STRATEGY STUDIO / PUBLIC DATA EXPLORER

AUGUSTA CARE PREGNANCY CENTER INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
AUGUSTA CARE PREGNANCY CENTER INC (EIN 58-1461982)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202523219349305602
Schema version
2024v5.0
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)
Return2025-11-17T10:46:03-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

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
Signature2025-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNANCY GRIFFENPreparerPersonNm
PTINP03018196PTIN
Phone7067247979PhoneNum
Preparation2025-11-10PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID MCTIERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11770 SYLVAN GROVEAddressLine1Txt
CitySTAPLETONCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30823ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$635,793GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AUGUSTACPC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI-$1,123TotalGrossUBIAmt
PY Contributions Grants$239,784PYContributionsGrantsAmt
CY Contributions Grants$356,681CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$332PYInvestmentIncomeAmt
CY Investment Income$5,895CYInvestmentIncomeAmt
PY Other Revenue$93,368PYOtherRevenueAmt
CY Other Revenue$115,064CYOtherRevenueAmt
PY Total Revenue$333,484PYTotalRevenueAmt
CY Total Revenue$477,640CYTotalRevenueAmt
PY Grants And Similar Paid$52,621PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$143,939PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$150,318CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$141,714PYOtherExpensesAmt
CY Other Expenses$166,916CYOtherExpensesAmt
PY Total Expenses$338,274PYTotalExpensesAmt
CY Total Expenses$317,234CYTotalExpensesAmt
PY Revenues Less Expenses-$4,790PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$160,406CYRevenuesLessExpensesAmt
Total Assets BOY$977,535TotalAssetsBOYAmt
Total Assets EOY$1,124,528TotalAssetsEOYAmt
Total Liabilities BOY$74,051TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,612TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$903,484NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,065,916NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COUNSELING AND PREGNANCY TESTINGMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$249,334ExpenseAmt
DescTO PROVIDE COUNSELING AND PREGNANCY TESTING TO THOSE IN NEED IN AUGUSTA AND THE SURROUNDING AREAS. TESTED APPROX. 339 CLIENTS IN 2024; COUNSELED APPROX. 339 CLIENTS AND TRAINED APPROXIMATELY 30 VOLUNTEERS IN 2024Desc
Total Program Service Expenses$249,334TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
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 IndividualsfalseGrantsToIndividualsInd
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 With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
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 (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndBusiness Name Line2BusinessName/BusinessNameLine2Txt
SUSAN SWANSON
EXECUTIVE DI20.00Yes (X)$29,610$0$0
DR RON EAKER
MEDICAL DIRE$0$0$0Yes (X)
MIKE PAYNE
BOARD MEMBER$0$0$0Yes (X)
CHARLES R SHEPPARD
ATTORNEY$0$0$0Yes (X)
MELINDA SMITH
BOARD MEMBER$0$0$0Yes (X)
GEORGE LIVELY
SECRETARY/TRYes (X)$0$0$0GEORGE LIVELY
DAVID MCTIER
CHAIRMANYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$29,610TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Related Organizations$68,170RelatedOrganizationsAmt
All Other Contributions$288,511AllOtherContributionsAmt
Total Contributions$356,681TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,895TotalRevenueColumnAmt
Related Or Exempt Func Income$5,895RelatedOrExemptFuncIncomeAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$13,123RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,123RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,123TotalRevenueColumnAmt
Unrelated Business Revenue-$1,123UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$260,767FundraisingGrossIncomeAmt
Fundraising Direct Expenses$145,030FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$115,737TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Total Revenue Column$450TotalRevenueColumnAmt
Related Or Exempt Func Income$450RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$450OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$477,640TotalRevenueColumnAmt
Related Or Exempt Func Income$6,345RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$1,123UnrelatedBusinessRevenueAmt

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$110,012TotalAmt
Program Services$106,161ProgramServicesAmt
Management And General$3,851ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,696TotalAmt
Program Services$8,864ProgramServicesAmt
Management And General$1,832ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,225TotalAmt
Management And General$3,225ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Program Services$250ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,747TotalAmt
Program Services$7,523ProgramServicesAmt
Management And General$3,224ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,067TotalAmt
Program Services$1,067ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$44,937TotalAmt
Program Services$36,780ProgramServicesAmt
Management And General$8,157ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,590TotalAmt
Program Services$2,154ProgramServicesAmt
Management And General$1,436ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,651TotalAmt
Program Services$7,901ProgramServicesAmt
Management And General$3,750ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,342TotalAmt
Program Services$7,406ProgramServicesAmt
Management And General$4,936ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DIRECT FINANCIAL AID$55,236$55,236
COMPUTER MAINTENANCE$9,802$5,881$3,921
TELEPHONE CHARGES$9,062$5,437$3,625
TAXES AND LICENSES$1,534$1,534

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,473TotalAmt
Program Services$3,140ProgramServicesAmt
Management And General$333ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$317,234TotalAmt
Program Services$249,334ProgramServicesAmt
Management And General$67,900ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$469,065BOYAmt
EOY$616,058EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$507,895LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$507,895BOYAmt
EOY$507,895EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$575BOYAmt
EOY$575EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$977,535BOYAmt
EOY$1,124,528EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$69,911BOYAmt
EOY$52,732EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,140BOYAmt
EOY$5,880EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$74,051BOYAmt
EOY$58,612EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$903,484BOYAmt
EOY$1,065,916EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$903,484BOYAmt
EOY$1,065,916EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$977,535BOYAmt
EOY$1,124,528EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$160,406ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$2,026OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
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$325,211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$379,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$335,851CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$239,784CurrentTaxYearMinus1YearAmt
Current Tax Year$356,681CurrentTaxYearAmt
Total$1,637,404TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$325,211CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$379,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$335,851CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$239,784CurrentTaxYearMinus1YearAmt
Current Tax Year$356,681CurrentTaxYearAmt
Total$1,637,404TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,637,404PublicSupportTotal170Amt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$385CurrentTaxYearMinus3YearsAmt
Total$385TotalAmt
FieldValueIRS element (for citing)
Total Support$1,637,789TotalSupportAmt
Gross Receipts Rltd Activities$1,113,931GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99980PublicSupportCY170Pct
Public Support PY1700.88310PublicSupportPY170Pct
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$507,895OtherCostOrOtherBasisAmt
Book Value$507,895BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$507,895TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
FICA/FEDERAL TAXES WITHHELD$2,853
CHASE - 9921$2,020
AMERICAN EXPRESS - 23002$672
STATE TAXES WITHHELD$333
STATE UNEMPLOYMENT TAX$2
FieldValueIRS element (for citing)
Total Liability$5,880TotalLiabilityAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$205,736GrossReceiptsEvent1Amt
Gross Revenue Event1$205,736GrossRevenueEvent1Amt
Rent Facility Costs Event1$60,000RentFacilityCostsEvent1Amt
Food And Beverage Event1$5,054FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$75,613OtherDirectExpensesEvent1Amt
Event2WALK-A-THONEvent2Nm
Gross Receipts Event2$55,031GrossReceiptsEvent2Amt
Gross Revenue Event2$55,031GrossRevenueEvent2Amt
Cash Prizes Event2$100CashPrizesEvent2Amt
Rent Facility Costs Event2$200RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$4,063OtherDirectExpensesEvent2Amt
Gross Receipts Total$260,767GrossReceiptsTotalAmt
Gross Revenue Total Events$260,767GrossRevenueTotalEventsAmt
Cash Prizes Total Events$100CashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$60,200RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$5,054FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$79,676OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$145,030DirectExpenseSummaryEventsAmt
Net Income Summary$115,737NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 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.
FORM 990, PART XI, LINE 9BOOK / TAX DEPRECIATION DIFFERENCE 2,026