AUSTIN SAMARITANS: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- AUSTIN SAMARITANS (EIN 26-1662003)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-05-20
- IRS object ID
- 202121409349300802
- 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 | 2021-05-20T06:21:15-07:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 870325228 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAYNIE & COMPANY | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1785 WEST 2300 SOUTH | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84119 | 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 | 261662003 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AUSTIN SAMARITANS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | AUST | BusinessNameControlTxt |
| Phone | 5124652073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3724 JEFFERSON | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78731 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEGGY GENTRY | PersonNm |
| Person Title | Board Chair | PersonTitleTxt |
| Signature | 2021-05-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PEGGY | PersonFirstNm |
| Person Last | GENTRY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William D Hamilton CPA | PreparerPersonNm |
| PTIN | P00749596 | PTIN |
| Phone | 8019724800 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| 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 | PEGGY GENTRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3724 JEFFERSON 316A | AddressLine1Txt |
| City | AUSTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78731 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $244,022 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.AUSTINSAMARITANS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | AUSTIN SAMARITANS SEEKS TO SHOW GOD'S LOVE TO PEOPLE IN NEED IN NICARAGUA BY SERVING AND ASSISTING. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $138,593 | PYContributionsGrantsAmt |
| CY Contributions Grants | $175,530 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $45,513 | PYOtherRevenueAmt |
| CY Other Revenue | $59,959 | CYOtherRevenueAmt |
| PY Total Revenue | $184,106 | PYTotalRevenueAmt |
| CY Total Revenue | $235,489 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,440 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $128,300 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,470 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $48,444 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $23,004 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,066 | PYOtherExpensesAmt |
| CY Other Expenses | $20,567 | CYOtherExpensesAmt |
| PY Total Expenses | $174,976 | PYTotalExpensesAmt |
| CY Total Expenses | $197,311 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,130 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $38,178 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $247,085 | TotalAssetsBOYAmt |
| Total Assets EOY | $285,601 | TotalAssetsEOYAmt |
| Total Liabilities BOY | -$3,351 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | -$3,351 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $250,436 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $288,952 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | AUSTIN SAMARITANS SEEKS TO SHOW GOD'S LOVE TO PEOPLE IN NEED IN NICARAGUA BY SERVING AND ASSISTING CHURCHES AND NON-PROFIT ORGANIZATIONS IN NICARAGUA WITH THEIR PROGRAMS IN THE AREA OF HEALTH, EDUCATION, AND RESCUE. BY COORDINATING EFFORTS AND POOLING RESOURCES FOR MAXIMUM IMPACT, WE CONNECT RESOURCES AND TALENT TO NEEDS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $50,000 | ExpenseAmt |
| Grant | $50,000 | GrantAmt |
| Desc | AMOS HEALTH AND HOPE RUNS THE MINISTRY CLINICA MEDICA IN VILLA GUADALUPE IN MANAGUA, NICARAGUA. THE CLINIC PROVIDES GENERAL MEDICAL CARE, OBSTETRICS/GYNECOLOGY, ULTRASOUND SCANS, AND LABORATORY SERVICES. PATIENTS PAY NOMINAL FEES FOR SERVICES. FOR EXAMPLE, THE COST OF A DOCTOR VISIT IS THE EQUIVALENT OF 80 CENTS. IN RESPONSE TO THE PANDEMIC, CLINICA MEDICA CEASED HOSTING MEDICAL DELEGATIONS AND MISSION TEAMS AND IMPLEMENTED THE GUIDELINES FROM THE CDC AND WHO. IN RESPONSE TO A SURGE IN CASES IN NICARAGUA, IT SUSPENDED OPERATIONS DURING THE LAST TWO WEEKS IN JUNE BUT CONTINUED TO PROVIDE TELEMEDICINE CONSULTATIONS VIA PHONE. CLINIC OPERATIONS WERE RESTORED ON JULY 1. IN AUGUST THE CLINIC CLOSED OPERATIONS FOR 2 WEEKS BECAUSE OF SUSPECTED COVID-19 AMONG THE STAFF BUT WAS ABLE TO REOPEN THE FIRST OF SEPTEMBER AND HAS REMAINED OPEN SINCE THEN. EVEN WITH THE HECTIC YEAR THE CLINIC SAW 830 NEW PATIENTS WITH 2807 COMPLETED CONSULTATIONS. THE CLINIC HAD 721 DOCTOR VISITS FOR CHILDREN UNDER 5, 810 TOTAL GYNECOLOGICAL SERVICES AND 387 CONSULTATIONS WITH CHRONICALLY ILL PATIENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,553 | ExpenseAmt |
| Grant | $17,550 | GrantAmt |
| Desc | AUSTIN SAMARITANS SUPPORTS 3 ADDITIONAL PROGRAMS. THE FIRST IS VILLA ESPERANZA. VILLA ESPERANZA IS A RESIDENCY PROGRAM FOR GIRLS AT RISK OF PHYSICAL AND/OR SEXUAL ABUSE. IN ADDITION TO SHELTER, THE GIRLS RECEIVE EDUCATIONAL SUPPORT, HEALTH CARE, BIBLE STUDY AND TRAINING IN VOCATIONAL AND LIFE SKILLS. WHILE THE GIRLS LIVE IN A PROTECTED RESIDENCY, THEY MAINTAIN REGULAR CONTACT WITH THEIR FAMILIES. THE PROGRAM HAS EXPANDED FROM ITS ORIGINAL MISSION AND IS OFFERING A PROGRAM TO NEIGHBORHOOD BOYS ON THE WEEKEND. IN RESPONSE TO THE PANDEMIC, THE STAFF AT VILLA ESPERANZA HANDED OUT FOOD PACKS TO PEOPLE IN THE SURROUNDING COMMUNITY. THE NEXT PROGRAM IS CLUB CRISTIANO LA ESPERANZA. CLUB ESPERANZA OFFERS CLASSES FROM PRE-KINDERGARTEN THROUGH 4TH GRADE AND TUTORING FOR STUDENTS IN HIGHER GRADES THAT LIVE IN THE BARRIO VILLA GUADALUPE. IT ALSO OFFERS A FEEDING PROGRAM FOR THE STUDENTS. AS THE PANDEMIC SPREAD IN MANAGUA, MANY OF THE STAFF CONTRACTED THE DISEASE FORCING THE SCHOOL TO CUT BACK ITS PROGRAMS. IT BEGAN ONLINE TEACHING WHICH PROVED DIFFICULT BECAUSE IT WAS HARD FOR THE STUDENTS TO ACCESS THE REQUIRED TECHNOLOGY. IN LATE SUMMER, SOME STUDENTS ONCE AGAIN BEGAN ATTENDING IN-PERSON CLASSES. THE SCHOOL BEGAN OFFERING ALL CLASSES IN-PERSON IN OCTOBER.AMOS HEALTH AND HOPE RUNS A CLINIC AT DISPENSARIO EL SAMARITANO IN A COMMUNITY NEAR MANAGUA CALLED NEJAPA. AS PART OF THAT CLINIC AUSTIN SAMARITANS SUPPORTS A DENTAL CLINIC. THE DENTAL CLINIC SERVES DISADVANTAGE RESIDENTS. THE CLINIC ADDED 312 NEW PATIENTS IN 2020 FOR A TOTAL OF 599 PATIENTS. IN 2020 IT HAD 196 PATIENT CONSULTATIONS AND DID 294 INDIVIDUAL DENTAL PROCEDURES. LIKE OTHER PROGRAMS IN MANAGUA THE DENTAL CLINICS SERVICES WERE DISRUPTED FOR PART OF 2020 BECAUSE OF THE PANDEMIC. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $36,750 | ExpenseAmt |
| Grant | $36,750 | GrantAmt |
| Desc | COLEGIO CHRISTIANO PRESBITERIANO (CCP), A MISSION OF THE PRESBYTERIAN CHURCH OF SOUTH KOREA IN NICARAGUA, PROVIDES EDUCATION FOR CHILDREN FROM PRE-KINDERGARTEN THROUGH 11TH GRADE. THE STUDENTS COME FROM THE BARRIO HIALEAH, A NEIGHBORHOOD OF FAMILIES WITH VERY LOW INCOMES. THE SCHOOL OFFERS A BETTER EDUCATION THAN THAT PROVIDED BY THE NICARAGUAN PUBLIC SCHOOLS. EVEN WITH THE PANDEMIC THE SCHOOL SERVICED OVER 325 STUDENTS THIS YEAR. AS A RESULT OF THE PANDEMIC, IN MID-MARCH THE SCHOOL BEGAN USING TAKE-HOME PACKETS TO PROVIDE EDUCATION RATHER THAN FACE-TO-FACE CLASSES. AT THE END OF JULY, THE SCHOOL BEGAN IN-PERSON CLASSES. CURRENTLY 80% OF THE STUDENTS IN THE SECOND GRADE AND HIGHER PARTICIPATE IN FACE-TO-FACE CLASSES. APPROXIMATELY HALF OF THE PRE-SCHOOL AND 1ST GRADE STUDENTS ARE IN CLASSES. THOSE STUDENTS THAT ARE NOT ATTENDING IN-PERSON CLASSES ARE BEING INDIVIDUALLY TAUGHT BY TEACHERS BY TELEPHONE OR ONLINE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $24,000 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $24,000 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $151,303 | 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 | false | 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 | false | 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 | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PEGGY GENTRY | PersonNm |
| Phone | 5124652073 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3724 JEFFERSON SUITE 316A | AddressLine1Txt |
| City | AUTIN | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 78731 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOHN DOTY | |||||||
| Vice Chair | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KEITH MARTINSON | |||||||
| Treasurer | 10.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| PEGGY GENTRY | |||||||
| Board Chair | 25.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SCOTT NANCE | |||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT RICHARDSON | |||||||
| Secretary | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SCOTT MCCREIGHT | |||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY KOCUREK | |||||||
| Board Member | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $175,530 | AllOtherContributionsAmt |
| Total Contributions | $175,530 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $68,225 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $8,533 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $59,692 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $267 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $267 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $267 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $235,489 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $267 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,300 | TotalAmt |
| Program Services | $128,300 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,000 | TotalAmt |
| Program Services | $15,000 | ProgramServicesAmt |
| Management And General | $15,000 | ManagementAndGeneralAmt |
| Fundraising | $15,000 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,444 | TotalAmt |
| Program Services | $1,148 | ProgramServicesAmt |
| Management And General | $1,148 | ManagementAndGeneralAmt |
| Fundraising | $1,148 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700 | TotalAmt |
| Program Services | $234 | ProgramServicesAmt |
| Management And General | $233 | ManagementAndGeneralAmt |
| Fundraising | $233 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,159 | TotalAmt |
| Program Services | $719 | ProgramServicesAmt |
| Management And General | $720 | ManagementAndGeneralAmt |
| Fundraising | $720 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810 | TotalAmt |
| Program Services | $270 | ProgramServicesAmt |
| Management And General | $270 | ManagementAndGeneralAmt |
| Fundraising | $270 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,358 | TotalAmt |
| Program Services | $4,452 | ProgramServicesAmt |
| Management And General | $4,453 | ManagementAndGeneralAmt |
| Fundraising | $4,453 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,697 | TotalAmt |
| Program Services | $565 | ProgramServicesAmt |
| Management And General | $566 | ManagementAndGeneralAmt |
| Fundraising | $566 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PHONE/INTERNET | Desc |
| Total | $1,843 | TotalAmt |
| Program Services | $615 | ProgramServicesAmt |
| Management And General | $614 | ManagementAndGeneralAmt |
| Fundraising | $614 | FundraisingAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $197,311 | TotalAmt |
| Program Services | $151,303 | ProgramServicesAmt |
| Management And General | $23,004 | ManagementAndGeneralAmt |
| Fundraising | $23,004 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,527 | BOYAmt |
| EOY | $174,199 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,558 | BOYAmt |
| EOY | $111,402 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,085 | BOYAmt |
| EOY | $285,601 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,351 | BOYAmt |
| EOY | -$3,351 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$3,351 | BOYAmt |
| EOY | -$3,351 | 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 | $250,436 | BOYAmt |
| EOY | $288,952 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,436 | BOYAmt |
| EOY | $288,952 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,085 | BOYAmt |
| EOY | $285,601 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $38,178 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $338 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| 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 | $180,712 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $200,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $205,487 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $243,755 | CurrentTaxYearAmt |
| Total | $1,020,099 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $180,712 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $200,530 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $205,487 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $189,615 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $243,755 | CurrentTaxYearAmt |
| Total | $1,020,099 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $302,138 | SubstantialContributorsTotAmt |
| Public Support Total170 | $717,961 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $267 | CurrentTaxYearAmt |
| Total | $267 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,020,366 | TotalSupportAmt |
| Public Support CY170 | 0.70360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.74520 | 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 G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF TOURNAMENT | Event1Nm |
| Gross Receipts Event1 | $52,850 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $52,850 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $4,005 | OtherDirectExpensesEvent1Amt |
| Event2 | DINNER | Event2Nm |
| Gross Receipts Event2 | $15,375 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $15,375 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $4,528 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $68,225 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $68,225 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $8,533 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $8,533 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $59,692 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| AMOS HEALTH AND HOPE | ||||||||
| PO BOX 121052 | NASHVILLE | TN | 37212 | 364547264 | $50,000 | $0 | CASH | MEDICAL ASSISTANCE |
| AMOS HEALTH AND HOPE DENTAL | ||||||||
| 3088 HABERLEIN RD | GIBSONIA | PA | 12044 | 270837989 | $7,500 | $0 | CASH | DENTAL ASSISTANCE |
| KOREAN UNITED METHODIST | ||||||||
| 4905 W PROSPECT | FT LAUDERDALE | FL | 33309 | 592344238 | $36,750 | $0 | CASH | EDUCATION ASSISTANCE |
| ORTIZ GUARDIAN FOUNDATION | ||||||||
| 3191 CORAL WAY | MIAMI | FL | 33145 | 201426877 | $24,000 | $0 | CASH | MEDICAL ASSISTANCE |
| THE IMAGINE MINISTRY INC | ||||||||
| 1308 US HIGHWAY 70 W | GARNER | NC | 27529 | 262492439 | $8,100 | $0 | CASH | EDUCATION ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 0 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | GRANTEES ARE REQUIRED TO SUBMIT A REPORT AFTER THE END OF THE GRANT YEAR ON PROGRAM ACTIVITIES DURING THE GRANT YEAR. FINANCIAL REPORTS ARE REQUIRED FROM THE GRANTEE RECEIVING MORE THAN $4,000 ANNUALLY. BECAUSE OF THE COVID19 PANDEMIC WE WERE NOT ABLE TO DO OUR ANNUAL VISITS TO THE GRANTEE MISSIONS. WE ASKED ALL OF OUR GRANTEES TO KEEP US INFORMED BY SENDING US PERIODIC UPDATES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d: Other Program Services Description | OTHER PROGRAM SERVICES 4: |
| Form 990, Part VI, Line 11b: Form 990 Review Process | A COPY OF THE 990 IS PROVIDED TO THE BOARD BEFORE FILING WITH THE IRS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | THE BOARD REVIEWS THE POLICY ANNUALLY AND HAS ALL BOARD MEMEBRS SIGN A COPY. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | book/tax difference = $338 |