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HABILITATIVE SERVICES OF NORTH FLORIDA INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HABILITATIVE SERVICES OF NORTH FLORIDA INC (EIN 59-3077111)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-26
IRS object ID
201340579349300219
Schema version
2011v1.2
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)
Timestamp2013-02-26T13:44:39-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN721396621EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CARR RIGGS & INGRAM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1606AddressLine1
CityMARIANNACity
StateFLState
ZIP Code32447ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN593077111EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HABILITATIVE SERVICES OF NORTH FLORIDA INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHABINameControl
Phone8504825391Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14440 PUTNAM STREETAddressLine1
CityMARIANNACity
StateFLState
ZIP Code32446ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNATALIE HARDYName
TitleEXECUTIVE DIRECTORTitle
Phone8504825391Phone
Date Signed2013-02-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSARA APPLEWHITE CPAName
PTINP00094714PTIN
Phone8505263207Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNATALIE HARDYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14440 PUTNAM STREETAddressLine1
CityMARIANNACity
StateFLState
ZIP Code32446ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1834389GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionSERVE DEVELOPMENTALLY DISABLED AND CHILDRENActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees55TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2133566ProgramServiceRevenuePriorYear
Program Service Revenue CY1829588ProgramServiceRevenueCY
Investment Income Prior Year50InvestmentIncomePriorYear
Investment Income Current Year1InvestmentIncomeCurrentYear
Other Revenue Prior Year3669OtherRevenuePriorYear
Other Revenue Current Year4800OtherRevenueCurrentYear
Total Revenue Prior Year2137285TotalRevenuePriorYear
Total Revenue Current Year1834389TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1657338SalariesEtcPriorYear
Salaries Etc Current Year1333689SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year486469OtherExpensePriorYear
Other Expenses Current Year425400OtherExpensesCurrentYear
Total Expenses Prior Year2143807TotalExpensesPriorYear
Total Expenses Current Year1759089TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-6522RevenuesLessExpensesPriorYear
Revenues Less Expenses CY75300RevenuesLessExpensesCY
Total Assets BOY223001TotalAssetsBOY
Total Assets EOY253807TotalAssetsEOY
Total Liabilities BOY218449TotalLiabilitiesBOY
Total Liabilities EOY173955TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4552NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY79852NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO SERVE THE DEVELOPMENTALLY DISABLED AND CHILDRENMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense207757Expense
Revenue233770Revenue
DescriptionTHE ORGANIZATION PROVIDES SERVICES FOR THE DEVELOPMENTALLY DISABLED LIVING ON THEIR OWN. SUPPORTED LIVING PROGRAM.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense387705Expense
Revenue439654Revenue
DescriptionTHE ORGANIZATION TEACHES PARENTING SKILLS TO PRENATAL MOTHERS TO PREVENT THE REMOVAL OF CHILDREN FROM THE HOME FOR NEGLECT OR ABUSE. HEALTHY FAMILIES PROGRAMDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense429551Expense
Revenue482425Revenue
DescriptionNEW FIPDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
310420350186NON-CONTRACT SERVICES
192499248687BAKER GROUP HOME
8350079667HSNF, MATCH, HEALTHY FAMILIES BBCBC
FieldValueIRS element (for citing)
Total Of Other Program Service Exp586419TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev678540TotalOfOtherProgramServiceRev
Total Program Service Expense1611432TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees55NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonNATALIE HARDYNamePerson
Telephone Number8504825391TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14440 PUTNAM STREETAddressLine1
CityMARIANNACity
StateFLState
ZIP Code32446ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MARY BRODERICK PHD
PRESIDENT1.00X000
JOHN KLEINGINNA PHD
VICE-PRESIDENT4.00X000
DON NOWELL
SECRETARY1.00X000
WILLIE SPIRES
DIRECTOR1.00X000
NATALIE HARDY
EXECUTIVE DIRECTOR40.005024103655X
FieldValueIRS element (for citing)
Total Reportable Comp From Org50241TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation3655TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1BLUE CROSS BLUE SHIELDBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 2458AddressLine1
CityJACKSONVILLECity
StateFLState
ZIP Code32231ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesINSURANCEDescriptionOfServices
Compensation148074Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGRANT FUNDS & FEESDescription
Business Code624100BusinessCode
Total Revenue Column1829588TotalRevenueColumn
Related Or Exempt Function Income1829588RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1829588TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1TotalRevenueColumn
Related Or Exempt Function Income1RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code624100BusinessCode
Total Revenue Column4800TotalRevenueColumn
Related Or Exempt Function Income4800RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4800TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1834389TotalRevenueColumn
Related Or Exempt Function Income1834389RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total53896Total
Management And General53896ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1020599Total
Program Services970453ProgramServices
Management And General50146ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total148074Total
Program Services135520ProgramServices
Management And General12554ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total111120Total
Program Services100906ProgramServices
Management And General10214ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total85480Total
Program Services79367ProgramServices
Management And General6113ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1131Total
Program Services1131ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11268Total
Program Services10531ProgramServices
Management And General737ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total161760Total
Program Services153320ProgramServices
Management And General8440ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total68387Total
Program Services68334ProgramServices
Management And General53ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6040Total
Program Services5789ProgramServices
Management And General251ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2036Total
Program Services1929ProgramServices
Management And General107ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3480Total
Management And General3480ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
FOOD AND FOOD SUPPLIES2821827982236
CONTINUING EDUCATION2800828008
AUTO173601735010
DUES FEES LICENSES12182107621420

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total50Total
Program Services50ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1759089Total
Program Services1611432ProgramServices
Management And General147657ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
EOY36659EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY155850BOY
EOY146955EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis290245LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec228312LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY58757BOY
EOY61933EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8394BOY
EOY8260EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY223001BOY
EOY253807EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY94481BOY
EOY93893EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16043BOY
EOY15051EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY52030BOY
EOY14709EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY54811BOY
EOY47716EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1084BOY
EOY2586EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY218449BOY
EOY173955EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4552BOY
EOY79852EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4552BOY
EOY79852EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY223001BOY
EOY253807EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses75300ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3246202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2681815CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2648294CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2133566CurrentTaxYearMinus1Year
Current Tax Year1829588CurrentTaxYear
Total12539465Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3246202CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2681815CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2648294CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2133566CurrentTaxYearMinus1Year
Current Tax Year1829588CurrentTaxYear
Total12539465Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50912539465PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years488CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years718CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total1281Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years488CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years718CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year50CurrentTaxYearMinus1Year
Current Tax Year1CurrentTaxYear
Total1281Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year3669CurrentTaxYearMinus1Year
Current Tax Year4800CurrentTaxYear
Total8469Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3246690CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2682533CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2648318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2137285CurrentTaxYearMinus1Year
Current Tax Year1834389CurrentTaxYear
Total12549215Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99920PublicSupportPercentage509
Prior Year Support Percentage0.99960PriorYearSupportPercentage
Investment Income Percentage0.00010InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00010PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis6975InvestmentCostOrOtherBasis
Book Value6975BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis74778InvestmentCostOrOtherBasis
Depreciation21444Depreciation
Book Value53334BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16963InvestmentCostOrOtherBasis
Depreciation16963Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis191529InvestmentCostOrOtherBasis
Depreciation189905Depreciation
Book Value1624BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings61933TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionADVANCED FUNDSDescription
Amount$2,586Amount
FieldValueIRS element (for citing)
Total Of Amounts2586TotalOfAmounts
Total Revenue1834389TotalRevenue
Total Expenses1759089TotalExpenses
Excess Or Deficit For Year75300ExcessOrDeficitForYear
Excess Or Deficit Per FS75300ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1834389TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1834389RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901834389TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1759089TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1759089ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901759089TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonMARY BRODERICKNamePerson
Purpose Of LoanOPERATIONSPurposeOfLoan
Loan To OrganizationXLoanToOrganization
Original Principal$263,000OriginalPrincipalAmount
Balance Due14709BalanceDue
Default0Default
Approved By Board1ApprovedByBoard
Written Agreement0WrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due14709TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MARY BRODERICK AND JOHN KLEINGINNA
DIRECTORS21203RENTAL OF OFFICE SPACE0
MARY BRODERICK AND JOHN KLEINGINNA
DIRECTORS18000PROFESSIONAL SERVICES0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 2JOHN KLEINGINNA AND MARY BRODERICK, WHO ARE HUSBAND AND WIFE, OPERATE A BUSINESS
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED AND DISCUSSED IN QUARTERLY BOARD MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR SALARY IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.