STRATEGY STUDIO / PUBLIC DATA EXPLORER

JACOBS WELL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
JACOBS WELL INC (EIN 20-5389152)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-07-01
IRS object ID
202231829349300748
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

FieldValueIRS element (for citing)
Return2022-07-01T14:51:40-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN300510153PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RE PIERCE & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13007 CHARLESTOWN XING STE A200AddressLine1Txt
CityNEW ALBANYCityNm
State AbbreviationINStateAbbreviationCd
ZIP47150ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN205389152EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACOBS WELL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJACOBusinessNameControlTxt
Phone8122888870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18757 RUFING ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47124ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKEVIN WILLIARPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone8122888870PhoneNum
Signature2022-07-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKEVINPersonFirstNm
Person LastWILLIARPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRONALD E PIERCE JR CPAPreparerPersonNm
PTINP00185440PTIN
Phone8123993169PhoneNum
Preparation2022-07-01PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKEVIN WILLIARPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18757 RUFING ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47124ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$284,652GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressJACOBSWELLPROJECT.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDES AID AND ASSISTANCE TO SINGLE MOTHERS AND CHILDREN.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$215,755PYContributionsGrantsAmt
CY Contributions Grants$277,606CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$19,340PYOtherRevenueAmt
CY Other Revenue$6,179CYOtherRevenueAmt
PY Total Revenue$235,095PYTotalRevenueAmt
CY Total Revenue$283,785CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$65,494PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$65,763CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$146,572PYOtherExpensesAmt
CY Other Expenses$163,983CYOtherExpensesAmt
PY Total Expenses$212,066PYTotalExpensesAmt
CY Total Expenses$229,746CYTotalExpensesAmt
PY Revenues Less Expenses$23,029PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$54,039CYRevenuesLessExpensesAmt
Total Assets BOY$87,322TotalAssetsBOYAmt
Total Assets EOY$515,954TotalAssetsEOYAmt
Total Liabilities BOY$864TotalLiabilitiesBOYAmt
Total Liabilities EOY$375,457TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$86,458NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$140,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDES AID AND ASSISTANCE TO SINGLE MOTHERS AND CHILDREN.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$160,822ExpenseAmt
Revenue$194,324RevenueAmt
DescTRANSITIONAL LIVING FOR SINGLE MOTHERS AND CHILDREN FOR UP TO 30 PEOPLE FOR SIX MONTH PERIOD.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$68,924ExpenseAmt
Revenue$83,282RevenueAmt
DescOFFER GED TRAINING AND TESTING, PARENTING CLASSES. HELP WITH COLLEGE OR VOCATIONAL TRAINING-OBTAINING GRANTS, ETC. FINANCIAL/HOUSEHOLD BUDGETING TRAINING. THIS WILL BENEFIT OVER 100 PEOPLE/YEAR.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescPROVIDES AID AND ASSISTANCE TO SINGLE MOTHERS AND CHILDREN.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$229,746TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKEVIN WILLIARPersonNm
Phone8122888870PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18757 RUFING ROADAddressLine1Txt
CityGREENVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47124ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ELOISE CARLISLE
SECRETARYYes (X)Yes (X)$0$0$0
MIKE OSTERKAMP
TREASURERYes (X)Yes (X)$0$0$0
DEBBIE WHITLOW
DIRECTORYes (X)$0$0$0
BARBARA WILLIAR
DIRECTORYes (X)$0$0$0
KEVIN WILLIAR
PRESIDENT &Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$277,606AllOtherContributionsAmt
Total Contributions$277,606TotalContributionsAmt
Fundraising Gross Income$7,046FundraisingGrossIncomeAmt
Fundraising Direct Expenses$867FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,179TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,785TotalRevenueColumnAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$61,090TotalAmt
Program Services$61,090ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,673TotalAmt
Program Services$4,673ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,700TotalAmt
Program Services$2,700ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,915TotalAmt
Program Services$2,915ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,975TotalAmt
Program Services$3,975ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$232TotalAmt
Program Services$232ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$261TotalAmt
Program Services$261ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,392TotalAmt
Program Services$2,392ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$91,781TotalAmt
Program Services$91,781ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,430TotalAmt
Program Services$4,430ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,746TotalAmt
Program Services$4,746ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,474TotalAmt
Program Services$27,474ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,456TotalAmt
Program Services$10,456ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM FEES$2,633$2,633
DESINGATED GIFTS$2,212$2,212
AUTOMOBILE$1,973$1,973
PAYROLL PROCESSING FEES$1,145$1,145

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,658TotalAmt
Program Services$4,658ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$229,746TotalAmt
Program Services$229,746ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$78,940BOYAmt
EOY$84,112EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$487,348LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$56,693LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,195BOYAmt
EOY$430,655EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,187BOYAmt
EOY$1,187EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$87,322BOYAmt
EOY$515,954EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$3,822EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$370,810EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$864BOYAmt
EOY$825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$864BOYAmt
EOY$375,457EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$86,458BOYAmt
EOY$140,497EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$86,458BOYAmt
EOY$140,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,322BOYAmt
EOY$515,954EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$54,039ReconcilationRevenueExpnssAmt
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$109,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,755CurrentTaxYearMinus1YearAmt
Current Tax Year$277,606CurrentTaxYearAmt
Total$913,216TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$109,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$116,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$193,910CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,755CurrentTaxYearMinus1YearAmt
Current Tax Year$277,606CurrentTaxYearAmt
Total$913,216TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$913,216PublicSupportTotal170Amt
Total Support$913,216TotalSupportAmt
Gross Receipts Rltd Activities$27,524GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$85,500OtherCostOrOtherBasisAmt
Book Value$85,500BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,564OtherCostOrOtherBasisAmt
Depreciation$3,564DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,284OtherCostOrOtherBasisAmt
Depreciation$53,129DepreciationAmt
Book Value$345,155BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$430,655TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$825Amt
FieldValueIRS element (for citing)
Total Liability$825TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DPROVIDES AID AND ASSISTANCE TO SINGLE MOTHERS AND CHILDREN.
FORM 990, PAGE 6, PART VI, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PAGE 6, PART VI, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST.