STRATEGY STUDIO / PUBLIC DATA EXPLORER

PHS COMMISSIONED OFFICERS FDN FOR THE ADVANCEMENT OF PUBLIC HEALTH: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
PHS COMMISSIONED OFFICERS FDN FOR THE ADVANCEMENT OF PUBLIC HEALTH (EIN 52-2258463)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-02-01
IRS object ID
202440329349301214
Schema version
2022v5.0
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)
Return2024-02-01T10:32:28-05:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN474306215PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mullins PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17625 Wisconsin AvenueAddressLine1Txt
CityBethesdaCityNm
State AbbreviationMDStateAbbreviationCd
ZIP20814ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522258463EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHS Commissioned Officers Foundation for theBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHSCBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 Corporate Drive STE 615AddressLine1Txt
CityHyattsvilleCityNm
State AbbreviationMDStateAbbreviationCd
ZIP207852243ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJacqueline RychnovskyPersonNm
Person TitleExecutive DirecPersonTitleTxt
Phone3017319080PhoneNum
Signature2024-01-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJacquelinePersonFirstNm
Person LastRychnovskyPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn MullinsPreparerPersonNm
PTINP01429307PTIN
Phone2027706371PhoneNum
Preparation2024-02-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Advancement of Public Health IBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJacqueline RychnovskyPrincipalOfficerNm
Gross Receipts$2,642,292GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.phscof.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionBuilding leadership in public health through advocacy, education, research partnership and program support.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$215,130PYContributionsGrantsAmt
CY Contributions Grants$196,464CYContributionsGrantsAmt
PY Program Service Revenue$538,278PYProgramServiceRevenueAmt
CY Program Service Revenue$697,230CYProgramServiceRevenueAmt
PY Investment Income$129,314PYInvestmentIncomeAmt
CY Investment Income$45,231CYInvestmentIncomeAmt
PY Other Revenue$49,870PYOtherRevenueAmt
CY Other Revenue$1,268CYOtherRevenueAmt
PY Total Revenue$932,592PYTotalRevenueAmt
CY Total Revenue$940,193CYTotalRevenueAmt
PY Grants And Similar Paid$274,660PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$137,392CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$18,366CYTotalFundraisingExpenseAmt
PY Other Expenses$1,426,645PYOtherExpensesAmt
CY Other Expenses$1,529,291CYOtherExpensesAmt
PY Total Expenses$1,701,305PYTotalExpensesAmt
CY Total Expenses$1,666,683CYTotalExpensesAmt
PY Revenues Less Expenses-$768,713PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$726,490CYRevenuesLessExpensesAmt
Total Assets BOY$6,068,550TotalAssetsBOYAmt
Total Assets EOY$6,184,554TotalAssetsEOYAmt
Total Liabilities BOY$304,196TotalLiabilitiesBOYAmt
Total Liabilities EOY$452,927TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,764,354NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,731,627NetAssetsOrFundBalancesEOYAmt
MissionBuilding leadership in public health through advocacy, education, research partnership and program support.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,287,858ExpenseAmt
Grant$137,392GrantAmt
DescReceive, administer and expend funds for education and training for health professionals and conduct studies and research.Desc
Total Program Service Expenses$1,287,858TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonThe OrganizationPersonNm
Phone3017319080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18201 Corporate DriveAddressLine1Txt
CityHyattsvilleCityNm
State AbbreviationMDStateAbbreviationCd
ZIP207852243ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Jacqueline Rychnovsky
Executive Director20.000.00Yes (X)$0$197,535$17,643
Tine Hansen-Turton
Member1.000.00$0$0$0Yes (X)
Lisa Tonrey
Member1.000.00$0$0$0Yes (X)
Paul Seligman
Member1.000.00$0$0$0Yes (X)
Eugene Migliaccio
Member1.000.00$0$0$0Yes (X)
Betty Rufus
Member1.000.00$0$0$0Yes (X)
Margaret Riggs
Member1.000.00$0$0$0Yes (X)
Harlem Gunness
Member1.000.00$0$0$0Yes (X)
Michelle Dunwoody
Member1.000.00$0$0$0Yes (X)
Alan S Echt
Member1.000.00$0$0$0Yes (X)
Karen Watkins
Member1.000.00$0$0$0Yes (X)
Kerry Paige Nesseler
Member1.000.00$0$0$0Yes (X)
Pamela M Schweitzer
Member1.000.00$0$0$0Yes (X)
Daniel Beck
Member1.000.00$0$0$0Yes (X)
John DiMaggio
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Randall Gardner
President1.000.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$197,535TotReportableCompRltdOrgAmt
Total Other Compensation$17,643TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Military Non Profit Consulting
1540 W Warm Springs Road Ste 100HendersonNV89014Consulting$172,879
Christopher Productions LLC
1013 Maverick Ct SEAlbuquerqueNM87123Production Service$162,500
Leading Edge Conferences Corp
103 Indian LaneAnnapolisMD21403Event Programming$110,072
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
All Other Contributions$196,464AllOtherContributionsAmt
Total Contributions$196,464TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescAnnual Meeting IncomeDesc
Business900099BusinessCd
Total Revenue Column$697,230TotalRevenueColumnAmt
Related Or Exempt Func Income$697,230RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$697,230TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,004TotalRevenueColumnAmt
Exclusion$141,004ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,606,326SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,702,099SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$95,773SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$95,773TotalRevenueColumnAmt
Exclusion-$95,773ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Other Program Revenue900099$870$870
Miscellaneous900099$398$398
FieldValueIRS element (for citing)
Other Revenue Total$1,268OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$940,193TotalRevenueColumnAmt
Related Or Exempt Func Income$698,498RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$45,231ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$121,392TotalAmt
Program Services$121,392ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$16,000TotalAmt
Program Services$16,000ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$307,378TotalAmt
Program Services$255,124ProgramServicesAmt
Management And General$43,033ManagementAndGeneralAmt
Fundraising$9,221FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,258TotalAmt
Management And General$12,258ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$46,945TotalAmt
Management And General$46,945ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$410,473TotalAmt
Program Services$168,050ProgramServicesAmt
Management And General$236,073ManagementAndGeneralAmt
Fundraising$6,350FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$52,919TotalAmt
Program Services$43,923ProgramServicesAmt
Management And General$7,409ManagementAndGeneralAmt
Fundraising$1,587FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$7,100TotalAmt
Program Services$5,893ProgramServicesAmt
Management And General$994ManagementAndGeneralAmt
Fundraising$213FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$659,075TotalAmt
Program Services$649,967ProgramServicesAmt
Management And General$9,108ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,280TotalAmt
Program Services$2,722ProgramServicesAmt
Management And General$459ManagementAndGeneralAmt
Fundraising$99FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Communications$17,396$14,439$2,435$522
Other$12,467$10,348$1,745$374

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,666,683TotalAmt
Program Services$1,287,858ProgramServicesAmt
Management And General$360,459ManagementAndGeneralAmt
Fundraising$18,366FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$154,134BOYAmt
EOY$291,323EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,100BOYAmt
EOY$14,401EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$1,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$19,603LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,280LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$16,323EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,876,316BOYAmt
EOY$5,861,507EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,068,550BOYAmt
EOY$6,184,554EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$272,964BOYAmt
EOY$301,660EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,232BOYAmt
EOY$151,267EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$304,196BOYAmt
EOY$452,927EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,493,023BOYAmt
EOY$5,454,121EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$271,331BOYAmt
EOY$277,506EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,764,354BOYAmt
EOY$5,731,627EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,068,550BOYAmt
EOY$6,184,554EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$726,490ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$687,007NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$6,756OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$85,373CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$151,333CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,669CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$215,130CurrentTaxYearMinus1YearAmt
Current Tax Year$196,464CurrentTaxYearAmt
Total$703,969TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$687,897CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,415CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,150CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$538,278CurrentTaxYearMinus1YearAmt
Current Tax Year$697,230CurrentTaxYearAmt
Total$1,982,970TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$773,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$178,748CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$87,819CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$753,408CurrentTaxYearMinus1YearAmt
Current Tax Year$893,694CurrentTaxYearAmt
Total$2,686,939TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,686,939PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$130,264CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$129,314CurrentTaxYearMinus1YearAmt
Current Tax Year$141,004CurrentTaxYearAmt
Total$642,688TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$130,264CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,781CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$129,314CurrentTaxYearMinus1YearAmt
Current Tax Year$141,004CurrentTaxYearAmt
Total$642,688TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$903,534CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$307,073CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$201,600CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$882,722CurrentTaxYearMinus1YearAmt
Current Tax Year$1,034,698CurrentTaxYearAmt
Total$3,329,627TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.80700PublicSupportCY509Pct
Public Support PY5090.93200PublicSupportPY509Pct
Investment Income CY0.19000InvestmentIncomeCYPct
Investment Income PY0.07000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$303,523BeginningYearBalanceAmt
Investment Earnings Or Losses$144,551InvestmentEarningsOrLossesAmt
End Year Balance$448,074EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$382,197BeginningYearBalanceAmt
Investment Earnings Or Losses-$78,674InvestmentEarningsOrLossesAmt
End Year Balance$303,523EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$415,927BeginningYearBalanceAmt
Contributions$12,306ContributionsAmt
Other Expenditures$46,036OtherExpendituresAmt
End Year Balance$382,197EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$421,237BeginningYearBalanceAmt
Contributions$62,236ContributionsAmt
Other Expenditures$67,546OtherExpendituresAmt
End Year Balance$415,927EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$403,480BeginningYearBalanceAmt
Contributions$45,414ContributionsAmt
Other Expenditures$27,657OtherExpendituresAmt
End Year Balance$421,237EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,603OtherCostOrOtherBasisAmt
Depreciation$3,280DepreciationAmt
Book Value$16,323BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,323TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to COADesc
Amt$151,267Amt
FieldValueIRS element (for citing)
Total Liability$151,267TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,580,255TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$687,007NetUnrealizedGainsInvstAmt
Revenue Not Reported$687,007RevenueNotReportedAmt
Revenue Subtotal$893,248RevenueSubtotalAmt
Investment Expenses Not Incld$46,945InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$46,945RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$940,193TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,619,738TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,619,738ExpensesSubtotalAmt
Investment Expenses Not Incld2$46,945InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$46,945ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,666,683TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFootnote for uncertain tax position under FIN 48 (Part X)FormAndLineReferenceDesc
ExplanationThe accounting standard on accounting for uncertainty in income taxes addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements. Under that guidance, the Foundation may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by taxing authorities based on the technical merits of the position. Examples of tax positions include the tax-exempt status of the Foundation and various positions related to the potential sources of unrelated business taxable income (UBIT). The tax benefits recognized in the financial statements from such a position are measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. There were no unrecognized tax benefits identified or recorded as liabilities for at year end.The Foundations policy would be to recognize interest and penalties, if any, on tax positions related to its unrecognized tax benefits in income tax expense in the financial statements. No interest and penalties were assessed or recorded during the year.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmt
Scenic Rivers AHEC
PO Box 95CashtonWI54619272007840501C3$9,000
REBOOT Recovery
PO Box 381Pleasant ViewTN37146453305357501C3$9,000
Alaska Seeds of Change
4020 Folker StAnchorageAK99508510152394501C3$8,000
Borough of New Providence
360 Elkwood AvenueNew ProvidenceNJ07974226002132$7,500
Portland Public Health Division
39 Forest AvenuePortlandME04101016000032$9,000
Youth Crisis Center
3015 Parental Home RoadJacksonvilleFL32216592176287501C3$9,000
Waco Family Medicine
1600 Providence DrWacoTX76707742867580501C3$5,000
Step-Up Inc
4755 Kingsway Drive Suite 300IndianapolisIN46205352145743501C3$5,000
Youth Crossroads
6501 Stanley AveBerwynIL60402237417420501C3$9,000
Liv Sober Recovery Living
719 Stonewood Bend DrLake Saint LouisMO63367833200945501C3$8,000
The Clay Counts Coalition
820 Spelman CircleClay CenterKS67432$9,241
Frontline Workers Counseling Projec
1032 Irving StreetSan FranciscoCA94122852528871501C3$5,000
C-ASSIST
24513 Ford rdDearbornMI48128813386484501C3$7,500
Mayes County HOPE Coalition
PO Box 1346PryorOK74362271550713501C3$7,000
First 5 Yuba County Children & Fami
1114 Yuba Street Suite 141MarysvilleCA95901946000549$9,136
Care and Counseling
12141 Ladue RoadSaint LouisMO63141430914350501C3$9,000
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org4TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient16RecipientCnt
Cash Grant$16,000CashGrantAmt
Valuation Method UsedCostValuationMethodUsedDesc
Non Cash AssistanceNANonCashAssistanceDesc

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJacqueline RychnovskyPersonNm
TitleExecutive DirectorTitleTxt
Compensation Based On Rltd Orgs$190,035CompensationBasedOnRltdOrgsAmt
Bonus Related Organizations$7,500BonusRelatedOrganizationsAmt
Deferred Comp Rltd Orgs$15,803DeferredCompRltdOrgsAmt
Nontaxable Benefits Rltd Orgs$1,840NontaxableBenefitsRltdOrgsAmt
Total Compensation Rltd Orgs$215,178TotalCompensationRltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Committee meeting documentation Part VI line 8bThe Organization does not have any committees with authority to act on the behalf of the governing body.
Form 990 governing body review Part VI line 11The form 990 is presented to the Organizations audit committee for review after the 990 is finalized. It is the Organizations intention to meet with the audit committee before filing but sometimes that may not be possible.
Conflict of interest policy compliance Part VI line 12cAll board members are required to sign a conflict of interest agreement annually.
CEO executive director top management comp Part VI line 15aAn annual review of the Executive Directors performance is completed by the executive committee and recommendations are made to the full board of directors for approval.
Form 990 availability to public Part VI line 18The Organization makes these documents available to the public upon request.
Governing documents etc available to public Part VI line 19The Organization makes these documents available to the public upon request.
Audited by an independent accountant Part XII line 2bThe audit committee of the board assumes responsibility for oversight of the audit and selection of an independent accountant. This process has not changed from prior year.
Explanation of other changes in net assets or fund balances Part XI line 9Adjustment to tie net assets from prior year.
List of other fees for services expenses Part IX line 11gDevelopment Activities-Committee: $6,350Information Technology Upgrades: $8,182Other Restricted Expenses PBS: $165,760Professional Fees - Consulting: $227,891Professional Fees - Accounting: $12,258Miscellaneous Professional Fees: $2,290

Schedule R IRS990ScheduleR

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Commissioned Officers Association
nAllocation
Commissioned Officers Association
oAllocation
Commissioned Officers Association
pAllocation