ASERACARE HOSPICE FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ASERACARE HOSPICE FOUNDATION (EIN 31-1476580)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-15
IRS object ID: 201713199349310271
Schema version: 2016v3.0
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 B
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-15T13:38:20-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	710355269	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BEALL BARCLAY & COMPANY PLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 10148	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	729170148	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311476580	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ASERACARE HOSPICE FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ASER	BusinessNameControlTxt
Phone	4794945762	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 180427	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72913	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RICHARD HOLLAND	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	4797933181	PhoneNum
Signature	2017-11-15	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LETITIA S TALKINGTON	PreparerPersonNm
PTIN	P00082380	PTIN
Phone	4794845740	PhoneNum
Preparation	2017-11-14	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	209.183.161.2	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-15	IPDt
IP Tm	11:11:36	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	42EC9C4FBD4A8DDFB5CF33E07AE8F663C8A5A4C5	AtSubmissionCreationDeviceId
At Submission Filing Device Id	A0FB67CD68857A7F09D16863A4970524BC0EC454	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	RICHARD HOLLAND	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 17004	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	729177004	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$122,266	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1996	FormationYr
Legal Domicile State	AR	LegalDomicileStateCd
Activity Or Mission	TO HELP NEEDY INDIVIDUALS OBTAIN HOSPICE CARE	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$142,105	PYContributionsGrantsAmt
CY Contributions Grants	$110,907	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$15,667	PYInvestmentIncomeAmt
CY Investment Income	$11,359	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$157,772	PYTotalRevenueAmt
CY Total Revenue	$122,266	CYTotalRevenueAmt
PY Grants And Similar Paid	$125,518	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$98,651	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,000	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,000	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,186	PYOtherExpensesAmt
CY Other Expenses	$24,030	CYOtherExpensesAmt
PY Total Expenses	$157,704	PYTotalExpensesAmt
CY Total Expenses	$128,681	CYTotalExpensesAmt
PY Revenues Less Expenses	$68	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,415	CYRevenuesLessExpensesAmt
Total Assets BOY	$658,850	TotalAssetsBOYAmt
Total Assets EOY	$652,435	TotalAssetsEOYAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$658,850	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$652,435	NetAssetsOrFundBalancesEOYAmt
Mission	NONE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$128,681	ExpenseAmt
Grant	$98,651	GrantAmt
Desc	TO ASSIST HOSPICE ORGANIZATIONS, HEALTHCARE AGENCIES, AND OTHER CHARITABLE ORGANIZATIONS THAT PROVIDE SERVICES AND RELATED ACTIVITIES TO INDIGENT PATIENTS AND THEIR FAMILIES OR PROVIDE COMMUNITY EDUCATION OF HOSPICE SERVICES.	Desc
Total Program Service Expenses	$128,681	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	2	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	0	ConflictOfInterestPolicyInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BEALL BARCLAY & COMPANY PLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4794845740	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3101 SOUTH 70TH STREET	AddressLine1Txt
City	FORT SMITH	CityNm
State Abbreviation	AR	StateAbbreviationCd
ZIP	72903	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
JIM PETRUS
PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
LINDA COLE
EXECUTIVE DIRECTOR	10.00	Yes (X)		$6,000	$0	$0
RICHARD HOLLAND
TREASURER	1.00	Yes (X)	Yes (X)	$0	$0	$0
CHERI EDWARDS
VICE-PRESIDENT	1.00	Yes (X)	Yes (X)	$0	$0	$0
RANDY JAY
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
DEBBIE MORRIS
FINANCIAL DIRECTOR	1.00	Yes (X)	Yes (X)	$0	$0	$0
ZENA MARSHALL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
BILL KROPP
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CHARLES PENNINGTON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,000	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$110,907	AllOtherContributionsAmt
Total Contributions	$110,907	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,359	TotalRevenueColumnAmt
Exclusion	$11,359	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$122,266	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$11,359	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$98,651	TotalAmt
Program Services	$98,651	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Program Services	$6,000	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$18,190	TotalAmt
Program Services	$18,190	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,190	TotalAmt
Program Services	$1,190	ProgramServicesAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,150	TotalAmt
Program Services	$1,150	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,500	TotalAmt
Program Services	$3,500	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$128,681	TotalAmt
Program Services	$128,681	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$658,850	BOYAmt
EOY	$652,435	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$658,850	BOYAmt
EOY	$652,435	EOYAmt

Total Liabilities TotalLiabilitiesGrp

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

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$658,850	BOYAmt
EOY	$652,435	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$658,850	BOYAmt
EOY	$652,435	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$658,850	BOYAmt
EOY	$652,435	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$6,415	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$229,357	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$183,319	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$166,401	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$142,105	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110,907	CurrentTaxYearAmt
Total	$832,089	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$229,357	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$183,319	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$166,401	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$142,105	CurrentTaxYearMinus1YearAmt
Current Tax Year	$110,907	CurrentTaxYearAmt
Total	$832,089	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$832,089	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,722	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,283	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,066	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,667	CurrentTaxYearMinus1YearAmt
Current Tax Year	$11,359	CurrentTaxYearAmt
Total	$57,097	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$889,186	TotalSupportAmt
Public Support CY170	0.93580	PublicSupportCY170Pct
Public Support PY170	0.95180	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALZHEIMERS ASSOCIATION
1500 S 70TH STE 201	LINCOLN	NE	68506	133039601	501(C)(3)	$12,500	IN ACCORDANCE WITH STATED PURPOSE OF ENTITY
AMERICAN CANCER SOCIETY
5733 S 34TH STREET	LINCOLN	NE	68516	741185665	501(C)(3)	$1,000	IN ACCORDANCE WITH STATED PURPOSE OF ENTITY
AMERICAN CANCER SOCIETY
200 CHARLOTTE AVE	NASHVILLE	TN	37203	131788491	501(C)(3)	$4,000	IN ACCORDANCE WITH STATED PURPOSE OF ENTITY
ALZHEIMERS ASSOCIATION
550 W ALLUVIAL	FRESNO	CA	93711	942897949	501(C)(3)	$7,000	IN ACCORDANCE WITH STATED PURPOSE OF ENTITY

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE COMPLETED RETURN IS BROUGHT TO THE BOARD MEETING TO BE SIGNED AND IS AVAILABLE FOR ALL MEMBERS AT THIS TIME.
FORM 990, PART VI, SECTION C, LINE 19	ALL DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST