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ST LUKES FREE MEDICAL CLINIC OF SPARTANBURG INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST LUKES FREE MEDICAL CLINIC OF SPARTANBURG INC (EIN 57-0943232)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201321359349304577
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)
Timestamp2013-05-15T12:08:13-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN571003842EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOSNELL MENARD ROBINSON INFANTE CPA'S PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1726AddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code293041726ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN570943232EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST LUKES FREE MEDICAL CLINIC OF SPARTANBURG INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone8645422273Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3466AddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29304ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePATRICIA WHITNEYName
TitleEXECUTIVE DIRECTORTitle
Phone8645422273Phone
Date Signed2013-05-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN W ROBINSON JRName
PTINP00429570PTIN
Phone8645739211Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPATRICIA WHITNEYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1162 N DEAN STREETAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts768313GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteSLFMC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileSCStateLegalDomicile
Activity Or Mission DescriptionCLINIC PROVIDES MEDICAL CARE TO THE UNINSURED CITIZENS OF SPARTANBURG COUNTYActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees19TotalNbrEmployees
Total Nbr Volunteers300TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year465700ContributionsGrantsPriorYear
Contributions Grants Current Year535786ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year18077InvestmentIncomePriorYear
Investment Income Current Year20025InvestmentIncomeCurrentYear
Other Revenue Prior Year249519OtherRevenuePriorYear
Other Revenue Current Year186049OtherRevenueCurrentYear
Total Revenue Prior Year733296TotalRevenuePriorYear
Total Revenue Current Year741860TotalRevenueCurrentYear
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 Year451306SalariesEtcPriorYear
Salaries Etc Current Year434409SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year32992TotalFundrsngExpCurrentYear
Other Expense Prior Year298330OtherExpensePriorYear
Other Expenses Current Year226394OtherExpensesCurrentYear
Total Expenses Prior Year749636TotalExpensesPriorYear
Total Expenses Current Year660803TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-16340RevenuesLessExpensesPriorYear
Revenues Less Expenses CY81057RevenuesLessExpensesCY
Total Assets BOY2577547TotalAssetsBOY
Total Assets EOY2630622TotalAssetsEOY
Total Liabilities BOY29003TotalLiabilitiesBOY
Total Liabilities EOY1021TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2548544NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2629601NetAssetsOrFundBalancesEOY
Mission DescriptionCLINIC PROVIDES MEDICAL CARE TO THE UNINSURED CITIZENS OF SPARTANBURG COUNTYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense549427Expense
DescriptionCLINIC PROVIDES MEDICAL CARE TO THE UNINSURED CITIZENS OF SPARTANBURG COUNTY. CLINIC SERVES AN AVERAGE OF 55 PATIENTS PER NIGHT, INCLUDING MEDICAL CARE AND PRESCRIPTIONS DISPENSED.Description
Total Program Service Expense549427TotalProgramServiceExpense
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 Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
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 Activities1FundraisingActivities
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees19NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledSCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAWN MADORE WADEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8645422273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1162 N DEAN STAddressLine1
CitySPARTANBURGCity
StateSCState
ZIP Code29302ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
PATRICIA WHITNEY
EXECUTIVE DIRECTOR40.00X7200000
GRANT D WARREN
CHAIRMAN1.30000X
DAVID DOWELL
VICE CHAIRMAN1.30000X
JADA MCABEE
TREASURER1.30000X
CEDRIC GIBB
SECRETARY1.30000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org72000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns47100FederatedCampaigns
All Other Contributions488686AllOtherContributions
Noncash Contributions650NoncashContributions
Total Contributions535786TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20025TotalRevenueColumn
Related Or Exempt Function Income20025RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events73431GrossIncomeFundraisingEvents
Fundraising Direct Expenses26453FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column46978TotalRevenueColumn
Exclusion$46,978ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
UNREALIZED GAINS900099114428114428
RECORD COPYING FEES9000991502515025
REALIZED GAINS90009985188518

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1100TotalRevenueColumn
Related Or Exempt Function Income1100RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue139071TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column741860TotalRevenueColumn
Related Or Exempt Function Income159096RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$46,978ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total72000Total
Program Services57600ProgramServices
Management And General7200ManagementAndGeneral
Fundraising7200Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total325157Total
Program Services273132ProgramServices
Management And General35767ManagementAndGeneral
Fundraising16258Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4075Total
Program Services3423ProgramServices
Management And General448ManagementAndGeneral
Fundraising204Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33177Total
Program Services26543ProgramServices
Management And General3317ManagementAndGeneral
Fundraising3317Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6500Total
Program Services5460ProgramServices
Management And General715ManagementAndGeneral
Fundraising325Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12793Total
Management And General12793ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9937Total
Program Services8347ProgramServices
Management And General1093ManagementAndGeneral
Fundraising497Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34144Total
Program Services34144ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total28954Total
Program Services24321ProgramServices
Management And General3185ManagementAndGeneral
Fundraising1448Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PHARMACY SUPPLIES4934949349
REPAIRS & MAINTENANCE309142596734011546
UTILITIES13493113341484675
MISCELLANEOUS946279491041472

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total30848Total
Program Services21858ProgramServices
Management And General7940ManagementAndGeneral
Fundraising1050Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total660803Total
Program Services549427ProgramServices
Management And General78384ManagementAndGeneral
Fundraising32992Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY115546BOY
EOY81536EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6994BOY
EOY4017EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1537429LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec352513LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1208643BOY
EOY1184916EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1243075BOY
EOY1360153EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3289BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2577547BOY
EOY2630622EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5235BOY
EOY1021EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY23768BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29003BOY
EOY1021EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1572147BOY
EOY1596684EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1691BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY974706BOY
EOY1032917EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2548544BOY
EOY2629601EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2577547BOY
EOY2630622EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses81057ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years501393CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years449427CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year499457CurrentTaxYearMinus1Year
Current Tax Year535785CurrentTaxYear
Total2456498Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years501393CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years449427CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years470436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year499457CurrentTaxYearMinus1Year
Current Tax Year535785CurrentTaxYear
Total2456498Total
FieldValueIRS element (for citing)
Public Support Total1702456498PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-529819CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years254806CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years150929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year-71836CurrentTaxYearMinus1Year
Current Tax Year130178CurrentTaxYear
Total-65742Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37099CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38342CurrentTaxYearMinus1Year
Current Tax Year16125CurrentTaxYear
Total183713Total
FieldValueIRS element (for citing)
Total Support2574469TotalSupport
Public Support Pertcentage1700.95420PublicSupportPertcentage170
Public Support Pertcent Prior Year0.95130PublicSupportPertcentPriorYear
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis375000OtherCostOrOtherBasis
Book Value375000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1091535OtherCostOrOtherBasis
Depreciation296157Depreciation
Book Value795378BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70894OtherCostOrOtherBasis
Depreciation56356Depreciation
Book Value14538BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1184916TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTS IN TRUST- SPARTANBURG COUNTY FOUNDATIONDescription
Book Value1360153BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities1360153TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt729067TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal729067RevenueSubtotal
Other Revenues Not Included12793OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt12793RevenueNotRptdOnFinStmt
Total Revenue Per Form990741860TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt648010TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal648010ExpensesSubtotal
Other Expenses Not Included12793OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12793ExpensesNotRptdOnFinStmt
Total Expenses Per Form990660803TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT FEES INCLUDED IN INVESTMENT INCOME ON FINANCIAL STATEMENTS
PART XII, LINE 4B - OTHER ADJUSTMENTS:INVESTMENT FEES INCLUDED IN INVESTMENT INCOME ON FINANCIAL STATEMENTS
PART XII - LINE 4B: INVESTMENT FEES INCLUDED IN INVESTMENT INCOME - $12,793 PART XIII - LINE 4B: INVESTMENT FEES INCLUDED IN INVESTMENT INCOME - $12,793

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TENNIS TOURNAMENTNameOfEvent1
Gross Receipts Event131371GrossReceiptsEvent1
Gross Revenue Event131371GrossRevenueEvent1
Other Direct Expenses Event118442OtherDirectExpensesEvent1
Name Of Event2ANNIVERSARY CELEBRATIONNameOfEvent2
Gross Receipts Event242060GrossReceiptsEvent2
Gross Revenue Event242060GrossRevenueEvent2
Other Direct Expenses Event28011OtherDirectExpensesEvent2
Gross Receipts Total73431GrossReceiptsTotal
Gross Revenue Total Events73431GrossRevenueTotalEvents
Other Direct Expenses Total Events26453OtherDirectExpensesTotalEvents
Direct Expense Summary Events26453DirectExpenseSummaryEvents
Net Income Summary46978NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11TAX RETURN IS REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER PRIOR TO MAILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES IT BOARDS MEMBERS TO DISCLOSE SUCH INFORMATION UPON SERVING AS A BOARD MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATION MAKES DOCUMENTS AVAILABLE UPON REQUEST.