SOUTHERN TIER HEALTH CARE SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN TIER HEALTH CARE SYSTEM INC (EIN 16-1469489)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-04-22
IRS object ID: 201311129349300106
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-04-22T09:26:28-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	161117932	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BUFFAMANTE WHIPPLE BUTTAFARO PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	130 SOUTH UNION STREET SUITE 200	AddressLine1
City	OLEAN	City
State	NY	State
ZIP Code	14760	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	161469489	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SOUTHERN TIER HEALTH CARE SYSTEM INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SOUT	NameControl
Phone	7163720614	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE BLUEBIRD SQUARE	AddressLine1
City	OLEAN	City
State	NY	State
ZIP Code	14760	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DONNA KAHM	Name
Title	CEO	Title
Phone	7163720614	Phone
Date Signed	2013-04-22	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DAVID V DITANNA CPA	Name
PTIN	P01368498	PTIN
Phone	7163721620	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DONNA KAHM	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	VIRGINIA ST	AddressLine1
City	OLEAN	City
State	NY	State
ZIP Code	14760	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1284673	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	STHCS.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1995	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	TO IMPROVE HEALTH CARE.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	22	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1206040	ContributionsGrantsPriorYear
Contributions Grants Current Year	1218909	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	9112	ProgramServiceRevenuePriorYear
Program Service Revenue CY	48885	ProgramServiceRevenueCY
Investment Income Prior Year	2652	InvestmentIncomePriorYear
Investment Income Current Year	2511	InvestmentIncomeCurrentYear
Other Revenue Prior Year	12212	OtherRevenuePriorYear
Other Revenue Current Year	9011	OtherRevenueCurrentYear
Total Revenue Prior Year	1230016	TotalRevenuePriorYear
Total Revenue Current Year	1279316	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	782990	SalariesEtcPriorYear
Salaries Etc Current Year	820948	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	427322	OtherExpensePriorYear
Other Expenses Current Year	430584	OtherExpensesCurrentYear
Total Expenses Prior Year	1210312	TotalExpensesPriorYear
Total Expenses Current Year	1251532	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19704	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	27784	RevenuesLessExpensesCY
Total Assets BOY	1133205	TotalAssetsBOY
Total Assets EOY	1171113	TotalAssetsEOY
Total Liabilities BOY	142129	TotalLiabilitiesBOY
Total Liabilities EOY	152253	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	991076	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1018860	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	TO IMPROVE HEALTH CARE	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	88212	Expense
Revenue	190086	Revenue
Description	SUPPORT OF RURAL PRIMARY CARE HOSPITALS, EMERGENCY CARE FACILITIES, AND A CHILD ADVOCACY CENTER, INCLUDING GENERAL MONETARY SUPPORT FOR THOSE FACILITIES IN NEED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	202303	Expense
Revenue	216601	Revenue
Description	EDUCATION AND PROMOTION OF A TOBACCO FREE LIFESTYLE.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	332485	Expense
Revenue	340039	Revenue
Description	EMS TRAINING AND SERVICES, FLYCAR, GAMBLING EDUCATION AND OTHER HEALTH AND WELFARE PROGRAMS INCLUDING OTHER EXPENSES DIRECTLY RELATED TO THE ABOVE.	Description

Activity Other ActivityOther (2 entries)

ExpenseExpense	RevenueRevenue	DescriptionDescription
199031	196400	PROVIDE HEALTH INSURANCE/HEALTH CARE TO INDIVIDUALS AND FAMILIES WHO OTHERWISE WOULD NOT BE ABLE TO AFFORD IT.
274933	273067	CHILD ADVOCAY CENTER- PROVIDE ALL SERVICES TO ABUSED CHILDREN IN ONE SAFE PLACE.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	473964	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	469467	TotalOfOtherProgramServiceRev
Total Program Service Expense	1096964	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	10	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	22	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	JENNA NELSON	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7163720614	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE BLUE BIRD SQUARE	AddressLine1
City	OLEAN	City
State	NY	State
ZIP Code	14760	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
CAROL MAHONEY
DIRECTOR	0.00	X	0	0	0
ANDREW BOSER
DIRECTOR	0.00	X	0	0	0
CHRISTINE STRADE
DIRECTOR	0.00	X	0	0	0
EVA BENEDICT
DIRECTOR	0.00	X	0	0	0
BETSY WRIGHT
DIRECTOR	0.00	X	0	0	0
DR KEVIN WATKINS
DIRECTOR	0.00	X	0	0	0
HOWARD HOWLETT
CHAIRMAN	0.00		0	0	0	X
WALT REISNER
VICE CHAIR	0.00		0	0	0	X
TIMOTHY FINAN
SECRETARY	0.00		0	0	0	X
TOM HOLT
TREASURER	0.00		0	0	0	X
DONNA KAHM
CEO	37.00		106735	0	19133	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	106735	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	19133	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	1152844	GovernmentGrants
All Other Contributions	66065	AllOtherContributions
Total Contributions	1218909	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Business Code	900099	BusinessCode
Total Revenue Column	48885	TotalRevenueColumn
Exclusion	$48,885	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	48885	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2511	TotalRevenueColumn
Exclusion	$2,511	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	14368	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	5357	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	9011	TotalRevenueColumn
Exclusion	$9,011	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1279316	TotalRevenueColumn
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$60,407	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	106735	Total
Program Services	54435	ProgramServices
Management And General	52300	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	511468	Total
Program Services	497502	ProgramServices
Management And General	13966	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	132293	Total
Program Services	111047	ProgramServices
Management And General	21246	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	70452	Total
Program Services	60626	ProgramServices
Management And General	9826	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	14298	Total
Management And General	14298	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	14670	Total
Program Services	14284	ProgramServices
Management And General	386	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31377	Total
Program Services	31377	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROGRAM EXPENSES	151797	121656	30141
OPERATIONS	127465	123031	4434
PROFESSIONAL FEES	60255	52414	7841
NETWORK PROJECTS	23671	23663	8

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7051	Total
Program Services	6929	ProgramServices
Management And General	122	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1251532	Total
Program Services	1096964	ProgramServices
Management And General	154568	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	197239	BOY
EOY	192493	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	343516	BOY
EOY	410471	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	209144	BOY
EOY	216979	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	7898	BOY
EOY	5828	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	491570	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	146228	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	375408	BOY
EOY	345342	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1133205	BOY
EOY	1171113	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	115411	BOY
EOY	128220	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	26718	BOY
EOY	24033	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	142129	BOY
EOY	152253	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	896723	BOY
EOY	918291	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	94353	BOY
EOY	100569	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	991076	BOY
EOY	1018860	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1133205	BOY
EOY	1171113	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	27784	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1406253	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1483006	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1388793	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1215152	CurrentTaxYearMinus1Year
Current Tax Year	1242345	CurrentTaxYear
Total	6735549	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1406253	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1483006	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1388793	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1215152	CurrentTaxYearMinus1Year
Current Tax Year	1242345	CurrentTaxYear
Total	6735549	Total

Field	Value	IRS element (for citing)
Public Support Total170	6735549	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	4684	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1440	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1828	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2652	CurrentTaxYearMinus1Year
Current Tax Year	2511	CurrentTaxYear
Total	13115	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	12399	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	9499	CurrentTaxYearMinus1Year
Current Tax Year	9011	CurrentTaxYear
Total	30909	Total

Field	Value	IRS element (for citing)
Total Support	6779573	TotalSupport
Gross Receipts From Admissions Etc	73861	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.99350	PublicSupportPertcentage170
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	315104	InvestmentCostOrOtherBasis
Depreciation	27712	Depreciation
Book Value	287392	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	176466	InvestmentCostOrOtherBasis
Depreciation	118516	Depreciation
Book Value	57950	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	345342	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	1279316	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	1279316	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1279316	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1251532	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	1251532	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1251532	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	DRESSDOWN DAY	NameOfEvent1
Gross Receipts Event1	8313	GrossReceiptsEvent1
Gross Revenue Event1	8313	GrossRevenueEvent1
Other Direct Expenses Event1	3226	OtherDirectExpensesEvent1
Name Of Event2	PRINCESS PARTY	NameOfEvent2
Gross Receipts Event2	6055	GrossReceiptsEvent2
Gross Revenue Event2	6055	GrossRevenueEvent2
Other Direct Expenses Event2	2131	OtherDirectExpensesEvent2
Gross Receipts Total	14368	GrossReceiptsTotal
Gross Revenue Total Events	14368	GrossRevenueTotalEvents
Other Direct Expenses Total Events	5357	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	5357	DirectExpenseSummaryEvents
Net Income Summary	9011	NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	WALT REISNER	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	BOARD OF DIRECTORS	Relationship
Amount Of Transaction	14610	AmountOfTransaction
Description Of Transaction	SEE SCHEDULE O.	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7A	BOARD OF DIRECTORS ELECTS ITS MEMBERS
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE 990 IS PRESENTED BY THE AUDITOR AT THE BOARD MEETING AND APPROVED BY THE BOARD
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY EACH BOARD MEMBER EVERY YEAR.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD MEMBERS COMPLETE 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 19	ORGANIZATION PROVIDES ALL DOCUMENTS UPON REQUEST.
SCHEDULE L, PART V	$14,610 WORTH OF SERVICES WAS PROVIDED FOR THE ORGANIZATION BY A COMPANY WHERE THE INDIVIDUAL LISTED AS AN INTERESTED PERSON IS A OFFICER.	DESCRIPTION FOR TRANSACTION: