STRATEGY STUDIO / PUBLIC DATA EXPLORER

L ARCHE JACKSONVILLE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
L ARCHE JACKSONVILLE INC (EIN 59-3117677)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-12-01
IRS object ID
202123359349301262
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

FieldValueIRS element (for citing)
Return2021-12-01T11:37:14-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN824388106PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THE FORDE FIRM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15150 BELFORT RD BLDG 300AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32256ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN593117677EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1L'ARCHE JACKSONVILLE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLARCBusinessNameControlTxt
Phone9047215992PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 ARLINGTON ROADAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32211ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMELANIE SAXONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9047215992PhoneNum
Signature2021-12-01SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMELANIEPersonFirstNm
Person LastSAXONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLINDA FORDEPreparerPersonNm
PTINP00842017PTIN
Phone9047255832PhoneNum
Preparation2021-12-01PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJULIE HARTPrincipalOfficerNm
Gross Receipts$1,969,401GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressLARCHEJACKSONVILLE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionTO PROVIDE A HOME FOR LIFE TO ADULTS WITH DEVELOPMENTAL DISABILITIES, AND TO OFFER ACCEPTANCE AND MUTUAL RELATIONSHIPS OF FRIENDSHIPS, OF COMMUNION AND OF A SPIRITUAL LIFE.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee53TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$485,115PYContributionsGrantsAmt
CY Contributions Grants$881,475CYContributionsGrantsAmt
PY Program Service Revenue$1,001,334PYProgramServiceRevenueAmt
CY Program Service Revenue$1,003,467CYProgramServiceRevenueAmt
PY Investment Income$4,169PYInvestmentIncomeAmt
CY Investment Income-$16,882CYInvestmentIncomeAmt
PY Other Revenue$65,196PYOtherRevenueAmt
CY Other Revenue$45,073CYOtherRevenueAmt
PY Total Revenue$1,555,814PYTotalRevenueAmt
CY Total Revenue$1,913,133CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,186,145PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,092,240CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$124,671CYTotalFundraisingExpenseAmt
PY Other Expenses$545,638PYOtherExpensesAmt
CY Other Expenses$566,675CYOtherExpensesAmt
PY Total Expenses$1,731,783PYTotalExpensesAmt
CY Total Expenses$1,658,915CYTotalExpensesAmt
PY Revenues Less Expenses-$175,969PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$254,218CYRevenuesLessExpensesAmt
Total Assets BOY$1,680,580TotalAssetsBOYAmt
Total Assets EOY$1,700,888TotalAssetsEOYAmt
Total Liabilities BOY$333,214TotalLiabilitiesBOYAmt
Total Liabilities EOY$68,218TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,347,366NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,632,670NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF L'ARCHE JACKSONVILLE IS TO PROVIDE A HOME FOR LIFE FOR DEVELOPMENTALLY DISABLED ADULTS AND TO OFFER ACCEPTANCE AND MUTUAL RELATIONSHIPS OF FRIENDSHIP, COMMUNION AND A SPIRITUAL LIFE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,458,735ExpenseAmt
DescTO PROVIDE A HOME FOR LIFE TO ADULTS WITH DEVELOPMENTAL DISABILITIES, AND SINCE THE DEEPEST NEED OF A HUMAN BEING IS TO LOVE AND BE LOVED, TO OFFER ACCEPTANCE AND MUTUAL RELATIONSHIPS OF FRIENDSHIP, OF COMMUNION, AND OF A SPIRITUAL LIFE.Desc
Total Program Service Expenses$1,458,735TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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
Employee53EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMELANIE SAXONPersonNm
Phone9047215992PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1700 ARLINGTON ROADAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32211ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
MELANIE SAXON
EXECUTIVE DI40.00Yes (X)$59,340$0$0
MARY BAER
EMERITUS2.00$0$0$0Yes (X)
JULIE HART
PRESIDENT5.00Yes (X)$0$0$0Yes (X)
MSGR VINCENT HAUT
TREASURER5.00Yes (X)$0$0$0Yes (X)
RICK LANCASTER
VICE-PRESIDE5.00Yes (X)$0$0$0Yes (X)
BARBARA METALLO
SECRETARY5.00Yes (X)$0$0$0Yes (X)
JIM SEBESTA
DIRECTOR2.00$0$0$0Yes (X)
MARY SHELL
DIRECTOR2.00$0$0$0Yes (X)
SHARON TOTH
DIRECTOR2.00$0$0$0Yes (X)
SHELBY E TUCKER
DIRECTOR2.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$59,340TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$881,475AllOtherContributionsAmt
Noncash Contributions$13,667NoncashContributionsAmt
Total Contributions$881,475TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Total Revenue Column$1,003,467TotalRevenueColumnAmt
Related Or Exempt Func Income$1,003,467RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,003,467TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,824TotalRevenueColumnAmt
Exclusion$1,824ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$18,706OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$18,706OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,706TotalRevenueColumnAmt
Related Or Exempt Func Income-$18,706RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$91,691FundraisingGrossIncomeAmt
Fundraising Direct Expenses$37,562FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,129TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
RAINBOW WORK PROGRAM$7,345$7,345
GAIN ON SALE OF ASSETS-$16,401-$16,401
FieldValueIRS element (for citing)
Other Revenue Total-$9,056OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,913,133TotalRevenueColumnAmt
Related Or Exempt Func Income$984,761RelatedOrExemptFuncIncomeAmt
Exclusion-$7,232ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$59,340TotalAmt
Program Services$59,340ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$776,519TotalAmt
Program Services$686,104ProgramServicesAmt
Management And General$21,652ManagementAndGeneralAmt
Fundraising$68,763FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$193,609TotalAmt
Program Services$158,275ProgramServicesAmt
Management And General$19,426ManagementAndGeneralAmt
Fundraising$15,908FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$62,772TotalAmt
Program Services$56,378ProgramServicesAmt
Management And General$1,790ManagementAndGeneralAmt
Fundraising$4,604FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,996TotalAmt
Management And General$13,996ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$28,790TotalAmt
Program Services$4,849ProgramServicesAmt
Fundraising$23,941FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,538TotalAmt
Program Services$4,656ProgramServicesAmt
Fundraising$4,882FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$72,056TotalAmt
Program Services$72,056ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,132TotalAmt
Program Services$13,132ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,294TotalAmt
Program Services$6,294ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$57,253TotalAmt
Program Services$54,390ProgramServicesAmt
Management And General$2,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$48,045TotalAmt
Program Services$45,326ProgramServicesAmt
Management And General$2,719ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DIRECT SERVICES$71,040$71,040
MISCELLANEOUS$58,955$51,359$1,683$5,913
MAINTENANCE & REPAIRS$47,610$47,610
FOOD$44,045$44,045

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,921TotalAmt
Program Services$83,881ProgramServicesAmt
Management And General$6,380ManagementAndGeneralAmt
Fundraising$660FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,658,915TotalAmt
Program Services$1,458,735ProgramServicesAmt
Management And General$75,509ManagementAndGeneralAmt
Fundraising$124,671FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,388BOYAmt
EOY$634EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$421,258BOYAmt
EOY$225,591EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,440,897LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,187,780LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,056,135BOYAmt
EOY$1,253,117EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$200,529BOYAmt
EOY$220,276EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,270BOYAmt
EOY$1,270EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,680,580BOYAmt
EOY$1,700,888EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$94,351BOYAmt
EOY$68,218EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$238,863BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$333,214BOYAmt
EOY$68,218EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,160,623BOYAmt
EOY$1,140,970EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$186,743BOYAmt
EOY$491,700EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,347,366BOYAmt
EOY$1,632,670EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,680,580BOYAmt
EOY$1,700,888EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$254,218ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,379NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$18,707OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd

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$302,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$479,296CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$389,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$485,115CurrentTaxYearMinus1YearAmt
Current Tax Year$881,475CurrentTaxYearAmt
Total$2,538,286TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$302,967CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$479,296CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$389,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$485,115CurrentTaxYearMinus1YearAmt
Current Tax Year$881,475CurrentTaxYearAmt
Total$2,538,286TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,538,286PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,661CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,887CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,169CurrentTaxYearMinus1YearAmt
Current Tax Year$1,824CurrentTaxYearAmt
Total$19,941TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$50CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,331CurrentTaxYearMinus1YearAmt
Total$11,381TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,286CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,616CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,376CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,522CurrentTaxYearMinus1YearAmt
Current Tax Year$7,345CurrentTaxYearAmt
Total$47,145TotalAmt
FieldValueIRS element (for citing)
Total Support$2,616,753TotalSupportAmt
Gross Receipts Rltd Activities$4,387,481GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97000PublicSupportCY170Pct
Public Support PY1700.96230PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 39,800ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,550OtherCostOrOtherBasisAmt
Book Value$8,550BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,560,420OtherCostOrOtherBasisAmt
Depreciation$451,498DepreciationAmt
Book Value$1,108,922BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$871,927OtherCostOrOtherBasisAmt
Depreciation$736,282DepreciationAmt
Book Value$135,645BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,253,117TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,913,133TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,913,133RevenueSubtotalAmt
Total Revenue Per Form990$1,913,133TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,658,915TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,658,915ExpensesSubtotalAmt
Total Expenses Per Form990$1,658,915TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$91,691GrossReceiptsEvent1Amt
Gross Revenue Event1$91,691GrossRevenueEvent1Amt
Other Direct Expenses Event1$37,562OtherDirectExpensesEvent1Amt
Gross Receipts Total$91,691GrossReceiptsTotalAmt
Gross Revenue Total Events$91,691GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$37,562OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,562DirectExpenseSummaryEventsAmt
Net Income Summary$54,129NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BBOARD TREASURER AND EXECUTIVE DIRECTOR WILL REVIEW PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST.
FORM 990, PART XI, LINE 9NET CHANGE IN DISPOSED ASSETS 18,707