STRATEGY STUDIO / PUBLIC DATA EXPLORER

HOSPICE AND PALLIATIVE CARE FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HOSPICE AND PALLIATIVE CARE FOUNDATION (EIN 57-1107253)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-05
IRS object ID
202231329349305498
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)
Return2022-05-05T14:44:36-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN264670941PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SMITH AND COKER LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1131 HALL STREETAddressLine1Txt
CitySPARTANBURGCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29302ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN571107253EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE AND PALLIATIVE CARE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 151AddressLine1Txt
CityDRAYTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP293330151ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTODD PICOUPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8882685319PhoneNum
Signature2022-04-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstTODDPersonFirstNm
Person LastPICOUPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAMELA SMITHPreparerPersonNm
PTINP00008285PTIN
Phone8645429754PhoneNum
Preparation2022-05-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$343,074GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HPCFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTO PROVIDE FINANCIAL AID FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIESActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers4TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$154,947PYContributionsGrantsAmt
CY Contributions Grants$194,581CYContributionsGrantsAmt
PY Program Service Revenue$71,540PYProgramServiceRevenueAmt
CY Program Service Revenue$57,818CYProgramServiceRevenueAmt
PY Investment Income$87,809PYInvestmentIncomeAmt
CY Investment Income$89,264CYInvestmentIncomeAmt
PY Other Revenue$48,922PYOtherRevenueAmt
CY Other Revenue$1,411CYOtherRevenueAmt
PY Total Revenue$363,218PYTotalRevenueAmt
CY Total Revenue$343,074CYTotalRevenueAmt
PY Grants And Similar Paid$12,970PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$26,970CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$89,110PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$191,011CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$19,403CYTotalFundraisingExpenseAmt
PY Other Expenses$121,360PYOtherExpensesAmt
CY Other Expenses$159,685CYOtherExpensesAmt
PY Total Expenses$223,440PYTotalExpensesAmt
CY Total Expenses$377,666CYTotalExpensesAmt
PY Revenues Less Expenses$139,778PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$34,592CYRevenuesLessExpensesAmt
Total Assets BOY$206,891TotalAssetsBOYAmt
Total Assets EOY$172,299TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$206,891NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$172,299NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FINANCIAL AID FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$95,965ExpenseAmt
DescCAMP HANDS OF HOPE FUND-HOSTED THREE TIMES A YEAR IN SOUTH CAROLINA FOR YOUTH AGES 5 TO 18 AND THEIR FAMILIES WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE. SOMETIMES, A CHILDS LAUGHTER AND PLAYFULNESS MASKS AN INNER PAIN. WE RECOGNIZE THAT CHILDREN GRIEVE IN MANY DIFFERENT WAYS. THEY WANT SUPPORT FROM THEIR PEERS AND TO KNOW THAT THERE ARE OTHERS WITH SIMILIAR CHALLENGES. FOR THESE REASONS, WE CREATED CAMP HANDS OF HOPE, A SAFE, CARING ENVIRONMENT WHERE FAMILIES CAN EXPRESS THEIR FEELINGS AND CONNECT WITH OTHERS GOING THROUGH SIMILAR EXPERIENCES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$49,456ExpenseAmt
DescGERIATRIC HPCF FUND-FINANCIAL AID PAID ON BEHALF OF TERMINALLY ILL PATIENTS AND INFORMATION WEBSITE. IN 2016, NUMEROUS TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES RECEIVED FUNDING THAT HELPED THEM IN MONUMENTAL WAYS AND PROVIDED UTILITY ASSISTANCE, HOUSING ASSISTANCE, FUNERAL ASSISTANCE, AND OTHER ASSISTANCE. FUNDS WERE ADMINISTERED FOR THE URGENT NEEDS OF FAMILIES THROUGHOUT THE STATE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$49,232ExpenseAmt
DescPEDIATRIC HPCF FUND-THE FOUNDATION PROVIDES FINANCIAL ASSISTANCE TO FAMILIES WHO HAVE A CHILD RECEIVING PEDIATRIC HOSPICE OR PALLIATIVE CARE SERVICES, THAT ARE UNABLE TO PAY FOR CRITICAL UNFUNDED EXPENSES. THIS CAN INCLUDE BUT IS NOT LIMITED TO PROVIDING WISH TRIPS AND BILLS DIRECTLY RELATED TO PATIENTS AND FAMILIES IN NEED.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtDescDesc
$40,013HOSPICE AND PALLIATIVE EDUCATION PROGRAM-THE FOUNDATION PROVIDES SUPPORT THROUGH FUNDING FOR GRIEF SUPPORT MATERIALS FOR YOUTH AND TEENS IN SOUTH CAROLINA WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE.
$11,134TECHNOLOGY FOR HOPE PROGRAM-THE FOUNDATION PROVIDES FUNDING FOR TELEMEDICAL ASSISTANCE TO PEDIATRIC HOSPICE AND PALLIATIVE CARE PATIENTS TO ALLOW THE PATIENT AND FAMILY TO COMMUNICATE MORE FREQUENTLY WITH THEIR INTERDISCIPLINARY TEAM. TELEMEDICINE IMPROVES PATIENT CARE BY ALLOWING MEDICAL INFORMATION TO BE EXCHANGED FROM ONE SITE TO ANOTHER VIA ELECTRONIC COMMUNICATIONS. THE FOUNDATIONS TELEMEDICAL ASSISTANCE INCLUDES A GROWING VARIETY OF APPLICATIONS AND SERVICES USING TWO-WAY VIDEO, EMAIL, SMART PHONES, WIRELESS TOOLS AND OTHER FORMS OF TELECOMMUNICATIONS TECHNOLOGY.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$51,147TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$245,800TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
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 ActivitiesYes (true)FundraisingActivitiesInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
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 Members3GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE R BRIGHTPersonNm
Phone8882685319PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1POST OFFICE BOX 151AddressLine1Txt
CityDRAYTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29333ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
DIANE D CARLSON
ASSOCIATE DIRECTOR40.000.00Yes (X)$45,616$0$0
JOHN DAVID NIDAY
VICE PRESIDENT5.000.00$0$0$0Yes (X)
TODD A PICOU
PRESIDENT5.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,616TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$1,100FederatedCampaignsAmt
Fundraising$18,623FundraisingAmt
All Other Contributions$174,858AllOtherContributionsAmt
Total Contributions$194,581TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ADULT HPCF FUND561000$6,150$6,150
PEDIATRIC HPCF FUND561000$24,740$24,740
CAMP HANDS OF HOPE561000$19,853$19,853
HPCF EDUCATION FUND561000$7,075$7,075
FieldValueIRS element (for citing)
Total Program Service Revenue$57,818TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$89,264TotalRevenueColumnAmt
Related Or Exempt Func Income$89,264RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$18,623ContriRptFundraisingEventAmt
Gross Sales Of Inventory$1,411GrossSalesOfInventoryAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,411TotalRevenueColumnAmt
Related Or Exempt Func Income$1,411RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$343,074TotalRevenueColumnAmt
Related Or Exempt Func Income$148,493RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$26,970TotalAmt
Program Services$26,970ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$164,672TotalAmt
Program Services$129,667ProgramServicesAmt
Management And General$35,005ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,042TotalAmt
Program Services$6,538ProgramServicesAmt
Management And General$1,504ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,297TotalAmt
Program Services$14,407ProgramServicesAmt
Management And General$3,890ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,820TotalAmt
Management And General$13,820ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$28,225TotalAmt
Program Services$22,415ProgramServicesAmt
Management And General$5,810ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,266TotalAmt
Program Services$1,133ProgramServicesAmt
Management And General$1,133ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,653TotalAmt
Program Services$7,101ProgramServicesAmt
Fundraising$8,552FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,581TotalAmt
Program Services$2,567ProgramServicesAmt
Management And General$1,014ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,035TotalAmt
Program Services$3,323ProgramServicesAmt
Management And General$8,712ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,274TotalAmt
Program Services$4,973ProgramServicesAmt
Management And General$4,301ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,189TotalAmt
Program Services$4,048ProgramServicesAmt
Management And General$5,141ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,102TotalAmt
Program Services$1,716ProgramServicesAmt
Management And General$1,386ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$646TotalAmt
Program Services$168ProgramServicesAmt
Management And General$478ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,062TotalAmt
Program Services$3,232ProgramServicesAmt
Management And General$12,830ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
GIFTS TO DONORS$960$816$144
MEALS ENTERTAINMENT BEVERAGE$7,933$868$540$6,525
GENERAL SUPPLIES AND FEES$34,155$15,858$13,971$4,326
PROPERTY TAXES$2,784$2,784

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$377,666TotalAmt
Program Services$245,800ProgramServicesAmt
Management And General$112,463ManagementAndGeneralAmt
Fundraising$19,403FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,699BOYAmt
EOY$2,188EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$76,067LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$94,345BOYAmt
EOY$76,067EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$106,847BOYAmt
EOY$94,044EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$206,891BOYAmt
EOY$172,299EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$206,891BOYAmt
EOY$172,299EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$206,891BOYAmt
EOY$172,299EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$206,891BOYAmt
EOY$172,299EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$34,592ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
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$136,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$189,877CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,947CurrentTaxYearMinus1YearAmt
Current Tax Year$177,507CurrentTaxYearAmt
Total$797,347TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$136,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$138,049CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$189,877CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,947CurrentTaxYearMinus1YearAmt
Current Tax Year$177,507CurrentTaxYearAmt
Total$797,347TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$205,067SubstantialContributorsTotAmt
Public Support Total170$592,280PublicSupportTotal170Amt
Total Support$797,347TotalSupportAmt
Public Support CY1700.74280PublicSupportCY170Pct
Public Support PY1700.81070PublicSupportPY170Pct
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)
Investment Cost Or Other Basis$3,790InvestmentCostOrOtherBasisAmt
Book Value$3,790BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$72,277InvestmentCostOrOtherBasisAmt
Book Value$72,277BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$76,067TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BLACKMOOR GOEvent1Nm
Gross Receipts Event1$18,623GrossReceiptsEvent1Amt
Gross Revenue Event1$18,623GrossRevenueEvent1Amt
Food And Beverage Event1$6,525FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$12,878OtherDirectExpensesEvent1Amt
Gross Receipts Total$18,623GrossReceiptsTotalAmt
Gross Revenue Total Events$18,623GrossRevenueTotalEventsAmt
Food And Beverage Total Events$6,525FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$12,878OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$19,403DirectExpenseSummaryEventsAmt
Net Income Summary-$780NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11NO REVIEW WAS CONDUCTED OR WILL BE CONDUCTED
Conflict of interest policy compliance Part VI line 12cPOLICIES ARE MONITORED FOR COMPLIANCE
Governing documents etc available to public Part VI line 19GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC
Explanation of other changes in net assets or fund balances Part XI line 9PPP LOAN PROCEEDS
List of other fees for services expenses Part IX line 11gVOLUNTEER LABOR