INTERNATIONAL HEALTH EMISSARIES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: INTERNATIONAL HEALTH EMISSARIES INC (EIN 77-0529030)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-05-17
IRS object ID: 202131379349304128
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
Form 990
Schedule A
Schedule D
Schedule F
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-05-17T10:17:58-07:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	822720608	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Kathy Davi CPA PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	484 Washington St Ste F	AddressLine1Txt
City	Monterey	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	770529030	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	INTERNATIONAL HEALTH EMISSARIES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	INTE	BusinessNameControlTxt
Phone	8316478742	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8 SOMMERSET RISE	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN FAIA III	PersonNm
Person Title	President	PersonTitleTxt
Signature	2021-05-17	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JOHN FAIA	PersonFirstNm
Person Last	III	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kathy Davi CPA	PreparerPersonNm
PTIN	P00667515	PTIN
Phone	8313240530	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8 SOMMERSET RISE	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$49,621	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTP://INTERNATIONALHEALTHEMISSARIES.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2000	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE DENTAL AND MEDICAL SERVICES AT NO COST TO INDIGENT PEOPLE THROUGHOUT THE WORLD AND PROVIDE AN OPPORTUNITY FOR US VOLUNTEERS TO REPRESENT THE UNITED STATES.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$24,627	PYContributionsGrantsAmt
CY Contributions Grants	$5,584	CYContributionsGrantsAmt
PY Program Service Revenue	$137,239	PYProgramServiceRevenueAmt
CY Program Service Revenue	$43,668	CYProgramServiceRevenueAmt
PY Investment Income	$1,645	PYInvestmentIncomeAmt
CY Investment Income	$369	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$163,511	PYTotalRevenueAmt
CY Total Revenue	$49,621	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,100	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$30,750	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid	$0	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$55	CYTotalFundraisingExpenseAmt
PY Other Expenses	$123,161	PYOtherExpensesAmt
CY Other Expenses	$14,001	CYOtherExpensesAmt
PY Total Expenses	$143,261	PYTotalExpensesAmt
CY Total Expenses	$44,751	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,250	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,870	CYRevenuesLessExpensesAmt
Total Assets BOY	$150,739	TotalAssetsBOYAmt
Total Assets EOY	$152,509	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$150,739	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$152,509	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDE DENTAL AND MEDICAL SERVICES AT NO COST TO INDIGENT PEOPLE THROUGHOUT THE WORLD AND PROVIDE AN OPPORTUNITY FOR US VOLUNTEERS TO REPRESENT THE UNITED STATES.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$41,008	ExpenseAmt
Grant	$30,750	GrantAmt
Revenue	$43,668	RevenueAmt
Desc	PROVIDE ANNUAL HEALTH SERVICE TRIPS WORKING WITH REPRESENTATIVES FROM HOST COUNTRIES TO PROVIDE NO COST MEDICAL AND DENTAL SERVICES AND TREATMENTS TO INDIGENTS IN REMOTE AREAS WHO OTHERWISE WOULD NOT HAVE ACCESS TO SUCH HEALTHCARE SERVICES.	Desc
Total Program Service Expenses	$41,008	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	JOHN FAIA III	PersonNm
Phone	8316471329	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8 SOMMERSET RISE	AddressLine1Txt
City	MONTEREY	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	93940	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
MELISSA BURDICK
BOARD MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
LORRAINE NARDONE
Secretary	1.00	0.00		$0	$0	$0	Yes (X)
DR JOHN FAIA III
President	5.00	0.00		$0	$0	$0	Yes (X)
DR RONALD FAIA
Vice President	1.00	0.00		$0	$0	$0	Yes (X)
Dr Richard Robinson
Chairman	1.00	0.00		$0	$0	$0	Yes (X)
DR TONY CAVA
ASST. TREASURER	1.00	0.00		$0	$0	$0	Yes (X)
DR MARK BAYLESS
ASST. SECRETARY	1.00	0.00		$0	$0	$0	Yes (X)
Patricial Dougherty
board member	1.00	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$5,584	AllOtherContributionsAmt
Total Contributions	$5,584	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	MISSION /PROJECT DONATION	Desc
Business	624100	BusinessCd
Total Revenue Column	$43,668	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,668	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$43,668	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$369	TotalRevenueColumnAmt
Related Or Exempt Func Income	$369	RelatedOrExemptFuncIncomeAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,621	TotalRevenueColumnAmt
Related Or Exempt Func Income	$44,037	RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$30,750	TotalAmt
Program Services	$30,750	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,195	TotalAmt
Management And General	$1,195	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,400	TotalAmt
Program Services	$700	ProgramServicesAmt
Management And General	$700	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,459	TotalAmt
Program Services	$5,459	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$954	TotalAmt
Program Services	$954	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,559	TotalAmt
Management And General	$1,559	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
DENTAL SUPPLIES	$3,145	$3,145
BANK CHARGES	$174		$174
TAXES & LICENSE	$60		$60
FUNDRAISING	$55			$55

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$44,751	TotalAmt
Program Services	$41,008	ProgramServicesAmt
Management And General	$3,688	ManagementAndGeneralAmt
Fundraising	$55	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$71,094	BOYAmt
EOY	$73,449	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$78,692	BOYAmt
EOY	$79,061	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

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

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$43,725	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$43,726	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$953	BOYAmt
EOY	-$1	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

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

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$150,739	BOYAmt
EOY	$152,509	EOYAmt

Total Liabilities TotalLiabilitiesGrp

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

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$150,189	BOYAmt
EOY	$151,959	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$550	BOYAmt
EOY	$550	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,739	BOYAmt
EOY	$152,509	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$150,739	BOYAmt
EOY	$152,509	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,870	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$3,100	PriorPeriodAdjustmentsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$43,640	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$38,843	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$45,922	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$24,627	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,584	CurrentTaxYearAmt
Total	$158,616	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$189,622	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$168,124	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$110,780	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$137,239	CurrentTaxYearMinus1YearAmt
Current Tax Year	$43,668	CurrentTaxYearAmt
Total	$649,433	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$233,262	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$206,967	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$156,702	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$161,866	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,252	CurrentTaxYearAmt
Total	$808,049	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,488	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,599	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,301	CurrentTaxYearMinus1YearAmt
Current Tax Year	$12,816	CurrentTaxYearAmt
Total	$92,204	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,105	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$28,477	CurrentTaxYearMinus2YearsAmt
Current Tax Year	$4,618	CurrentTaxYearAmt
Total	$46,200	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$48,593	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$49,076	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,301	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,434	CurrentTaxYearAmt
Total	$138,404	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$669,645	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$191	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$594	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,360	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$369	CurrentTaxYearAmt
Total	$4,159	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$191	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$594	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,360	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,645	CurrentTaxYearMinus1YearAmt
Current Tax Year	$369	CurrentTaxYearAmt
Total	$4,159	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$233,453	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$207,561	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$158,062	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$163,511	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,621	CurrentTaxYearAmt
Total	$812,208	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.82450	PublicSupportCY509Pct
Public Support PY509	0.80970	PublicSupportPY509Pct
Investment Income CY	0.00510	InvestmentIncomeCYPct
Investment Income PY	0.00380	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,725	OtherCostOrOtherBasisAmt
Depreciation	$43,726	DepreciationAmt
Book Value	-$1	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	-$1	TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

Purpose Of GrantPurposeOfGrantTxt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt
PROMOTE	CHECK
PROMOTE	CHECK

Field	Value	IRS element (for citing)
Total Other Org	2	TotalOtherOrgCnt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et	EXPLANATION: FOUR OF THE OFFICERS ARE FAMILY MEMBERS.
Form 990, Part VI, Line 11b: Form 990 Review Process	EXPLANATION: REVIEW OF 990 TAKES PLACE AT BOARD MEETINGS.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	EXPLANATION: GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.