FREE CLINIC OF ROCKINGHAM COUNTY INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- FREE CLINIC OF ROCKINGHAM COUNTY INC (EIN 56-2003143)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-07-30
- IRS object ID
- 202542119349300234
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-07-30T11:47:57-07:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 562228380 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J Michael Fargis & Associates LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1826 | AddressLine1Txt |
| City | Reidsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27323 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562003143 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Free Clinic of Rockingham County Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FREE | BusinessNameControlTxt |
| Phone | 3363493220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 2668 | AddressLine1Txt |
| City | Reidsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27323 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Beth Simmons | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 3363493220 | PhoneNum |
| Signature | 2025-07-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Marie F Martin | PreparerPersonNm |
| PTIN | P00629714 | PTIN |
| Phone | 3363494372 | PhoneNum |
| Preparation | 2025-07-30 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Beth Simmons | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 137 White Oak Circle | AddressLine1Txt |
| City | Reidsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27320 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,365,880 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | To provide for the basic medical and dental needs of the working poor of Rockingham County through volunteer medical professionals. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 6 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $359,139 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,177,475 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,169 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,235 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,659 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,564 | CYInvestmentIncomeAmt |
| PY Other Revenue | $51,439 | PYOtherRevenueAmt |
| CY Other Revenue | $57,110 | CYOtherRevenueAmt |
| PY Total Revenue | $429,406 | PYTotalRevenueAmt |
| CY Total Revenue | $1,290,384 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $319,959 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $337,815 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,781 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $226,290 | PYOtherExpensesAmt |
| CY Other Expenses | $116,376 | CYOtherExpensesAmt |
| PY Total Expenses | $546,249 | PYTotalExpensesAmt |
| CY Total Expenses | $454,191 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$116,843 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $836,193 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $599,439 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,435,632 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,778 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,778 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $597,661 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,433,854 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To provide for the basic medical and dental needs of the working poor of Rockingham County through volunteer medical professionals. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $295,809 | ExpenseAmt |
| Grant | $33,041 | GrantAmt |
| Revenue | $1,290,384 | RevenueAmt |
| Desc | To provide dental, medical and pharmacy services to the working poor at a very nominal cost. | Desc |
| Total Program Service Expenses | $295,809 | 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 | 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 | Yes (true) | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 6 | 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 | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | false | ConflictOfInterestPolicyInd |
| 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kim Rider | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3363493220 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 315 South Main St | AddressLine1Txt |
| City | Reidsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27320 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| Kim Rider | |||||||
| Executive Director | 32.00 | Yes (X) | $76,590 | $0 | $0 | ||
| Beth Simmons | |||||||
| President | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Cindy Scarborough | |||||||
| Vice President | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Marsha Peters | |||||||
| Secretary | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Zack Brown | |||||||
| Treasurer | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Antoine Alston | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Patricia Wright | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Dr Alvin Powell | |||||||
| Medical Director | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Sara Schneidmiller | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Savanah Mims | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Susan Permar | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Amy Green Smith | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Scott Potter | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Joan Weisenbeck | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Mary Ann Swift | |||||||
| Director | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Meryl Murphy | |||||||
| Past President | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $76,590 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $399,855 | GovernmentGrantsAmt |
| All Other Contributions | $777,620 | AllOtherContributionsAmt |
| Total Contributions | $1,177,475 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Patient Payments | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $2,235 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,235 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,277 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $47,277 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $71,046 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $64,759 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,287 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,287 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,287 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,847 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $10,737 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $57,110 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $57,110 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,290,384 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,235 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $110,674 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,590 | TotalAmt |
| Program Services | $30,636 | ProgramServicesAmt |
| Management And General | $38,295 | ManagementAndGeneralAmt |
| Fundraising | $7,659 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,785 | TotalAmt |
| Program Services | $149,650 | ProgramServicesAmt |
| Management And General | $42,757 | ManagementAndGeneralAmt |
| Fundraising | $21,378 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,937 | TotalAmt |
| Program Services | $4,921 | ProgramServicesAmt |
| Management And General | $2,222 | ManagementAndGeneralAmt |
| Fundraising | $794 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,601 | TotalAmt |
| Program Services | $11,533 | ProgramServicesAmt |
| Management And General | $5,208 | ManagementAndGeneralAmt |
| Fundraising | $1,860 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,902 | TotalAmt |
| Program Services | $12,978 | ProgramServicesAmt |
| Management And General | $5,834 | ManagementAndGeneralAmt |
| Fundraising | $2,090 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,194 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,194 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,324 | TotalAmt |
| Program Services | $27,993 | ProgramServicesAmt |
| Management And General | $9,331 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,243 | TotalAmt |
| Program Services | $3,746 | ProgramServicesAmt |
| Management And General | $2,497 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,136 | TotalAmt |
| Program Services | $2,895 | ProgramServicesAmt |
| Management And General | $1,241 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,044 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,044 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,228 | TotalAmt |
| Program Services | $3,171 | ProgramServicesAmt |
| Management And General | $1,057 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Licenses and certifications | $320 | $320 | $0 | $0 |
| Medical and other supplies | $2,542 | $2,542 | $0 | $0 |
| Telephone | $1,920 | $1,152 | $768 | $0 |
| Miscellaneous other expenses | $1,609 | $1,609 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,816 | TotalAmt |
| Program Services | $42,663 | ProgramServicesAmt |
| Management And General | $11,153 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,191 | TotalAmt |
| Program Services | $295,809 | ProgramServicesAmt |
| Management And General | $124,601 | ManagementAndGeneralAmt |
| Fundraising | $33,781 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,655 | BOYAmt |
| EOY | $74,641 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,876 | BOYAmt |
| EOY | $9,646 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $324,472 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $250,517 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,458 | BOYAmt |
| EOY | $73,955 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $511,446 | BOYAmt |
| EOY | $1,277,390 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,439 | BOYAmt |
| EOY | $1,435,632 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,778 | BOYAmt |
| EOY | $1,778 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,778 | BOYAmt |
| EOY | $1,778 | 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 | $592,906 | BOYAmt |
| EOY | $1,429,099 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,755 | BOYAmt |
| EOY | $4,755 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $597,661 | BOYAmt |
| EOY | $1,433,854 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $599,439 | BOYAmt |
| EOY | $1,435,632 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $836,193 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $473,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $194,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375,948 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $359,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,177,475 | CurrentTaxYearAmt |
| Total | $2,580,508 | 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 | $473,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $194,247 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $375,948 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $359,139 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,177,475 | CurrentTaxYearAmt |
| Total | $2,580,508 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,580,508 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $36,953 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,539 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,626 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,070 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,277 | CurrentTaxYearAmt |
| Total | $124,465 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,704,973 | TotalSupportAmt |
| Public Support CY170 | 0.95400 | PublicSupportCY170Pct |
| Public Support PY170 | 0.93200 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Book Value | $0 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $129,935 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,982 | DepreciationAmt |
| Book Value | $46,953 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,714 | OtherCostOrOtherBasisAmt |
| Depreciation | $954 | DepreciationAmt |
| Book Value | $11,760 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $170,292 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,581 | DepreciationAmt |
| Book Value | $3,711 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,531 | OtherCostOrOtherBasisAmt |
| Book Value | $11,531 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,955 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Rocktober Fest | Event1Nm |
| Gross Receipts Event1 | $25,950 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $25,950 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $1,504 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $5,865 | OtherDirectExpensesEvent1Amt |
| Event2 | Gifts from the Heart | Event2Nm |
| Gross Receipts Event2 | $33,657 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $33,657 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $952 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $8,240 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $8,240 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $2,416 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $67,847 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $67,847 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $1,504 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $9,233 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,737 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $57,110 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Executive Director & Executive Committee review |
| Form 990, Part IX, Line 24e | Bank charges and credit card fees 2088. 0. 2088. 0. |
| Form 990, Part IX, Line 24e | Repairs 5266. 2897. 2369. 0. |
| Form 990, Part IX, Line 24e | Insurance 13145. 6573. 6572. 0. |
| Form 990, Part IX, Line 24e | Security 276. 152. 124. 0. |
| Form 990, Part IX, Line 24e | Health grant expenditures 30989. 30989. 0. 0. |
| Form 990, Part IX, Line 24e | Other grant expenditures 2052. 2052. 0. 0. |