AMADOR HEALTH CENTER INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- AMADOR HEALTH CENTER INC (EIN 85-0413619)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-03-03
- IRS object ID
- 201630639349300138
- Schema version
- 2014v6.0
- 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 | 2016-03-03T18:28:47-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 850438493 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFFORD ROSS & COOPER LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1155 COMMERCE DR E | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 880118257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 850413619 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HEALTH CARE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 W AMADOR AVENUE | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY ANN DIGMAN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Signature | 2016-02-10 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DENISE S COOPER | PreparerPersonNm |
| PTIN | P00638825 | PTIN |
| Phone | 5755241040 | PhoneNum |
| Preparation | 2016-02-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY ANN DIGMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 W AMADOR | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $274,571 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | THE ORGANIZATION ADDRESSES THE NON-EMERGENCY HEALTH CARE NEEDS OF HOMELESS AND INDIGENT PERSONS LIVING WITHIN DONA ANA COUNTY OF NEW MEXICO. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 8 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $259,330 | PYContributionsGrantsAmt |
| CY Contributions Grants | $231,894 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $5,765 | CYProgramServiceRevenueAmt |
| PY Investment Income | $65 | PYInvestmentIncomeAmt |
| CY Investment Income | $33 | CYInvestmentIncomeAmt |
| CY Other Revenue | $30,236 | CYOtherRevenueAmt |
| PY Total Revenue | $259,395 | PYTotalRevenueAmt |
| CY Total Revenue | $267,928 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $207,397 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $194,671 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $188,129 | PYOtherExpensesAmt |
| CY Other Expenses | $90,601 | CYOtherExpensesAmt |
| PY Total Expenses | $395,526 | PYTotalExpensesAmt |
| CY Total Expenses | $285,272 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$136,131 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$17,344 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $186,107 | TotalAssetsBOYAmt |
| Total Assets EOY | $222,837 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,527 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,720 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $178,580 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $214,117 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION ADDRESSES THE NON-EMERGENCY HEALTH CARE NEEDS OF HOMELESS AND INDIGENT PERSONS LIVING WITHIN DONA ANA COUNTY OF NEW MEXICO. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $246,976 | ExpenseAmt |
| Revenue | $267,928 | RevenueAmt |
| Desc | ST. LUKE'S PROVIDES NON-EMERGENCY HEALTH CARE TO THE HOMELESS AND INDIGENT OF DONA ANA COUNTY IN NEW MEXICO. | Desc |
| Total Program Service Expenses | $246,976 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | 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 | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | Yes (true) | 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 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 | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 8 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
| States Where Copy Of Return Is Fld | NM | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST LUKE'S HEALTH CARE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5755275482 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 944 W AMADOR | AddressLine1Txt |
| City | LAS CRUCES | CityNm |
| State Abbreviation | NM | StateAbbreviationCd |
| ZIP | 88005 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| PAMELA ANGELL | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $59,696 | $0 | $0 | |
| REBECCA MUMPOWER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RUTH JAURE | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LISA MASTERSON | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DR PATRICK LEUNG | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN KUTINAC | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SENATOR MARY KAY PAPEN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ANN DIGMAN | ||||||
| PRESIDENT | $0 | $0 | $0 | Yes (X) | ||
| STEPHANIE BENSON | ||||||
| VICE-PRESIDE | $0 | $0 | $0 | Yes (X) | ||
| KATHERINE KEMMER | ||||||
| SECRETARY | $0 | $0 | $0 | Yes (X) | ||
| CHARLES ROBERTS | ||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $59,696 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $27,032 | GovernmentGrantsAmt |
| All Other Contributions | $204,862 | AllOtherContributionsAmt |
| Total Contributions | $231,894 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE REVENUE | Desc |
| Total Revenue Column | $5,765 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,765 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,765 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $33 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $36,879 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $6,643 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,236 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $267,928 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,798 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,696 | TotalAmt |
| Program Services | $59,696 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,644 | TotalAmt |
| Program Services | $79,916 | ProgramServicesAmt |
| Management And General | $22,728 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,062 | TotalAmt |
| Program Services | $16,393 | ProgramServicesAmt |
| Management And General | $2,669 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,269 | TotalAmt |
| Program Services | $11,411 | ProgramServicesAmt |
| Management And General | $1,858 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,400 | TotalAmt |
| Program Services | $8,084 | ProgramServicesAmt |
| Management And General | $1,316 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200 | TotalAmt |
| Program Services | $172 | ProgramServicesAmt |
| Management And General | $28 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,876 | TotalAmt |
| Program Services | $5,053 | ProgramServicesAmt |
| Management And General | $823 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| UTILITIES | $14,839 | $12,762 | $2,077 |
| CLIENT SERVICES | $13,436 | $11,555 | $1,881 |
| PRESCRIPTION MEDICATIONS | $11,730 | $11,730 | |
| CONTRACT LABOR | $10,826 | $9,310 | $1,516 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,294 | TotalAmt |
| Program Services | $20,894 | ProgramServicesAmt |
| Management And General | $3,400 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $285,272 | TotalAmt |
| Program Services | $246,976 | ProgramServicesAmt |
| Management And General | $38,296 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,737 | BOYAmt |
| EOY | $99,242 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,002 | BOYAmt |
| EOY | $15,133 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,857 | BOYAmt |
| EOY | $77,449 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,391 | BOYAmt |
| EOY | $4,218 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $47,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,533 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,821 | BOYAmt |
| EOY | $1,098 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,299 | BOYAmt |
| EOY | $25,697 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,107 | BOYAmt |
| EOY | $222,837 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527 | BOYAmt |
| EOY | $8,720 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,527 | BOYAmt |
| EOY | $8,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $156,281 | BOYAmt |
| EOY | $188,420 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,299 | BOYAmt |
| EOY | $25,697 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,580 | BOYAmt |
| EOY | $214,117 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $186,107 | BOYAmt |
| EOY | $222,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$17,344 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,398 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $49,483 | DonatedServicesAndUseFcltsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | 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 | $255,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $338,227 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $282,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $259,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $231,894 | CurrentTaxYearAmt |
| Total | $1,367,685 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $255,891 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $338,227 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $282,343 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $259,330 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $231,894 | CurrentTaxYearAmt |
| Total | $1,367,685 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,367,685 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $110 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $48 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $65 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33 | CurrentTaxYearAmt |
| Total | $345 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,368,030 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $42,677 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99970 | PublicSupportCY170Pct |
| 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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,299 | BeginningYearBalanceAmt |
| Contributions | $3,398 | ContributionsAmt |
| End Year Balance | $25,697 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,872 | BeginningYearBalanceAmt |
| Contributions | $4,427 | ContributionsAmt |
| End Year Balance | $22,299 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,872 | BeginningYearBalanceAmt |
| End Year Balance | $17,872 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,872 | BeginningYearBalanceAmt |
| End Year Balance | $17,872 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,819 | BeginningYearBalanceAmt |
| Contributions | $1,053 | ContributionsAmt |
| End Year Balance | $17,872 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $500 | OtherCostOrOtherBasisAmt |
| Depreciation | $500 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,038 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,940 | DepreciationAmt |
| Book Value | $1,098 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,093 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,093 | DepreciationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,098 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ENDOWMENT | Desc |
| Book Value | $25,697 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,697 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $611,375 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $3,398 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $340,049 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $343,447 | RevenueNotReportedAmt |
| Revenue Subtotal | $267,928 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $267,928 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $575,838 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $290,566 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $290,566 | ExpensesNotReportedAmt |
| Expenses Subtotal | $285,272 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $285,272 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | RUN WITH DOC | Event1Nm |
| Gross Receipts Event1 | $32,614 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $32,614 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $6,643 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $32,614 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $32,614 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,643 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $6,643 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $25,971 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE BOARD OF DIRECTORS REVIEWS THE RETURN AFTER FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE 990 IS MADE AVAILABLE FOR REVIEW UPON REQUEST. |