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FOUNDATION FOR TEEN HEALTH: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FOUNDATION FOR TEEN HEALTH (EIN 76-0243612)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202233199349326503
Schema version
2021v4.0
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)
Return2022-11-15T16:18:44-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN760243612EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUNDATION FOR TEEN HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOUNBusinessNameControlTxt
Phone7137933601PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12726 Bissonnet St BOX 240-168AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77005ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAnne Van HornPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone7137933601PhoneNum
Signature2022-11-15SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB0LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANNE VANHORNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12726 BISSONNET ST 240-168AddressLine1Txt
CityHOUSTONCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77005ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,457GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FOUNDATIONFORTEENHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTHE PRIMARY FUNCTION OF THE ORGANIZATION IS TO SUPPORT VIA SHORT TERM FUNDING AND THE CREATION OF AN ENDOWMENT THE TEEN HEALTH CLINIC OF BAYLOR COLLEGE OF MEDICINE. THE TEEN HEALTH CLINIC OFFERS BOTH PRIMARY & REPRODUCTIVE HEALTH CARE SERVICES TO LOW INCOME MALE AND FEMALE ADOLESCENTS & YOUNG ADULTSActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$77,769PYContributionsGrantsAmt
CY Contributions Grants$68,346CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$6,575PYInvestmentIncomeAmt
CY Investment Income$13,111CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$84,344PYTotalRevenueAmt
CY Total Revenue$81,457CYTotalRevenueAmt
PY Grants And Similar Paid$108,290PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$96,795CYGrantsAndSimilarPaidAmt
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$0CYTotalFundraisingExpenseAmt
PY Other Expenses$36,059PYOtherExpensesAmt
CY Other Expenses$46,916CYOtherExpensesAmt
PY Total Expenses$144,349PYTotalExpensesAmt
CY Total Expenses$143,711CYTotalExpensesAmt
PY Revenues Less Expenses-$60,005PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$62,254CYRevenuesLessExpensesAmt
Total Assets BOY$873,679TotalAssetsBOYAmt
Total Assets EOY$811,425TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$873,679NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$811,425NetAssetsOrFundBalancesEOYAmt
MissionTHE PRIMARY FUNCTION OF THE ORGANIZATION IS TO SUPPORT VIA SHORT TERM FUNDING AND THE CRATION OF AN ENDOWMENT THE TEEN HEALTH CLINIC OF BAYLOR COLLEGE OF MEDICINE. THE TEEN HEALTH CLINIC OFFERS BOTH PRIMARY & REPRODUCTIVE HEALTH CARE SERVICES TO LOW INCOME MALE AND FEMALE ADOLESCENTS & YOUNG ADULTS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$76,629ExpenseAmt
Grant$76,629GrantAmt
Revenue$0RevenueAmt
DescSUPPORT VIA SHORT TERM FUNDING THE TEEN HEALTH CLINIC OF BAYLOR COLLEGE OF MEDICINE AND ITS PROGRAMS. THE TEEN HEALTH CLINIC OFFERS BOTH PRIMARY & REPRODUCTIVE HEALTH CARE SERVICES TO LOW INCOME MALE AND FEMALE ADOLESCENTS & YOUNG ADULTSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,216ExpenseAmt
Grant$14,216GrantAmt
Revenue$0RevenueAmt
DescCONTRIBUTIONS MADE TO SUPPORT AN ENDOWMENT FOR THE CLINIC THROUGH BAYLOR COLLEGE OF MEDICINE TO SUPPORT LOCAL ORGANIZATION WITH ALIGNED MISSIONSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,950ExpenseAmt
Grant$5,950GrantAmt
Revenue$0RevenueAmt
DescSUPPORT VIA SHORT TERM FUNDING TO OTHER NON-PROFIT ORGANIZATIONS THAT SUPPORT SIMILAR AND COMPLEMENTARY PROGRAMMING AS THE TEEN HEALTH CLINIC OF BAYLOR COLLEGE OF MEDICINE AND ITS PROGRAMS INCLUDING FOCUSING ON HEALTH CARE SERVICES TO LOW INCOME MALE AND FEMALE ADOLESCENTS & YOUNG ADULTS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$96,795TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
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 ActivitiesYes (1)FundraisingActivitiesInd
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 Mem0BusinessRlnWithOrgMemInd
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
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 Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
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 Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMICHAELINE BASURTOPersonNm
Phone9797395235PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12726 Bissonnet St BOX 240-168AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77005ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Elise Wilkinson
Secretary0.30Yes (X)$0$0$0
Charles Wickman
Treasurer0.30Yes (X)$0$0$0
Annie Beck
Board Member0.30Yes (X)$0$0$0
Beth Bryant
Board Member0.30Yes (X)$0$0$0
Janice Finder
Board Member0.30Yes (X)$0$0$0
Doe Florsheim
Board Member0.30Yes (X)$0$0$0
Whitney Graham Mixon
Board Member0.30Yes (X)$0$0$0
Peter Licata
Board Member0.30Yes (X)$0$0$0
Beth Madison
Board Member0.30Yes (X)$0$0$0
Iris McWilliams
Board Member0.30Yes (X)$0$0$0
Lee Mitchell
Board Member0.30Yes (X)$0$0$0
Lauren Randle
Board Member0.30Yes (X)$0$0$0
Reshonda Smith
Board Member0.30Yes (X)$0$0$0
Phyllis Williams
Board Member0.30Yes (X)$0$0$0
June Waggoner
Board Member0.30Yes (X)$0$0$0
Dr Geri Wood
Board Member0.30Yes (X)$0$0$0
Clarease Yates
Board Member0.30Yes (X)$0$0$0
Brittany Zucker
Board Member0.30Yes (X)$0$0$0
Sherri Zucker
Board Member0.30Yes (X)$0$0$0
Peggy Smith
President0.30Yes (X)$0$0$0
Phillip Yates
Board Member0.30Yes (X)$0$0$0
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
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$16,225FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$52,121AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$68,346TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,111TotalRevenueColumnAmt
Related Or Exempt Func Income$13,111RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,457TotalRevenueColumnAmt
Related Or Exempt Func Income$13,111RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$96,795TotalAmt
Program Services$96,795ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$9,698TotalAmt
Management And General$9,698ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,462TotalAmt
Management And General$6,462ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$221TotalAmt
Management And General$221ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,164TotalAmt
Management And General$2,164ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Mailing, Printing, Postage$27,388$0$27,388$0
Board Meeting Expenses$228$0$228$0
Bank Fees$755$0$755$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$143,711TotalAmt
Program Services$96,795ProgramServicesAmt
Management And General$46,916ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$873,679BOYAmt
EOY$811,425EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$873,679BOYAmt
EOY$811,425EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$873,679BOYAmt
EOY$811,425EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$873,679BOYAmt
EOY$811,425EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$873,679BOYAmt
EOY$811,425EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$62,254ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$129,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$172,734CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,769CurrentTaxYearMinus1YearAmt
Current Tax Year$68,346CurrentTaxYearAmt
Total$581,446TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$129,147CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$172,734CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$133,450CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,769CurrentTaxYearMinus1YearAmt
Current Tax Year$68,346CurrentTaxYearAmt
Total$581,446TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$581,446PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,268CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,062CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,946CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,575CurrentTaxYearMinus1YearAmt
Current Tax Year$13,111CurrentTaxYearAmt
Total$29,962TotalAmt
FieldValueIRS element (for citing)
Total Support$611,408TotalSupportAmt
Public Support CY1700.95100PublicSupportCY170Pct
Public Support PY1700.97429PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests PY170Yes (X)ThirtyThrPctSuprtTestsPY170Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Foundation For Teen Health Top Golf EventEvent1Nm
Gross Receipts Event1$16,225GrossReceiptsEvent1Amt
Charitable Contri Event1$0CharitableContriEvent1Amt
Gross Revenue Event1$16,225GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$0FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$18,578OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$16,225GrossReceiptsTotalAmt
Charitable Contributions Tot$0CharitableContributionsTotAmt
Gross Revenue Total Events$16,225GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$0RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$0FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,578OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$18,578DirectExpenseSummaryEventsAmt
Net Income Summary-$2,353NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bA COPY OF THE RETURN IS PROVIDED TO THE PRESIDENT OF THE BOARD AND OTHER MEMBERS AS AVAILABLE PRIOR TO SIGNING.
Form 990, Part VI, Section C, Line 19ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST