2021-11-16T16:15:08-07:00 2021-06-30 990EZ 2020-07-01 331012005 DOUGLAS COUNTY COMMUNITY MENTAL HEALTH CENTER FOUNDATION INC DOUG 4024443474 4102 Woolworth Avenue 5th Fl Admin Omaha NE 68105 Randall Walther Treasurer 4024443474 2021-11-16 0 11 0 AAL2 2020 2022-09-23 18:48:47Z X X X cmhc.douglascounty-ne.gov X X 15179 X 5274 0 0 0 0 0 0 0 400 0 400 9505 9081 424 0 6098 1845 0 0 0 0 0 587 2432 3666 46938 0 50604 46938 50604 0 0 0 0 46938 50604 0 0 46938 50604 Medication and hygienne supplies for approximately 300 patients. Patient Assistance including 4 Greyhound bus tickets throughout the midwest, local cab fare for 360-400 individuals, Approximately 10 Phone cards to keep in contact with family care givers, hospital, providers and pharmacy. Provide support for CMHC patients and medical staff by providing expense coverage for emergency or unforeseen expenses like a bus ticket home (4), or phone-cards (10) to continue lines of communication between family, doctors and care givers, local cab rides (360) taking patients home, or to get pharmacy medications. Provide testing or furthering education fees ($340) for Medical professionals involved with the care of our patients. 0 1845 1845 Kymi Black President and Director of Nursing 1 0 0 0 Walter Henderson Vice President 0.5 0 0 0 Sherry Glasnapp Secretary and Director, CMHC 1 0 0 0 Mary Ann Borgeson Board Member 0.5 0 0 0 Kristin Lynch Board Member 0.5 0 0 0 Randall Walther Treasurer, Finance Director 4 0 0 0 Debi Pittock Board Member 0.5 0 0 0 Dr Sidney Kauzlarich Board Member and Medical Director 0.5 0 0 0 Ingrid Songster Board Member 0.5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NE Randall Walther 4102 Woolworth Avenue 5th Fl Admin Omaha NE 68105 4024443474 0 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X X 1 Douglas County Community Mental Health Center 476006455 3 1 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Form 990-EZ, Part I, Line 10 Patient supplies, Non-local Bus Tickets, local cab fare (returned to home after hospitalization), pharmacy medications, recreational therapy, continuing education or testing for Medical professionals, clothing, hats, gloves - $1,845 Form 990-EZ, Part I, Line 16 State and local sales & use taxes, Bank service fees - $587 Apologies for the lateness of this return. This is our first Form 990 EZ on-line filing and the time needed to accumulate the needed data and the availability of staff due to the Pandemic was the reason for the delay. Thank you. Randall Walther