CATHOLIC HEALTHCARE INTERNATIONAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: CATHOLIC HEALTHCARE INTERNATIONAL (EIN 20-1683979)
Tax period: 2021-09-01 to 2022-08-31
Filed: 2023-07-17
IRS object ID: 202301989349301645
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-07-17T15:24:35-05:00	ReturnTs
Tax Period End	2022-08-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	430831507	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ANDERS MINKLER HUBER & HELM LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	800 MARKET STREET SUITE 500	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	631012501	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-09-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	201683979	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CATHOLIC HEALTHCARE INTERNATIONAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CATH	BusinessNameControlTxt
Phone	6362206550	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2464 TAYLOR ROAD 317	AddressLine1Txt
City	WILDWOOD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	630401222	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JERE PALAZZOLO	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	6362206550	PhoneNum
Signature	2023-07-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JERE	PersonFirstNm
Person Last	PALAZZOLO	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEREK A BARNARD CPA	PreparerPersonNm
PTIN	P00748926	PTIN
Phone	3146555500	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	JERE PALAZZOLO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2464 TAYLOR ROAD 317	AddressLine1Txt
City	WILDWOOD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	630401222	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$228,229	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CHI-USA.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2004	FormationYr
Legal Domicile State	MO	LegalDomicileStateCd
Activity Or Mission	THE PURPOSE OF CATHOLIC HEALTHCARE INTERNATIONAL IS TO DEVELOP AND IMPLEMENT AN ENHANCED MODEL OF CATHOLIC HEALTHCARE DELIVERY AND TO ESTABLISH A NETWORK OF HOSPITALS, CLINICS AND SUPPORT SERVICES INCORPORATING THE ENHANCED MODEL OF CATHOLIC HEALTHCARE DELIVERY TO PROMOTE PHYSICAL & MENTAL WELLNESS.	ActivityOrMissionDesc
Voting Members Governing Body	3	VotingMembersGoverningBodyCnt
Voting Members Independent	3	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$706,883	PYContributionsGrantsAmt
CY Contributions Grants	$228,229	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$0	PYInvestmentIncomeAmt
CY Investment Income	$0	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$706,883	PYTotalRevenueAmt
CY Total Revenue	$228,229	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$13,580	CYTotalFundraisingExpenseAmt
PY Other Expenses	$252,071	PYOtherExpensesAmt
CY Other Expenses	$251,529	CYOtherExpensesAmt
PY Total Expenses	$252,071	PYTotalExpensesAmt
CY Total Expenses	$251,529	CYTotalExpensesAmt
PY Revenues Less Expenses	$454,812	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$23,300	CYRevenuesLessExpensesAmt
Total Assets BOY	$498,658	TotalAssetsBOYAmt
Total Assets EOY	$478,177	TotalAssetsEOYAmt
Total Liabilities BOY	$15,560	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$18,379	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$483,098	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$459,798	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE PURPOSE OF CATHOLIC HEALTHCARE INTERNATIONAL IS TO DEVELOP AND IMPLEMENT AN ENHANCED MODEL OF CATHOLIC HEALTHCARE DELIVERY AND TO ESTABLISH A NETWORK OF HOSPITALS, CLINICS AND SUPPORT SERVICES INCORPORATING THE ENHANCED MODEL OF CATHOLIC HEALTHCARE DELIVERY TO PROMOTE PHYSICAL & MENTAL WELLNESS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$145,121	ExpenseAmt
Desc	DEVELOP AND ESTABLISH HOSPITAL AND CLINICAL HEALTH CARE NETWORK.	Desc
Total Program Service Expenses	$145,121	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	3	GoverningBodyVotingMembersCnt
Independent Voting Member	3	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	0	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JERE PALAZZOLO	PersonNm
Phone	6362206550	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	906 KINGSRIDGE COURT	AddressLine1Txt
City	WILDWOOD	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63021	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JERE PALAZZOLO
PRESIDENT/DIRECTOR	40.00	Yes (X)	Yes (X)	$0	$0	$0
REV TIMOTHY NELSON
DIRECTOR	0.00	Yes (X)		$0	$0	$0
FRANCIS SARIEGO OFM CAP
DIRECTOR	0.00	Yes (X)		$0	$0	$0
MARK PALAZZOLO
SECRETARY	0.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$228,229	AllOtherContributionsAmt
Total Contributions	$228,229	TotalContributionsAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$228,229	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,542	TotalAmt
Management And General	$7,542	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,015	TotalAmt
Management And General	$11,015	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$126,970	TotalAmt
Program Services	$60,396	ProgramServicesAmt
Management And General	$57,706	ManagementAndGeneralAmt
Fundraising	$8,868	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$5,019	TotalAmt
Program Services	$1,400	ProgramServicesAmt
Fundraising	$3,619	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,829	TotalAmt
Management And General	$5,829	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$36,086	TotalAmt
Program Services	$36,086	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$169	TotalAmt
Management And General	$169	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$977	TotalAmt
Program Services	$977	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
GROTTO EXPENSE	$17,919	$17,919
PROPERTY TAXES	$8,785	$8,785
PRINTING	$7,836	$7,836
POSTAGE & DELIVERY	$7,570	$3,785	$3,785

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,812	TotalAmt
Program Services	$7,937	ProgramServicesAmt
Management And General	$6,782	ManagementAndGeneralAmt
Fundraising	$1,093	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$251,529	TotalAmt
Program Services	$145,121	ProgramServicesAmt
Management And General	$92,828	ManagementAndGeneralAmt
Fundraising	$13,580	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$238,658	BOYAmt
EOY	$218,177	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$354,210	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$94,210	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$260,000	BOYAmt
EOY	$260,000	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$498,658	BOYAmt
EOY	$478,177	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,560	BOYAmt
EOY	$18,379	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,560	BOYAmt
EOY	$18,379	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow FASB117	Yes (X)	OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$483,098	BOYAmt
EOY	$459,798	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$483,098	BOYAmt
EOY	$459,798	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$498,658	BOYAmt
EOY	$478,177	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$23,300	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,565	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$118,543	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$706,883	CurrentTaxYearMinus1YearAmt
Current Tax Year	$228,229	CurrentTaxYearAmt
Total	$1,154,720	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$50,565	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$50,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$118,543	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$706,883	CurrentTaxYearMinus1YearAmt
Current Tax Year	$228,229	CurrentTaxYearAmt
Total	$1,154,720	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$344,018	SubstantialContributorsTotAmt
Public Support Total170	$810,702	PublicSupportTotal170Amt
Total Support	$1,154,720	TotalSupportAmt
Public Support CY170	0.70210	PublicSupportCY170Pct
Public Support PY170	0.62150	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$260,000	OtherCostOrOtherBasisAmt
Book Value	$260,000	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$94,210	OtherCostOrOtherBasisAmt
Depreciation	$94,210	DepreciationAmt
Book Value	$0	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$260,000	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
CREDIT CARDS	$2,723
PAYROLL LIABILITIES	$15,656

Field	Value	IRS element (for citing)
Total Liability	$18,379	TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	JERE PALAZZOLO AND MARK PALAZZOLO ARE FAMILY MEMBERS.
FORM 990, PART VI, SECTION A, LINE 8B	THERE ARE NO COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS REVIEWED BY THE GOVERNING BOARD PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	FUNDRAISING DINNERS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 8,868. TOTAL EXPENSES 8,868. CONSULTING: PROGRAM SERVICE EXPENSES 18,196. MANAGEMENT AND GENERAL EXPENSES 4,231. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,427. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 42,200. MANAGEMENT AND GENERAL EXPENSES 53,475. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,675.