gross Receipts Rltd Activities$192,496GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99870PublicSupportCY170Pct
Public Support PY1700.99910PublicSupportPY170Pct
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$26,100OtherCostOrOtherBasisAmt
Book Value$26,100BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$116,459OtherCostOrOtherBasisAmt
Depreciation$24,089DepreciationAmt
Book Value$92,370BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,656OtherCostOrOtherBasisAmt
Depreciation$63,753DepreciationAmt
Book Value$5,903BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$124,373TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CALENDAREvent1Nm
Gross Receipts Event1$5,656GrossReceiptsEvent1Amt
Gross Revenue Event1$5,656GrossRevenueEvent1Amt
Other Direct Expenses Event1$3,896OtherDirectExpensesEvent1Amt
Event2BINGOEvent2Nm
Gross Receipts Event2$25,714GrossReceiptsEvent2Amt
Gross Revenue Event2$25,714GrossRevenueEvent2Amt
Other Direct Expenses Event2$6,382OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Total$31,370GrossReceiptsTotalAmt
Gross Revenue Total Events$31,370GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$10,278OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$10,278DirectExpenseSummaryEventsAmt
Net Income Summary$21,092NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BANY DOCUMENTATION OF THE SHELTER IS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19ANY DOCUMENTATION OF THE SHELTER IS AVAILABLE TO THE PUBLIC UPON REQUEST.