STAR VALLEY SENIOR CITIZENS INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: STAR VALLEY SENIOR CITIZENS INC (EIN 83-0234274)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-05-04
IRS object ID: 201641329349303164
Schema version: 2014v6.0
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 L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-05-04T10:49:10-06:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	481290482	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	LARSON PA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1029	AddressLine1Txt
City	AFTON	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	83110	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	830234274	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STAR VALLEY SENIOR CITIZENS CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STAR	BusinessNameControlTxt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 883	AddressLine1Txt
City	AFTON	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	83110	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CONNIE JENKINS	PersonNm
Person Title	EXECUTIVE DIREC	PersonTitleTxt
Phone	3078853780	PhoneNum
Signature	2016-02-14	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DAVID LARSON	PreparerPersonNm
PTIN	P00283073	PTIN
Phone	3078854272	PhoneNum
Preparation	2016-05-04	PreparationDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-08-17 19:52:53Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SALT RIVER CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	CONNIE JENKINS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 883	AddressLine1Txt
City	AFTON	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	83110	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$336,109	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	WY	LegalDomicileStateCd
Activity Or Mission	OUR MISSION IS TO PROVIDE A BALANCED ORGANIZATION OF SERVICE THAT PROMOTE GOOD HEALTH, WELL-BEING AND A FEELING OF INDEPENDENCE FOR THE SENIOR CITIZENS OF OUR COMMUNITY TO WELCOME AND APPRECIATE THE VISITORS THAT STOP IN AND HOPE THEY FIND THE ATMOSPHERE TO BE FRIENDLY.	ActivityOrMissionDesc
Voting Members Governing Body	7	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	14	TotalEmployeeCnt
Total Volunteers	8	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$234,134	PYContributionsGrantsAmt
CY Contributions Grants	$253,199	CYContributionsGrantsAmt
PY Program Service Revenue	$57,122	PYProgramServiceRevenueAmt
CY Program Service Revenue	$65,684	CYProgramServiceRevenueAmt
PY Investment Income	-$117	PYInvestmentIncomeAmt
CY Investment Income	$1,223	CYInvestmentIncomeAmt
PY Other Revenue	$9,187	PYOtherRevenueAmt
CY Other Revenue	$12,270	CYOtherRevenueAmt
PY Total Revenue	$300,326	PYTotalRevenueAmt
CY Total Revenue	$332,376	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$187,687	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$186,033	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$172,222	PYOtherExpensesAmt
CY Other Expenses	$167,536	CYOtherExpensesAmt
PY Total Expenses	$359,909	PYTotalExpensesAmt
CY Total Expenses	$353,569	CYTotalExpensesAmt
PY Revenues Less Expenses	-$59,583	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$21,193	CYRevenuesLessExpensesAmt
Total Assets BOY	$195,463	TotalAssetsBOYAmt
Total Assets EOY	$218,784	TotalAssetsEOYAmt
Total Liabilities BOY	$30,116	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$25,350	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$165,347	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$193,434	NetAssetsOrFundBalancesEOYAmt
Mission	OUR MISSION IS TO PROVIDE A BALANCED ORGANIZATION OF SERVICE THAT PROMOTE GOOD HEALTH, WELL-BEING AND A FEELING OF INDEPENDENCE FOR THE SENIOR CITIZENS OF OUR COMMUNITY TO WELCOME AND APPRECIATE THE VISITORS THAT STOP IN AND HOPE THEY FIND THE ATMOSPHERE TO BE FRIENDLY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$268,445	ExpenseAmt
Revenue	$65,684	RevenueAmt
Desc	SENIOR CENTER	Desc
Total Program Service Expenses	$268,445	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
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	false	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	Yes (true)	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
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	14	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	7	GoverningBodyVotingMembersCnt
Independent Voting Member	6	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	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	false	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
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
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CONNIE JENKINS	PersonNm
Phone	3078853780	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 883	AddressLine1Txt
City	AFTON	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	83110	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DAVID LARSON
SECRETARY	0.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
ED BRUCE
PRESIDENT	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
KEITH SWENSON
TREASURER	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
DEANNE GARDNER
BOARD MEMBER	0.50	0.00	Yes (X)		$0	$0	$0
TERESA BRUCE
BOARD MEMBER	0.50	0.00	Yes (X)		$0	$0	$0
LYNETTE BEUS
BOARD MEMBER	0.50	0.00	Yes (X)		$0	$0	$0
BILL DAY
VICE PRESIDENT	0.75	0.00	Yes (X)	Yes (X)	$0	$0	$0
CONNIE JENKINS
EXECUTIVE DIRECTOR	35.00	0.00		Yes (X)	$30,042	$0	$2,467
JUDY ERICKSON
FISCAL MANAGER	20.00	0.00		Yes (X)	$5,584	$0	$0
LISA MILLER
FISCAL MANAGER	20.00	0.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$35,626	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,467	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Government Grants	$248,977	GovernmentGrantsAmt
All Other Contributions	$4,222	AllOtherContributionsAmt
Total Contributions	$253,199	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	SENIOR CENTER	Desc
Business	624110	BusinessCd
Total Revenue Column	$65,684	TotalRevenueColumnAmt
Related Or Exempt Func Income	$65,684	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$65,684	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$4,950	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$3,733	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$1,217	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,217	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,217	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$12,270	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,270	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$12,270	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$332,376	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,177	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$53,605	TotalAmt
Management And General	$53,605	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$132,428	TotalAmt
Program Services	$113,480	ProgramServicesAmt
Management And General	$18,948	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,530	TotalAmt
Program Services	$2,763	ProgramServicesAmt
Management And General	$1,767	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$56	TotalAmt
Program Services	$56	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,099	TotalAmt
Program Services	$2,789	ProgramServicesAmt
Management And General	$310	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$49,280	TotalAmt
Program Services	$44,353	ProgramServicesAmt
Management And General	$4,927	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,057	TotalAmt
Program Services	$8,988	ProgramServicesAmt
Management And General	$69	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$165	TotalAmt
Program Services	$165	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,438	TotalAmt
Program Services	$11,194	ProgramServicesAmt
Management And General	$1,244	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,688	TotalAmt
Program Services	$4,219	ProgramServicesAmt
Management And General	$469	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
KITCHEN AND FOOD SUPPLIES	$63,703	$63,703
MAINTENANCE	$3,860	$3,474	$386
SUPPLIES OTHER	$2,791	$1,396	$1,395
UTILITIES	$7,190	$6,471	$719

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,679	TotalAmt
Program Services	$5,394	ProgramServicesAmt
Management And General	$1,285	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$353,569	TotalAmt
Program Services	$268,445	ProgramServicesAmt
Management And General	$85,124	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$106,247	BOYAmt
EOY	$126,073	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,782	BOYAmt
EOY	$3,091	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,548	BOYAmt
EOY	$5,911	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,299	BOYAmt
EOY	$2,293	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$201,328	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$119,912	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$73,587	BOYAmt
EOY	$81,416	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$195,463	BOYAmt
EOY	$218,784	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$30,116	BOYAmt
EOY	$25,350	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$30,116	BOYAmt
EOY	$25,350	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$136,165	BOYAmt
EOY	$167,900	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,182	BOYAmt
EOY	$25,534	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$165,347	BOYAmt
EOY	$193,434	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$195,463	BOYAmt
EOY	$218,784	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$21,193	ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts	$49,280	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	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	$246,576	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$293,848	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$273,870	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$234,134	CurrentTaxYearMinus1YearAmt
Current Tax Year	$253,199	CurrentTaxYearAmt
Total	$1,301,627	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$49,280	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$49,280	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,280	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$49,280	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,280	CurrentTaxYearAmt
Total	$246,400	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$295,856	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$343,128	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$323,150	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$283,414	CurrentTaxYearMinus1YearAmt
Current Tax Year	$302,479	CurrentTaxYearAmt
Total	$1,548,027	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,548,027	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	$1	CurrentTaxYearMinus2YearsAmt
Current Tax Year	$6	CurrentTaxYearAmt
Total	$7	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,101	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,898	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$10,162	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,187	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,270	CurrentTaxYearAmt
Total	$52,618	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,600,652	TotalSupportAmt
Gross Receipts Rltd Activities	$321,395	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.96710	PublicSupportCY170Pct
Public Support PY170	0.97000	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,201	OtherCostOrOtherBasisAmt
Depreciation	$12,450	DepreciationAmt
Book Value	$16,751	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,620	OtherCostOrOtherBasisAmt
Depreciation	$56,860	DepreciationAmt
Book Value	$11,760	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,507	OtherCostOrOtherBasisAmt
Depreciation	$50,602	DepreciationAmt
Book Value	$52,905	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$81,416	TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	DAVID LARSON	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SECRETARYBOARD MEMBER	RelationshipDescriptionTxt
Transaction	$500	TransactionAmt
Transaction	PROFESSIONAL FEES	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Governing body decisions Part VI line 7b	THE BOARD DOES NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Committee meeting documentation Part VI line 8b	THERE IS NO COMMITTEE THAT HAS AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990 governing body review Part VI line 11	THERE IS NO SET PROCESS IN THE REVIEW OF THE FORM 990.
Governing documents etc available to public Part VI line 19	THE 990 CAN BE ACCESSED ON A THIRD PARTIES WEBSITE. THE OTHER DOCUMENTS ARE NOT MADE PUBLIC UNLESS REQUESTED.