STRATEGY STUDIO / PUBLIC DATA EXPLORER

CLUB NOVA COMMUNITY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CLUB NOVA COMMUNITY INC (EIN 27-0103430)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-11-16
IRS object ID
202043219349305734
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

FieldValueIRS element (for citing)
Return2020-11-16T10:14:06-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561304727PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLACKMAN & SLOOP CPAS PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11414 RALEIGH RD SUITE 300AddressLine1Txt
CityCHAPEL HILLCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27517ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270103430EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLUB NOVA COMMUNITY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCLUBBusinessNameControlTxt
Phone9199686682PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103 D WEST MAIN STREETAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM C WISMERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone9197241710PhoneNum
Signature2020-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBIN MCDUFFIEPreparerPersonNm
PTINP00098611PTIN
Phone9199428700PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address64.88.174.3IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-13IPDt
IP Tm13:45:18IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id55B6E4DBD9891C7CDCE34A13609FFF4B8BA2FD8FAtSubmissionCreationDeviceId
At Submission Filing Device Id71772A6963CAA29B7C776E0CA8F3B14692BB8530AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWILLIAM C WISMERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103-D WEST MAIN STREETAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,764,247GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CLUBNOVA.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionCLUB NOVA COMMUNITY, INC PROMOTES AND PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH MENTAL ILLNESS TO LEAD MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Volunteers115TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,280,990PYContributionsGrantsAmt
CY Contributions Grants$528,111CYContributionsGrantsAmt
PY Program Service Revenue$633,057PYProgramServiceRevenueAmt
CY Program Service Revenue$528,710CYProgramServiceRevenueAmt
PY Investment Income$19,090PYInvestmentIncomeAmt
CY Investment Income$26,850CYInvestmentIncomeAmt
PY Other Revenue-$6,183PYOtherRevenueAmt
CY Other Revenue$7,349CYOtherRevenueAmt
PY Total Revenue$1,926,954PYTotalRevenueAmt
CY Total Revenue$1,091,020CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$653,852PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$627,332CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$115,651CYTotalFundraisingExpenseAmt
PY Other Expenses$296,271PYOtherExpensesAmt
CY Other Expenses$275,073CYOtherExpensesAmt
PY Total Expenses$950,123PYTotalExpensesAmt
CY Total Expenses$902,405CYTotalExpensesAmt
PY Revenues Less Expenses$976,831PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$188,615CYRevenuesLessExpensesAmt
Total Assets BOY$2,047,012TotalAssetsBOYAmt
Total Assets EOY$2,361,528TotalAssetsEOYAmt
Total Liabilities BOY$68,636TotalLiabilitiesBOYAmt
Total Liabilities EOY$195,550TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,978,376NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,165,978NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionCLUB NOVA PROVIDES OPPORTUNITIES FOR INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS TO LEAD MEANINGFUL LIVES OF THEIR CHOICE IN THE COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$675,254ExpenseAmt
Revenue$528,740RevenueAmt
DescCLUB NOVA, ACCREDITED BY CLUBHOUSE INTERNATIONAL, PROVIDED THE FULL RANGE OF CLUBHOUSE MODEL SUPPORTS AND OPPORTUNITIES TO OVER 124 INDIVIDUALS LIVING WITH SERIOUS MENTAL ILLNESS. THESE SUPPORTS AND OPPORTUNITIES INCLUDED MEANINGFUL RELATIONSHIPS, MEANINGFUL WORK, EMPLOYMENT AT LOCAL BUSINESSES, SUPPORTED EDUCATION, EVENING/WEEKEND PROGRAM AND ASSISTANCE WITH COMMUNITY SUPPORT (HOUSING, BENEFITS, QUALITY MEDICAL CARE, AND CRISIS PREVENTION AND RESPONSE).Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescCLUB NOVA IS IN THE MIDST OF A $4.1 M CAPITAL CAMPAIGN FOR EXPANSION. THE EXPANSION INCLUDES: 1) CONSTRUCTION OF AN APPROXIMATELY 9,100 SQ. FT. FACILITY EXPECTED TO BE COMPLETED BY THE END OF 2021; 2) EXPANSION OF CAPACITY AND PROGRAMMING TO MEET THE UNMET AND EMERGING NEEDS OF PEOPLE WITH SERIOUS MENTAL ILLNESS, EDUCATIONAL INSTITUTIONS, AND THE BROADER COMMUNITY; AND 3) OPPORTUNITY FOR SYSTEMIC IMPACT THROUGH STATE-WIDE REPLICATION OF THIS EVIDENCE-BASED MODEL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$675,254TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee21EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN KINCAID DUNNPersonNm
Phone9199686682PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1103-D WEST MAIN STAddressLine1Txt
CityCARRBOROCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27510ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ESPHUR FOSTER
BOARD MEMBER2.00Yes (X)$0$0$0
JANE PAULSEN
BOARD MEMBER2.00Yes (X)$0$0$0
MATTHEW COX
BOARD MEMBER2.00Yes (X)$0$0$0
ERRIN STAUNTON
BOARD MEMBER2.00Yes (X)$0$0$0
JAY MILLER
BOARD MEMBER2.00Yes (X)$0$0$0
PAIGE ZINN
BOARD MEMBER2.00Yes (X)$0$0$0
TOM BOND
BOARD MEMBER2.00Yes (X)$0$0$0
GRETCHEN DAVIS
PRESIDENT15.00Yes (X)$0$0$0Yes (X)
MARGARET MILLER GROWE
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
CARL CLARK
VICE PRESIDENT4.00Yes (X)$0$0$0Yes (X)
SUE ESTROFF
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
GARY D GADDY
VICE PRESIDENT4.00Yes (X)$0$0$0Yes (X)
WILLIAM C WISMER
TREASURER4.00Yes (X)$0$0$0Yes (X)
CHARLENE LEE
SECRETARY3.00Yes (X)$0$0$0Yes (X)
KAREN KINCAID DUNN
EXECUTIVE DIRECTOR45.00$82,927$0$17,580Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$82,927TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$17,580TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$11,500FundraisingAmt
Government Grants$134,000GovernmentGrantsAmt
All Other Contributions$382,611AllOtherContributionsAmt
Total Contributions$528,111TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID623990$432,616$432,616
NET CLIENT SERVICES623990$58,192$58,192
THRIFT SHOP SALES453310$34,177$34,177
MEAL SALES722210$3,725$3,725
FieldValueIRS element (for citing)
Total Program Service Revenue$528,710TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,351TotalRevenueColumnAmt
Exclusion$13,351ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,675,228SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,661,729SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,499SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,499TotalRevenueColumnAmt
Exclusion$13,499ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$18,817FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$11,500ContriRptFundraisingEventAmt
Fundraising Direct Expenses$11,498FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,319TotalRevenueColumnAmt
Exclusion$7,319ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$30TotalRevenueColumnAmt
Related Or Exempt Func Income$30RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$30OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,091,020TotalRevenueColumnAmt
Related Or Exempt Func Income$528,740RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$34,169ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$103,349TotalAmt
Program Services$25,900ProgramServicesAmt
Management And General$25,708ManagementAndGeneralAmt
Fundraising$51,741FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$432,694TotalAmt
Program Services$375,520ProgramServicesAmt
Management And General$14,889ManagementAndGeneralAmt
Fundraising$42,285FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$9,257TotalAmt
Program Services$9,257ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$44,326TotalAmt
Program Services$41,962ProgramServicesAmt
Management And General$382ManagementAndGeneralAmt
Fundraising$1,982FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,706TotalAmt
Program Services$29,032ProgramServicesAmt
Management And General$2,595ManagementAndGeneralAmt
Fundraising$6,079FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$40,015TotalAmt
Management And General$40,015ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,729TotalAmt
Program Services$4,729ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,243TotalAmt
Program Services$11,313ProgramServicesAmt
Management And General$764ManagementAndGeneralAmt
Fundraising$1,166FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,699TotalAmt
Program Services$16,274ProgramServicesAmt
Management And General$5,425ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,225TotalAmt
Program Services$10,977ProgramServicesAmt
Management And General$661ManagementAndGeneralAmt
Fundraising$1,587FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$269TotalAmt
Program Services$269ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,984TotalAmt
Program Services$21,567ProgramServicesAmt
Management And General$1,299ManagementAndGeneralAmt
Fundraising$3,118FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,814TotalAmt
Program Services$24,597ProgramServicesAmt
Management And General$5,981ManagementAndGeneralAmt
Fundraising$3,236FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT LABOR$24,548$14,610$9,938
BILLING AND SERVICE FEE$21,247$21,247
STAFF TRAINING$16,582$16,582
FOOD AND PROVISIONS$16,554$16,554

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$43,164TotalAmt
Program Services$34,864ProgramServicesAmt
Management And General$3,843ManagementAndGeneralAmt
Fundraising$4,457FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$902,405TotalAmt
Program Services$675,254ProgramServicesAmt
Management And General$111,500ManagementAndGeneralAmt
Fundraising$115,651FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$55,281BOYAmt
EOY$167,469EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$150,245BOYAmt
EOY$340,248EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$220,281BOYAmt
EOY$188,364EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$39,010BOYAmt
EOY$50,778EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,456BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$518,302LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$230,378LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$313,907BOYAmt
EOY$287,924EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,164,568BOYAmt
EOY$1,190,070EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$99,264BOYAmt
EOY$136,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,047,012BOYAmt
EOY$2,361,528EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$68,328BOYAmt
EOY$67,330EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$128,220EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$308BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,636BOYAmt
EOY$195,550EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,973BOYAmt
EOY$585,867EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,543,403BOYAmt
EOY$1,580,111EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,978,376BOYAmt
EOY$2,165,978EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,047,012BOYAmt
EOY$2,361,528EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$188,615ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1,013OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$461,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$699,504CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$721,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,280,990CurrentTaxYearMinus1YearAmt
Current Tax Year$528,111CurrentTaxYearAmt
Total$3,690,957TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$461,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$699,504CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$721,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,280,990CurrentTaxYearMinus1YearAmt
Current Tax Year$528,111CurrentTaxYearAmt
Total$3,690,957TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,144,311SubstantialContributorsTotAmt
Public Support Total170$2,546,646PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$205CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,055CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,090CurrentTaxYearMinus1YearAmt
Current Tax Year$26,850CurrentTaxYearAmt
Total$47,545TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$703CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,157CurrentTaxYearMinus1YearAmt
Current Tax Year$30CurrentTaxYearAmt
Total$24,156TotalAmt
FieldValueIRS element (for citing)
Total Support$3,762,658TotalSupportAmt
Gross Receipts Rltd Activities$2,789,662GrossReceiptsRltdActivitiesAmt
Public Support CY1700.67680PublicSupportCY170Pct
Public Support PY1700.68010PublicSupportPY170Pct
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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$49,329OtherCostOrOtherBasisAmt
Book Value$49,329BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$269,750OtherCostOrOtherBasisAmt
Depreciation$66,967DepreciationAmt
Book Value$202,783BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$159,718OtherCostOrOtherBasisAmt
Depreciation$131,364DepreciationAmt
Book Value$28,354BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,505OtherCostOrOtherBasisAmt
Depreciation$32,047DepreciationAmt
Book Value$7,458BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$287,924TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescEDWARD JONES BROKERAGEDesc
Book Value$1,190,070BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,190,070TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION IN PROCESSDesc
Book Value$136,675BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$136,675TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$1,102,518TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,102,518RevenueSubtotalAmt
Other Revenues Not Included-$11,498OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$11,498RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,091,020TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$914,916TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,013OtherExpensesIncludedAmt
Expenses Not Reported$1,013ExpensesNotReportedAmt
Expenses Subtotal$913,903ExpensesSubtotalAmt
Other Expenses Not Included-$11,498OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$11,498ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$902,405TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -11,498.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 1,013.
PART XII, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -11,498.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1EVE OF SONG & POETRYEvent1Nm
Gross Receipts Event1$30,317GrossReceiptsEvent1Amt
Charitable Contri Event1$11,500CharitableContriEvent1Amt
Gross Revenue Event1$18,817GrossRevenueEvent1Amt
Rent Facility Costs Event1$500RentFacilityCostsEvent1Amt
Food And Beverage Event1$6,977FoodAndBeverageEvent1Amt
Entertainment Event1$350EntertainmentEvent1Amt
Other Direct Expenses Event1$3,671OtherDirectExpensesEvent1Amt
Gross Receipts Total$30,317GrossReceiptsTotalAmt
Charitable Contributions Tot$11,500CharitableContributionsTotAmt
Gross Revenue Total Events$18,817GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$500RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$6,977FoodAndBeverageTotalEventsAmt
Entertainment Total Events$350EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$3,671OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$11,498DirectExpenseSummaryEventsAmt
Net Income Summary$7,319NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3CLUB NOVA CRITICAL SAFETY NET UPDATE ON CLUB NOVA RESPONSE TO COVID-19 PANDEMIC: THE COVID 19 PANDEMIC HAS DRAMATICALLY AFFECTED HOW CLUB NOVA PROVIDES SERVICES. CLUB NOVA PROVIDES SERVICES THAT ARE TRULY THE DIFFERENCE BETWEEN LIFE AND DEATH FOR OUR MEMBERS. WHAT WE ARE EXPERIENCING WITH THE COVID-19 PANDEMIC HAS INCREASED THE URGENCY OF THE WORK WE ARE DOING. NOT ONLY ARE OUR MEMBERS LIVING WITH SERIOUS MENTAL ILLNESS, THE MAJORITY OF OUR MEMBERS ARE IN THE HIGH RISK CATEGORY FOR COVID-19 DUE TO CO-OCCURRING SERIOUS HEALTH CONDITIONS INCLUDING A HIGH PREVALENCE OF DIABETES, AS WELL AS RESPIRATORY AND HEART CONDITIONS, AND COMPROMISED IMMUNE SYSTEMS. GIVEN THE HIGH RISKS, ON MARCH 15 WE MADE THE DECISION TO CLOSE OUR PHYSICAL FACILITY BUT NOT OPERATIONS. PRIOR TO CLOSING THE FACILITY TO MEMBERS, WE PROACTIVELY UPDATED EMERGENCY CONTACTS, ENSURED MEMBERS HAD MEDICATION AND FOOD, PROVIDED EDUCATION ON PRECAUTIONS, AND IDENTIFIED ACCESS TO TECHNOLOGY. DESPITE FUNDING UNCERTAINTY, CLUB NOVA IMMEDIATELY PIVOTED AND ADAPTED OPERATIONS WITHOUT HESITATION. ADAPTATIONS INCLUDE CONDUCTING INTENSIVE, DAILY OUTREACH TO CHECK ON HEALTH AND WELL-BEING OF MEMBERS, AS WELL AS MEDICATION AND FOOD SUPPLIES; HOME WELLNESS VISITS; CRISIS INTERVENTION; SOLVING HOUSING CRISES; PREPARATION AND DELIVERY OF 2,000 + MEALS TO MEMBERS; SECURING, SETTING UP, AND DISTRIBUTING 15 SMART PHONES FOR MEMBERS TO JOIN OUR VIRTUAL PLATFORM; ESTABLISHING A VIRTUAL CLUBHOUSE PROGRAM WITH OVER 40 HOURS OF STRUCTURED WORKGROUPS OF MEMBERS AND STAFF INCLUDING: REACH OUT, NOTE TRACKING AND BILLING, BUSINESS CONTINUATION, RESOURCE DEVELOPMENT, ADMINISTRATION, NEWSLETTER, WELLNESS, SOCIAL AND WELLNESS PLANNING, CLUB NOVA RACIAL INJUSTICE STATEMENT, SURVEY, CLUBHOUSE CULTURE, TECHNOLOGY, U.S. CENSUS COMPLETION. OUR GREATEST FINANCIAL CHALLENGE COMES FROM THE SIGNIFICANT REDUCTION IN MEDICAID AND STATE REIMBURSEMENT DUE TO THE SHIFTS IN SERVICE DELIVERY BECAUSE OF COVID-19. WE HAVE WORKED PROACTIVELY TO SECURE ADDITIONAL FUNDING INCLUDING CARES ACT FUNDING FROM THE PAYCHECK PROTECTION PROGRAM AND THE MEDICAID PROVIDER RELIEF FUND, AS WELL AS OTHER GRANT AND PRIVATE FUNDING. CLUB NOVA CONSISTENTLY WEAVES AND MENDS CRITICAL SAFETY NETS IN OUR LOCAL MENTAL HEALTH CARE SYSTEM. DESPITE THE ONGOING CHALLENGES OF A PANDEMIC, WE HAVE STEADFASTLY DEMONSTRATED ADAPTABILITY, FLEXIBILITY, PERSISTENCE, AND THE ABILITY TO CREATIVELY ADDRESS CHALLENGES AND MEET THE NEEDS OF MEMBERS AND THE COMMUNITY.
FORM 990, PART VI, SECTION B, LINE 11BTHE 990 IS REVIEWED BY THE FINANCE COMMITTEE AND EXECUTIVE DIRECTOR BEFORE PROVIDING TO THE BOARD PRIOR TO APPROVAL AND SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS RECEIVES THE CONFLICT OF INTEREST POLICY AS WELL AS CORPORATE COMPLIANCE POLICIES AND PROCEDURES. COMPLIANCE IS MONITORED BY THE BOARD AND EXECUTIVE DIRECTOR WHO ARE KEENLY AWARE OF THE IMPORTANCE OF THESE POLICIES.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION LEVELS ARE REVIEWED BY THE PRESIDENT AND EXECUTIVE COMMITTTEE WHO RESEARCH COMPENSATION LEVELS FOR EQUIVALENT POSITIONS AND DETERMINE IF ANY CHANGES ARE NECESSARY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 24EAUTO EXPENSE: PROGRAM SERVICE EXPENSES 10,935. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,935. TELECOMMUNICATIONS: PROGRAM SERVICE EXPENSES 7,978. MANAGEMENT AND GENERAL EXPENSES 481. FUNDRAISING EXPENSES 1,154. TOTAL EXPENSES 9,613. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 3,363. MANAGEMENT AND GENERAL EXPENSES 1,660. FUNDRAISING EXPENSES 3,042. TOTAL EXPENSES 8,065. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 5,302. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,302. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 1,878. MANAGEMENT AND GENERAL EXPENSES 924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,802. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 2,568. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,568. SUPPLIES - PROGRAM: PROGRAM SERVICE EXPENSES 1,806. MANAGEMENT AND GENERAL EXPENSES 109. FUNDRAISING EXPENSES 261. TOTAL EXPENSES 2,176. TAXES: PROGRAM SERVICE EXPENSES 1,034. MANAGEMENT AND GENERAL EXPENSES 197. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,231. BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 472. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 472.
FORM 990, PART XI, LINE 9:BAD DEBT EXPENSE -1,013.
FORM 990, PART XII, LINE 2CFINANCE/AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FOR THE CURRENT YEAR.