PANAMA CITY BEACH SENIOR SERVICESFOUNDATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: PANAMA CITY BEACH SENIOR SERVICESFOUNDATION INC (EIN 20-8106910)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-08-21
IRS object ID: 201842339349300519
Schema version: 2017v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-08-21T09:35:44-05:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	201217629	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	TIPTON MARLER GARNER & CHASTAIN	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 1100	AddressLine1Txt
City	PANAMA CITY	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	324021100	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	208106910	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PANAMA CITY BEACH SENIOR SERVICES	BusinessNameLine1Txt
Business Name Line2	FOUNDATION INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	PANA	BusinessNameControlTxt
Phone	8502332330	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	423 LYNDELL LANE	AddressLine1Txt
City	PANAMA CITY BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32407	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	BILL MONTFORT	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	8502332330	PhoneNum
Signature	2018-08-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID C TIPTON CPA	PreparerPersonNm
PTIN	P00095323	PTIN
Phone	8507699491	PhoneNum
Preparation	2018-08-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	BILL MONTFORT	PrincipalOfficerNm
Gross Receipts	$134,655	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Other	Yes (X)	TypeOfOrganizationOtherInd
Other Organization Dsc	SENIOR CENTE	OtherOrganizationDsc
Formation	2007	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	TO HELP SENIORS IN NEED OF A BETTER QUALITY OF LIFE	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	3	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$105,794	PYContributionsGrantsAmt
CY Contributions Grants	$109,652	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$351	PYInvestmentIncomeAmt
CY Investment Income	$5,990	CYInvestmentIncomeAmt
PY Other Revenue	$28,686	PYOtherRevenueAmt
CY Other Revenue	$17,908	CYOtherRevenueAmt
PY Total Revenue	$134,831	PYTotalRevenueAmt
CY Total Revenue	$133,550	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$48,544	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$59,010	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$949	CYTotalFundraisingExpenseAmt
PY Other Expenses	$128,656	PYOtherExpensesAmt
CY Other Expenses	$92,563	CYOtherExpensesAmt
PY Total Expenses	$177,200	PYTotalExpensesAmt
CY Total Expenses	$151,573	CYTotalExpensesAmt
PY Revenues Less Expenses	-$42,369	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$18,023	CYRevenuesLessExpensesAmt
Total Assets BOY	$912,581	TotalAssetsBOYAmt
Total Assets EOY	$894,558	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$912,581	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$894,558	NetAssetsOrFundBalancesEOYAmt
Mission	TO HELP SENIORS IN NEED OF A BETTER QUALITY OF LIFE	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Desc	TO HELP SENIORS IN NEED OF A BETTER QUALITY OF LIFE	Desc
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	Yes (true)	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	3	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	3	EmployeeCnt
Employment Tax Returns Filed	false	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOYCE GOETZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8502363033	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	423 LYNDELL LANE	AddressLine1Txt
City	PANAMA CITY BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32407	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
FRANK WALKER
DIRECTOR	40.00	Yes (X)	$0	$0	$0
SHERRY SWARTOUT
DAILY OPERAT	20.00	Yes (X)	$0	$0	$0
LEONARD GOTTLIEB
DIRECTOR	20.00	Yes (X)	$0	$0	$0
RON RUDD
SECRETARY	40.00	Yes (X)	$0	$0	$0
ALICE CONNIFF
MEMBER/PR DI	20.00	Yes (X)	$0	$0	$0	Yes (X)
JIM BARR
VICE PRESIDE	20.00	Yes (X)	$0	$0	$0	Yes (X)
BILL MONTFORT
PRESIDENT	20.00	Yes (X)	$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Membership Dues	$42,840	MembershipDuesAmt
Government Grants	$45,000	GovernmentGrantsAmt
All Other Contributions	$21,812	AllOtherContributionsAmt
Total Contributions	$109,652	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,990	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,990	RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,596	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,105	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,491	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,491	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,491	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$16,385	GamingGrossIncomeAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,385	TotalRevenueColumnAmt
Exclusion	$16,385	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS	Desc
Total Revenue Column	$32	TotalRevenueColumnAmt
Related Or Exempt Func Income	$32	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$32	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$133,550	TotalRevenueColumnAmt
Related Or Exempt Func Income	$7,513	RelatedOrExemptFuncIncomeAmt
Exclusion	$16,385	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,750	TotalAmt
Management And General	$54,276	ManagementAndGeneralAmt
Fundraising	$474	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,260	TotalAmt
Management And General	$4,260	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,482	TotalAmt
Management And General	$1,482	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$18	TotalAmt
Management And General	$18	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,437	TotalAmt
Management And General	$11,437	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,462	TotalAmt
Management And General	$22,462	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$10,134	TotalAmt
Management And General	$10,134	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
CONTRACT LABOR	$16,925	$16,450	$475
UTILITIES, CABLE & SECURI	$15,032	$15,032
CONTINGENCY	$5,859	$5,859
MAINTENANCE	$2,951	$2,951

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,263	TotalAmt
Management And General	$6,263	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,573	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$150,624	ManagementAndGeneralAmt
Fundraising	$949	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$1	BOYAmt
EOY	-$1	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$238,539	BOYAmt
EOY	$243,178	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$200	BOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$906,069	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$254,688	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$673,843	BOYAmt
EOY	$651,381	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$912,581	BOYAmt
EOY	$894,558	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	$238,738	BOYAmt
EOY	$243,177	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$673,843	BOYAmt
EOY	$651,381	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$912,581	BOYAmt
EOY	$894,558	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$912,581	BOYAmt
EOY	$894,558	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$18,023	ReconcilationRevenueExpnssAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$101,062	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$163,530	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$99,605	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$105,794	CurrentTaxYearMinus1YearAmt
Current Tax Year	$109,652	CurrentTaxYearAmt
Total	$579,643	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$28,259	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,846	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,618	CurrentTaxYearAmt
Total	$55,723	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$11,973	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,952	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,385	CurrentTaxYearAmt
Total	$39,310	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$101,062	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$163,530	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$139,837	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$135,592	CurrentTaxYearMinus1YearAmt
Current Tax Year	$134,655	CurrentTaxYearAmt
Total	$674,676	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$674,676	PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$101,062	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$163,530	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$139,837	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$135,592	CurrentTaxYearMinus1YearAmt
Current Tax Year	$134,655	CurrentTaxYearAmt
Total	$674,676	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	1.00000	PublicSupportCY509Pct
Public Support PY509	0.99050	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Investment Income PY	0.01000	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$906,069	OtherCostOrOtherBasisAmt
Depreciation	$254,688	DepreciationAmt
Book Value	$651,381	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$651,381	TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Gaming Information GamingInformationGrp

Field	Value	IRS element (for citing)
Gross Revenue Bingo	$16,385	GrossRevenueBingoAmt
Volunteer Labor Bingo	false	VolunteerLaborBingoInd
Volunteer Labor Pull Tabs	false	VolunteerLaborPullTabsInd
Volunteer Labor Other Gaming	false	VolunteerLaborOtherGamingInd
Gross Revenue Total Gaming	$16,385	GrossRevenueTotalGamingAmt
Net Gaming Income Summary	$16,385	NetGamingIncomeSummaryAmt

Field	Value	IRS element (for citing)
Licensed	Yes (true)	LicensedInd
License Suspended Etc	false	LicenseSuspendedEtcInd
Gaming With Nonmembers	false	GamingWithNonmembersInd
Member Of Other Entity	false	MemberOfOtherEntityInd

Persons With Books Name PersonsWithBooksName

Field	Value	IRS element (for citing)
Business Name Line1	JOYCE GOETZ	BusinessNameLine1Txt

Persons With Books US Address PersonsWithBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	423 LYNDELL LANE	AddressLine1Txt
City	PANAMA CITY BEACH	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32407	ZIPCd

Field	Value	IRS element (for citing)
Cntrct With3rd Prty For Game Rev	false	CntrctWith3rdPrtyForGameRevInd
Charitable Distribution Rqr	false	CharitableDistributionRqrInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 3	THE GENERAL MANAGEMENT DUTIES ARE PERFORMED BY DIRECTORS AND OFFICERS WHO VOLUNTEER THEIR TIME.
FORM 990, PAGE 6, PART VI, LINE 11B	THE GOVERNING BODY REVIEWS FINANCIAL REPORTS AND FEDERAL TAX FILINGS AT BOARD MEETINGS.
FORM 990, PAGE 6, PART VI, LINE 12C	THE ORGANIZATION REQUIRES REGULAR DISCLOSURE OF POTENTIAL CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION PROVDES THEIR FINANCIAL STATEMENTS, GOVERNING DOCUMENTS CONFLICTS OF INTEREST POLICIY AND FORM 990 TO INDIVUDUALS UPON REQUEST.