STRATEGY STUDIO / PUBLIC DATA EXPLORER

MEDFORD SENIOR CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MEDFORD SENIOR CENTER (EIN 93-6041284)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-10
IRS object ID
201341309349302179
Schema version
2011v1.5
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)
Timestamp2013-05-10T11:51:24-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Dale E Foster CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1670 Superior Ct 106AddressLine1
CityMedfordCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN936041284EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MEDFORD SENIOR CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEDFNameControl
Phone5417722273Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 E MAINAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATTI J PROCTORName
TitleDIRECTORTitle
Date Signed2013-05-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDALE E FOSTER CPAName
Phone5417705095Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts415210GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization OtherXTypeOfOrganizationOther
Year Formation1963YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionSERVICES TO SENIOR CITIZENSActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees9TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year119892ContributionsGrantsPriorYear
Contributions Grants Current Year161217ContributionsGrantsCurrentYear
Program Service Revenue Prior Year84106ProgramServiceRevenuePriorYear
Program Service Revenue CY79123ProgramServiceRevenueCY
Investment Income Prior Year915InvestmentIncomePriorYear
Investment Income Current Year328InvestmentIncomeCurrentYear
Other Revenue Prior Year66867OtherRevenuePriorYear
Other Revenue Current Year68201OtherRevenueCurrentYear
Total Revenue Prior Year271780TotalRevenuePriorYear
Total Revenue Current Year308869TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year162302SalariesEtcPriorYear
Salaries Etc Current Year141934SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2138TotalFundrsngExpCurrentYear
Other Expense Prior Year141266OtherExpensePriorYear
Other Expenses Current Year143672OtherExpensesCurrentYear
Total Expenses Prior Year303568TotalExpensesPriorYear
Total Expenses Current Year285606TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-31788RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23263RevenuesLessExpensesCY
Total Assets BOY167711TotalAssetsBOY
Total Assets EOY194312TotalAssetsEOY
Total Liabilities BOY20335TotalLiabilitiesBOY
Total Liabilities EOY23673TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY147376NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY170639NetAssetsOrFundBalancesEOY
Mission DescriptionSERVICES TO SENIOR CITIZENSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense261391Expense
DescriptionSENIOR CITIZEN CENTER PROVIDING HEALTH EDUCATION, RECREATIONAL ACTIVITIES, HOT MEALS, AND EXERCISE TO 978 MEMBERS AND ALSO OPEN TO THE PUBLIC.Description
Total Program Service Expense261391TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMEDFORD SENIOR CENTERNamePerson
Telephone Number5417722273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1510 E MAIN STAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
MARILYN NUNES
BOARD MEMBER3.00000
BOB STROSSER
BOARD MEMBER3.00000
BETTY BRADFORD
BOARD MEMBER3.00000
SAL ESQUIVEL
BOARD MEMBER3.00000
BILL NEWELL
President3.00000
JOHN RACHOR
BOARD MEMBER3.00000
JON IVERSON
Secretary4.00000
GENIE GILLIAM
Vice President4.00000
BOB BARBEE
Board Member6.00000
JIM HAYS
BOARD MEMBER6.00000
CHERYL NICOLAY
Treasurer6.00000
PATTI J PROCTOR
DIRECTOR40.004477800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org44778TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues21062MembershipDues
Government Grants70735GovernmentGrants
All Other Contributions69420AllOtherContributions
Noncash Contributions18000NoncashContributions
Total Contributions161217TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RECREATION:TRAVEL-NET258258
MEALS7886578865
FieldValueIRS element (for citing)
Total Program Service Revenue79123TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column328TotalRevenueColumn
Exclusion$328ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real8030Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real8030Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column8030TotalRevenueColumn
Exclusion$8,030ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming154283GrossIncomeGaming
Gaming Direct Expenses106341GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column47942TotalRevenueColumn
Exclusion$47,942ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory12229GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12229TotalRevenueColumn
Exclusion$12,229ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column308869TotalRevenueColumn
Related Or Exempt Function Income79123RelatedOrExemptFunctionIncome
Exclusion$68,529ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total44778Total
Program Services40748ProgramServices
Management And General4030ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total75744Total
Program Services74497ProgramServices
Management And General1247ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2961Total
Program Services2695ProgramServices
Management And General266ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18451Total
Program Services17713ProgramServices
Management And General738ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total8791Total
Management And General8791ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1605Total
Program Services1434ProgramServices
Management And General146ManagementAndGeneral
Fundraising25Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total52174Total
Program Services44941ProgramServices
Management And General5947ManagementAndGeneral
Fundraising1286Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total160Total
Program Services160ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5832Total
Program Services5805ProgramServices
Fundraising27Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
FUNDRAISING DINNER800800
MISCELLANEOUS912912
Printing and Publications74957495
KITCHEN EXPENSE6590365903

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total285606Total
Program Services261391ProgramServices
Management And General22077ManagementAndGeneral
Fundraising2138Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2125BOY
EOY2125EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY122477BOY
EOY63718EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY7000BOY
EOY2260EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1213BOY
EOY1158EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis243614LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec118563LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY34896BOY
EOY125051EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY167711BOY
EOY194312EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20335BOY
EOY23673EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20335BOY
EOY23673EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY139203BOY
EOY170639EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY8173BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY147376BOY
EOY170639EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY167711BOY
EOY194312EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses23263ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years168922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119892CurrentTaxYearMinus1Year
Current Tax Year161217CurrentTaxYear
Total693646Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years99762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years168922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years143853CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119892CurrentTaxYearMinus1Year
Current Tax Year161217CurrentTaxYear
Total693646Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total114084AmountsSubstContributorsTotal
Public Support Total170579562PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10462CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10123CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9928CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year915CurrentTaxYearMinus1Year
Current Tax Year328CurrentTaxYear
Total31756Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support725402TotalSupport
Public Support Pertcentage1700.79900PublicSupportPertcentage170
Public Support Pertcent Prior Year0.74000PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis26331OtherCostOrOtherBasis
Depreciation26331Depreciation

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis134733OtherCostOrOtherBasis
Depreciation19466Depreciation
Book Value115267BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64161OtherCostOrOtherBasis
Depreciation57194Depreciation
Book Value6967BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18389OtherCostOrOtherBasis
Depreciation15572Depreciation
Book Value2817BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings125051TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Bingo154283GrossRevenueBingo
Cash Prizes Bingo102085CashPrizesBingo
Other Direct Expenses Bingo4256OtherDirectExpensesBingo
Volunteer Labor BingotrueVolunteerLaborBingo
Volunteer Labor Percentage Bingo1.00000VolunteerLaborPercentageBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming154283GrossRevenueTotalGaming
Cash Prizes Total Gaming102085CashPrizesTotalGaming
Other Direct Expenses Total Gaming4256OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming106341DirectExpenseSummaryGaming
Net Gaming Income Summary47942NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedORStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmemberstrueGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Name Of Gaming Rec Keeper PersonFRAN LEENameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11764 EVAN CIRCLEAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1JIM HAYSBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Services ProvidedPROVIDE BINGO SERVICES AND CASH PAYOUTSGamingManagerServicesProvided
Gaming Manager Is Ind ContractorXGamingManagerIsIndContractor
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST, DOCUMENTS ARE REVIEWED AT ORGANIZATION'S OFFICE
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessTHE DIRECTOR HAS THE RESPONSIBILITY OF REVIEWING THE FORM 990 ANNUALLY BEFORE SUBMISSION.