AGELESS SENIOR CITIZENS INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- AGELESS SENIOR CITIZENS INC (EIN 82-0303448)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-06-29
- IRS object ID
- 202211809349200616
- Schema version
- 2021v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-06-29T09:31:17-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 820451279 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | R Michael Burr CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 560 Filer Ave Ste B | AddressLine1Txt |
| City | Twin Falls | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820303448 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AGELESS SENIOR CITIZENS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AGEL | BusinessNameControlTxt |
| Phone | 2084234338 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 403 | AddressLine1Txt |
| City | KIMBERLY | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83341 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH SIGLER | PersonNm |
| Person Title | SITE MANAGER | PersonTitleTxt |
| Signature | 2022-06-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BETH | PersonFirstNm |
| Person Last | SIGLER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | R MICHAEL BURR | PreparerPersonNm |
| PTIN | P00137024 | PTIN |
| Phone | 2087368747 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $99,479 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $76,479 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $16,780 | ProgramServiceRevenueAmt |
| Investment Income | $6,220 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $99,479 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $34,507 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $776 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $302 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $63,535 | OtherExpensesTotalAmt |
| Total Expenses | $99,120 | TotalExpensesAmt |
| Excess Or Deficit For Year | $359 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $59,763 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $60,122 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,432 | BOYAmt |
| EOY | $60,648 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,432 | BOYAmt |
| EOY | $60,648 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $669 | BOYAmt |
| EOY | $526 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,763 | BOYAmt |
| EOY | $60,122 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | SENIOR CITIZEN CENTER SERVING ELIGIBLE PEOPLE LIVING IN THE KIMBERLY, HANSEN AND MURTAUGH, IDAHO AREA. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | SENIOR CITIZEN CENTER SERVING ELIGIBLE PEOPLE LIVING IN THE KIMBERLY, HANSEN AND MURTAUGH, IDAHO AREA. THE CENTER PROVIDES MEALS AND RECREATION FOR THOSE ELIGIBLE WHO REQUIRE OR REQUEST ITS SERVICES. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $97,041 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $97,041 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| PATRICIA MOSS | ||
| CHAIRPERSON | 2.00 | $0 |
| MIKE FORSYTH | ||
| VICE-CHAIRPERSO | 2.00 | $0 |
| DONNA RONCHETTO | ||
| Secretary | 2.00 | $0 |
| PRESTON BELL | ||
| BOARD MEMBER | 2.00 | $0 |
| MIKE CURTIS | ||
| BOARD MAMBER | 2.00 | $0 |
| CARMEN HART | ||
| BOARD MEMBER | 2.00 | $0 |
| ROBIN BURT | ||
| BOARD MEMBER | 2.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH SIGLAR | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 MAIN ST | AddressLine1Txt |
| City | KIMBERLY | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2084234338 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,479 | CurrentTaxYearAmt |
| Total | $329,906 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $80,685 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $55,431 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,900 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $75,411 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,479 | CurrentTaxYearAmt |
| Total | $329,906 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $329,906 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,494 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,094 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,908 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,842 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,220 | CurrentTaxYearAmt |
| Total | $15,558 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $345,464 | TotalSupportAmt |
| Public Support CY170 | 0.95500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97110 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1002 | Office Expenses $1278 |
| Other Expenses.1005 | Travel $325 |
| Other Expenses.1012 | Insurance $2184 |
| Other Expenses.1 | FOOD SUPPLIES $35051 |
| Other Expenses.2 | SUPPLIES $15241 |
| Other Expenses.3 | UTILITIES $5979 |
| Other Expenses.4 | MAINTENANCE $2378 |
| Other Expenses.5 | TELEPHONE $1074 |
| Other Expenses.7 | KIMBERLY CITY BUSINESS LICENSE $25 |
| Total Liabilities.1 | PAYROLL TAXES - Beginning $669 PAYROLL TAXES - Ending $526 |