STRATEGY STUDIO / PUBLIC DATA EXPLORER

AUGUSTA CARE PREGNANCY CENTER INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
AUGUSTA CARE PREGNANCY CENTER INC (EIN 58-1461982)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-08
IRS object ID
201701289349301220
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-08T12:02:19-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN581269031PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RHODEN CPA FIRMBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1808 GREENE STREET SUITE 201AddressLine1Txt
CityAUGUSTACityNm
State AbbreviationGAStateAbbreviationCd
ZIP309010220ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581461982EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN SWANSONPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7067245531PhoneNum
Signature2017-04-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHELLEY ALDREDPreparerPersonNm
PTINP01216427PTIN
Phone7067247979PhoneNum
Preparation2017-04-25PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id6501F7701FD11597EE496B6343746029C9D369F9AtSubmissionCreationDeviceId
At Submission Filing Device IdB7415E1C767E2D3AA9B1FEDC656584A5E11FD4ECAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLASE MANCINE JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1189 WINDY RIDGE ROADAddressLine1Txt
CityTRENTONCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29847ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$384,267GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers50TotalVolunteersCnt
Total Gross UBI-$2,212TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$4,238NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$266,228PYContributionsGrantsAmt
CY Contributions Grants$279,098CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$78,091PYOtherRevenueAmt
CY Other Revenue$40,078CYOtherRevenueAmt
PY Total Revenue$344,319PYTotalRevenueAmt
CY Total Revenue$319,176CYTotalRevenueAmt
PY Grants And Similar Paid$36,180PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$23,004CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$118,454PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$120,248CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,335CYTotalFundraisingExpenseAmt
PY Other Expenses$163,760PYOtherExpensesAmt
CY Other Expenses$190,627CYOtherExpensesAmt
PY Total Expenses$318,394PYTotalExpensesAmt
CY Total Expenses$333,879CYTotalExpensesAmt
PY Revenues Less Expenses$25,925PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$14,703CYRevenuesLessExpensesAmt
Total Assets BOY$564,336TotalAssetsBOYAmt
Total Assets EOY$546,046TotalAssetsEOYAmt
Total Liabilities BOY$210,420TotalLiabilitiesBOYAmt
Total Liabilities EOY$206,833TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$353,916NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$339,213NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$218,626ExpenseAmt
Grant$23,004GrantAmt
DescTO PROVIDE COUNSELING AND PREGNANCY TESTING TO THOSE IN NEED IN AUGUSTA AND THE SURROUNDING AREAS. TESTED APPROX. 1,310 CLIENTS; COUNSELED APPROX. 1,460 CLIENTS AND TRAINED APPROXIMATELY 40 VOLUNTEERS.Desc
Total Program Service Expenses$218,626TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledYes (true)Form1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN SWANSONPersonNm
Phone7067243733PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtBusiness Name Line2BusinessName/BusinessNameLine2TxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerInd
SHIRLEY FARMER
BOARD MEMEBEYes (X)$0$0$0
BLASE MANCINE JR
CHAIRMANYes (X)$0$0$0
DAVID MCTIER
VICE CHAIRMAYes (X)$0$0$0
GEORGE LIVELY
SECRETARY/TRYes (X)$0$0$0GEORGE LIVELY
SUSAN SWANSON
EXECUTIVE DI$29,610$0$040.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,610TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$279,098AllOtherContributionsAmt
Total Contributions$279,098TotalContributionsAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$7,425RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$10,222RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$2,797RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$2,797TotalRevenueColumnAmt
Related Or Exempt Func Income-$585RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,212UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$97,744FundraisingGrossIncomeAmt
Fundraising Direct Expenses$54,869FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,875TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$319,176TotalRevenueColumnAmt
Related Or Exempt Func Income-$585RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$2,212UnrelatedBusinessRevenueAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,004TotalAmt
Program Services$23,004ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,063TotalAmt
Program Services$53,078ProgramServicesAmt
Management And General$28,985ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,575TotalAmt
Program Services$5,448ProgramServicesAmt
Management And General$3,127ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Management And General$3,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,335TotalAmt
Fundraising$2,335FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,805TotalAmt
Program Services$16,683ProgramServicesAmt
Management And General$11,122ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,436TotalAmt
Program Services$11,506ProgramServicesAmt
Management And General$4,930ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,306TotalAmt
Program Services$1,306ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$47,021TotalAmt
Program Services$35,179ProgramServicesAmt
Management And General$11,842ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,292TotalAmt
Program Services$4,975ProgramServicesAmt
Management And General$3,317ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,305TotalAmt
Program Services$9,783ProgramServicesAmt
Management And General$6,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$6,056TotalAmt
Program Services$3,634ProgramServicesAmt
Management And General$2,422ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
TEMPORARY LABOR$16,841$16,841
ABSTINANCE OUTREACH$11,600$11,600
TELEPHONE CHARGES$8,891$5,335$3,556
COMPUTER MAINTENANCE$8,245$4,947$3,298

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,494TotalAmt
Program Services$15,307ProgramServicesAmt
Management And General$1,187ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$333,879TotalAmt
Program Services$218,626ProgramServicesAmt
Management And General$112,918ManagementAndGeneralAmt
Fundraising$2,335FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$91,068BOYAmt
EOY$64,280EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$481,766LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$473,268BOYAmt
EOY$481,766EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$564,336BOYAmt
EOY$546,046EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$170,040BOYAmt
EOY$160,205EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$40,380BOYAmt
EOY$46,628EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$210,420BOYAmt
EOY$206,833EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$353,916BOYAmt
EOY$339,213EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$353,916BOYAmt
EOY$339,213EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$564,336BOYAmt
EOY$546,046EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$14,703ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$199,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$242,171CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266,228CurrentTaxYearMinus1YearAmt
Current Tax Year$279,098CurrentTaxYearAmt
Total$1,147,703TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$160,487CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$199,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$242,171CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266,228CurrentTaxYearMinus1YearAmt
Current Tax Year$279,098CurrentTaxYearAmt
Total$1,147,703TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$5,907SubstantialContributorsTotAmt
Public Support Total170$1,141,796PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,300CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,110CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,835CurrentTaxYearMinus1YearAmt
Current Tax Year$7,425CurrentTaxYearAmt
Total$64,270TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$200CurrentTaxYearMinus1YearAmt
Total$200TotalAmt
FieldValueIRS element (for citing)
Total Support$1,212,173TotalSupportAmt
Gross Receipts Rltd Activities$102,269GrossReceiptsRltdActivitiesAmt
Public Support CY1700.94190PublicSupportCY170Pct
Public Support PY1700.94530PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$481,766OtherCostOrOtherBasisAmt
Book Value$481,766BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$481,766TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
AMERICAN EXPRESS - 23002$32,820
CHASE - 9921$11,480
FICA/FEDERAL TAXES WITHHELD$2,091
STATE TAXES WITHHELD$211
STATE UNEMPLOYMENT TAX$26
FEDERAL TAXES WITHHELD
FieldValueIRS element (for citing)
Total Liability$46,628TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$67,360GrossReceiptsEvent1Amt
Gross Revenue Event1$67,360GrossRevenueEvent1Amt
Other Direct Expenses Event1$50,460OtherDirectExpensesEvent1Amt
Event2WALK-A-THONEvent2Nm
Gross Receipts Event2$26,022GrossReceiptsEvent2Amt
Gross Revenue Event2$26,022GrossRevenueEvent2Amt
Other Direct Expenses Event2$4,409OtherDirectExpensesEvent2Amt
Gross Receipts Total$93,382GrossReceiptsTotalAmt
Gross Revenue Total Events$93,382GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$54,869OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$54,869DirectExpenseSummaryEventsAmt
Net Income Summary$38,513NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeDIRECT FINANCIAL AIDGrantTypeTxt
Cash Grant$23,004CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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