CARSON KOLZIG FOUNDATION INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CARSON KOLZIG FOUNDATION INC (EIN 20-0665249)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201933199349309623
- Schema version
- 2018v3.1
- 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 | 2019-11-15T12:24:06-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8101 WEST GRANDRIDGE BLVD SUITE 130 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99336 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200665249 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARSON KOLZIG FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARS | BusinessNameControlTxt |
| Phone | 5095284144 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4206 W 24TH AVE NO B101 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99338 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS PETERSON | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 5092484144 | PhoneNum |
| Signature | 2019-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | EMILY MCCANN | PreparerPersonNm |
| PTIN | P01759947 | PTIN |
| Phone | 5097351561 | PhoneNum |
| Preparation | 2019-11-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.137.57.251 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-11 | IPDt |
| IP Tm | 12:04:48 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D61E4F3D76E4108591F47283F88E71662B7E93F4 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C94B234A5D6CEBA0B235AB32B61621912FC73840 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRIS PETERSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4206 W 24TH AVE NO B101 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99338 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $218,561 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARSONKOLZIGFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | WA | LegalDomicileStateCd |
| Activity Or Mission | TO ENHANCE AUTISM TREATMENT RESOURCES IN THE TRI-CITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 4 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 6 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $32,056 | PYContributionsGrantsAmt |
| CY Contributions Grants | $55,202 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,398 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,416 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $2,236 | CYOtherRevenueAmt |
| PY Total Revenue | $55,454 | PYTotalRevenueAmt |
| CY Total Revenue | $110,854 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $60,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,000 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $128,674 | PYOtherExpensesAmt |
| CY Other Expenses | $135,936 | CYOtherExpensesAmt |
| PY Total Expenses | $188,674 | PYTotalExpensesAmt |
| CY Total Expenses | $170,936 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$133,220 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$60,082 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $335,751 | TotalAssetsBOYAmt |
| Total Assets EOY | $219,182 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $335,751 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $219,182 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO ENHANCE AUTISM TREATMENT RESOURCES IN THE TRI-CITIES, EDUCATE AND EQUIP THE COMMUNITY ABOUT AUTISM, AND EMPOWER FAMILIES CHALLENGED BY AUTISM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $136,224 | ExpenseAmt |
| Desc | THE CARSON KOLZIG FOUNDATION HAS BEEN IN EXISTENCE SINCE 2004 AND HAS HOSTED THE ANNUAL OLIE AND STU'S DESERT BASH SINCE 2000. THIS ORGANIZATION HAS RAISED OVER $1,000,000 IN RESOURCES FOR AUTISM EDUCATION AND PROGRAM SERVICES THROUGHOUT THE REGION. THE CARSON KOLZIG FOUNDATION STRIVES TO EMPOWER AND EQUIP FAMILIES AND PROFESSIONALS WITH PHYSICAL AND EMOTIONAL RESOURCES NECESSARY TO ADDRESS THE ONGOING NEEDS OF CHILDREN AND FAMILIES FACING THE CHALLENGES OF AUTISM. THE RESPONDING TO AUTISM CENTER HAS BEEN OPEN SINCE MARCH OF 2010 AND HAS ALREADY PROVIDED SERVICES TO OVER 1,000 FAMILIES IN TRI-CITIES AND THE SURROUNDING AREAS. MANY ACTIVITIES ARE FREE SUCH AS PARENT SERVICES, AUTISM WORKSHOPS, AND EDUCATION SEMINARS. ALL MADE POSSIBLE DUE TO LOCAL FUNDRAISING EFFORTS. SIBLING GROUPS, PARENT, AND FAMILY SUPPORT GROUPS ARE ALL AVAILABLE TO FAMILIES AT NO CHARGE. A PARENT RESOURCE COORDINATOR AND LENDING LIBRARY ARE AVAILABLE TO ASSIST PARENTS NAVIGATE THE JOURNEY OF HAVING A CHILD WITH AUTISM. AUTISM SCREENINGS ARE ALSO MADE AVAILABLE AT EXCEPTIONALLY LOW COST, HELPING FAMILIES DETERMINE FOR CERTAIN WHETHER THEIR CHILD MAY BE ON THE AUTISM SPECTRUM. IT IS ESTIMATED THAT SERVICES AND THERAPIES FOR A CHILD ON THE AUTISM SPECTRUM COST BETWEEN $30,000-$80,000 PER YEAR. ALL SERVICES AT THE RESPONDING TO AUTISM CENTER ARE OFFERED ON A SLIDING SCALE AS WELL AS FULL SCHOLARSHIP PROGRAMS FOR FAMILIES THAT QUALIFY. PROGRAMS HAVE CONTINUED TO "AGE AND MATURE AS CHILDREN GROW. THE AGENCY HAS SECURED CARF ACCREDITATION THROUGH DSHS AND HAVE PROVIDED THESE TRANSITION SERVICES TO OVER 60 INDIVIDUALS (28 JOB PLACEMENTS, 14 TEEN EVALUATIONS AND 18 CLIENTS ESTABLISHED JOB RETENTION PLANS). IN 2018 THERE WERE 7 PARENT SUPPORT GROUPS HOSTED AS WELL AS 11 AUTISM SOCIALS FOR YOUNG ADULTS (WITH AN AVERAGE OF 20 ATTENDEES AT EACH). AUTISM SCREENINGS CONTINUE WITH NEARLY 80 FAMILIES RECEIVING EVALUATIONS THAT ASSIST WITH THE INITIAL IDENTIFICATION OF AUTISM | Desc |
| Total Program Service Expenses | $136,224 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 4 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELLEE BALCOM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5095284144 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4206 W 24TH AVE SUITE B101 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99338 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| CHRIS PETERSON | ||||||
| PRESIDENT/TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| OLIE KOLZIG | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTIN KOLZIG | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KYLE LAPIERRE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KELLEE BALCOM | ||||||
| CONTRACTED EXECUTIVE DIREC | 20.00 | Yes (X) | $35,000 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $35,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISTINE LINDGREN | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4206 W 24TH AVE SUITE 101 | AddressLine1Txt |
| City | KENNEWICK | CityNm |
| State Abbreviation | WA | StateAbbreviationCd |
| ZIP | 99338 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | AUTISM SERVICES | ServicesDesc |
| Compensation | $118,380 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $2,566 | FederatedCampaignsAmt |
| Fundraising | $46,500 | FundraisingAmt |
| All Other Contributions | $6,136 | AllOtherContributionsAmt |
| Total Contributions | $55,202 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,751 | TotalRevenueColumnAmt |
| Exclusion | $3,751 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $157,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,335 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,665 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,665 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,608 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $46,500 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $372 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,236 | TotalRevenueColumnAmt |
| Exclusion | $2,236 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $110,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,665 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,987 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,000 | TotalAmt |
| Program Services | $7,000 | ProgramServicesAmt |
| Management And General | $28,000 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,550 | TotalAmt |
| Management And General | $2,550 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,490 | TotalAmt |
| Program Services | $118,380 | ProgramServicesAmt |
| Management And General | $1,110 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168 | TotalAmt |
| Management And General | $168 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,998 | TotalAmt |
| Program Services | $8,358 | ProgramServicesAmt |
| Management And General | $640 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,141 | TotalAmt |
| Management And General | $2,141 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD & BEVERAGE | $2,486 | $2,486 | |
| FEES | $59 | $59 | |
| TAXES | $44 | $44 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,936 | TotalAmt |
| Program Services | $136,224 | ProgramServicesAmt |
| Management And General | $34,712 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,385 | BOYAmt |
| EOY | $93,814 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190 | BOYAmt |
| EOY | $253 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $290,176 | BOYAmt |
| EOY | $125,115 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,751 | BOYAmt |
| EOY | $219,182 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,751 | BOYAmt |
| EOY | $219,182 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,751 | BOYAmt |
| EOY | $219,182 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,751 | BOYAmt |
| EOY | $219,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$60,082 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$56,487 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $99,836 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,056 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,202 | CurrentTaxYearAmt |
| Total | $313,658 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $99,836 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $88,619 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $37,945 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32,056 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,202 | CurrentTaxYearAmt |
| Total | $313,658 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $39,048 | SubstantialContributorsTotAmt |
| Public Support Total170 | $274,610 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,012 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,109 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,187 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,751 | CurrentTaxYearAmt |
| Total | $35,534 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $349,192 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $226,143 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.78640 | PublicSupportCY170Pct |
| Public Support PY170 | 0.77350 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| EQUITIES | $36,947 | F |
| MUTUAL FUNDS - EQUITIES | $71,114 | F |
| MUTUAL FUNDS - FIXED INCOME | $8,757 | F |
| EXCHANGE TRADED PRODUCTS | $8,297 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $125,115 | TotalBookValueSecuritiesAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | STANLEY CUP | Event1Nm |
| Gross Receipts Event1 | $49,108 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $46,500 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,608 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $372 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $49,108 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $46,500 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,608 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $372 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $372 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $2,236 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | OLIE AND CHRISTIN KOLZIG HAVE A FAMILIAL RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD OF DIRECTORS HAS ELECTED TO CONTRACT OUT THE EXECUTIVE DIRECTOR POSITION TO KELLEE BALCOLM. |
| FORM 990, PART VI, SECTION B, LINE 11B | LINE 11A EXPLANATION - DRAFT 990 RETURNS ARE PRESENTED TO AND REVIEWED WITH THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE PROVIDED UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT SERVICES (AUTISM): PROGRAM SERVICE EXPENSES 118,380. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 118,380. BANK FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,110. |