STRATEGY STUDIO / PUBLIC DATA EXPLORER

AUGUSTA CARE PREGNANCY CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AUGUSTA CARE PREGNANCY CENTER INC (EIN 58-1461982)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-21
IRS object ID
202042959349300724
Schema version
2019v5.0
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)
Return2020-10-21T10:23:44-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN581269031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RHODEN CPA FIRMBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1808 GREENE STREET SUITE 201AddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP309010220ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581461982EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AUGUSTA CARE PREGNANCY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAUGUBusinessNameControlTxt
Phone7067245531PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11298 1/2 BROAD STAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP309011116ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN SWANSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7067245531PhoneNum
Signature2020-10-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHELLEY ALDREDPreparerPersonNm
PTINP01216427PTIN
Phone7067247979PhoneNum
Preparation2020-10-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.186.164.58IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-21IPDt
IP Tm10:23:44IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id6501F7701FD11597EE496B6343746029C9D369F9AtSubmissionCreationDeviceId
At Submission Filing Device IdB18066E5FA50E04B9C023FBE47D6EE4DF6621ED0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLASE MANCINE JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1189 WINDY RIDGE ROADAddressLine1Txt
CityTRENTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29847ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$491,865GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI-$5,728TotalGrossUBIAmt
PY Contributions Grants$235,952PYContributionsGrantsAmt
CY Contributions Grants$357,378CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$48,216PYOtherRevenueAmt
CY Other Revenue$67,297CYOtherRevenueAmt
PY Total Revenue$284,168PYTotalRevenueAmt
CY Total Revenue$424,675CYTotalRevenueAmt
PY Grants And Similar Paid$39,357PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$39,724CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$144,575PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$119,710CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,350CYTotalFundraisingExpenseAmt
PY Other Expenses$195,092PYOtherExpensesAmt
CY Other Expenses$179,209CYOtherExpensesAmt
PY Total Expenses$379,024PYTotalExpensesAmt
CY Total Expenses$338,643CYTotalExpensesAmt
PY Revenues Less Expenses-$94,856PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$86,032CYRevenuesLessExpensesAmt
Total Assets BOY$585,124TotalAssetsBOYAmt
Total Assets EOY$654,234TotalAssetsEOYAmt
Total Liabilities BOY$190,597TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,675TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$394,527NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$480,559NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$260,687ExpenseAmt
Grant$39,724GrantAmt
DescTO PROVIDE COUNSELING AND PREGNANCY TESTING TO THOSE IN NEED IN AUGUSTA AND THE SURROUNDING AREAS. TESTED APPROX. 940 CLIENTS; COUNSELED APPROX. 940 CLIENTS AND TRAINED APPROXIMATELY 20 VOLUNTEERS.Desc
Total Program Service Expenses$260,687TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
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 IndividualsYes (true)GrantsToIndividualsInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee13EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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
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 Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN SWANSONPersonNm
Phone7067243733PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11298 1/2 BROAD STAddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP30901ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndBusiness Name Line2BusinessName/BusinessNameLine2Txt
SUSAN SWANSON
EXECUTIVE DI40.00Yes (X)$29,610$0$0
SHIRLEY FARMER
BOARD MEMEBE4.00$0$0$0Yes (X)
GEORGE LIVELY
SECRETARY/TR4.00$0$0$0Yes (X)GEORGE LIVELY
BLASE MANCINE JR
CHAIRMAN4.00$0$0$0Yes (X)
DAVID MCTIER
VICE CHAIRMA4.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,610TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$357,378AllOtherContributionsAmt
Total Contributions$357,378TotalContributionsAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$4,250RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$9,978RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$5,728RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,728TotalRevenueColumnAmt
Unrelated Business Revenue-$5,728UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$130,237FundraisingGrossIncomeAmt
Fundraising Direct Expenses$57,212FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,025TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$424,675TotalRevenueColumnAmt
Unrelated Business Revenue-$5,728UnrelatedBusinessRevenueAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Program Services$200ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$39,524TotalAmt
Program Services$39,524ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$29,610TotalAmt
Management And General$29,610ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$81,153TotalAmt
Program Services$81,153ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,947TotalAmt
Program Services$6,682ProgramServicesAmt
Management And General$2,265ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,275TotalAmt
Management And General$3,275ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,350TotalAmt
Fundraising$4,350FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,011TotalAmt
Program Services$6,007ProgramServicesAmt
Management And General$4,004ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,752TotalAmt
Program Services$11,205ProgramServicesAmt
Management And General$5,547ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,031TotalAmt
Program Services$619ProgramServicesAmt
Management And General$412ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$68,708TotalAmt
Program Services$61,091ProgramServicesAmt
Management And General$7,617ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,614TotalAmt
Program Services$1,568ProgramServicesAmt
Management And General$1,046ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$18,487TotalAmt
Program Services$11,093ProgramServicesAmt
Management And General$7,394ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,298TotalAmt
Program Services$3,179ProgramServicesAmt
Management And General$2,119ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMPUTER MAINTENANCE$12,805$7,683$5,122
TELEPHONE CHARGES$11,129$6,677$4,452
TRI-COUNTY CPC ALLENDALE$5,186$5,186
TEMPORARY LABOR$4,831$4,831

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,732TotalAmt
Program Services$13,989ProgramServicesAmt
Management And General$743ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$338,643TotalAmt
Program Services$260,687ProgramServicesAmt
Management And General$73,606ManagementAndGeneralAmt
Fundraising$4,350FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$76,263BOYAmt
EOY$146,339EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$507,895LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$507,895BOYAmt
EOY$507,895EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$966BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$585,124BOYAmt
EOY$654,234EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$142,142BOYAmt
EOY$129,336EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$48,455BOYAmt
EOY$44,339EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$190,597BOYAmt
EOY$173,675EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$394,527BOYAmt
EOY$480,559EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$394,527BOYAmt
EOY$480,559EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$585,124BOYAmt
EOY$654,234EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$86,032ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$266,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$279,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$436,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,952CurrentTaxYearMinus1YearAmt
Current Tax Year$357,378CurrentTaxYearAmt
Total$1,574,800TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$266,228CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$279,098CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$436,144CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$235,952CurrentTaxYearMinus1YearAmt
Current Tax Year$357,378CurrentTaxYearAmt
Total$1,574,800TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$188,647SubstantialContributorsTotAmt
Public Support Total170$1,386,153PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,835CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,425CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,350CurrentTaxYearMinus1YearAmt
Current Tax Year$4,250CurrentTaxYearAmt
Total$51,710TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$200CurrentTaxYearMinus4YearsAmt
Total$200TotalAmt
FieldValueIRS element (for citing)
Total Support$1,626,710TotalSupportAmt
Gross Receipts Rltd Activities$396,910GrossReceiptsRltdActivitiesAmt
Public Support CY1700.85210PublicSupportCY170Pct
Public Support PY1700.95630PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$507,895OtherCostOrOtherBasisAmt
Book Value$507,895BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$507,895TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
AMERICAN EXPRESS - 23002$21,053
CHASE - 9921$20,881
FICA/FEDERAL TAXES WITHHELD$2,199
STATE TAXES WITHHELD$202
STATE UNEMPLOYMENT TAX$4
FieldValueIRS element (for citing)
Total Liability$44,339TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$90,810GrossReceiptsEvent1Amt
Gross Revenue Event1$90,810GrossRevenueEvent1Amt
Rent Facility Costs Event1$9,976RentFacilityCostsEvent1Amt
Food And Beverage Event1$22,532FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$19,606OtherDirectExpensesEvent1Amt
Event2WALK-A-THONEvent2Nm
Gross Receipts Event2$35,754GrossReceiptsEvent2Amt
Gross Revenue Event2$35,754GrossRevenueEvent2Amt
Rent Facility Costs Event2$350RentFacilityCostsEvent2Amt
Food And Beverage Event2$51FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$4,697OtherDirectExpensesEvent2Amt
Gross Receipts Total$126,564GrossReceiptsTotalAmt
Gross Revenue Total Events$126,564GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$10,326RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$22,583FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$24,303OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$57,212DirectExpenseSummaryEventsAmt
Net Income Summary$69,352NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDIRECT FINANCIAL AIDGrantTypeTxt
Cash Grant$39,524CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BEXECUTIVE DIRECTOR AND CHAIRMAN OF THE BOARD WILL REVIEW RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CINQUIRY IS MADE WHEN FINANCIAL MATTERS ARE VOTED ON. BOARD MEMBERS FILL OUT A DISCLOSURE FORM.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AVAILABLE UPON REQUEST AND RELEASED UPON APPROVAL OF ANY OFFICER.