SELF-ADVOCATES OF INDIANA: Form 990EZ, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- SELF-ADVOCATES OF INDIANA (EIN 82-0540488)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201833199349204233
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T12:46:48-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352123203 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KSM BUSINESS SERVICES INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 40857 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462400857 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820540488 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SELF ADVOCATES OF INDIANA INC | BusinessNameLine1Txt |
| Business Name Line2 | C/O THE ARC OF INDIANA | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SELF | BusinessNameControlTxt |
| Phone | 3179772375 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 W MARKET ST NO 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KELSEY COWLEY | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 3179772375 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CASSE TATE | PreparerPersonNm |
| PTIN | P01271193 | PTIN |
| Phone | 3175802000 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.132.79.19 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 13:22:16 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 60E14920F41D3C02D83E168B1DBF774EC709E375 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 6E5B2F373A5FE26123368FD6809FEC2FE3CBA098 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Website Address | WWW.SAIND.ORG | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $40,106 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $33,648 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $707 | MembershipDuesAmt |
| Investment Income | $45 | InvestmentIncomeAmt |
| Other Revenue Total | $5,706 | OtherRevenueTotalAmt |
| Total Revenue | $40,106 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $1,252 | FeesAndOtherPymtToIndCntrctAmt |
| Printing Publications Postage | $42 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $41,188 | OtherExpensesTotalAmt |
| Total Expenses | $42,482 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$2,376 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $66,665 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $64,289 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,665 | BOYAmt |
| EOY | $64,289 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,665 | BOYAmt |
| EOY | $64,289 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,665 | BOYAmt |
| EOY | $64,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | EDUCATE & SUPPORT PEOPLE WITH DEVELOPMENTAL DISABILITIES AND TO EDUCATE THE PUBLIC ABOUT THE ABILITIES OF PEOPLE WITH DEVELOPMENTAL DISABILITIES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | STATEWIDE CONFERENCE HELD AT WHICH SELF-ADVOCATES HEARD FROM NATIONAL SELF ADVOCACY LEADERS AND PARTICIPATED IN SESSIONS THAT EDUCATED THEM ON SERVICES AND SUPPORTS AVAILABLE. THESE INCLUDED BUILDING SOCIAL RELATIONSHIPS, PERSON CENTERED PLANNING, HOME OWNERSHIP, ETC. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Info In Schedule O Part IV | Yes (X) | InfoInScheduleOPartIVInd |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| KELSEY COWLEY | ||||
| PRESIDENT | 1.00 | $0 | $0 | $0 |
| NICKI HINKLE | ||||
| VICE PRESIDENT/TREASURER | 1.00 | $0 | $0 | $0 |
| SHAWN FULTON | ||||
| TREASURER/VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| COURTNEY CLARK | ||||
| SECRETARY (11/17-12/17) | 1.00 | $0 | $0 | $0 |
| NITAYA LEWIS | ||||
| SECRETARY (01/17-11/17) | 1.00 | $0 | $0 | $0 |
| ERIK SMITH | ||||
| SARGEANT AT ARMS | 1.00 | $0 | $0 | $0 |
| ASHLEY PORTER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MEGAN BURGER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MELODY COOPER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| SCOTT HEDRICK | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| WILLIE ROSENDAUL | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| NICK PARKER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 143 W MARKET STREET STE 200 | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3179772375 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,349 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,839 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,648 | CurrentTaxYearAmt |
| Total | $114,940 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,307 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $27,349 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,839 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,648 | CurrentTaxYearAmt |
| Total | $114,940 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $114,940 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45 | CurrentTaxYearAmt |
| Total | $194 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $5,706 | CurrentTaxYearAmt |
| Total | $5,706 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $120,840 | TotalSupportAmt |
| Public Support CY170 | 0.95120 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2017 AMOUNT: $ 5,706. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST. AMOUNT: 45. |
| FORM 990-EZ, PART I, LINE 8 - OTHER REVENUE | DESCRIPTION: CONFERENCE REGISTRATIONS. AMOUNT: 60. DESCRIPTION: MISCELLANEOUS. AMOUNT: 267. DESCRIPTION: ANNUAL PICNIC REGISTRATIONS. AMOUNT: 5,379. TOTAL TO FORM 990-EZ, LINE 8: 5,706. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: TRAVEL. AMOUNT: 10,027. DESCRIPTION: COMMITTEE MEETINGS EXPENSE. AMOUNT: 1,232. DESCRIPTION: BOARD MEETING EXPENSE. AMOUNT: 4,614. DESCRIPTION: PARKING. AMOUNT: 421. DESCRIPTION: OFFICE SUPPLIES. AMOUNT: 343. DESCRIPTION: TRAINING EXPENSE. AMOUNT: 1,120. DESCRIPTION: CONFERENCE EXPENSES. AMOUNT: 6,174. DESCRIPTION: MISCELLANEOUS. AMOUNT: 1,867. DESCRIPTION: ANNUAL PICNIC EXPENSES. AMOUNT: 15,390. TOTAL TO FORM 990-EZ, LINE 16: 41,188. |
Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Declaration | THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT. | DeclarationDesc |