STRATEGY STUDIO / PUBLIC DATA EXPLORER

MEDFORD SENIOR CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEDFORD SENIOR CENTER (EIN 93-6041284)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-30
IRS object ID
201240909349301124
Schema version
2010v3.2
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)
Timestamp2012-03-30T16:30:14-07:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2012-03-30DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDALE E FOSTER CPAName
Phone5417705095Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts375692GrossReceipts
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 Employees8TotalNbrEmployees
Total Nbr Volunteers80TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year119892ContributionsGrantsCurrentYear
Program Service Revenue CY84106ProgramServiceRevenueCY
Investment Income Current Year915InvestmentIncomeCurrentYear
Other Revenue Current Year66867OtherRevenueCurrentYear
Total Revenue Current Year271780TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year162302SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1496TotalFundrsngExpCurrentYear
Other Expenses Current Year141266OtherExpensesCurrentYear
Total Expenses Current Year303568TotalExpensesCurrentYear
Revenues Less Expenses CY-31788RevenuesLessExpensesCY
Total Assets BOY204029TotalAssetsBOY
Total Assets EOY167711TotalAssetsEOY
Total Liabilities BOY24865TotalLiabilitiesBOY
Total Liabilities EOY20335TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY179164NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY147376NetAssetsOrFundBalancesEOY
Mission DescriptionSERVICES TO SENIOR CITIZENSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense282338Expense
DescriptionSENIOR CITIZEN CENTER PROVIDING HEALTH EDUCATION, RECREATIONAL ACTIVITIES, HOT MEALS, AND EXERCISE TO 1041 MEMBERS AND ALSO OPEN TO THE PUBLIC.Description
Total Program Service Expense282338TotalProgramServiceExpense
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 With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees8NumberOfEmployees
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
Upon RequestXUponRequest

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
SAL ESQUIVEL
BOARD MEMBER0.75000
PATTI J PROCTOR
DIRECTOR40.004380900X
MARILYN NUNES
BOARD MEMBER0.75000
JON IVERSON
Secretary0.75000
JOHN RACHOR
BOARD MEMBER0.75000
JIM HAYS
BOARD MEMBER2.50000
GENIE GILLIAM
Vice President0.75000
CHERYL NICOLAY
Treasurer1.50000
BOB STROSSER
BOARD MEMBER0.75000
BOB BARBEE
BOARD MEMBER2.50000
BILL NEWELL
President0.75000
BETTY BRADFORD
BOARD MEMBER0.75000
FieldValueIRS element (for citing)
Total Reportable Comp From Org43809TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues22728MembershipDues
Government Grants31000GovernmentGrants
All Other Contributions66164AllOtherContributions
Noncash Contributions18000NoncashContributions
Total Contributions119892TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RECREATION:TRAVEL-NET633633
MEALS8347383473
FieldValueIRS element (for citing)
Total Program Service Revenue84106TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column915TotalRevenueColumn
Exclusion$915ExclusionAmount

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)
Real7540Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real7540Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7540TotalRevenueColumn
Exclusion$7,540ExclusionAmount

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 Gaming151180GrossIncomeGaming
Gaming Direct Expenses103912GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column47268TotalRevenueColumn
Exclusion$47,268ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory12059GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12059TotalRevenueColumn
Exclusion$12,059ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column271780TotalRevenueColumn
Related Or Exempt Function Income84106RelatedOrExemptFunctionIncome
Exclusion$67,782ExclusionAmount

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)
Total44746Total
Program Services40719ProgramServices
Management And General4027ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total96228Total
Program Services95007ProgramServices
Management And General1221ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3042Total
Program Services2768ProgramServices
Management And General274ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total18286Total
Program Services17555ProgramServices
Management And General731ManagementAndGeneral

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)
Total6594Total
Management And General6594ManagementAndGeneral

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)
Total2112Total
Program Services1908ProgramServices
Management And General189ManagementAndGeneral
Fundraising15Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total30191Total
Program Services27752ProgramServices
Management And General2439ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total140Total
Program Services140ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3728Total
Program Services3685ProgramServices
Management And General16ManagementAndGeneral
Fundraising27Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELEPHONE31442861283
SUPPLIES44594058401
REPAIRS & MAINTENANCE18178164441734
Printing and Publications71517151
KITCHEN EXPENSE6219062190

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3379Total
Program Services100ProgramServices
Management And General1825ManagementAndGeneral
Fundraising1454Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total303568Total
Program Services282338ProgramServices
Management And General19734ManagementAndGeneral
Fundraising1496Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2125BOY
EOY2125EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY164785BOY
EOY122477EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4000BOY
EOY7000EOY

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)
BOY853BOY
EOY1213EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis147627LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec112731LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32266BOY
EOY34896EOY

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)
BOY204029BOY
EOY167711EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24865BOY
EOY20335EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24865BOY
EOY20335EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY175474BOY
EOY139203EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3690BOY
EOY8173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY179164BOY
EOY147376EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY204029BOY
EOY167711EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-31788ReconcilationRevenueExpenses
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 Years108217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years168922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year143853CurrentTaxYearMinus1Year
Current Tax Year119892CurrentTaxYear
Total640646Total

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 Years108217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years99762CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years168922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year143853CurrentTaxYearMinus1Year
Current Tax Year119892CurrentTaxYear
Total640646Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total122678AmountsSubstContributorsTotal
Public Support Total170517968PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8617CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10462CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9928CurrentTaxYearMinus1Year
Current Tax Year915CurrentTaxYear
Total40045Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support680691TotalSupport
Public Support Pertcentage1700.76090PublicSupportPertcentage170
Public Support Pertcent Prior Year0.73990PublicSupportPertcentPriorYear
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 Basis38746OtherCostOrOtherBasis
Depreciation16221Depreciation
Book Value22525BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64161OtherCostOrOtherBasis
Depreciation55299Depreciation
Book Value8862BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18389OtherCostOrOtherBasis
Depreciation14880Depreciation
Book Value3509BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings34896TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Bingo151180GrossRevenueBingo
Cash Prizes Bingo99571CashPrizesBingo
Other Direct Expenses Bingo4341OtherDirectExpensesBingo
Volunteer Labor BingotrueVolunteerLaborBingo
Volunteer Labor Percentage Bingo1.00000VolunteerLaborPercentageBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming151180GrossRevenueTotalGaming
Cash Prizes Total Gaming99571CashPrizesTotalGaming
Other Direct Expenses Total Gaming4341OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming103912DirectExpenseSummaryGaming
Net Gaming Income Summary47268NetGamingIncomeSummary
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.