KLAMATH BASIN SENIOR CITIZENS CENTER INC: Form 990, tax year 2021
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- Organization
- KLAMATH BASIN SENIOR CITIZENS CENTER INC (EIN 46-0716639)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2022-11-14
- IRS object ID
- 202203189349318380
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T18:03:46-06:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 930428202 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOLATORE SCROGGIN PETERSON & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 824 PINE STREET | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460716639 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KLAMATH BASIN SENIOR CITIZENS' CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KLAM | BusinessNameControlTxt |
| Phone | 5418837171 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX JE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97602 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARC KANE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5418837171 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MARC | PersonFirstNm |
| Person Last | KANE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDY PETERSON | PreparerPersonNm |
| PTIN | P00124161 | PTIN |
| Phone | 5418844164 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARC KANE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX JE | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,997,073 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | TO BUILD AND MAINTAIN A SUPPORTIVE COMMUNITY FOR SENIORS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 33 | TotalEmployeeCnt |
| Total Volunteers | 103 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,226,199 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,508,823 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,967 | PYInvestmentIncomeAmt |
| CY Investment Income | $63 | CYInvestmentIncomeAmt |
| PY Other Revenue | $157,096 | PYOtherRevenueAmt |
| CY Other Revenue | $134,863 | CYOtherRevenueAmt |
| PY Total Revenue | $1,399,262 | PYTotalRevenueAmt |
| CY Total Revenue | $1,643,749 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $502,956 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $687,603 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $73,714 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $634,606 | PYOtherExpensesAmt |
| CY Other Expenses | $622,881 | CYOtherExpensesAmt |
| PY Total Expenses | $1,137,562 | PYTotalExpensesAmt |
| CY Total Expenses | $1,310,484 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $261,700 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $333,265 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,233,121 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,559,915 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $176,503 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $178,405 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,056,618 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,381,510 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROMOTE THE PHYSICAL, SOCIAL, INTELLECTUAL, EMOTIONAL, AND ECONOMIC WELL-BEING OF SENIORS. TO PROVIDE AND MAINTAIN OPPORTUNITIES FOR SENIORS TO REMAIN CONNECTED AND ATTACHED TO OTHERS AND THE COMMUNITY AT LARGE. TO PROVIDE OPPURTUNITIES PROMOTING ACTIVE AND HEALTHY LIFESTYLES ENHANCING VITALITY, LONGEVITY AND INDEPENDENCE. TO ENSURE THAT SENIORS NEEDING HELP WITH MEALS HAVE ACCESS TO A BALANCED AND NUTRITIONAL MEAL ON A DAILY BASIS. TO INCLUDE PATRONS OF THE SENIOR CENTER IN ITS DEVELOPMENT AND TO FACILITATE CENTER SUPPORT THROUGH VOLUNTEERISM AND ACTIVE PARTICIPATION IN ADVISORY AND SUPPORT GROUPS. TO MAINTAIN A QUALIFIED AND WELL TRAINED GROUP OF STAFF AND VOLUNTEERS ADEQUATE TO SUSTAIN THE ACTIVITIES OF THE SENIOR CENTER. TO MAINTAIN SAFE AND WELL MAINTAINED FACILITIES AND EQUIPMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $902,294 | ExpenseAmt |
| Desc | THE SENIOR CENTER PROVIDED "MEALS ON WHEELS" HOME DELIVERY OF NUTRITIOUS HOT MEALS TO CERTAIN SENIORS LIVING IN AND AROUND THE KLAMATH BASIN AREA. IN ADDITION, THE CENTER PROMOTED SENIOR SOCIAL ACTIVITIES WHICH INCLUDED BINGO. | Desc |
| Total Program Service Expenses | $902,294 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | Yes (1) | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 33 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN MCGAHAN | PersonNm |
| Phone | 5418837171 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2045 ARTHUR ST | AddressLine1Txt |
| City | KLAMATH FALLS | CityNm |
| State Abbreviation | OR | StateAbbreviationCd |
| ZIP | 97603 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| GREG DOLEZAL | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERNIE PALMER | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHY MORRIS | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JENNIFER LITTLE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES CALVERT MD | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DREW HUMPHREY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELLE PHELPS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VALERIE FRANK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARC KANE | ||||||
| EXECUTIVE DIRECTOR | 21.10 | Yes (X) | $61,122 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $61,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $242,567 | FederatedCampaignsAmt |
| Fundraising | $9,923 | FundraisingAmt |
| Government Grants | $93,945 | GovernmentGrantsAmt |
| All Other Contributions | $1,162,388 | AllOtherContributionsAmt |
| Noncash Contributions | $15,166 | NoncashContributionsAmt |
| Total Contributions | $1,508,823 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63 | TotalRevenueColumnAmt |
| Exclusion | $63 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $9,923 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $434,627 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $353,324 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $81,303 | TotalRevenueColumnAmt |
| Exclusion | $81,303 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $53,560 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,560 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $53,560 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,643,749 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $53,560 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $81,366 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,160 | TotalAmt |
| Program Services | $25,306 | ProgramServicesAmt |
| Management And General | $4,466 | ManagementAndGeneralAmt |
| Fundraising | $36,388 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $621,443 | TotalAmt |
| Program Services | $449,275 | ProgramServicesAmt |
| Management And General | $158,804 | ManagementAndGeneralAmt |
| Fundraising | $13,364 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,501 | TotalAmt |
| Program Services | $1,850 | ProgramServicesAmt |
| Management And General | $8,651 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,500 | TotalAmt |
| Management And General | $5,500 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,931 | TotalAmt |
| Management And General | $1,440 | ManagementAndGeneralAmt |
| Fundraising | $491 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324 | TotalAmt |
| Management And General | $1,324 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,059 | TotalAmt |
| Program Services | $924 | ProgramServicesAmt |
| Management And General | $135 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,826 | TotalAmt |
| Program Services | $33,779 | ProgramServicesAmt |
| Management And General | $35,553 | ManagementAndGeneralAmt |
| Fundraising | $1,494 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,908 | TotalAmt |
| Program Services | $6,808 | ProgramServicesAmt |
| Management And General | $29,100 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES - FOOD | $259,918 | $259,918 | ||
| MILEAGE | $85,043 | $84,605 | $438 | |
| TELEPHONE & UTILITIES | $38,636 | $38,636 | ||
| REPAIRS | $29,056 | $14,838 | $13,216 | $1,002 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,179 | TotalAmt |
| Program Services | $24,991 | ProgramServicesAmt |
| Management And General | $37,213 | ManagementAndGeneralAmt |
| Fundraising | $20,975 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,310,484 | TotalAmt |
| Program Services | $902,294 | ProgramServicesAmt |
| Management And General | $334,476 | ManagementAndGeneralAmt |
| Fundraising | $73,714 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,039 | BOYAmt |
| EOY | $809,853 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,350 | BOYAmt |
| EOY | $1,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,135 | BOYAmt |
| EOY | $156,029 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,022 | BOYAmt |
| EOY | $6,022 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,588,003 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,001,492 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $530,575 | BOYAmt |
| EOY | $586,511 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,233,121 | BOYAmt |
| EOY | $1,559,915 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,503 | BOYAmt |
| EOY | $178,405 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,503 | BOYAmt |
| EOY | $178,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,056,618 | BOYAmt |
| EOY | $1,381,510 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,056,618 | BOYAmt |
| EOY | $1,381,510 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,233,121 | BOYAmt |
| EOY | $1,559,915 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $333,265 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$8,373 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $910,559 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,242,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,232,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188,307 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,275,809 | CurrentTaxYearAmt |
| Total | $5,848,814 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $910,559 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,242,052 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,232,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,188,307 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,275,809 | CurrentTaxYearAmt |
| Total | $5,848,814 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $5,848,814 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63 | CurrentTaxYearAmt |
| Total | $776 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $162 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $425 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $63 | CurrentTaxYearAmt |
| Total | $776 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $15,878 | CurrentTaxYearMinus1YearAmt |
| Total | $15,878 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $71,131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $70,338 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $55,329 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $109,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $147,506 | CurrentTaxYearAmt |
| Total | $453,327 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $981,727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,312,552 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,287,841 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,313,297 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,423,378 | CurrentTaxYearAmt |
| Total | $6,318,795 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92560 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93470 | PublicSupportPY509Pct |
| Investment Income CY | 0.00010 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,077,870 | OtherCostOrOtherBasisAmt |
| Depreciation | $692,645 | DepreciationAmt |
| Book Value | $385,225 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $510,133 | OtherCostOrOtherBasisAmt |
| Depreciation | $308,847 | DepreciationAmt |
| Book Value | $201,286 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $586,511 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | VARIOUS EVENTS < $5,000 EACH | Event1Nm |
| Gross Receipts Event1 | $9,923 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $9,923 | CharitableContriEvent1Amt |
| Gross Receipts Total | $9,923 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $9,923 | CharitableContributionsTotAmt |
Gaming Information GamingInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Revenue Bingo | $434,627 | GrossRevenueBingoAmt |
| Cash Prizes Bingo | $308,605 | CashPrizesBingoAmt |
| Other Direct Expenses Bingo | $44,719 | OtherDirectExpensesBingoAmt |
| Volunteer Labor Bingo | 0 | VolunteerLaborBingoInd |
| Gross Revenue Total Gaming | $434,627 | GrossRevenueTotalGamingAmt |
| Cash Prizes Total Gaming | $308,605 | CashPrizesTotalGamingAmt |
| Oth Direct Expnss Total Gaming | $44,719 | OthDirectExpnssTotalGamingAmt |
| Direct Expense Summary Gaming | $353,324 | DirectExpenseSummaryGamingAmt |
| Net Gaming Income Summary | $81,303 | NetGamingIncomeSummaryAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| States Where Gaming Conducted | OR | StatesWhereGamingConductedCd |
| Licensed | Yes (1) | LicensedInd |
| License Suspended Etc | 0 | LicenseSuspendedEtcInd |
| Gaming With Nonmembers | 0 | GamingWithNonmembersInd |
| Member Of Other Entity | 0 | MemberOfOtherEntityInd |
| Cntrct With3rd Prty For Game Rev | 0 | CntrctWith3rdPrtyForGameRevInd |
| Charitable Distribution Rqr | 0 | CharitableDistributionRqrInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED AT A BOARD MEETING FOR EVALUATION BEFORE THE RETURN IS FILED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES THE 990 TAX RETURN AND OTHER DOCUMENTS AVAILABLE UPON REQUEST. |