STRATEGY STUDIO / PUBLIC DATA EXPLORER

SYNERGY HEALTH CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SYNERGY HEALTH CENTER (EIN 20-0034091)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-09
IRS object ID
202123139349303472
Schema version
2020v4.0
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)
Return2021-11-09T14:06:28-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200503877PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SEBER TANS PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1555 W CROSSTOWN PARKWAY STE 304AddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200034091EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SYNERGY HEALTH CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSYNEBusinessNameControlTxt
Phone2693231954PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 HARRISON STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonVALARIE CUNNINGHAMPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2693231954PhoneNum
Signature2021-11-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstVALARIEPersonFirstNm
Person LastCUNNINGHAMPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS J HORWATHPreparerPersonNm
PTINP00548822PTIN
Phone2693438180PhoneNum
Preparation2021-11-02PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Principal OfficerVALARIE CUNNINGHAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 HARRISON STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$599,925GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SYNERGYKZOO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionAT SYNERGY HEALTH CENTER WE PROVIDE CULTURALLY SENSITIVE MENTAL HEALTH, SUBSTANCE ABUSE AND WELLNESS SERVICES.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$290,278PYContributionsGrantsAmt
CY Contributions Grants$287,422CYContributionsGrantsAmt
PY Program Service Revenue$181,534PYProgramServiceRevenueAmt
CY Program Service Revenue$312,503CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$471,812PYTotalRevenueAmt
CY Total Revenue$599,925CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$124,414PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$175,250CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$33,257CYTotalFundraisingExpenseAmt
PY Other Expenses$126,143PYOtherExpensesAmt
CY Other Expenses$226,327CYOtherExpensesAmt
PY Total Expenses$250,557PYTotalExpensesAmt
CY Total Expenses$401,577CYTotalExpensesAmt
PY Revenues Less Expenses$221,255PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$198,348CYRevenuesLessExpensesAmt
Total Assets BOY$490,526TotalAssetsBOYAmt
Total Assets EOY$592,059TotalAssetsEOYAmt
Total Liabilities BOY$127,917TotalLiabilitiesBOYAmt
Total Liabilities EOY$273,133TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$362,609NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$318,926NetAssetsOrFundBalancesEOYAmt
MissionAT SYNERGY HEALTH CENTER WE PROVIDE CULTURALLY SENSITIVE MENTAL HEALTH, SUBSTANCE ABUSE AND WELLNESS SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$295,986ExpenseAmt
Revenue$312,503RevenueAmt
DescPROVIDED A FULL RANGE OF SERVICES TO CHILDREN, ADULTS, FAMILIES AND COUPLES IN MENTAL HEALTH. PROVIDED SUBSTANCE ABUSE & INTENSIVE OUTPATIENT SERVICES AND EARLY RECOVERY AND RELAPSE PREVENTION SERVICES TO THOSE THAT NEED TREATMENT FOR SUBSTANCE ABUSE.Desc
Total Program Service Expenses$295,986TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee9EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonVALARIE CUNNINGHAMPersonNm
Phone2693231954PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 HARRISON STREETAddressLine1Txt
CityKALAMAZOOCityNm
State AbbreviationMIStateAbbreviationCd
ZIP49007ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
VALARIE CUNNINGHAM
EXECUTIVE DI40.00Yes (X)$79,889$0$0
MELISSA FANNING
PRESIDENT0.50Yes (X)$0$0$0Yes (X)
LARRY EDMONDS JR
VICE PRESIDE0.50Yes (X)$0$0$0Yes (X)
NICOLE JENNINGS
BOARD MEMBER0.50$0$0$0Yes (X)
TIAUNA ROSS
BOARD MEMBER0.50$0$0$0Yes (X)
KYRA PARKER
BOARD MEMBER0.50$0$0$0Yes (X)
PATRICIA TAYLOR
BOARD MEMBER0.50$0$0$0Yes (X)
RON RAYON
ADVISOR0.50$0$0$0Yes (X)
DEBI HOWE
ADVISOR0.50$0$0$0Yes (X)
JON HOADLEY
ADVISOR0.50$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$79,889TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$28,750FederatedCampaignsAmt
All Other Contributions$258,672AllOtherContributionsAmt
Total Contributions$287,422TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONTRACTUAL AGENCIES621400$172,839$172,839
MEDICAID INSURANCE$64,707$64,707
PRIVATE INSURANCE$31,947$31,947
OTHER$25,848$25,848
MEDICARE INSURANCE$17,162$17,162
FieldValueIRS element (for citing)
Total Program Service Revenue$312,503TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$599,925TotalRevenueColumnAmt
Related Or Exempt Func Income$312,503RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,889TotalAmt
Program Services$39,945ProgramServicesAmt
Management And General$19,972ManagementAndGeneralAmt
Fundraising$19,972FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$78,581TotalAmt
Program Services$55,136ProgramServicesAmt
Management And General$19,646ManagementAndGeneralAmt
Fundraising$3,799FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$16,780TotalAmt
Program Services$10,068ProgramServicesAmt
Management And General$4,195ManagementAndGeneralAmt
Fundraising$2,517FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,300TotalAmt
Management And General$6,300ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,210TotalAmt
Program Services$3,210ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,184TotalAmt
Program Services$2,510ProgramServicesAmt
Management And General$1,047ManagementAndGeneralAmt
Fundraising$627FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,152TotalAmt
Program Services$1,891ProgramServicesAmt
Management And General$788ManagementAndGeneralAmt
Fundraising$473FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,457TotalAmt
Program Services$2,674ProgramServicesAmt
Management And General$1,114ManagementAndGeneralAmt
Fundraising$669FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$107TotalAmt
Program Services$64ProgramServicesAmt
Management And General$27ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,182TotalAmt
Management And General$7,182ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,074TotalAmt
Program Services$13,074ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,756TotalAmt
Program Services$9,239ProgramServicesAmt
Management And General$323ManagementAndGeneralAmt
Fundraising$194FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACTUAL FEES$106,890$106,890
SERENITY HOUSE$31,752$31,752
REPAIRS AND MAINTENANCE$10,507$10,507
MISCELLANEOUS EXPENSE$9,255$9,255

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,501TotalAmt
Program Services$9,026ProgramServicesAmt
Management And General$2,485ManagementAndGeneralAmt
Fundraising$4,990FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$401,577TotalAmt
Program Services$295,986ProgramServicesAmt
Management And General$72,334ManagementAndGeneralAmt
Fundraising$33,257FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$192,841BOYAmt
EOY$81,738EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$105,709EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$465,700LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$61,088LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,685BOYAmt
EOY$404,612EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$490,526BOYAmt
EOY$592,059EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$19,361EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$126,646BOYAmt
EOY$253,772EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,271BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$127,917BOYAmt
EOY$273,133EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$362,609BOYAmt
EOY$318,926EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$362,609BOYAmt
EOY$318,926EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$490,526BOYAmt
EOY$592,059EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$198,348ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$242,031PriorPeriodAdjustmentsAmt
Method Of Accounting OtherYes (X)MethodOfAccountingOtherInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$119,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,222CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,278CurrentTaxYearMinus1YearAmt
Current Tax Year$287,422CurrentTaxYearAmt
Total$1,018,249TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$119,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,586CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,222CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,278CurrentTaxYearMinus1YearAmt
Current Tax Year$287,422CurrentTaxYearAmt
Total$1,018,249TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$471,905SubstantialContributorsTotAmt
Public Support Total170$546,344PublicSupportTotal170Amt
Total Support$1,018,249TotalSupportAmt
Gross Receipts Rltd Activities$1,044,176GrossReceiptsRltdActivitiesAmt
Public Support CY1700.53660PublicSupportCY170Pct
Public Support PY1700.66250PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,000OtherCostOrOtherBasisAmt
Book Value$34,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,000OtherCostOrOtherBasisAmt
Depreciation$36,525DepreciationAmt
Book Value$269,475BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$110,556OtherCostOrOtherBasisAmt
Depreciation$13,982DepreciationAmt
Book Value$96,574BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,519OtherCostOrOtherBasisAmt
Depreciation$9,464DepreciationAmt
Book Value$4,055BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,625OtherCostOrOtherBasisAmt
Depreciation$1,117DepreciationAmt
Book Value$508BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$404,612TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS REVIEWS THE 990 FORM PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE BOARD OF DIRECTORS SIGNS A CONFLICT OF INTEREST POLICY ANNUALLY.
FORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS COMPLETES AN ANNUAL PERFORMANCE REVIEW AND APPROVES SALARY OF EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 19990 AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE TO PUBLIC WITHIN 30 DAYS UPON WRITTEN REQUEST