JEFFERSON SENIOR CITIZENS CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- JEFFERSON SENIOR CITIZENS CENTER INC (EIN 59-2015689)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-09
- IRS object ID
- 202113139349303906
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-09T13:45:04-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 471827030 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIMPKINS FINANCIAL GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 N JEFFERSON ST | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592015689 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON SENIOR CITIZENS CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ROSA RICHARDSON | InCareOfNm |
| Business Name Control | JEFF | BusinessNameControlTxt |
| Phone | 8503420242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 N JEFFERSON STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32344 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSA RICHARDSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8503420249 | PhoneNum |
| Signature | 2021-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROSA | PersonFirstNm |
| Person Last | RICHARDSON | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DELPHINE SIMPKINS-HILL | PreparerPersonNm |
| PTIN | P00889680 | PTIN |
| Phone | 8503421190 | PhoneNum |
| Preparation | 2021-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROSA RICHARDSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 N JEFFERSON STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32344 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $583,677 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NONE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE SOCIAL MEDICAL AND NUTRITIONAL SERVICES TO THE ELDERLY IN JEFFERSON COUNTY | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 36 | TotalEmployeeCnt |
| Total Volunteers | 36 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $309,361 | PYContributionsGrantsAmt |
| CY Contributions Grants | $406,074 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $143,540 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,351 | CYProgramServiceRevenueAmt |
| PY Investment Income | $44 | PYInvestmentIncomeAmt |
| CY Investment Income | $52 | CYInvestmentIncomeAmt |
| PY Other Revenue | $24,141 | PYOtherRevenueAmt |
| CY Other Revenue | -$5,550 | CYOtherRevenueAmt |
| PY Total Revenue | $477,086 | PYTotalRevenueAmt |
| CY Total Revenue | $520,927 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $309,460 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $267,897 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $160,148 | PYOtherExpensesAmt |
| CY Other Expenses | $180,274 | CYOtherExpensesAmt |
| PY Total Expenses | $469,608 | PYTotalExpensesAmt |
| CY Total Expenses | $448,171 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,478 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $72,756 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,169,582 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,274,922 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $31,201 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $46,745 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,138,381 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,228,177 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE JEFFERSON SENIOR CITIZENS CENTER, INC MISSION IS TO ALLEVIATE AND PREVENT PROBLEMS CONFRONTING OLDER PERSONS IN NORTH FLORIDA BY PROVIDING A MULTITUDE OF RESOURCES AND SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $120,725 | ExpenseAmt |
| Revenue | $114,287 | RevenueAmt |
| Desc | MANAGED CARE PROGRAM ALLOWS STATES, UPON FEDERAL APPROVAL, TO PROVIDE HOME-BASED AND COMMUNITY BASED SERVICES TO INDIVIDUALS WHO WOULD OTHERWISE REQUIRE INSTITUTIONALIZATION WITHOUT THESE SERVICES | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $87,880 | ExpenseAmt |
| Desc | OLDER AMERICANS ACT -OAA- COORDINATES AND PROVIDES COMMUNITY-BASED SERVICES AND OPPORTUNITIES FOR OLDER AMERICANS AND THEIR FAMILIES WHILE MAINTAINING THE DIGNITY AND WELFARE OF OLDER INDIVIDUALS | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $55,627 | ExpenseAmt |
| Desc | COMMUNITY CARE FOR THE ELDERLY -CCE- PROVIDES SERVICES IN A CONTINUM OF CARE TO HELP PEOPLE LIVE IN THE LEAST RESTRICTIVE YET MOST COST-EFFECTIVE ENFIRONMENT | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | DescDesc |
|---|---|
| $8,344 | ALZHEIMER'S DISEASE INITIATIVE-ADI- PROVIDES HOME AND COMMUNITY SERVICES FOR INDIVIDUALS WITH ALZHEMIMERS AND OTHER MEMORY RELATED DISORDERS |
| $5,563 | HOME CARE FOR THE ELDERLY-HCE-PROVIDES CAREGIVING SUPPORT FOR THE ELDERLY WITH SERVICES SUCH AS CASE MGMT, RESPITE, MEALS, SUPPLIES AND OTHERS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $13,907 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $278,139 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 36 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFERSON SENIOR CITIZENS CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8503420242 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 N JEFFERSON STREET | AddressLine1Txt |
| City | MONTICELLO | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32344 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| MINER BROOKINS | ||||||
| PRESIDENT | 1.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JIM MAY | ||||||
| VICE PRESIDENT | 1.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEORGE PITTMAN | ||||||
| SECRETARY | 1.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PAUL MICHAEL | ||||||
| TREASURER | 1.000 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ED VOLLERTSEN | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| LEN DODSON | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| LESTER CAMPBELL | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| BOBBIE KREBS | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| MARTHA F CREEL | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| KIRK REAMS | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| NAN BAUGHMAN | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| JUNE A CAMPBELL | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| ROBERT MANUCY | ||||||
| BOARD MEMBER | 1.000 | Yes (X) | $0 | $0 | $0 | |
| AUDRIA FLOWERS | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $23,802 | $0 | $0 | |
| ROSA RICHARDSON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $10,260 | $0 | $0 | |
| OLA SHEFFIELD | ||||||
| FISCAL OFFICER | 40.00 | Yes (X) | $13,299 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $47,361 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $14,393 | FederatedCampaignsAmt |
| Government Grants | $337,356 | GovernmentGrantsAmt |
| All Other Contributions | $54,325 | AllOtherContributionsAmt |
| Total Contributions | $406,074 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MANAGED CARE | 624100 | $114,287 | $114,287 |
| COPAY | 624100 | $4,410 | $4,410 |
| PRIVATE PAY | 624100 | $1,654 | $1,654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,351 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $52 | TotalRevenueColumnAmt |
| Exclusion | $52 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,200 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $12,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,200 | TotalRevenueColumnAmt |
| Exclusion | $12,200 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $45,000 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $62,750 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$17,750 | TotalRevenueColumnAmt |
| Exclusion | -$17,750 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $520,927 | TotalRevenueColumnAmt |
| Exclusion | $114,853 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,361 | TotalAmt |
| Program Services | $28,417 | ProgramServicesAmt |
| Management And General | $18,944 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,265 | TotalAmt |
| Program Services | $109,348 | ProgramServicesAmt |
| Management And General | $85,917 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,472 | TotalAmt |
| Program Services | $265 | ProgramServicesAmt |
| Management And General | $1,207 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,086 | TotalAmt |
| Program Services | $2,543 | ProgramServicesAmt |
| Management And General | $2,543 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,713 | TotalAmt |
| Program Services | $11,227 | ProgramServicesAmt |
| Management And General | $7,486 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,200 | TotalAmt |
| Program Services | $840 | ProgramServicesAmt |
| Management And General | $3,360 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,160 | TotalAmt |
| Program Services | $2,032 | ProgramServicesAmt |
| Management And General | $8,128 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,735 | TotalAmt |
| Program Services | $3,735 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $640 | TotalAmt |
| Program Services | $448 | ProgramServicesAmt |
| Management And General | $192 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,364 | TotalAmt |
| Program Services | $9,869 | ProgramServicesAmt |
| Management And General | $5,495 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,944 | TotalAmt |
| Program Services | $12,561 | ProgramServicesAmt |
| Management And General | $5,383 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,593 | TotalAmt |
| Program Services | $1,236 | ProgramServicesAmt |
| Management And General | $357 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720 | TotalAmt |
| Program Services | $720 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,797 | TotalAmt |
| Program Services | $15,519 | ProgramServicesAmt |
| Management And General | $23,278 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,921 | TotalAmt |
| Program Services | $7,753 | ProgramServicesAmt |
| Management And General | $5,168 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EQUIPMENT LEASE | $2,946 | $2,357 | $589 |
| MEALS & MEDICAL SERVICES | $69,269 | $69,269 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,985 | TotalAmt |
| Management And General | $1,985 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,171 | TotalAmt |
| Program Services | $278,139 | ProgramServicesAmt |
| Management And General | $170,032 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,064 | BOYAmt |
| EOY | $263,960 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,564 | BOYAmt |
| EOY | $46,745 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,549,947 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $585,730 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047,954 | BOYAmt |
| EOY | $964,217 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,582 | BOYAmt |
| EOY | $1,274,922 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,201 | BOYAmt |
| EOY | $46,745 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,201 | BOYAmt |
| EOY | $46,745 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,427 | BOYAmt |
| EOY | $263,960 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,047,954 | BOYAmt |
| EOY | $964,217 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,138,381 | BOYAmt |
| EOY | $1,228,177 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,169,582 | BOYAmt |
| EOY | $1,274,922 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $72,756 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $227,164 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $230,414 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $350,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $309,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $406,074 | CurrentTaxYearAmt |
| Total | $1,523,958 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $227,164 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $230,414 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $350,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $309,361 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $406,074 | CurrentTaxYearAmt |
| Total | $1,523,958 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,523,958 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,402 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,726 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,596 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,252 | CurrentTaxYearAmt |
| Total | $71,035 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $16,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $5,416 | CurrentTaxYearMinus1YearAmt |
| Total | $22,083 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,617,076 | TotalSupportAmt |
| Public Support CY170 | 0.94242 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93777 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Org Leg Ctrl | false | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | false | DisclosedForCharitablePrpsInd |
| Written Policy Monitoring | false | WrittenPolicyMonitoringInd |
| Section170h Rqr Stsfd | false | Section170hRqrStsfdInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | false | InclEscrowCustodialAcctLiabInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,970 | OtherCostOrOtherBasisAmt |
| Book Value | $41,970 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,338,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $459,765 | DepreciationAmt |
| Book Value | $878,894 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $117,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $110,377 | DepreciationAmt |
| Book Value | $7,031 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,910 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,588 | DepreciationAmt |
| Book Value | $36,322 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $964,217 | TotalBookValueLandBuildingsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part VI Line 11b | THE COMPLETED FORM 990 WILL BE REVIEWED BY THE EXECUTIVE DIRECTOR |
| Part VI Line 11b | AND SUBSEQUENTLY BY THE BOARD OF DIRECTORS. |
| Part VI Line 15a or b | THE BOARD OF DIRECTORS CONSIDERS LOCAL AND REGIONAL COMPENSATION |
| Part VI Line 15a or b | IN REVIEWING AND APPROVING COMPENSATION FOR THE EXECUTIVE DIRECTOR |
| Part VI Line 19 | DOCUMENTS ARE MADE AVAILABLE UPON REQUEST |
| Part III Line 4d | Expenses: $8344.00 including grants of: $0.00 Revenue: $0.00 |
| Part III Line 4d | ALZHEIMER'S DISEASE INITIATIVE-ADI- PROVIDES HOME AND COMMUNITY SERVICES |
| Part III | FOR INDIVIDUALS WITH ALZHEMIMERS AND OTHER MEMORY RELATED DISORDERS |
| Part III Line 4d | Expenses: $5563.00 including grants of: $0.00 Revenue: $0.00 |
| Part III Line 4d | HOME CARE FOR THE ELDERLY-HCE-PROVIDES CAREGIVING SUPPORT FOR THE ELDERLY |
| Part III Line 4d | WITH SERVICES SUCH AS CASE MGMT, RESPITE, MEALS, SUPPLIES AND OTHERS |