ALLIANCE OF TBI & NHTD WAIVER PROVIDERS INC: Form 990EZ, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCE OF TBI & NHTD WAIVER PROVIDERS INC (EIN 45-3027739)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2023-08-10
- IRS object ID
- 202302229349200035
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-10T11:52:29-07:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161184209 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DALEY LACOMBE & CHARETTE PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 116 FAYETTE ST | AddressLine1Txt |
| City | MANLIUS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 453027739 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ALLIANCE OF TBI & NHTD WAIVER PROVIDERS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ALLI | BusinessNameControlTxt |
| Phone | 6073290507 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O BELVEDERE HEALTH SERVICES LLC 1 | AddressLine1Txt |
| City | ALBANY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN MCCOOEY | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 6073290507 | PhoneNum |
| Signature | 2023-06-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | MCCOOEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE CHARETTE | PreparerPersonNm |
| PTIN | P00139254 | PTIN |
| Phone | 3156924033 | PhoneNum |
| Preparation | 2023-08-10 | PreparationDt |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | www.alliance-nys.org | WebsiteAddressTxt |
| Organization501c | Yes (X) | Organization501cInd |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $199,567 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $199,567 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $0 | ProgramServiceRevenueAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Investment Income | $0 | InvestmentIncomeAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $0 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $199,567 | TotalRevenueAmt |
| Fees And Other Pymt To Ind Cntrct | $203,275 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $2,758 | OtherExpensesTotalAmt |
| Total Expenses | $206,033 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$6,466 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $7,954 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,488 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,869 | BOYAmt |
| EOY | $33,106 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $750 | BOYAmt |
| EOY | $3,582 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,619 | BOYAmt |
| EOY | $36,688 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,665 | BOYAmt |
| EOY | $35,200 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,954 | BOYAmt |
| EOY | $1,488 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | ADVOCACY | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO STRENGTHEN, UNITE, AND ADVOCATE FOR NYS DOH WAIVER PROVIDERSAND ENSURE THE QUALITY AND ONGOING VIABILITY OF STATEWIDEWAIVER PROGRAMS. | DescriptionProgramSrvcAccomTxt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (10 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| JOHN MCCOOEY | ||||
| CHAIR | 5.00 | $0 | $0 | $0 |
| DAVE HOGAN | ||||
| CO-CHAIR | 1.00 | $0 | $0 | $0 |
| KARINA DAVIS-CORR | ||||
| SECRETARY | 1.00 | $0 | $0 | $0 |
| BRIAN RULLO | ||||
| TREASURER | 1.00 | $0 | $0 | $0 |
| TRACI ALLEN | ||||
| EXECUTIVE DIRECTOR | 20.00 | $39,000 | $0 | $0 |
| CHRIS HALL | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JIM WATSON | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| NATALIA GONZALEZ | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRIAN STEIN | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JESSICA HOLMES | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | Yes (true) | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Initiation Fees And Cap Contri | $0 | InitiationFeesAndCapContriAmt |
| Gross Receipts For Public Use | $0 | GrossReceiptsForPublicUseAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Traci Allen | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4381 TANNERY ROAD | AddressLine1Txt |
| City | CAMPBELL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14821 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6073290507 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Substantially All Dues Nonded | false | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | false | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | false | AgreeCarryoverPriorYearInd |
| Dues Assessments | $158,052 | DuesAssessmentsAmt |
| Non Deductible Lbbyng Pltcl CY | $162,200 | NonDeductibleLbbyngPltclCYAmt |
| Non Ded Lbbyng Pltcl Cyov | -$3,168 | NonDedLbbyngPltclCyovAmt |
| Non Deductible Lbbyng Pltcl Tot | $159,032 | NonDeductibleLbbyngPltclTotAmt |
| Aggregate Reported Dues Ntc | $158,052 | AggregateReportedDuesNtcAmt |
| Carried Over | $980 | CarriedOverAmt |
| Taxable | $0 | TaxableAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Form 990 provided to Board Chair who reviews with Board prior to signing tax return. |
| Pt VI, Line 12c | Board reviews bylaws which include conflict of interest policy on an annual basis. |
| Pt VI, Line 15a | Executive director paid as a subcontractor based on fair market value of services for hours worked. |
| Pt VI, Line 19 | Governing documents and conflict of interest policy available upon request as stated on organization website. |
| Pt VI, Line 6 | The organization has members. |
| Pt VI, Line 7a | The organization's members vote to elect the Board of Directors. |
| Form 990EZ, Part I, Line 16 | WEBSITE 900. |
| Form 990EZ, Part I, Line 16 | FILING FEES 325. |
| Form 990EZ, Part I, Line 16 | INSURANCE 756. |
| Form 990EZ, Part I, Line 16 | OFFICE EXPENSES 205. |
| Form 990EZ, Part I, Line 16 | OPERATING EXPENSES 562. |
| Form 990EZ, Part I, Line 16 | BANK CHARGES 10. |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE 500. 3082. |
| Form 990EZ, Part II, Line 24 | DEPOSIT - CONFERENCE 250. 500. |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 3500. 10000. |
| Form 990EZ, Part II, Line 26 | PREPAID MEMBERSHIP DUES 26165. 25200. |