SELF-ADVOCATES OF INDIANA: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SELF-ADVOCATES OF INDIANA (EIN 82-0540488)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202023189349203617
- Schema version
- 2019v5.1
- 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 | 2020-11-13T14:31:18-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352123203 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KSM BUSINESS SERVICES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40857 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462400857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820540488 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELF ADVOCATES OF INDIANA INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O THE ARC OF INDIANA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SELF | BusinessNameControlTxt |
| Phone | 3179772375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 W MARKET ST NO 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHAWN FULTON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3179772375 | PhoneNum |
| Signature | 2020-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CASSE TATE | PreparerPersonNm |
| PTIN | P01271193 | PTIN |
| Phone | 3175802000 | PhoneNum |
| Preparation | 2020-11-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.132.79.18 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-11 | IPDt |
| IP Tm | 12:19:17 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8742F3985EA151063956B046DE4E005049B9C75C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 1D71851D00F9EADD1612A4FEA1EE6D941F5E8310 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WWW.SAIND.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $62,697 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $52,776 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $800 | MembershipDuesAmt |
| Investment Income | $207 | InvestmentIncomeAmt |
| Other Revenue Total | $8,914 | OtherRevenueTotalAmt |
| Total Revenue | $62,697 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $3,162 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $228 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $45,489 | OtherExpensesTotalAmt |
| Total Expenses | $48,879 | TotalExpensesAmt |
| Excess Or Deficit For Year | $13,818 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $61,382 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $75,200 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,382 | BOYAmt |
| EOY | $75,200 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,382 | BOYAmt |
| EOY | $75,200 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,382 | BOYAmt |
| EOY | $75,200 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | EDUCATE & SUPPORT PEOPLE WITH DEVELOPMENTAL DISABILITIES AND TO EDUCATE THE PUBLIC ABOUT THE ABILITIES OF PEOPLE WITH DEVELOPMENTAL DISABILITIES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | STATEWIDE CONFERENCE HELD AT WHICH SELF-ADVOCATES HEARD FROM NATIONAL SELF ADVOCACY LEADERS AND PARTICIPATED IN SESSIONS THAT EDUCATED THEM ON SERVICES AND SUPPORTS AVAILABLE. THESE INCLUDED BUILDING SOCIAL RELATIONSHIPS, PERSON CENTERED PLANNING, HOME OWNERSHIP, ETC. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| SHAWN FULTON | ||||
| PRESIDENT | 1.00 | $0 | $0 | $0 |
| KELSEY COWLEY | ||||
| VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| COURTNEY CLARK | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| NICKI HINKLE | ||||
| TREASURER | 1.00 | $0 | $0 | $0 |
| SHAWN RECTOR | ||||
| SERGEANT-AT-ARMS | 1.00 | $0 | $0 | $0 |
| MELODY COOPER | ||||
| PAST PRESIDENT | 1.00 | $0 | $0 | $0 |
| ERIK SMITH | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| ANGIE TOWNSEND | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| ASHLEY PORTER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRENT WEIDLER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| DANIE'L MIZE | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| ERICA WILLIAMS | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 W MARKET STREET STE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3179772375 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
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 | $27,349 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,576 | CurrentTaxYearAmt |
| Total | $168,270 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,349 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,839 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $33,648 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,858 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,576 | CurrentTaxYearAmt |
| Total | $168,270 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,181 | SubstantialContributorsTotAmt |
| Public Support Total170 | $167,089 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $207 | CurrentTaxYearAmt |
| Total | $399 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $5,706 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,660 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,914 | CurrentTaxYearAmt |
| Total | $22,280 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $190,949 | TotalSupportAmt |
| Public Support CY170 | 0.87500 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91180 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 5,706. 2018 AMOUNT: $ 7,660. 2019 AMOUNT: $ 8,914. | ExplanationTxt |
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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 207. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: ANNUAL PICNIC REGISTRATIONS. AMOUNT: 7,914. DESCRIPTION: INSURANCE REIMBURSEMENT. AMOUNT: 1,000. TOTAL TO FORM 990-EZ, LINE 8: 8,914. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TRAVEL. AMOUNT: 17,102. DESCRIPTION: COMMITTEE MEETINGS EXPENSE. AMOUNT: 691. DESCRIPTION: BOARD MEETING EXPENSE. AMOUNT: 4,367. DESCRIPTION: PARKING. AMOUNT: 95. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 62. DESCRIPTION: TRAINING EXPENSE. AMOUNT: 3,605. DESCRIPTION: CONFERENCE EXPENSES. AMOUNT: 3,182. DESCRIPTION: MISCELLANEOUS. AMOUNT: 509. DESCRIPTION: ANNUAL PICNIC EXPENSES. AMOUNT: 15,369. DESCRIPTION: MEMBERSHIP DUES. AMOUNT: 507. TOTAL TO FORM 990-EZ, LINE 16: 45,489. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |