MY HOME INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: MY HOME INC (EIN 68-0201898)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-10-30
IRS object ID: 201723039349302202
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-10-30T17:52:09-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	941587502	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	G & J Seiberlich & Co LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3264 Villa Lane	AddressLine1Txt
City	Napa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94558	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	680201898	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	My Home Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MYHO	BusinessNameControlTxt
Phone	7075275744	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1639 Manzanita Ave	AddressLine1Txt
City	Santa Rosa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95404	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Beverly Lynne Vaughan	PersonNm
Person Title	President	PersonTitleTxt
Phone	7075397435	PhoneNum
Signature	2017-10-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Wendell R Coats	PreparerPersonNm
PTIN	P00375614	PTIN
Phone	7072247948	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	50.233.16.142	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-10-19	IPDt
IP Tm	12:05:36	IPTm
IP Timezone	PD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	1B033E3506F793599691B743A84B87CDE3FDA931	AtSubmissionCreationDeviceId
At Submission Filing Device Id	7EC5FEEC530D8BC15C202FF82D3D88C2B080EC87	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Beverly Lynne Vaughan	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1639 Manzanita Avenue	AddressLine1Txt
City	Santa Rosa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95404	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$573,406	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	myhomeinc1639@gmail.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1991	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	Promote the education and welfare of developmentally disabled persons and families of developmentally disabled persons and to develop and operate living arrangements for developmentally disabled persons.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	12	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$4,000	CYContributionsGrantsAmt
PY Program Service Revenue	$593,402	PYProgramServiceRevenueAmt
CY Program Service Revenue	$569,343	CYProgramServiceRevenueAmt
PY Investment Income	$78	PYInvestmentIncomeAmt
CY Investment Income	$63	CYInvestmentIncomeAmt
PY Other Revenue	$121	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$593,601	PYTotalRevenueAmt
CY Total Revenue	$573,406	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	$251,734	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$264,103	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$391,594	PYOtherExpensesAmt
CY Other Expenses	$281,934	CYOtherExpensesAmt
PY Total Expenses	$643,328	PYTotalExpensesAmt
CY Total Expenses	$546,037	CYTotalExpensesAmt
PY Revenues Less Expenses	-$49,727	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$27,369	CYRevenuesLessExpensesAmt
Total Assets BOY	$66,361	TotalAssetsBOYAmt
Total Assets EOY	$93,730	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$66,361	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$93,730	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	To offer the best in dignified and productive living to adults with developmental disabilities. To provide a progressive learning environment that stimulates personal strengths and rewards individual development through stimulation, reassurance, motivation and assistance. Residents are able to participate in life to their fullest ability.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$403,349	ExpenseAmt
Revenue	$569,343	RevenueAmt
Desc	Promote the education and welfare of developmentally disabled persons and families of developmentally disabled persons, and to develop and operate living arrangements for developmentally disabled persons.	Desc
Total Program Service Expenses	$403,349	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	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	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	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	0	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
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	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	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	0	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Jane Gibbons	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7076951708	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1639 Manzanita Avenue	AddressLine1Txt
City	Santa Rosa	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	95404	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
Beverly Lynne Vaughan
President	2.00	Yes (X)	Yes (X)	$0	$0	$0
Terry Longoria
Secretary	2.00	Yes (X)	Yes (X)	$0	$0	$0
Tony Appolloni
Treasurer	2.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	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
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$4,000	AllOtherContributionsAmt
Total Contributions	$4,000	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Medi-Cal	624310	$393,400	$393,400
D.D.S.	624310	$109,683	$109,683
S.S.A. Benefits	624310	$66,260	$66,260

Field	Value	IRS element (for citing)
Total Program Service Revenue	$569,343	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$63	TotalRevenueColumnAmt
Exclusion	$63	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$573,406	TotalRevenueColumnAmt
Related Or Exempt Func Income	$569,343	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$63	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$232,839	TotalAmt
Program Services	$154,418	ProgramServicesAmt
Management And General	$78,421	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,913	TotalAmt
Program Services	$13,913	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,351	TotalAmt
Program Services	$11,507	ProgramServicesAmt
Management And General	$5,844	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,785	TotalAmt
Program Services	$4,785	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$18,095	TotalAmt
Program Services	$18,095	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$38,400	TotalAmt
Management And General	$38,400	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$33,406	TotalAmt
Program Services	$26,584	ProgramServicesAmt
Management And General	$6,822	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Day Program Services	$101,579	$101,579
Operating Expense	$38,002	$38,002
DHCS; Quality Assurance	$25,941	$25,941
Administrative	$13,201		$13,201

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,525	TotalAmt
Program Services	$8,525	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$546,037	TotalAmt
Program Services	$403,349	ProgramServicesAmt
Management And General	$142,688	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$66,361	BOYAmt
EOY	$93,730	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,996	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,996	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,361	BOYAmt
EOY	$93,730	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	$66,361	BOYAmt
EOY	$93,730	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,361	BOYAmt
EOY	$93,730	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,361	BOYAmt
EOY	$93,730	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$27,369	ReconcilationRevenueExpnssAmt
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	$495,826	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$583,490	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$478,983	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$530,646	CurrentTaxYearMinus1YearAmt
Current Tax Year	$507,083	CurrentTaxYearAmt
Total	$2,596,028	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$495,826	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$583,490	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$478,983	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$530,646	CurrentTaxYearMinus1YearAmt
Current Tax Year	$507,083	CurrentTaxYearAmt
Total	$2,596,028	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$2,596,028	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$27	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$93	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$78	CurrentTaxYearMinus1YearAmt
Current Tax Year	$63	CurrentTaxYearAmt
Total	$264	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$68,686	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$70,672	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$76,682	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$62,877	CurrentTaxYearMinus1YearAmt
Current Tax Year	$66,260	CurrentTaxYearAmt
Total	$345,177	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,941,469	TotalSupportAmt
Public Support CY170	0.88260	PublicSupportCY170Pct
Public Support PY170	0.88640	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,996	OtherCostOrOtherBasisAmt
Depreciation	$15,996	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11b	The Form 990 is reviewed by the Treasurer and a copy is provided to Key members of the Board of directors prior to it being filed.
Form 990, Part VI, Section B, line 12	The Organization's Board of Directors approved and implemented a written Whistleblower Policy and Document Retention and Destruction Policy at the March 2011 Organization Board Meeting.
Form 990, Part VI, Section C, line 19	Financial statements, conflict of interest policy and governing documents are available to the public upon request and on-site.