ALLIANCE OF TBI & NHTD WAIVER PROVIDERS INC: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- ALLIANCE OF TBI & NHTD WAIVER PROVIDERS INC (EIN 45-3027739)
- Tax period
- 2019-04-01 to 2020-03-31
- Filed
- 2020-08-05
- IRS object ID
- 202002189349200115
- Schema version
- 2019v5.1
- 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 | 2020-08-05T09:23:21-07:00 | ReturnTs |
| Tax Period End | 2020-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
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 | 2019-04-01 | 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 | 2020-05-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELINE CHARETTE | PreparerPersonNm |
| PTIN | P00139254 | PTIN |
| Phone | 3156924033 | PhoneNum |
| Preparation | 2020-08-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.97.107.98 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-05 | IPDt |
| IP Tm | 09:23:12 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B971EBDFDC50CD16373B175C7E3866094D90F081 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CDBD22CF5BC792587638354F79D2FECD20CE327B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | 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 | $196,625 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $145,690 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $12,185 | ProgramServiceRevenueAmt |
| Membership Dues | $38,750 | 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 | $196,625 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $39,000 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $145,960 | FeesAndOtherPymtToIndCntrctAmt |
| Other Expenses Total | $11,720 | OtherExpensesTotalAmt |
| Total Expenses | $196,680 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$55 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $14,548 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,493 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,075 | BOYAmt |
| EOY | $39,597 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,473 | BOYAmt |
| EOY | $10,039 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,548 | BOYAmt |
| EOY | $49,636 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,000 | BOYAmt |
| EOY | $35,143 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,548 | BOYAmt |
| EOY | $14,493 | 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 (14 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 |
| SEAN DWYER | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| NATALIA GONZALEZ | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JESSICA HOLMES | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| OSBOURNE MALCOLM | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JEFF SINSEBOX | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| MOLLY GOODWIN | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| BRIAN STEIN | ||||
| DIRECTOR | 1.00 | $0 | $0 | $0 |
| JIM WATSON | ||||
| 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 | false | 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990EZ, Part I, Line 16 | WEBSITE 1625. |
| Form 990EZ, Part I, Line 16 | FILING FEES 125. |
| Form 990EZ, Part I, Line 16 | INSURANCE 756. |
| Form 990EZ, Part I, Line 16 | TRAVEL 847. |
| Form 990EZ, Part I, Line 16 | OFFICE EXPENSES 502. |
| Form 990EZ, Part I, Line 16 | OPERATING EXPENSES 1232. |
| Form 990EZ, Part I, Line 16 | CONFERENCE EXPENSES 6633. |
| Form 990EZ, Part II, Line 24 | ACCOUNTS RECEIVABLE 6473. 9789. |
| Form 990EZ, Part II, Line 24 | DEPOSIT - CONFERENCE 0. 250. |
| Form 990EZ, Part II, Line 26 | ACCOUNTS PAYABLE 3500. 8500. |
| Form 990EZ, Part II, Line 26 | PREPAID MEMBERSHIP DUES 29500. 26643. |