STRATEGY STUDIO / PUBLIC DATA EXPLORER

STELLA MARIS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STELLA MARIS INC (EIN 34-0896181)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-28
IRS object ID
201210889349300506
Schema version
2010v3.4
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)
Timestamp2012-03-28T08:50:15-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KILBANE & WISE CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line121851 CENTER RIDGE RD 207AddressLine1
CityROCKY RIVERCity
StateOHState
ZIP Code44116ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN340896181EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STELLA MARIS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTELNameControl
Phone1216781055Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11320 WASHINGTON AVEAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDENNIS MADDENName
TitleINTERIM EXECUTIVE DIRECTORTitle
Phone2167810550Phone
Date Signed2012-03-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES A WISE CPAName
Phone4403562020Phone
Date Prepared2012-03-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDENNIS MADDENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2726814GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STELLAMARISCLEVELAND.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1948YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionSTELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year399503ContributionsGrantsPriorYear
Contributions Grants Current Year2134940ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1903932ProgramServiceRevenuePriorYear
Program Service Revenue CY383827ProgramServiceRevenueCY
Investment Income Prior Year-5043InvestmentIncomePriorYear
Investment Income Current Year-25080InvestmentIncomeCurrentYear
Other Revenue Prior Year35968OtherRevenuePriorYear
Other Revenue Current Year65085OtherRevenueCurrentYear
Total Revenue Prior Year2334360TotalRevenuePriorYear
Total Revenue Current Year2558772TotalRevenueCurrentYear
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 Year1264757SalariesEtcPriorYear
Salaries Etc Current Year1400592SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year13797TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18353TotalFundrsngExpCurrentYear
Other Expense Prior Year806608OtherExpensePriorYear
Other Expenses Current Year891022OtherExpensesCurrentYear
Total Expenses Prior Year2085162TotalExpensesPriorYear
Total Expenses Current Year2291614TotalExpensesCurrentYear
Revenues Less Expenses Prior Year249198RevenuesLessExpensesPriorYear
Revenues Less Expenses CY267158RevenuesLessExpensesCY
Total Assets BOY3744500TotalAssetsBOY
Total Assets EOY4115249TotalAssetsEOY
Total Liabilities BOY107330TotalLiabilitiesBOY
Total Liabilities EOY170708TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3637170NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3944541NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSTELLA MARIS' MISSION IS TO PROVIDE QUALITY CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES TO OUR COMMUNITY REGARDLESS OF RACE, SEX, RELIGION, OR ABILITY TO PAY. STELLA MARIS WILL STRIVE TO MAKE SERVICES AVAILABLE TO ALL THOSE SEEKING TREATMENT BASED ON PRESENTING NEED AND AVAILABLE TREATMENT CAPACITY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1250616Expense
DescriptionMEDICAL DETOXIFICATION IS THE FIRST STEP TO MEDICALLY STABILIZE A PATIENT IN ACTIVE WITHDRAWAL FROM ALCOHOL AND OTHER CHEMICALS. 16 SUB ACUTE BEDS UNDER THE DIRECTION OF PHYSICIANS, 24 HOUR NURSING STAFF, COUNSELORS, AND A DIETICIAN PROVIDE INPATIENT CARE INCLUDING A HISTORY AND PHYSICAL, BIOPSYCHOSOCIAL ASSESSMENT, MEDICATIONS, LABORATORY SERVICES AND AN INDIVIDUAL TREATMENT PLAN INCLUDING DISCHARGE PLANNING TO THE NEXT LEVEL OF CARE FOR ONGOING TREATMENT FOR RECOVERY FROM ADDICTION. THE POPULATION IS PRIMARILY MEDICALLY INDIGENT AND/OR HOMELESS MEN AND WOMEN 18 YEARS OR OLDER WITH NO ACCESS TO HOSPITAL BASED CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense347112Expense
DescriptionSUPPORTIVE HOUSING IS PROVIDED FOR CLIENTS REFERRED FROM DETOX AND OTHER AGENCIES WHO ARE HOMELESS AND NEED RESIDENTIAL SUPPORT. 40 BEDS ARE UTILIZED IN A THERAPEUTIC COMMUNITY WHICH PROVIDES CASE MANAGEMENT, INTENSIVE DAY TREATMENT, MENTAL HEALTH SERVICES, VOCATIONAL TRAINING, AND EDUCATION REGARDING ADDICTION AND RELAPSE PREVENTION. DISCHARGE CRITERIA REQUIRE STABLE SOBER HOUSING AND EMPLOYMENT BEFORE RETURNING TO THE COMMUNITY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense408367Expense
DescriptionOUTPATIENT TREATMENT SERVICES INCLUDE DAY AND/OR EVENING CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES FOR CLIENTS NOT REQUIRING RESIDENTIAL SUPPORT. AFTERCARE AND FAMILY SUPPORT EDUCATION AND TREATMENT SERVICES ARE ALSO PROVIDED. STELLA MARIS ALSO HOSTS 12 STEP MEETINGS 2 TIMES DAILY SEVEN DAYS PER WEEK FOR THE RECOVERY COMMUNITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense2006095TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Liabilities0ReportOtherLiabilities
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 Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
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 Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARGARET ROCHEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2167810550TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MARGARET ROCHE
EXEC. DIRECTOR40.00X9231700
VIRGINIA BARSAN
BOARD MEMBER/TRUSTEEX000
RICHARD G BIALOSKY CCIM
BOARD MEMBER/TRUSTEEX000
GERALD CONWAY
BOARD MEMBER/TRUSTEEX000
SUSAN GRAGEL
BOARD MEMBER/TRUSTEEX000
ALBERT SCHNEIDER
BOARD MEMBER/TRUSTEEX000
MICHAEL BLUMENTHAL
BOARD MEMBER/TRUSTEEX000
MICHAEL GALLAGHER
BOARD MEMBER/TRUSTEEX000
THOMAS GERSON
BOARD MEMBER/TRUSTEEX000
DENNIS MADDEN
BOARD MEMBER/TRUSTEEX000
ROBERT BRANDON
BOARD MEMBER/TRUSTEEX000
CHRISTOPHER B NANCE
BOARD MEMBER/TRUSTEEX000
PATRICK QUINN
BOARD MEMBER/TRUSTEEX000
BOB SILL
BOARD MEMBER/TRUSTEEX000
CHARLES A SURACE
BOARD MEMBER/TRUSTEEX000
TIMOTHY L MCERLEAN
BOARD MEMBER/TRUSTEEX000
STEVE CHARMS
BOARD MEMBER/TRUSTEEX000
RICK DOODY
BOARD MEMBER/TRUSTEEX000
RANDY HORVAT
BOARD MEMBER/TRUSTEEX000
KEITH KARAKUL
BOARD MEMBER/TRUSTEEX000
JOHN F O'BRIEN
BOARD MEMBER/TRUSTEEX000
CHERYL HAGAN O'MALLEY
BOARD MEMBER/TRUSTEEX000
DIANE M MEKKER
BOARD MEMBER/TRUSTEEX000
FieldValueIRS element (for citing)
Total Reportable Comp From Org92317TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants1561903GovernmentGrants
All Other Contributions573037AllOtherContributions
Total Contributions2134940TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPROGRAM SERVICE FEESDescription
Business Code621990BusinessCode
Total Revenue Column383827TotalRevenueColumn
Related Or Exempt Function Income383827RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue383827TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8858TotalRevenueColumn
Related Or Exempt Function Income8858RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1804Securities
Other50000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other85742Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1804Securities
Other-35742Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-33938TotalRevenueColumn
Related Or Exempt Function Income-33938RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events94996GrossIncomeFundraisingEvents
Fundraising Direct Expenses64508FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column30488TotalRevenueColumn
Exclusion$30,488ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming52389GrossIncomeGaming
Gaming Direct Expenses17792GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column34597TotalRevenueColumn
Exclusion$34,597ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2558772TotalRevenueColumn
Related Or Exempt Function Income358747RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$65,085ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total92317Total
Management And General92317ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1057345Total
Program Services978911ProgramServices
Management And General78434ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total137793Total
Program Services103266ProgramServices
Management And General34527ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total113137Total
Program Services96062ProgramServices
Management And General17075ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total43043Total
Program Services43043ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total44813Total
Management And General44813ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2518Total
Program Services2518ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total252063Total
Program Services233710ProgramServices
Fundraising18353Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total15661Total
Program Services15661ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total132754Total
Program Services132754ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total116365Total
Program Services116365ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total26708Total
Program Services26708ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
FOOD & SUPPLIES163873163873
LAB FEES & MEDICINES3560235602
TRANSPORTATION1346613466
MISCELLANEOUS1112711127
DUES & LICENSES1024310243

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total22786Total
Program Services22786ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2291614Total
Program Services2006095ProgramServices
Management And General267166ManagementAndGeneral
Fundraising18353Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY453296BOY
EOY834487EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY100357BOY
EOY101127EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY173490BOY
EOY5246EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY188822BOY
EOY282949EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33068BOY
EOY28948EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3948202LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1345794LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2580532BOY
EOY2602408EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY213935BOY
EOY259084EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1000BOY
EOY1000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3744500BOY
EOY4115249EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY90730BOY
EOY170708EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16600BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY107330BOY
EOY170708EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3335538BOY
EOY3697966EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY191632BOY
EOY136575EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY110000BOY
EOY110000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3637170BOY
EOY3944541EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3744500BOY
EOY4115249EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses267158ReconcilationRevenueExpenses
Reconcilation Other Changes40213ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis82714OtherCostOrOtherBasis
Book Value82714BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3865488OtherCostOrOtherBasis
Depreciation1345794Depreciation
Book Value2519694BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2602408TotalOfBookValueLandBuildings
Total Revenue2558772TotalRevenue
Total Expenses2291614TotalExpenses
Excess Or Deficit For Year267158ExcessOrDeficitForYear
Net Unrealized GL On Investments40213NetUnrealizedGLOnInvestments
Total Adjustments40213TotalAdjustments
Excess Or Deficit Per FS307371ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2598985TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments40213NetUnrealizedGainsInvestments
Revenue Not Rptd F99040213RevenueNotRptdF990
Revenue Subtotal2558772RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902558772TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2327356TotExpensesEtcAuditedFinclStmt
Losses Reported35742LossesReported
Expenses Not Rptd F99035742ExpensesNotRptdF990
Expenses Subtotal2291614ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902291614TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1RAFFLESNameOfEvent1
Gross Receipts Event194996GrossReceiptsEvent1
Gross Revenue Event194996GrossRevenueEvent1
Cash Prizes Event121500CashPrizesEvent1
Non Cash Prizes Event141715NonCashPrizesEvent1
Other Direct Expenses Event11293OtherDirectExpensesEvent1
Gross Receipts Total94996GrossReceiptsTotal
Gross Revenue Total Events94996GrossRevenueTotalEvents
Cash Prizes Total Events21500CashPrizesTotalEvents
Non Cash Prizes Total Events41715NonCashPrizesTotalEvents
Other Direct Expenses Total Events1293OtherDirectExpensesTotalEvents
Direct Expense Summary Events64508DirectExpenseSummaryEvents
Net Income Summary30488NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming52389GrossRevenueOtherGaming
Rent Facility Costs Other Gaming17792RentFacilityCostsOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming52389GrossRevenueTotalGaming
Rent Facility Costs Total Gaming17792RentFacilityCostsTotalGaming
Direct Expense Summary Gaming17792DirectExpenseSummaryGaming
Net Gaming Income Summary34597NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedOHStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers0GamingWithNonmembers
Member Of Other Entity1MemberOfOtherEntity
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1MARGARET ROCHEBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11320 WASHINGTONAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev1ContractWith3rdPartyForGamRev

Name Of Third Party Business NameOfThirdPartyBusiness

FieldValueIRS element (for citing)
Business Name Line1NAUTICA CHARITY POKER FESTIVALBusinessNameLine1

Address Of Third Party US AddressOfThirdPartyUS

FieldValueIRS element (for citing)
Address Line12000 SYCAMORE AVEAddressLine1
CityCLEVELANDCity
StateOHState
ZIP Code44113ZIPCode
FieldValueIRS element (for citing)
Charitable Distrib Required0CharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11CPA PREPARED FORM 990 PRESENTED AND REVIEWED BY EXECTIVE DIRECTOR AND DISCUSSED WITH BOARD MEMBERS REGARDING APPROVAL AND FILING ACKNOWLEGEMENT
CONSISTENT REVIEW, DISCUSSION AND AWARENESS OF THE SIGNIFICANCE AND EXISTENCEFORM 990, PART VI, SECTION B, LINE 12C
APPROVAL BY BOARD AFTER CONSIDERATION OF WRITTEN REPORT DETAILING UP TO SIX SIMILAR ORGANIZATIONS COMPENSATION LEVELSFORM 990, PART VI, SECTION B, LINE 15
ALL DOCUMENTS AVAILABLE UPON REQUESTFORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 40213.FORM 990, PART XI, LINE 5: