Civic Intelligence

Fremont County Good Samaritan Center

990 • Fiscal year 2016 • EIN 83-0301146

Aug 01, 2015 to Jul 31, 2016 • Filed on Dec 07, 2016

PO Box 1186Riverton, WY 82501

(307) 856-5435

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

59th percentile

0.00x

Higher debt load relative to assets than 59% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

63rd percentile

0.01x

Higher debt load relative to revenue than 63% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

12th percentile

-31%

Higher net margin than 12% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

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

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

26th percentile

-13%

Faster asset growth than 26% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

19th percentile

-27%

Faster revenue growth than 19% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$170,335

Down $25,459 (-13%) from 2015

Net Assets

Down

$169,567

Down $25,185 (-13%) from 2015

Liabilities

Down

$768

Down $274 (-26%) from 2015

Revenue

Down

$81,906

Down $30,177 (-27%) from 2015

Expenses

Down

$107,090

Down $7,290 (-6.4%) from 2015

Net Income

Down

-$25,184

Down $22,887 (-996%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300K$200K$100K$0Assets 2012: $262,437Liabilities 2012: $1,473Net Assets 2012: $260,9642012Assets 2013: $217,059Liabilities 2013: $1,550Net Assets 2013: $215,5092013Assets 2014: $198,009Liabilities 2014: $959Net Assets 2014: $197,0502014Assets 2015: $195,794Liabilities 2015: $1,042Net Assets 2015: $194,7522015Assets 2016: $170,335Liabilities 2016: $768Net Assets 2016: $169,5672016Assets 2017: $170,017Liabilities 2017: $824Net Assets 2017: $169,1932017Assets 2018: $127,115Liabilities 2018: $1,305Net Assets 2018: $125,8102018Assets 2019: $108,471Liabilities 2019: $3,440Net Assets 2019: $105,0312019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2016

Assets$170,335
Liabilities$768
Net Assets$169,567

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200K$100K$0-$100K-$200KExpenses 2012: $191,6472012Expenses 2013: $184,0762013Revenue 2014: $122,938Expenses 2014: $141,397Net Income 2014: -$18,4592014Revenue 2015: $112,083Expenses 2015: $114,380Net Income 2015: -$2,2972015Revenue 2016: $81,906Expenses 2016: $107,090Net Income 2016: -$25,1842016Revenue 2017: $93,745Expenses 2017: $94,118Net Income 2017: -$3732017Revenue 2018: $46,321Expenses 2018: $89,704Net Income 2018: -$43,3832018Revenue 2019: $66,372Expenses 2019: $87,151Net Income 2019: -$20,7792019Revenue 2020: $25,877Expenses 2020: $130,908Net Income 2020: -$105,0312020

Highlighted filing

2016

Revenue$81,906
Expenses$107,090
Net Income-$25,184
Jump To
Filing Snapshot
Filing Period
Aug 1, 2015 to Jul 31, 2016
Signed
Dec 7, 2016
Return Version
2015v2.1
Gross Receipts
$81,906
Mission and Program Overview

Mission

Our mission is to provide food, shelter, clothing and life skills education to the homeless and those in crises. We advocate for the homeless to increase public understanding and support. 7/14/04

Provide food, clothing, and shelter for those who need it. During an average year we serve est. 13000 meals, house 4500 overnight, and assist 500 households.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$124,013$114,145▼ $9,868
Land, Buildings, and Equipment, Net$56,536$52,439▼ $4,097
Cash and Non-Interest-Bearing Accounts$15,245$3,751▼ $11,494
Total Assets$195,794$170,335▼ $25,459
Liabilities
Accounts Payable and Accrued Expenses$1,042$768▼ $274
Total Liabilities$1,042$768▼ $274
Net Assets / Fund Balance
Unrestricted Net Assets$194,752$169,567▼ $25,185
Total Net Assets Fund Balance$194,752$169,567▼ $25,185
Total Liabilities and Net Assets / Fund Balance$195,794$170,335▼ $25,459

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$31,834$68,777$100,611
Equipment$0$30,200$30,200
Other Land Buildings$451$21,335$21,786
Land$20,154-$20,154
Compensation and Service Providers

Board Members and Trustees

NameTitle
Melissa DuncanChairman
Peter DvorakExecutive Director
Jim HartmanMember
Ron GroathouseMember
Andrea StarksSecretary/Treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$81,774
Program Service Revenue
$0
Investment Income
$132
Other Revenue
$0
All Other Contributions
$65,774
Change in Net Assets
$-25,184
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$61,927
Other Expenses$44,202
Grants and Similar Amounts Paid$961
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$30,874--$30,874
Other Salaries and Wages$23,289--$23,289
Occupancy$7,499--$7,499
Payroll Taxes$5,839--$5,839
Depreciation Depletion$4,097--$4,097
Insurance$3,708--$3,708
Fees for Services Accounting$2,490--$2,490
Other Employee Benefits$1,925--$1,925
Information Technology$1,253--$1,253
Grants to Domestic Individuals$961--$961
Office Expenses$555--$555
Advertising$467--$467
Other Expenses$145--$145
All Other Expenses$100--$100
Fees for Services Other$75--$75
Travel$63--$63
Total Functional Expenses$107,090$0$0$107,090
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
Yes
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 11

The Board of Directors for the Fremont County Good Samaritan Center reviews the 990 in comparison with the financial statements prior to the 990 being filed.

Form 990, Part VI, Section C, line 18

Fremont County Good Samaritan Center will provide a copy of the 990 for review to anyone who asks to see the form.

Form 990, Part VI, Section C, line 19

Fremont County Good Samaritan Center will provide a copy of the governing documents, conflict of interest policy, and financial statements available to the public upon a specific request.

Filing and Contact Details

Filer

Filer Name
Fremont County Good Samaritan Center
EIN
83-0301146
Phone
3078565435
Address
PO Box 1186, Riverton, WY 82501

Signing Officer

Name
Peter Dvorak
Title
Director
Phone
3078565435
Signed
2016-12-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Peter Dvorak
Formed
1987
Legal Domicile
Wy
Voting Board Members
5
Independent Board Members
0
Employees
5
Volunteers
0

Preparer

Firm
DAPCPA Riverton LLC
Address
320 S Federal Blvd, Riverton, WY 82501
Preparer
Carmen L Milbury
Phone
3078562637
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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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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0The organization maintains records of assistance provided. The various types of assistance are the payment of utilities, rent, prescriptions, medical expense, etc., for individuals that are either homeless or in a position to become homeless. All services and the level of services are based on income.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 2:
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Board of Directors for the Fremont County Good Samaritan Center reviews the 990 in comparison with the financial statements prior to the 990 being filed.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Fremont County Good Samaritan Center will provide a copy of the 990 for review to anyone who asks to see the form.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Fremont County Good Samaritan Center will provide a copy of the governing documents, conflict of interest policy, and financial statements available to the public upon a specific request.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, line 19
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IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt063
IRS990/TravelGrp/TotalAmt063
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0194752
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0169567
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0220 W Mountain View Dr
IRS990/USAddress/CityNm0Riverton
IRS990/USAddress/StateAbbreviationCd0WY
IRS990/USAddress/ZIPCd082501
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0Peter Dvorak
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Director
ReturnHeader/BusinessOfficerGrp/PhoneNum03078565435
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-12-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Fremont County Good Samaritan Center
ReturnHeader/Filer/BusinessNameControlTxt0FREM
ReturnHeader/Filer/EIN0830301146
ReturnHeader/Filer/PhoneNum03078565435
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO Box 1186
ReturnHeader/Filer/USAddress/CityNm0Riverton
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WY
ReturnHeader/Filer/USAddress/ZIPCd082501
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0471837572
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0DAPCPA Riverton LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0320 S Federal Blvd
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Riverton
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd082501
ReturnHeader/PreparerPersonGrp/PhoneNum03078562637
ReturnHeader/PreparerPersonGrp/PreparationDt02016-12-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Carmen L Milbury
ReturnHeader/ReturnTs02016-12-12T09:49:01-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-08-01
ReturnHeader/TaxPeriodEndDt02016-07-31
ReturnHeader/TaxYr02015

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