Civic Intelligence

Forget Me Not Family Care Home

EIN 81-0852963 • 501(c)3 • Roseburg, OR

Profile

To provide a secure and safe dementia care building and surroundings.

2028 NE Airport RoadRoseburg, OR 97470

www.forgetmenotvillage.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

92nd percentile

0.89x

Higher debt load relative to assets than 92% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

97th percentile

4.42x

Higher debt load relative to revenue than 97% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

62nd percentile

11%

Higher net margin than 62% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

33rd percentile

-3.0%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

76th percentile

33%

Faster revenue growth than 76% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$843,502

Down $25,955 (-3.0%) from 2023

Liabilities

Down

$747,792

Down $44,765 (-5.6%) from 2023

Net Assets

Up

$95,710

Up $18,810 (+24%) from 2023

Revenue

Up

$169,198

Up $42,189 (+33%) from 2023

Expenses

Down

$150,388

Down $23,173 (-13%) from 2023

Net Income

Up

$18,810

Up $65,362 (+140%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2019: $13,163Liabilities 2019: $02019Assets 2020: $51,322Net Assets 2020: $51,3222020Assets 2021: $870,276Liabilities 2021: $713,814Net Assets 2021: $156,4622021Assets 2022: $891,744Liabilities 2022: $768,292Net Assets 2022: $123,4522022Assets 2023: $869,457Liabilities 2023: $792,557Net Assets 2023: $76,9002023Assets 2024: $843,502Liabilities 2024: $747,792Net Assets 2024: $95,7102024

Highlighted filing

2024

Assets$843,502
Liabilities$747,792
Net Assets$95,710

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KRevenue 2019: $18,464Expenses 2019: $5,301Net Income 2019: $13,1632019Revenue 2020: $71,870Expenses 2020: $33,711Net Income 2020: $38,1592020Revenue 2021: $206,320Expenses 2021: $101,180Net Income 2021: $105,1402021Revenue 2022: $129,157Expenses 2022: $162,167Net Income 2022: -$33,0102022Revenue 2023: $127,009Expenses 2023: $173,561Net Income 2023: -$46,5522023Revenue 2024: $169,198Expenses 2024: $150,388Net Income 2024: $18,8102024

Highlighted filing

2024

Revenue$169,198
Expenses$150,388
Net Income$18,810

Filings

Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 6, 2023
Return Version
2022v5.0
Gross Receipts
$129,157
Mission and Program Overview

Mission

To provide a secure and safe dementia care building and surroundings.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$864,399$891,230▲ $26,831
Loans From Officers Directors$99,255$163,216▲ $63,961
Cash and Non-Interest-Bearing Accounts$5,877$513▼ $5,364
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$870,276$891,744▲ $21,468
Other Assets Total-$1-
Liabilities
Mortgage Notes Payable Secured by Investment Property$614,559$604,365▼ $10,194
Accounts Payable and Accrued Expenses-$711-
Total Liabilities$713,814$768,292▲ $54,478
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$156,462$123,452▼ $33,010
Total Net Assets Fund Balance$156,462$123,452▼ $33,010
Total Liabilities and Net Assets / Fund Balance$870,276$891,744▲ $21,468

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$613,397$23,839$637,236
Leasehold Improvements$132,112$10,865$142,977
Land$138,536-$138,536
Equipment$6,384$4,749$11,133
Other Land Buildings$801$219$1,020
Compensation and Service Providers

Board Members and Trustees

NameTitle
Pamela SpetaPresident
Sarah WolfSecretary
Mary J SykesTreasurer
Ryan ColeV Pres
Revenue and Support

Revenue Composition

Contributions and Grants
$107,658
Program Service Revenue
$21,499
Investment Income
$0
Other Revenue
$0
All Other Contributions
$107,658
Change in Net Assets
$-33,010
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$126,821
Salaries, Compensation, and Employee Benefits$35,346
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$53,831--$53,831
Other Salaries and Wages$32,818--$32,818
Depreciation Depletion$27,459--$27,459
Fees for Services Other-$23,074-$23,074
Fees for Services Legal-$6,523-$6,523
Office Expenses$2,486$2,920-$5,406
Payroll Taxes$2,528--$2,528
Insurance$1,746--$1,746
Advertising-$820-$820
Other Expenses$524$170-$170
Travel-$160-$160
All Other Expenses-$100-$100
Total Functional Expenses$124,265$37,902$0$162,167
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$99,255$163,216▲ $63,961
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

No review was or will be conducted.

Form 990, Part VI, Section C, Line 19

No documents available to the public.

Filing and Contact Details

Filer

Filer Name
Forget Me Not Family Care Home
EIN
81-0852963
Address
2028 NE AIRPORT ROAD, ROSEBURG, OR 97470

Signing Officer

Name
Pamela Speta
Title
President
Signed
2023-11-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Pamela Speta
Legal Domicile
Or
Voting Board Members
4
Independent Board Members
4
Employees
4

Preparer

Firm
Mary J Sykes CPA Pc
Address
1730 NW VALLEY VIEW DR, Roseburg, OR 97471
Preparer
Mary J Sykes
Phone
5416733445
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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt018464
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0425720
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IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleD/BuildingsGrp/DepreciationAmt023839
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0637236
IRS990ScheduleD/EquipmentGrp/BookValueAmt06384
IRS990ScheduleD/EquipmentGrp/DepreciationAmt04749
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt011133
IRS990ScheduleD/LandGrp/BookValueAmt0138536
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0138536
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt0132112
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt010865
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0142977
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt0801
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt0219
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0No review was or will be conducted.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
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IRS990/TotalAssetsGrp/EOYAmt0891744
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0124265
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt021499
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0129157
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0870276
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0891744
IRS990/TravelGrp/ManagementAndGeneralAmt0160
IRS990/TravelGrp/TotalAmt0160
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/USAddress/AddressLine1Txt02028 NE AIRPORT ROAD
IRS990/USAddress/CityNm0ROSEBURG
IRS990/USAddress/StateAbbreviationCd0OR
IRS990/USAddress/ZIPCd097470
IRS990/VotingMembersGoverningBodyCnt04
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0www.forgetmenotvillage.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0PAMELA SPETA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FORGET ME NOT FAMILY CARE HOME
ReturnHeader/Filer/BusinessNameControlTxt0FORG
ReturnHeader/Filer/EIN0810852963
ReturnHeader/Filer/USAddress/AddressLine1Txt02028 NE AIRPORT ROAD
ReturnHeader/Filer/USAddress/CityNm0ROSEBURG
ReturnHeader/Filer/USAddress/StateAbbreviationCd0OR
ReturnHeader/Filer/USAddress/ZIPCd097470
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0930860515
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MARY J SYKES CPA PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01730 NW VALLEY VIEW DR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Roseburg
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0OR
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd097471
ReturnHeader/PreparerPersonGrp/PhoneNum05416733445
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Mary J Sykes
ReturnHeader/ReturnTs02023-11-06T13:58:01-08:00
ReturnHeader/ReturnTypeCd0990

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