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RAINER FOOTHILLS WELLNESS FOUNDATION: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
RAINER FOOTHILLS WELLNESS FOUNDATION (EIN 91-1192604)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201443219349305554
Schema version
2013v3.1
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)
Return2014-11-17T10:03:06-08:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CARL HART & ASSOCIATES INCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 425AddressLine1
CityENUMCLAWCity
StateWAState
ZIP Code98022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN911192604EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RAINIER FOOTHILLS WELLNESS FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlRAINBusinessNameControlTxt
Phone3608023206PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 905AddressLine1
CityENUMCLAWCity
StateWAState
ZIP Code98022ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUZANNE LEWISPersonNm
Person TitleOFFICERPersonTitleTxt
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCARL W HART SRPreparerPersonNm
PTINP00348474PTIN
Phone3608255515PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALAN PREDMOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line143111 268TH AVE SEAddressLine1
CityENUMCLAWCity
StateWAState
ZIP Code98022ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$264,285GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ENUMCLAWRHF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionTO SUPPORT COMMUNITY HEALTHCARE SERVICES ON THE PLATEAU AND OTHER HEALTHCARE NEEDS WITHIN THE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers30TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$84,081PYContributionsGrantsAmt
CY Contributions Grants$103,100CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$589PYInvestmentIncomeAmt
CY Investment Income$294CYInvestmentIncomeAmt
PY Other Revenue$116,231PYOtherRevenueAmt
CY Other Revenue$101,879CYOtherRevenueAmt
PY Total Revenue$200,901PYTotalRevenueAmt
CY Total Revenue$205,273CYTotalRevenueAmt
PY Grants And Similar Paid$11,340PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,790CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$137,710PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$170,207CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$74,982PYOtherExpensesAmt
CY Other Expenses$88,593CYOtherExpensesAmt
PY Total Expenses$224,032PYTotalExpensesAmt
CY Total Expenses$269,590CYTotalExpensesAmt
PY Revenues Less Expenses-$23,131PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$64,317CYRevenuesLessExpensesAmt
Total Assets BOY$347,615TotalAssetsBOYAmt
Total Assets EOY$283,298TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$347,615NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$283,298NetAssetsOrFundBalancesEOYAmt
MissionTO SUPPORT COMMUNITY HEALTHCARE SERVICES ON THE PLATEAU AND OTHER HEALTHCARE NEEDS WITHIN THE COMMUNITYMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$59,351ExpenseAmt
Revenue$38,541RevenueAmt
DescFHCC-FOOTHILLS HEALTHY COMMUNITY COALITION-ALCOHOL AND DRUG TASK FORCE-YOUTH-SUBSTANCE ABUSE PREVENTION-DRUG FREE COMMUNITYDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$47,395ExpenseAmt
Revenue$16,195RevenueAmt
DescCARE VAN-PROVIDING TRANSPORTATION TO SENIORS/DISABLED/COMMUNITY FORHEALTHCARE SERVICESDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$41,759ExpenseAmt
Grant$10,790GrantAmt
Revenue$39,658RevenueAmt
DescCOMMUNITY SERVICES/GRANTSDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$148,505TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 LiabilitiesfalseReportOtherLiabilitiesInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee7EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
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 PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRUSS WEEKSPersonNm
Phone3608290321PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 905AddressLine1
CityENUMCLAWCity
StateWAState
ZIP Code98022ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ALAN PREDMORE
President3.000.00Yes (X)Yes (X)$0$0$0
LARRY JENSEN
Vice President4.500.00Yes (X)Yes (X)$0$0$0
ALAN GAMBLIN
Vice President2.000.00Yes (X)Yes (X)$0$0$0
RALPH ZECH MD
Secretary1.000.00Yes (X)Yes (X)$0$0$0
RUSS WEEKS
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$690FundraisingAmt
All Other Contributions$102,410AllOtherContributionsAmt
Total Contributions$103,100TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$294TotalRevenueColumnAmt
Related Or Exempt Func Income$294RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$160,891FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$690ContriRptFundraisingEventAmt
Fundraising Direct Expenses$59,012FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,879TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$205,273TotalRevenueColumnAmt
Related Or Exempt Func Income$294RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$10,790TotalAmt
Program Services$10,790ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$158,238TotalAmt
Program Services$75,634ProgramServicesAmt
Management And General$82,604ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$11,969TotalAmt
Program Services$5,526ProgramServicesAmt
Management And General$6,443ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,300TotalAmt
Management And General$1,300ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$770TotalAmt
Management And General$770ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,896TotalAmt
Management And General$3,896ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,111TotalAmt
Management And General$5,111ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,579TotalAmt
Management And General$6,579ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$798TotalAmt
Management And General$798ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,911TotalAmt
Management And General$2,911ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
CARE VAN PROGRAM$18,366$18,366
NEIGHBORS FEEDING NEIGHBORS$15,336$15,336
DFC EXPENSE$10,776$10,776
DENTAL VAN PROGRAM$4,575$4,575

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,175TotalAmt
Program Services$7,502ProgramServicesAmt
Management And General$10,673ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$269,590TotalAmt
Program Services$148,505ProgramServicesAmt
Management And General$121,085ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$165,908BOYAmt
EOY$150,072EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$178,880BOYAmt
EOY$131,197EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,397LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,868LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,327BOYAmt
EOY$1,529EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$347,615BOYAmt
EOY$283,298EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$347,615BOYAmt
EOY$283,298EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$347,615BOYAmt
EOY$283,298EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$347,615BOYAmt
EOY$283,298EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$64,317ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$84,081CurrentTaxYearMinus1YearAmt
Current Tax Year$103,100CurrentTaxYearAmt
Total$273,237TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$195,669CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$170,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$163,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$169,704CurrentTaxYearMinus1YearAmt
Current Tax Year$161,581CurrentTaxYearAmt
Total$861,423TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,329CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$190,402CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$207,463CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$253,785CurrentTaxYearMinus1YearAmt
Current Tax Year$264,681CurrentTaxYearAmt
Total$1,134,660TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,134,660PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$589CurrentTaxYearMinus1YearAmt
Current Tax Year$294CurrentTaxYearAmt
Total$30,145TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,164CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,286CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$589CurrentTaxYearMinus1YearAmt
Current Tax Year$294CurrentTaxYearAmt
Total$30,145TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$242,493CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$194,214CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$208,749CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$254,374CurrentTaxYearMinus1YearAmt
Current Tax Year$264,975CurrentTaxYearAmt
Total$1,164,805TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97410PublicSupportCY509Pct
Investment Income CY0.02590InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,397OtherCostOrOtherBasisAmt
Depreciation$25,868DepreciationAmt
Book Value$1,529BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,529TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1HOLIDAY FANTASY AUCTIONNameOfEvent1Amt
Gross Receipts Event1$118,064GrossReceiptsEvent1Amt
Charitable Contri Event1$690CharitableContriEvent1Amt
Gross Revenue Event1$117,374GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,921NonCashPrizesEvent1Amt
Other Direct Expenses Event1$34,055OtherDirectExpensesEvent1Amt
Name Of Event2DUCK RACENameOfEvent2Amt
Gross Receipts Event2$31,405GrossReceiptsEvent2Amt
Gross Revenue Event2$31,405GrossRevenueEvent2Amt
Cash Prizes Event2$1,000CashPrizesEvent2Amt
Other Direct Expenses Event2$16,783OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$12,112GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$12,112GrossRevenueOtherEventsAmt
Entertainment Other Events$500EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$4,753OthDirectExpnssOtherEventsAmt
Gross Receipts Total$161,581GrossReceiptsTotalAmt
Charitable Contributions Tot$690CharitableContributionsTotAmt
Gross Revenue Total Events$160,891GrossRevenueTotalEventsAmt
Cash Prizes Total Events$1,000CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$1,921NonCashPrizesTotalEventsAmt
Entertainment Total Events$500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$55,591OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$59,012DirectExpenseSummaryEventsAmt
Net Income Summary$101,879NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeGRANTS/SPONSORSHIPGrantTypeTxt
Recipient7RecipientCnt
Cash Grant$10,790CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyANNUAL ELECTIONS
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersALL DECISIONS SUBJECT TO BOARD APPOVAL
Form 990, Part VI, Line 11b: Form 990 Review ProcessBOARD MEMBERS/OFFICER REVIEW
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsDISCLOSURE REQUIRED BY BOARD
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST AT OFFICE