STRATEGY STUDIO / PUBLIC DATA EXPLORER

CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
CALIFORNIA ASSOCIATION OF HEALTH INFORMATION EXCHANGES (EIN 46-3613312)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-08-05
IRS object ID
202402189349300840
Schema version
2023v5.1
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)
Return2024-08-05T11:49:17-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN465577902PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RICHARDSON & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1550 HOWE AVENUE SUITE 210AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95825ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN463613312EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA ASSOCIATION OFBusinessNameLine1Txt
Business Name Line2HEALTH INFORMATION EXCHANGESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCALIBusinessNameControlTxt
Phone9162870360PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1808 R STREET 102AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95811ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMIMI HALLPersonNm
Person TitleCHAIRPersonTitleTxt
Phone9162870360PhoneNum
Signature2024-08-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCURT JENSONPreparerPersonNm
PTINP01208626PTIN
Phone9165648727PhoneNum
Preparation2024-08-01PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-08-08 14:25:15ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMIMI HALLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1808 R STREET 102AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95811ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,128,139GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCAHIE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE MISSION IS TO ESTABLISH A STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIA'S HEALTH INFORMATION. CAHIE HAS DEVELOPED A WORKING CALIFORNIA VERSION OF THE DATA USE AND RECIPROCAL SUPPORT AGREEMENT (CALDURSA) BASED ON THE NATIONAL DURSA AND ADHERING TO NATIONAL STANDARDS. CAHIE WILL USE THE EHEALTH EXCHANGE POLICY FRAMEWORK TO GUIDE CAHIE'S POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$297,600PYProgramServiceRevenueAmt
CY Program Service Revenue$1,127,965CYProgramServiceRevenueAmt
PY Investment Income$128PYInvestmentIncomeAmt
CY Investment Income$174CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$297,728PYTotalRevenueAmt
CY Total Revenue$1,128,139CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$7,898CYTotalFundraisingExpenseAmt
PY Other Expenses$391,119PYOtherExpensesAmt
CY Other Expenses$938,358CYOtherExpensesAmt
PY Total Expenses$391,119PYTotalExpensesAmt
CY Total Expenses$938,358CYTotalExpensesAmt
PY Revenues Less Expenses-$93,391PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$189,781CYRevenuesLessExpensesAmt
Total Assets BOY$435,874TotalAssetsBOYAmt
Total Assets EOY$579,560TotalAssetsEOYAmt
Total Liabilities BOY$247,470TotalLiabilitiesBOYAmt
Total Liabilities EOY$201,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$188,404NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$378,185NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION IS TO ESTABLISH A STATEWIDE NETWORK FOR TRUSTED EXCHANGE OF HEALTH DATA AMONG CALIFORNIA'S HEALTH INFORMATION. CAHIE HAS DEVELOPED A WORKING CALIFORNIA VERSION OF THE DATA USE AND RECIPROCAL SUPPORT AGREEMENT (CALDURSA) BASED ON THE NATIONAL DURSA AND ADHERING TO NATIONAL STANDARDS. CAHIE WILL USE THE EHEALTH EXCHANGE POLICY FRAMEWORK TO GUIDE CAHIE'S POLICIES AND PROCEDURES FOR ACHIEVING TRUSTED EXCHANGE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$895,485ExpenseAmt
Revenue$1,127,965RevenueAmt
DescPM SUPPORT - ASSIGNED PROJECT LEAD AS SINGLE POINT OF CONTACT; PARTICIPATED IN KICK-OFF MEETING TO GO OVER GOALS, OBJECTIVES, STATEMENT OF WORK TASKS, EXPECTATIONS, AND OTHER INFORMATION WITH THE CDII/CDII TEAM; DEVELOPED PROJECT MANAGEMENT PLAN TO ENSURE REGULAR REPORTING, ENGAGEMENT, AND INFORMATION SHARING WITH CDII LEADERSHIP; SET UP REGULAR MEETINGS AND DEVELOPED REPORTING AND COMMUNICATION MATERIALS RELATED TO REGULAR STATUS UPDATES AND EVALUATION PROGRESS REVIEWS; DEVELOPED MONTHLY STATUS REPORT AND MET WITH CDII TEAM TO DISCUSS; PROVIDED A PROJECT PLAN DEVELOPED IN COLLABORATION WITH CDII AND OTHER CDII CONSULTANTS TO THE STATE.Desc
Total Program Service Expenses$895,485TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9162870360PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1808 R STREET 102AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95811ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DAN CHAVEZ
BOARD MEMBER2.00Yes (X)$0$0$0
LAURA YOUNG
BOARD MEMBER2.00Yes (X)$0$0$0
JOHN HELVEY
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
MIMI HALL
CHAIR2.00Yes (X)$0$0$0Yes (X)
MARK ELSON
SECRETARY2.00Yes (X)$0$0$0Yes (X)
LORI HACK
INTERIM EXECUTIVE DIRECTOR2.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAZARS USA LLPBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line160 CROSSWAYS PARK DRAddressLine1Txt
CityWOODBURYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11787ZIPCd
FieldValueIRS element (for citing)
ServicesMANAGEMENT, CONSULTING, GRANT WRITINGServicesDesc
Compensation$953,417CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACT SERVICES900099$1,031,488$1,031,488
MEMBERSHIP REVENUE900099$55,648$55,648
STIPEND FOR CDII DATA900099$30,000$30,000
EHEALTH PARTICIPANT FE900099$4,701$4,701
CTEN ONBOARDING FEES900099$4,000$4,000

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,128TotalRevenueColumnAmt
Related Or Exempt Func Income$2,128RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,127,965TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$174TotalRevenueColumnAmt
Exclusion$174ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,128,139TotalRevenueColumnAmt
Related Or Exempt Func Income$1,127,965RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$174ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$38,474TotalAmt
Program Services$30,779ProgramServicesAmt
Management And General$7,695ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$780,152TotalAmt
Program Services$753,751ProgramServicesAmt
Management And General$26,401ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,062TotalAmt
Program Services$12,062ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SOFTWARE LICENSE FEE$91,000$91,000
OTHER EXPENSES$8,386$488$7,898
EHEALTH FEES$7,893$7,893
BANK FEES$211$211

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$180TotalAmt
Management And General$180ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$938,358TotalAmt
Program Services$895,485ProgramServicesAmt
Management And General$34,975ManagementAndGeneralAmt
Fundraising$7,898FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$165,517BOYAmt
EOY$67,252EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$79,665BOYAmt
EOY$300,651EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$137,500BOYAmt
EOY$181,358EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$22,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,192BOYAmt
EOY$8,299EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$435,874BOYAmt
EOY$579,560EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$247,470BOYAmt
EOY$193,076EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$8,299EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$247,470BOYAmt
EOY$201,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$188,404BOYAmt
EOY$378,185EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$188,404BOYAmt
EOY$378,185EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$435,874BOYAmt
EOY$579,560EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$189,781ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$39,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,600CurrentTaxYearMinus1YearAmt
Current Tax Year$1,127,965CurrentTaxYearAmt
Total$1,464,793TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$39,228CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,600CurrentTaxYearMinus1YearAmt
Current Tax Year$1,127,965CurrentTaxYearAmt
Total$1,464,793TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,464,793PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128CurrentTaxYearMinus1YearAmt
Current Tax Year$174CurrentTaxYearAmt
Total$482TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128CurrentTaxYearMinus1YearAmt
Current Tax Year$174CurrentTaxYearAmt
Total$482TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$39,408CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$297,728CurrentTaxYearMinus1YearAmt
Current Tax Year$1,128,139CurrentTaxYearAmt
Total$1,465,275TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99970PublicSupportCY509Pct
Public Support PY5090.99910PublicSupportPY509Pct
Investment Income CY0.00030InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAZARS USA LLPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionMAZARS PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION.RelationshipDescriptionTxt
Transaction$132,000TransactionAmt
TransactionLORI HACK IS AN EMPLOYEE OF MAZARS USA LLP, A MANAGEMENT COMPANY, AND IS AN INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. LORI WAS COMPENSATED BY MAZARS FOR HER ROLE AS AN INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION. MAZARS PROVIDES SERVICES TO SUPPORT THE ADMINISTRATIVE DUTIES OF THE FILING ORGANIZATION AND PROVIDE STRATEGIC SUPPORT AT AN AMOUNT NOT TO EXCEED $11,000 PER MONTH.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE FILING ORGANIZATION HAS ENTERED INTO A MASTER CONSULTING SERVICES AGREEMENT WITH MAZARS USA LLP (MAZARS) TO OBTAIN SERVICES TO SUPPORT THE ADMINISTRATIVE DUTIES OF THE FILING ORGANIZATION AND PROVIDE STRATEGIC SUPPORT TO THE COMMITTEES AND THE BOARD. LORI HACK IS THE INTERIM EXECUTIVE DIRECTOR OF THE FILING ORGANIZATION AND IS COMPENSATED BY MAZARS.
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE INTERIM EXECUTIVE DIRECTOR AND THE BOARD MEMBERS BEFORE THEY ARE FILED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS MUST ANNUALLY COMPLETE THE CONFLICT OF INTEREST FORM AT THE FIRST BOARD MEETING OF THE CALENDAR YEAR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONSULTING: PROGRAM SERVICE EXPENSES 753,751. MANAGEMENT AND GENERAL EXPENSES 26,401. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 780,152.