GRACE HOUSE PREGNANCY RESOURCES CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GRACE HOUSE PREGNANCY RESOURCES CENTER INC (EIN 59-3668069)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-14
IRS object ID: 201212279349301436
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-14T10:17:34-05:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BETTY W KELLY CPA PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	843 N WOODLAND BLVD STE 2	AddressLine1
City	DELAND	City
State	FL	State
ZIP Code	327202759	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	593668069	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GRACE HOUSE PREGNANCY	BusinessNameLine1
Business Name Line2	RESOURCE CENTER	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	GRAC	NameControl
Phone	3869434004	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	306 EAST CHURCH ST	AddressLine1
City	DELAND	City
State	FL	State
ZIP Code	32724	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DONNA JENSEN	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	3869434004	Phone
Date Signed	2012-08-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	M SCOTT KELLY	Name
Phone	3867344360	Phone
Date Prepared	2012-08-14	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DONNA JENSEN EXECUTIVE DIRECTOR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	306 EAST CHURCH ST	AddressLine1
City	DELAND	City
State	FL	State
ZIP Code	32724	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	374383	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
Activity Or Mission Description	PROVIDE SUPPORT AND RESOURCES FOR WOMEN IN CRISIS PREGNANCY CENTER	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	9	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	260693	ContributionsGrantsPriorYear
Contributions Grants Current Year	320267	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1129	InvestmentIncomePriorYear
Investment Income Current Year	318	InvestmentIncomeCurrentYear
Other Revenue Prior Year	23163	OtherRevenuePriorYear
Other Revenue Current Year	42853	OtherRevenueCurrentYear
Total Revenue Prior Year	284985	TotalRevenuePriorYear
Total Revenue Current Year	363438	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	108151	SalariesEtcPriorYear
Salaries Etc Current Year	110562	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	200	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	12590	TotalFundrsngExpCurrentYear
Other Expense Prior Year	202538	OtherExpensePriorYear
Other Expenses Current Year	222922	OtherExpensesCurrentYear
Total Expenses Prior Year	310689	TotalExpensesPriorYear
Total Expenses Current Year	333684	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-25704	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	29754	RevenuesLessExpensesCY
Total Assets BOY	172067	TotalAssetsBOY
Total Assets EOY	211187	TotalAssetsEOY
Total Liabilities BOY	3076	TotalLiabilitiesBOY
Total Liabilities EOY	8172	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	168991	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	203015	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE SUPPORT AND RESOURCES FOR WOMEN IN CRISIS PREGNANCY CENTER	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	109596	Expense
Description	PEER COUNSELING	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	156801	Expense
Description	MATERIAL SUPPORT FOR INFANT CARE, FURNITURE, CLOTHING, AND EDUCATIONAL MATERIAL	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	266397	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	false	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	9	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONNA JENSEN	NamePerson
Telephone Number	3867408400	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	306 E CHURCH ST	AddressLine1
Address Line2	306 EAST CHURCH ST	AddressLine2
City	DELAND	City
State	FL	State
ZIP Code	32724	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
DONNA JENSEN
EXECUTIVE DI	40.00	X	X	33743	0	0
GAYLE WADSWORTH
SECRETARY	0.00	X	X	0	0	0
RHEA WADLE
TREASURER	0.00	X	X	0	0	0
TOM BELLOMA
BOARD MEMBER	0.00	X		0	0	0
EMERSON BOLTON SR
BOARD MEMBER	0.00	X		0	0	0
LUKE MCKINNEY
BOARD MEMBER	0.00	X		0	0	0
NANCY NACHMAN
BOARD MEMBER	0.00	X		0	0	0
MELINDA WILK-CONFORTI
BOARD MEMBER	0.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	33743	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	22690	GovernmentGrants
All Other Contributions	297577	AllOtherContributions
Noncash Contributions	177360	NoncashContributions
Total Contributions	320267	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	318	TotalRevenueColumn
Related Or Exempt Function Income	318	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	53757	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	10945	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	42812	TotalRevenueColumn
Exclusion	$42,812	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	REBATES AND MISC	Description
Total Revenue Column	41	TotalRevenueColumn
Related Or Exempt Function Income	41	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	41	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	363438	TotalRevenueColumn
Related Or Exempt Function Income	359	RelatedOrExemptFunctionIncome
Exclusion	$42,812	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	33743	Total
Management And General	25307	ManagementAndGeneral
Fundraising	8436	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	68423	Total
Program Services	56107	ProgramServices
Management And General	12316	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	8396	Total
Program Services	4031	ProgramServices
Management And General	3495	ManagementAndGeneral
Fundraising	870	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	504	Total
Management And General	504	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	200	Total
Fundraising	200	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3278	Total
Management And General	2950	ManagementAndGeneral
Fundraising	328	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6705	Total
Management And General	3949	ManagementAndGeneral
Fundraising	2756	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	150	Total
Management And General	150	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	37550	Total
Program Services	36423	ProgramServices
Management And General	1127	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	540	Total
Program Services	540	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	2422	Total
Program Services	2422	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2697	Total
Program Services	740	ProgramServices
Management And General	1957	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
CLIENT SUPPLIES & SUPPORT	156801	156801
UTILITIES	8489	7895	594
PROPERTY TAXES	1100		1100
OPERATING EXPENSES	959	644	315

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1727	Total
Program Services	794	ProgramServices
Management And General	933	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	333684	Total
Program Services	266397	ProgramServices
Management And General	54697	ManagementAndGeneral
Fundraising	12590	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	8143	BOY
EOY	8455	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	97759	BOY
EOY	99744	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	54547	BOY
EOY	54547	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	169	BOY
EOY	769	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	18995	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9967	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	11449	BOY
EOY	9028	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
EOY	38644	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	172067	BOY
EOY	211187	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3076	BOY
EOY	8172	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	3076	BOY
EOY	8172	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119758	BOY
EOY	150099	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	49233	BOY
EOY	52916	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	168991	BOY
EOY	203015	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	172067	BOY
EOY	211187	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	29754	ReconcilationRevenueExpenses
Reconcilation Other Changes	4270	ReconcilationOtherChanges
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	131226	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	193654	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	292351	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	260693	CurrentTaxYearMinus1Year
Current Tax Year	320267	CurrentTaxYear
Total	1198191	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year	359	CurrentTaxYear
Total	359	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year	53757	CurrentTaxYear
Total	53757	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	131226	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	193654	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	292351	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	260693	CurrentTaxYearMinus1Year
Current Tax Year	374383	CurrentTaxYear
Total	1252307	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13940	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	41726	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	44807	CurrentTaxYearMinus1Year
Current Tax Year	18800	CurrentTaxYear
Total	134248	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year	10660	CurrentTaxYear
Total	10660	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	14975	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	13940	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	41726	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	44807	CurrentTaxYearMinus1Year
Current Tax Year	29460	CurrentTaxYear
Total	144908	Total

Field	Value	IRS element (for citing)
Public Support Total509	1107399	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3456	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4784	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1486	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1129	CurrentTaxYearMinus1Year
Current Tax Year	318	CurrentTaxYear
Total	11173	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3456	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	4784	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1486	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1129	CurrentTaxYearMinus1Year
Current Tax Year	318	CurrentTaxYear
Total	11173	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	134682	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	198438	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	293837	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	261822	CurrentTaxYearMinus1Year
Current Tax Year	374701	CurrentTaxYear
Total	1263480	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.87650	PublicSupportPercentage509
Prior Year Support Percentage	0.86100	PriorYearSupportPercentage
Investment Income Percentage	0.01000	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.01000	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2499	OtherCostOrOtherBasis
Depreciation	259	Depreciation
Book Value	2240	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16496	OtherCostOrOtherBasis
Depreciation	9708	Depreciation
Book Value	6788	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	9028	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	PROPERTY 325 FLORIDA AVE	Description
Book Value	38644	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	38644	TotalBookValueOtherAssets

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	FUND RAISING BA	NameOfEvent1
Gross Receipts Event1	22746	GrossReceiptsEvent1
Gross Revenue Event1	22746	GrossRevenueEvent1
Name Of Event2	FUNDRAISING WAL	NameOfEvent2
Gross Receipts Event2	20912	GrossReceiptsEvent2
Gross Revenue Event2	20912	GrossRevenueEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	10099	GrossReceiptsOtherEvents
Gross Revenue Other Events	10099	GrossRevenueOtherEvents
Other Direct Expenses Other Events	10945	OtherDirectExpensesOtherEvents
Gross Receipts Total	53757	GrossReceiptsTotal
Gross Revenue Total Events	53757	GrossRevenueTotalEvents
Other Direct Expenses Total Events	10945	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	10945	DirectExpenseSummaryEvents
Net Income Summary	42812	NetIncomeSummary

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	35000	NoncashContribsRptdF990
Method Of Determining Revenues	VOLUSIA COUNTY	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DOCUMENTATION BY COMMITTEE	FORM 990, PAGE 6, PART VI, LINE 8B	NO
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	FORM 990 IS COMPLETED BY A QUALIFIED AND AUTHORIZED PERSON UNDER THE DIRECTION OF THE EXECUTIVE DIRECTOR AND/OR TREASURER. THE RETURN IS REVIEWED BY THE EXECUTIVE DIRECTOR AND TREASURER AND THEN PRESENTED TO ALL BOARD MEMBERS VIA EMAIL OR PAPER COPY PRIOR TO ITS FILING WITH THE IRS. ANY QUESTIONS WILL BE ADDRESSED TO THE EXECUTIVE DIRECTOR AND/OR TREASURER IMEDIATELY. AT THE NEXT BOARD MEETING, THE TREASURER MAY REVIEW THE RETURN WITH THE BOARD.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	EACH BOARD MEMBER, OFFICER, STAFF OR VOLUNTEER MUST SIGN A STAEMENT THAT THEY HAVE READ, AGREE WITH, AND WILL ABIDE BY ALL OF THE CONFLICT OF INTEREST POLICY AS SET FORTH IN THE DOCUMENT. ALL POTENTIAL CONFLICTS ARE DISCLOSED TO THE EXECUTIVE DIRECTOR AND THE BOARD OF DIRECTORS AND ACTIONS TAKEN ARE REFLECTED IN THE MINUTES.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	NO DOCUMENTS AVAILABLE TO THE PUBLIC
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 5	ADJUSTMENT TO BEGINNING FUND BALANCE.