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FAMILY HEALTH SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH SERVICES INC (EIN 47-0548478)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-01
IRS object ID
201440329349300004
Schema version
2012v2.1
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)
Timestamp2014-02-01T08:22:36-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN470677245EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HBE BECKER MEYER LOVE LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17140 STEPHANIE LANE PO BOX 23110AddressLine1
CityLINCOLNCity
StateNEState
ZIP Code685423110ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN470548478EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HEALTH SERVICES INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone4023352988Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1
CityTECUMSEHCity
StateNEState
ZIP Code68450ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHARON RICKMANName
TitleEXECUTIVE DIRECTORTitle
Phone4023352988Phone
Date Signed2014-01-22DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKRYSTAL L SIEBRANDT CPA CFEName
PTINP00543870PTIN
Phone4024234343Phone
Date Prepared2014-01-21DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHARON RICKMANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1
CityTECUMSEHCity
StateNEState
ZIP Code684500279ZIPCode
FieldValueIRS element (for citing)
Gross Receipts839316GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.FHSI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileNEStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees24TotalNbrEmployees
Total Nbr Volunteers26TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year695306ContributionsGrantsPriorYear
Contributions Grants Current Year690164ContributionsGrantsCurrentYear
Program Service Revenue Prior Year114995ProgramServiceRevenuePriorYear
Program Service Revenue CY139824ProgramServiceRevenueCY
Investment Income Prior Year-2720InvestmentIncomePriorYear
Investment Income Current Year189InvestmentIncomeCurrentYear
Other Revenue Prior Year2670OtherRevenuePriorYear
Other Revenue Current Year4900OtherRevenueCurrentYear
Total Revenue Prior Year810251TotalRevenuePriorYear
Total Revenue Current Year835077TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year599434SalariesEtcPriorYear
Salaries Etc Current Year641673SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year287069OtherExpensePriorYear
Other Expenses Current Year296153OtherExpensesCurrentYear
Total Expenses Prior Year886503TotalExpensesPriorYear
Total Expenses Current Year937826TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-76252RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-102749RevenuesLessExpensesCY
Total Assets BOY381226TotalAssetsBOY
Total Assets EOY281614TotalAssetsEOY
Total Liabilities BOY109825TotalLiabilitiesBOY
Total Liabilities EOY112962TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY271401NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY168652NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATION'S PURPOSE IS TO PROVIDE FAMILY PLANNING INFORMATION AND SERVICES AND TO ADMINISTER SERVICES UNDER THE SUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA; TO RECEIVE, HOLD AND DISBURSE FUNDS AND ADMINISTER SUCH FUNDS EXCLUSIVELY FOR EDUCATIONAL AND CHARITABLE PURPOSES WITHOUT PECUNIARY GAIN OR PROFIT, INCIDENTAL OR OTHERWISE TO ITS DIRECTORS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense311260Expense
DescriptionSUPPLEMENTAL FOOD PROGRAM FOR WOMEN, INFANTS AND CHILDREN. GRANT ADMINISTRATION AND SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense501110Expense
Revenue139578Revenue
DescriptionFAMILY PLANNING SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA.Description
FieldValueIRS element (for citing)
Total Program Service Expense812370TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees24NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEAN BRINKMANBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4023352988TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 279AddressLine1
CityTECUMSEHCity
StateNEState
ZIP Code684500279ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
MIKE WENDT
PRESIDENT0.20XX000
DR LAURENCE FALK
VICE PRESIDENT0.20XX000
JANELLE MORAN
SECRETARY0.20XX000
ROCHELLE COLLINS
DIRECTOR0.20X000
PAULA DARLING
DIRECTOR0.20X000
VINNY BITTINGER
DIRECTOR0.20X000
STEPHANIE CLARK
DIRECTOR0.20X000
SHIRLEY TERRY
DIRECTOR0.20X000
TED HARSHBARGER
DIRECTOR0.20X000
SHARON RICKMAN
EXECUTIVE DIRECTOR40.00X6647808437
JEAN BRINKMAN
DEPUTY DIRECTOR40.00X54810011462
FieldValueIRS element (for citing)
Total Reportable Comp From Org121288TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation19899TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events5000FundraisingEvents
Government Grants676367GovernmentGrants
All Other Contributions8797AllOtherContributions
Total Contributions690164TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE INSURANCE REIM621300103269103269
PATIENT FEES6213003531435314
MEDICAID REIMBURSEMENT62130012411241
FieldValueIRS element (for citing)
Total Program Service Revenue139824TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column435TotalRevenueColumn
Exclusion$435ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other246Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-246Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-246TotalRevenueColumn
Related Or Exempt Function Income-246RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events5600GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events5000CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses3993FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1607TotalRevenueColumn
Exclusion$1,607ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column3293TotalRevenueColumn
Exclusion$3,293ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3293TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column835077TotalRevenueColumn
Related Or Exempt Function Income139578RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$5,335ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total145844Total
Program Services62309ProgramServices
Management And General83535ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total428254Total
Program Services428254ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22952Total
Program Services22952ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total44623Total
Program Services31284ProgramServices
Management And General13339ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9005Total
Management And General9005ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5095Total
Program Services5095ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total22263Total
Program Services22263ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40554Total
Program Services34689ProgramServices
Management And General5865ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total63393Total
Program Services53815ProgramServices
Management And General9578ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22262Total
Program Services22262ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14763Total
Program Services14763ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total12461Total
Program Services10580ProgramServices
Management And General1881ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACEPTIVES/PHARMACY5719357193
PATIENT/LAB FEES2479024790
TELEPHONE13749116732076
EDUCATIONAL MATERIALS18051805

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8820Total
Program Services8643ProgramServices
Management And General177ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total937826Total
Program Services812370ProgramServices
Management And General125456ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY92052BOY
EOY16760EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY57503BOY
EOY86974EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY150667BOY
EOY105544EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10669BOY
EOY10133EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY11330BOY
EOY10552EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14186BOY
EOY18154EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis145759LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec112262LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY44819BOY
EOY33497EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY381226BOY
EOY281614EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39569BOY
EOY42706EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY70256BOY
EOY70256EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY109825BOY
EOY112962EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY206957BOY
EOY136430EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY64444BOY
EOY32222EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY271401BOY
EOY168652EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY381226BOY
EOY281614EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-102749ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years671567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years901906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years625607CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year741276CurrentTaxYearMinus1Year
Current Tax Year695764CurrentTaxYear
Total3636120Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years671567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years901906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years625607CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year741276CurrentTaxYearMinus1Year
Current Tax Year695764CurrentTaxYear
Total3636120Total
FieldValueIRS element (for citing)
Public Support Total1703636120PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3977CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3975CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1782CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year988CurrentTaxYearMinus1Year
Current Tax Year435CurrentTaxYear
Total11157Total
FieldValueIRS element (for citing)
Total Support3647277TotalSupport
Public Support Pertcentage1700.99690PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99570PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis145759OtherCostOrOtherBasis
Depreciation112262Depreciation
Book Value33497BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33497TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt842534TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities3218DonatedSrvcAndUseOfFacilities
Other Revenues4239OtherRevenues
Revenue Not Rptd F9907457RevenueNotRptdF990
Revenue Subtotal835077RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990835077TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt945283TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities3218DonatedServicesUseOfFacilities
Other Expenses Included4239OtherExpensesIncluded
Expenses Not Rptd F9907457ExpensesNotRptdF990
Expenses Subtotal937826ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990937826TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT ON NET INCOME DERIVED FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2013, THE ORGANIZATION HAD NO TAX LIABILITY ON UNRELATED BUSINESS ACTIVITY. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS 246. FUNDRAISING EVENTS 3,993.
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS 246. DIRECT FUNDRAISING EXPENSES 3,993.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE BOARD BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 15ATHE COMPENSATION OF THE EXECUTIVE DIRECTOR IS SET BY THE BOARD ANNUALLY AFTER REVIEW OF THE DIRECTOR'S PERFORMANCE.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PAGE 12, LINE 2C:THE PROCESS HAS NOT CHANGED.