STRATEGY STUDIO / PUBLIC DATA EXPLORER

ST VINCENT DE PAUL SIMON HOUSE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT DE PAUL SIMON HOUSE INC (EIN 20-0023857)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349316712
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)
Return2022-11-15T14:46:07-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN470826777PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PEKNY & ASSOCIATES CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12458-18TH AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200023857EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT DE PAULSIMON HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTVIBusinessNameControlTxt
Phone4025648444PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11853 10TH AVENUEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK MASSMANPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4025648444PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastMASSMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACK PEKNY CPAPreparerPersonNm
PTINP00167077PTIN
Phone4025647138PhoneNum
Preparation2022-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARK MASSMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12704 34TH ST PLAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$480,350GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateNELegalDomicileStateCd
Activity Or MissionSOCIAL SERVICEActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers60TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$219,754PYContributionsGrantsAmt
CY Contributions Grants$216,114CYContributionsGrantsAmt
PY Program Service Revenue$171,592PYProgramServiceRevenueAmt
CY Program Service Revenue$263,807CYProgramServiceRevenueAmt
PY Investment Income$754PYInvestmentIncomeAmt
CY Investment Income$429CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$392,100PYTotalRevenueAmt
CY Total Revenue$480,350CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$168,211PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$177,692CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$214,730PYOtherExpensesAmt
CY Other Expenses$228,286CYOtherExpensesAmt
PY Total Expenses$382,941PYTotalExpensesAmt
CY Total Expenses$405,978CYTotalExpensesAmt
PY Revenues Less Expenses$9,159PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$74,372CYRevenuesLessExpensesAmt
Total Assets BOY$877,383TotalAssetsBOYAmt
Total Assets EOY$952,176TotalAssetsEOYAmt
Total Liabilities BOY$2,459TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,880TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$874,924NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$949,296NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSOCIAL SERVICEMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$397,366ExpenseAmt
Revenue$263,807RevenueAmt
DescPROVIDE HOUSING, CLOTHING, AND FOOD TO LOW INCOME INDIVIDUALS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,013ExpenseAmt
DescPROVIDE HOUSING, CLOTHING, AND FOOD TO LOW INCOME INDIVIDUALS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,013TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$398,379TotalProgramServiceExpensesAmt
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 RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT DE PAUL SIMON HOUSE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4025648444PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11853 10TH AVEAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationNEStateAbbreviationCd
ZIP68601ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JIM FELDHAUS
BOARD MEMBERYes (X)$0$0$0
JULIE HANEY
SECRETARYYes (X)$0$0$0
JAY MARXSEN
BOARD MEMBERYes (X)$0$0$0
MARK MASSMAN
PRESIDENTYes (X)$0$0$0
BONNIE MCPHILLIPS
TREASURERYes (X)$0$0$0
KAREN MELCHER
BOARD MEMBERYes (X)$0$0$0
JUDY PUETZ
VICE PRESIDEYes (X)$0$0$0
JUDY SCHADEMANN
BOARD MEMBERYes (X)$0$0$0
MIKE SCHNEIDER
BOARD MEMBERYes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$45,000GovernmentGrantsAmt
All Other Contributions$171,114AllOtherContributionsAmt
Total Contributions$216,114TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescSALE OF DONATED ITEMSDesc
Total Revenue Column$263,807TotalRevenueColumnAmt
Related Or Exempt Func Income$263,807RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$263,807TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$429TotalRevenueColumnAmt
Related Or Exempt Func Income$429RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$480,350TotalRevenueColumnAmt
Related Or Exempt Func Income$264,236RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$161,319TotalAmt
Program Services$161,319ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,373TotalAmt
Program Services$16,373ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$346TotalAmt
Program Services$346ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$116TotalAmt
Program Services$116ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$25,437TotalAmt
Program Services$25,134ProgramServicesAmt
Management And General$303ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$630TotalAmt
Program Services$504ProgramServicesAmt
Management And General$126ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,812TotalAmt
Program Services$24,812ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,058TotalAmt
Program Services$7,836ProgramServicesAmt
Management And General$5,222ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CLIENT EXPENSES$145,783$145,783
SUPPLIES$5,812$5,812
GIFTS$5,563$5,563
FEES$2,461$2,461

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,268TotalAmt
Program Services$2,320ProgramServicesAmt
Management And General$1,948ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$405,978TotalAmt
Program Services$398,379ProgramServicesAmt
Management And General$7,599ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100BOYAmt
EOY$100EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$206,450BOYAmt
EOY$286,770EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$924,606LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$259,300LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$670,833BOYAmt
EOY$665,306EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$877,383BOYAmt
EOY$952,176EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,459BOYAmt
EOY$2,880EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,459BOYAmt
EOY$2,880EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$874,924BOYAmt
EOY$949,296EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$874,924BOYAmt
EOY$949,296EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$877,383BOYAmt
EOY$952,176EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$74,372ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
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$135,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$219,754CurrentTaxYearMinus1YearAmt
Current Tax Year$216,114CurrentTaxYearAmt
Total$735,923TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$135,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$97,063CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$219,754CurrentTaxYearMinus1YearAmt
Current Tax Year$216,114CurrentTaxYearAmt
Total$735,923TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$735,923PublicSupportTotal170Amt
Total Support$735,923TotalSupportAmt
Gross Receipts Rltd Activities$1,170,089GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1700.99950PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$754,696OtherCostOrOtherBasisAmt
Depreciation$199,920DepreciationAmt
Book Value$554,776BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,340OtherCostOrOtherBasisAmt
Depreciation$39,745DepreciationAmt
Book Value$595BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$129,570OtherCostOrOtherBasisAmt
Depreciation$19,635DepreciationAmt
Book Value$109,935BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$665,306TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SALES TAX LIABILITIES$1,872
PAYROLL LIABILITIES$1,008
FieldValueIRS element (for citing)
Total Liability$2,880TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 2, PART III, LINE 4DPROVIDE HOUSING, CLOTHING, AND FOOD TO LOW INCOME INDIVIDUALS.
FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD REVIEWS THE COPY OF THE 990 AT THE BOARD MEETING AND THEN APPROVES THE 990 FOR FILING.
FORM 990, PAGE 6, PART VI, LINE 15ATHE STORE MANAGER IS SUBJECT TO A REVIEW BY THE BOARD. THE BOARD ALSO LOOKS AT WHAT OTHER ORGANIZATIONS ARE DOING. THE BOARD ALSO CONSIDERS COST OF LIVING INCREASES FOR THE PAST YEAR.
FORM 990, PAGE 6, PART VI, LINE 15BTHE EMPLOYEES ARE SUBJECT TO A REVIEW BY THE BOARD. THE BOARD ALSO LOOKS AT WHAT OTHER ORGANIZATIONS ARE DOING. THE BOARD ALSO CONSIDERS COST OF LIVING INCREASES FOR THE PAST YEAR.
FORM 990, PAGE 6, PART VI, LINE 19THE BOARD DOES NOT MAKE ANY GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC.