LAKE AREA FREE CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: LAKE AREA FREE CLINIC INC (EIN 39-2006388)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-06-07
IRS object ID: 201321589349300117
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-06-07T09:50:05-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINTER KLOMAN MOTER AND REPP SC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1040 OCONOMOWOC PKWY	AddressLine1
City	OCONOMOWOC	City
State	WI	State
ZIP Code	53066	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	392006388	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	LAKE AREA FREE CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	LAKE	NameControl
Phone	2625694990	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	856 Armour Road	AddressLine1
City	OCONOMOWOC	City
State	WI	State
ZIP Code	53066	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ASHLEY LAMBERTON	Name
Title	Treasurer	Title
Date Signed	2013-06-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	James K Holsen CPA	Name
PTIN	P01212464	PTIN
Phone	2625676540	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARY REICH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	W356 ALLEN RD	AddressLine1
City	OCONOMOWOC	City
State	WI	State
ZIP Code	53066	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	616588	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	www.lakeareafreeclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2001	YearFormation
State Legal Domicile	WI	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE MEDICAL ATTENTION TO THE UNINSURED MEMBERS OF THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	24	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	0	NbrIndependentVotingMembers
Total Nbr Employees	5	TotalNbrEmployees
Total Nbr Volunteers	210	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	294233	ContributionsGrantsPriorYear
Contributions Grants Current Year	497319	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1131	InvestmentIncomePriorYear
Investment Income Current Year	1938	InvestmentIncomeCurrentYear
Other Revenue Prior Year	88016	OtherRevenuePriorYear
Other Revenue Current Year	101103	OtherRevenueCurrentYear
Total Revenue Prior Year	383380	TotalRevenuePriorYear
Total Revenue Current Year	600360	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	125794	SalariesEtcPriorYear
Salaries Etc Current Year	131414	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	7710	TotalFundrsngExpCurrentYear
Other Expense Prior Year	206572	OtherExpensePriorYear
Other Expenses Current Year	218781	OtherExpensesCurrentYear
Total Expenses Prior Year	332366	TotalExpensesPriorYear
Total Expenses Current Year	350195	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	51014	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	250165	RevenuesLessExpensesCY
Total Assets BOY	511541	TotalAssetsBOY
Total Assets EOY	761706	TotalAssetsEOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	511541	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	761706	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE MEDICAL ATTENTION TO THE UNINSURED MEMBERS OF THE COMMUNITY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	294845	Expense
Description	DURING THE YEAR, OVER 5,400 PATIENTS WHO WHERE UNINSURED WERE GIVEN MEDICAL ATTENTION.	Description
Total Program Service Expense	294845	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	4	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	false	ComplianceWithBackupWitholding
Number Of Employees	5	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	24	NbrVotingGoverningBodyMembers
Number Independent Voting Members	0	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	false	MinutesOfGoverningBody
Minutes Of Committees	false	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	WI	StatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	ASHLEY LAMBERTON	NamePerson
Telephone Number	9202616767	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	138 HOSPITAL DR SUITE 100	AddressLine1
City	WATERTOWN	City
State	WI	State
ZIP Code	53098	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Mark Zwaska
Director	1.00	0.00	X	0	0	0
MARY REICH
Executive Direc	40.00	0.00	X	67898	0	0
KAREN JENSEN
Director	1.00	0.00	X	0	0	0
DANIEL GRABLE ATTORNEY
DIRECTOR	1.00	0.00	X	0	0	0
KIM SNELLER
DIRECTOR	1.00	0.00	X	0	0	0
DONNA VOIGT
CHAIRPERSON	5.00	0.00	X	17180	0	0	X
ANNA PLUDEMAN
DIRECTOR	1.00	0.00	X	0	0	0
JEAN NEAL
Secretary	1.00	0.00	X	0	0	0
DR PETER GEISS
MEDICAL DIRECT	5.00	0.00	X	0	0	0
MICHAEL RODE
Director	5.00	0.00	X	0	0	0
MARY RODE
Director	5.00	0.00	X	0	0	0
SUSAN RUSSLER MD
Director	5.00	0.00	X	0	0	0
Kathy McCann
Director	1.00	0.00	X	0	0	0
TERRY LADWIG
DIRECTOR	1.00	0.00	X	0	0	0
JULIE JACKSON
DIRECTOR	1.00	0.00	X	0	0	0
SUSAN DWYER
DIRECTOR	1.00	0.00	X	0	0	0
GINA MAGNUS
Director	1.00	0.00	X	0	0	0
VICKI DALLMANN-PAPKE
Vice Chairperso	5.00	0.00	X	0	0	0
DAN DAHLKE
DIRECTOR	1.00	0.00	X	0	0	0
CHRIS BOTH
Director	1.00	0.00	X	0	0	0
ASHLEY LAMBERTON
Treasurer	5.00	0.00	X	0	0	0	X
ROBERT CHANG
DIRECTOR	1.00	0.00	X	0	0	0
BRYAN BREESER
DIRECTOR	1.00	0.00	X	0	0	0
NICK ARGEROUDIS
Director	1.00	0.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	85078	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	497319	AllOtherContributions
Total Contributions	497319	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1938	TotalRevenueColumn
Exclusion	$1,938	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	117331	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	16228	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	101103	TotalRevenueColumn
Exclusion	$101,103	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	600360	TotalRevenueColumn
Exclusion	$103,041	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	17180	Total
Program Services	17180	ProgramServices

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	98597	Total
Program Services	64648	ProgramServices
Management And General	33949	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	5846	Total
Program Services	2923	ProgramServices
Management And General	2923	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	9791	Total
Program Services	7194	ProgramServices
Management And General	2597	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2900	Total
Program Services	966	ProgramServices
Management And General	967	ManagementAndGeneral
Fundraising	967	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9292	Total
Program Services	4646	ProgramServices
Management And General	4646	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	42784	Total
Program Services	42784	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	0	Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	2456	Total
Program Services	2456	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9049	Total
Program Services	9049	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3625	Total
Program Services	3625	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising
INTERPRETER	3635	3635
REPAIRS & MAINTENANCE	5332	5332
PROMOTIONAL ACTIVITIES	5494		5494
MEDICAL SUPPLIES	128064	128064

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6150	Total
Program Services	2343	ProgramServices
Management And General	2558	ManagementAndGeneral
Fundraising	1249	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	350195	Total
Program Services	294845	ProgramServices
Management And General	47640	ManagementAndGeneral
Fundraising	7710	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	167333	BOY
EOY	461225	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	219005	BOY
EOY	100000	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
EOY	0	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	137102	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	43285	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	97866	BOY
EOY	93817	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	27337	BOY
EOY	106664	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	511541	BOY
EOY	761706	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	434221	BOY
EOY	705264	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	77320	BOY
EOY	56442	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	511541	BOY
EOY	761706	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	511541	BOY
EOY	761706	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	250165	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

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

Field	Value	IRS element (for citing)
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	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	342475	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	372244	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	310796	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	294233	CurrentTaxYearMinus1Year
Current Tax Year	497319	CurrentTaxYear
Total	1817067	Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

Field	Value	IRS element (for citing)
Total	0	Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

Field	Value	IRS element (for citing)
Total	0	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	342475	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	372244	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	310796	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	294233	CurrentTaxYearMinus1Year
Current Tax Year	497319	CurrentTaxYear
Total	1817067	Total

Field	Value	IRS element (for citing)
Amounts Subst Contributors Total	0	AmountsSubstContributorsTotal
Public Support Total170	1817067	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3936	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1638	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	935	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1129	CurrentTaxYearMinus1Year
Current Tax Year	1938	CurrentTaxYear
Total	9576	Total

Net UBI NetUBI

Field	Value	IRS element (for citing)
Total	0	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Total Support	1826643	TotalSupport
Public Support Pertcentage170	0.99480	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99100	PublicSupportPertcentPriorYear
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

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	101260	OtherCostOrOtherBasis
Depreciation	19483	Depreciation
Book Value	81777	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	35842	OtherCostOrOtherBasis
Depreciation	23802	Depreciation
Book Value	12040	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	93817	TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescription	Book ValueBookValue
SOFTWARE	7864
CERTIFICATE OF DEPOSITS	80000
ARTWORK	18800

Field	Value	IRS element (for citing)
Total Book Value Other Assets	106664	TotalBookValueOtherAssets
Tot Revenue Etc Audited Fincl Stmt	600360	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	600360	RevenueSubtotal
Total Revenue Per Form990	600360	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	350195	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	350195	ExpensesSubtotal
Total Expenses Per Form990	350195	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	GALA	NameOfEvent1
Gross Receipts Event1	117331	GrossReceiptsEvent1
Gross Revenue Event1	117331	GrossRevenueEvent1
Other Direct Expenses Event1	16228	OtherDirectExpensesEvent1
Gross Receipts Total	117331	GrossReceiptsTotal
Gross Revenue Total Events	117331	GrossRevenueTotalEvents
Other Direct Expenses Total Events	16228	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	16228	DirectExpenseSummaryEvents
Net Income Summary	101103	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	ALL DOCUMENTS & STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	FORM 990 IS SUBMITTED TO & REVIEWED BY THE GOVERNING BODY AT A BOARD MEETING.