MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MATAGORDA REGIONAL MEDICAL CENTER FOUNDATION (EIN 20-1101495)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2016-05-16
- IRS object ID
- 201621379349300987
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-16T09:20:02-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 760666239 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRANKSON AND GRIFFITH CPA'S | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2245 AVENUE G | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 774145037 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201101495 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA REGIONAL MEDICAL | BusinessNameLine1 |
| Business Name Line2 | CENTER FOUNDATION | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MATA | BusinessNameControlTxt |
| Phone | 9792416524 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 7TH STREET | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN SMITH | PersonNm |
| Person Title | DIRECTOR | PersonTitleTxt |
| Phone | 9792416524 | PhoneNum |
| Signature | 2016-05-11 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL D GRIFFITH CPA | PreparerPersonNm |
| PTIN | P00821386 | PTIN |
| Phone | 9792459236 | PhoneNum |
| Preparation | 2016-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | STEVEN SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 7TH STREET | AddressLine1 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $163,737 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | TX | LegalDomicileStateCd |
| Activity Or Mission | TO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSES OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVERNMENTAL UNIT OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V). | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $158,598 | PYContributionsGrantsAmt |
| CY Contributions Grants | $163,362 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $229 | PYInvestmentIncomeAmt |
| CY Investment Income | $375 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $158,827 | PYTotalRevenueAmt |
| CY Total Revenue | $163,737 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $32,414 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $38,378 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $27,083 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,000 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $50,122 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $81,847 | PYOtherExpensesAmt |
| CY Other Expenses | $65,620 | CYOtherExpensesAmt |
| PY Total Expenses | $141,344 | PYTotalExpensesAmt |
| CY Total Expenses | $128,998 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,483 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $34,739 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $330,403 | TotalAssetsBOYAmt |
| Total Assets EOY | $365,142 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $330,403 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $365,142 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSES OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVERNMENTAL UNIT OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V). | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $78,461 | ExpenseAmt |
| Grant | $38,378 | GrantAmt |
| Desc | TO BENEFIT, CARRYOUT, SUPPORT, AND/OR PERFORM THE SCIENTIFIC, EDUCATIONAL AND CHARITABLE PURPOSE OF THE MATAGORDA COUNTY HOSPITAL DISTRICT, A GOVENMENTAL UNIT OF THE STATE OF TEXAS DESCRIBED IN IRC 170(B)(1)(A)(V). | Desc |
| Total Program Service Expenses | $78,461 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | 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 | false | 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 | Yes (true) | 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELANIE BOENING | PersonNm |
| Phone | 9792415534 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 7TH ST | AddressLine1 |
| Address Line2 | 104 7TH ST | AddressLine2 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | TitleTitleTxt |
|---|---|---|---|---|
| BOB WATTS | ||||
| Yes (X) | $0 | $0 | $0 | |
| JAN JOHNSON | ||||
| Yes (X) | $0 | $0 | $0 | PRES |
| GINGER HARVEY | ||||
| Yes (X) | $0 | $0 | $0 | SEC/TREAS |
| BECKY JOHNSON | ||||
| Yes (X) | $0 | $0 | $0 | |
| CAROLYN SALAZAR | ||||
| Yes (X) | $0 | $0 | $0 | |
| JEANNE PAPPAS | ||||
| Yes (X) | $0 | $0 | $0 | |
| JEANETTE OPELLA | ||||
| Yes (X) | $0 | $0 | $0 | |
| ANN SAHA | ||||
| Yes (X) | $0 | $0 | $0 | V PRES |
| PAT SYMMANK | ||||
| Yes (X) | $0 | $0 | $0 | |
| BETTY SCURLOCK | ||||
| Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $163,362 | AllOtherContributionsAmt |
| Total Contributions | $163,362 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $375 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $375 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $163,737 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $375 | RelatedOrExemptFuncIncomeAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,378 | TotalAmt |
| Program Services | $38,378 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,000 | TotalAmt |
| Program Services | $25,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $830 | TotalAmt |
| Program Services | $415 | ProgramServicesAmt |
| Management And General | $415 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,285 | TotalAmt |
| Program Services | $10,285 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,475 | TotalAmt |
| Program Services | $3,475 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283 | TotalAmt |
| Program Services | $283 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt |
|---|---|---|
| GOLF TOURNAMENT EXP | $19,759 | $19,759 |
| CONCERT SERIES | $10,520 | $10,520 |
| EMPLOYEE GIVING CAMPAIGN | $8,804 | $8,804 |
| POWER OF THE PURSE | $8,716 | $8,716 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,948 | TotalAmt |
| Program Services | $625 | ProgramServicesAmt |
| Fundraising | $2,323 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,998 | TotalAmt |
| Program Services | $78,461 | ProgramServicesAmt |
| Management And General | $415 | ManagementAndGeneralAmt |
| Fundraising | $50,122 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,403 | BOYAmt |
| EOY | $365,142 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,403 | BOYAmt |
| EOY | $365,142 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,403 | BOYAmt |
| EOY | $365,142 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,403 | BOYAmt |
| EOY | $365,142 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $330,403 | BOYAmt |
| EOY | $365,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $34,739 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA REGIONAL MEDICAL CENTER | BusinessNameLine1 |
| Business Name Line2 | MATAGORDA REGIONAL MEDICAL CENTER | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 746025069 | EIN |
| Organization Type | 3 | OrganizationTypeDesc |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (true) | SupportedOrgNotifiedInd |
| US Organized | Yes (true) | USOrganizedInd |
| Support | $38,378 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $38,378 | SupportSumAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATAGORDA COUNTY HOSPITAL DISTRICT | BusinessNameLine1 |
| Business Name Line2 | MATAGORDA COUNTY HOSPITAL DISTRICT | BusinessNameLine2 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 SEVENTH ST | AddressLine1 |
| Address Line2 | 104 SEVENTH ST | AddressLine2 |
| City | BAY CITY | City |
| State | TX | State |
| ZIP Code | 77414 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 746025069 | RecipientEIN |
| Cash Grant | $38,378 | CashGrantAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Purpose Of Grant | PURCHASE EQUIPMENT | PurposeOfGrantTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM B | THE RETURN IS AMENDED TO CORRECT THE CLASSIFICATION ON SCHEDULE A PART 1 BOX 11 D TO BOX C. THIS IS A CHANGE FROM A 509(A)(3) NON-FUNCTIONALLY INTEGRATED TO A 509(A)(3) FUNCTIONALLY INTEGRATED. THE FOUNDATIONN'S LEGAL COUNSEL PROVIDED A LEGAL OPINION AS TO THIS DETERMINATION RECOMMENDING AN AMENDED RETURN BE FILED PROPERLY REFLECTING THE ACCURATE CLASSIFICATION ON THE 990. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE DIRECTOR REVIEWS THE RETURN BEFORE FILING |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON WRITTEN REQUEST TO THE OFFICE |
| FORM 990, PART XI, LINE 9 | PRIOR PERIOD ADJUSTMENT 0 |