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SOUTHERN TIER HEALTH CARE SYSTEM INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN TIER HEALTH CARE SYSTEM INC (EIN 16-1469489)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-08-05
IRS object ID
201642189349300889
Schema version
2015v2.1
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

FieldValueIRS element (for citing)
Return2016-08-05T15:51:46-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161117932PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUFFAMANTE WHIPPLE BUTTAFARO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1130 SOUTH UNION STREET SUITE 200AddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161469489EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOUTHERN TIER HEALTH CARE SYSTEM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone7163720614PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BLUEBIRD SQUAREAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONNA KAHMPersonNm
Person TitleCEOPersonTitleTxt
Phone7163720614PhoneNum
Signature2016-08-05SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAVID V DITANNA CPAPreparerPersonNm
PTINP01368498PTIN
Phone7163721620PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONNA KAHMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BLUEBIRD SQUAREAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,233,803GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressSTHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO IMPROVE HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee19TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$970,601PYContributionsGrantsAmt
CY Contributions Grants$1,169,422CYContributionsGrantsAmt
PY Program Service Revenue$79,962PYProgramServiceRevenueAmt
CY Program Service Revenue$24,312CYProgramServiceRevenueAmt
PY Investment Income$854PYInvestmentIncomeAmt
CY Investment Income$1,059CYInvestmentIncomeAmt
PY Other Revenue$13,110PYOtherRevenueAmt
CY Other Revenue$37,204CYOtherRevenueAmt
PY Total Revenue$1,064,527PYTotalRevenueAmt
CY Total Revenue$1,231,997CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$641,466PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$715,211CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$369,438PYOtherExpensesAmt
CY Other Expenses$413,228CYOtherExpensesAmt
PY Total Expenses$1,010,904PYTotalExpensesAmt
CY Total Expenses$1,128,439CYTotalExpensesAmt
PY Revenues Less Expenses$53,623PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$103,558CYRevenuesLessExpensesAmt
Total Assets BOY$1,316,346TotalAssetsBOYAmt
Total Assets EOY$1,479,148TotalAssetsEOYAmt
Total Liabilities BOY$114,709TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,953TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,201,637NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,305,195NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$372,946ExpenseAmt
Revenue$396,735RevenueAmt
DescEMS TRAINING AND SERVICES, FLYCAR, GAMBLING EDUCATION AND OTHER HEALTH AND WELFARE PROGRAMS INCLUDING OTHER EXPENSES DIRECTLY RELATED TO THE ABOVE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$168,460ExpenseAmt
Revenue$246,729RevenueAmt
DescSUPPORT OF RURAL PRIMARY CARE HOSPITALS, EMERGENCY CARE FACILITIES, AND A CHILD ADVOCACY CENTER, INCLUDING GENERAL MONETARY SUPPORT FOR THOSE FACILITIES IN NEED.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$164,766ExpenseAmt
Revenue$163,434RevenueAmt
DescTO PROVIDE SERVICES TO VICTIMS OF CHILD ABUSE AND NEGLECT AND NON-OFFENDING FAMILY MEMBERS; EDUCATE PROFESSIONALS IN EVIDENCE-BASED TREATMENTS; INVESTIGATE THE CAUSES OF PREVENTABLE AND ACCIDENTAL CHILD DEATHS; EDUCATE PROFESSIONALS AND COMMUNITY MEMBERS TO PREVENT SIMILAR CHILD DEATHS; IMPROVE THE HEALTH AND SAFETY OF CHILDREN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$341,029ExpenseAmt
Revenue$391,704RevenueAmt
DescCHILD ADVOCACY CENTER - PROVIDE ALL SERVICES TO ABUSED CHILDREN IN ONE SAFE PLACE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$341,029TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$391,704TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,047,201TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee19EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEATHER COYLEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7163720614PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE BLUE BIRD SQUAREAddressLine1Txt
CityOLEANCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14760ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANDREW BOSER
DIRECTOR0.00Yes (X)$0$0$0
DANIEL STRAUCH
DIRECTOR0.00Yes (X)$0$0$0
EVA BENEDICT
DIRECTOR0.00Yes (X)$0$0$0
CAROL MAHONEY
DIRECTOR0.00Yes (X)$0$0$0
TODD REISNER
DIRECTOR0.00Yes (X)$0$0$0
BETSY WRIGHT
DIRECTOR0.00Yes (X)$0$0$0
DR KEVIN WATKINS
DIRECTOR0.00Yes (X)$0$0$0Yes (X)
HOWARD HOWLETT
CHAIRMAN0.00Yes (X)$0$0$0Yes (X)
TOM HOLT
TREASURER0.00Yes (X)$0$0$0Yes (X)
TIMOTHY FINAN
SECRETARY0.00Yes (X)$0$0$0Yes (X)
DONNA KAHM
CEO37.00$116,022$0$22,935Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$116,022TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$22,935TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,016,513GovernmentGrantsAmt
All Other Contributions$152,909AllOtherContributionsAmt
Total Contributions$1,169,422TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
Business900099BusinessCd
Total Revenue Column$24,312TotalRevenueColumnAmt
Exclusion$24,312ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$24,312TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,059TotalRevenueColumnAmt
Exclusion$1,059ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,010FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,806FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$37,204TotalRevenueColumnAmt
Exclusion$37,204ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,231,997TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$62,575ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$116,022TotalAmt
Program Services$95,138ProgramServicesAmt
Management And General$20,884ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$422,736TotalAmt
Program Services$396,255ProgramServicesAmt
Management And General$26,481ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$51,701TotalAmt
Program Services$47,500ProgramServicesAmt
Management And General$4,201ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$90,116TotalAmt
Program Services$82,793ProgramServicesAmt
Management And General$7,323ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,636TotalAmt
Program Services$33,595ProgramServicesAmt
Management And General$1,041ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,545TotalAmt
Program Services$2,949ProgramServicesAmt
Management And General$596ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,633TotalAmt
Program Services$21,633ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSES$120,721$118,713$2,008
OPERATIONS$119,484$104,130$15,354
PROFESSIONAL FEES$118,020$116,097$1,923
NETWORK PROJECTS$27,416$26,451$965

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,409TotalAmt
Program Services$1,947ProgramServicesAmt
Management And General$462ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,128,439TotalAmt
Program Services$1,047,201ProgramServicesAmt
Management And General$81,238ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$202,092BOYAmt
EOY$205,074EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$677,761BOYAmt
EOY$789,836EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$132,958BOYAmt
EOY$185,094EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,981BOYAmt
EOY$6,080EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$518,794LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$225,730LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,554BOYAmt
EOY$293,064EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,316,346BOYAmt
EOY$1,479,148EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$95,504BOYAmt
EOY$104,263EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$19,205BOYAmt
EOY$69,690EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$114,709BOYAmt
EOY$173,953EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,065,967BOYAmt
EOY$1,157,846EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$135,670BOYAmt
EOY$147,349EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,201,637BOYAmt
EOY$1,305,195EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,316,346BOYAmt
EOY$1,479,148EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$103,558ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,215,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,242,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,264,291CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,000,512CurrentTaxYearMinus1YearAmt
Current Tax Year$1,153,059CurrentTaxYearAmt
Total$5,875,359TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,215,152CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,242,345CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,264,291CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,000,512CurrentTaxYearMinus1YearAmt
Current Tax Year$1,153,059CurrentTaxYearAmt
Total$5,875,359TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,875,359PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,652CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,511CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,376CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$854CurrentTaxYearMinus1YearAmt
Current Tax Year$1,059CurrentTaxYearAmt
Total$8,452TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,499CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,011CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,307CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,110CurrentTaxYearMinus1YearAmt
Current Tax Year$37,204CurrentTaxYearAmt
Total$79,131TotalAmt
FieldValueIRS element (for citing)
Total Support$5,962,942TotalSupportAmt
Gross Receipts Rltd Activities$175,781GrossReceiptsRltdActivitiesAmt
Public Support CY1700.98530PublicSupportCY170Pct
Public Support PY1700.98970PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$322,054InvestmentCostOrOtherBasisAmt
Depreciation$51,867DepreciationAmt
Book Value$270,187BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$196,740InvestmentCostOrOtherBasisAmt
Depreciation$173,863DepreciationAmt
Book Value$22,877BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$293,064TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,231,997TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,231,997RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,231,997TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,128,439TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,128,439ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,128,439TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1RUN/WALK 2015Event1Nm
Gross Receipts Event1$10,236GrossReceiptsEvent1Amt
Gross Revenue Event1$10,236GrossRevenueEvent1Amt
Other Direct Expenses Event1$1,806OtherDirectExpensesEvent1Amt
Gross Receipts Total$10,236GrossReceiptsTotalAmt
Gross Revenue Total Events$10,236GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$1,806OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$1,806DirectExpenseSummaryEventsAmt
Net Income Summary$8,430NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TODD REISNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD OF DIRECTORSRelationshipDescriptionTxt
Transaction$15,300TransactionAmt
TransactionSEE SCHEDULE O.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 7ABOARD OF DIRECTORS ELECTS ITS MEMBERS
FORM 990, PART VI, SECTION B, LINE 11DRAFT 990 IS SENT TO BOARD FINANCIAL COMMITTEE FOR REVIEW. THE COMMITTEE FORWARDS THE DRAFT 990 TO THE BOARD OF DIRECTORS AFTER REVIEW. AUDITORS THEN PRESENT DRAFT 990 TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY EACH BOARD MEMBER ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD MEMBERS COMPLETE A CEO EVALUATION, ONCE COMPLETED THE SUMMARY IS SENT TO THE EXECUTIVE COMMITTEE. THE COMMITTEE WOULD THEN PRESENT ITS CONCLUSION TO THE FULL BOARD OF DIRECTORS FOR APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATION PROVIDES ALL DOCUMENTS UPON REQUEST.
SCHEDULE L, PART IV$15,300 WORTH OF SERVICES WAS PROVIDED FOR THE ORGANIZATION BY A COMPANY WHERE THE INDIVIDUAL LISTED AS AN INTERESTED PERSON IS AN OFFICER.