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FAMILY HEALTH SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
FAMILY HEALTH SERVICES INC (EIN 47-0548478)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-01
IRS object ID
201330329349301453
Schema version
2011v1.2
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)
Timestamp2013-02-01T14:57:59-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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 Code684500279ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHARON RICKMANName
TitleEXECUTIVE DIRECTORTitle
Phone4023352988Phone
Date Signed2013-01-18DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKRYSTAL L SIEBRANDT CPA CFEName
PTINP00543870PTIN
Phone4024234343Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts813959GrossReceipts
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 Employees28TotalNbrEmployees
Total Nbr Volunteers14TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year625607ContributionsGrantsPriorYear
Contributions Grants Current Year695306ContributionsGrantsCurrentYear
Program Service Revenue Prior Year49875ProgramServiceRevenuePriorYear
Program Service Revenue CY114995ProgramServiceRevenueCY
Investment Income Prior Year1782InvestmentIncomePriorYear
Investment Income Current Year-2720InvestmentIncomeCurrentYear
Other Revenue Prior Year25077OtherRevenuePriorYear
Other Revenue Current Year2670OtherRevenueCurrentYear
Total Revenue Prior Year702341TotalRevenuePriorYear
Total Revenue Current Year810251TotalRevenueCurrentYear
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 Year565851SalariesEtcPriorYear
Salaries Etc Current Year599434SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year273352OtherExpensePriorYear
Other Expenses Current Year287069OtherExpensesCurrentYear
Total Expenses Prior Year839203TotalExpensesPriorYear
Total Expenses Current Year886503TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-136862RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-76252RevenuesLessExpensesCY
Total Assets BOY362850TotalAssetsBOY
Total Assets EOY381226TotalAssetsEOY
Total Liabilities BOY57957TotalLiabilitiesBOY
Total Liabilities EOY109825TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY304893NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY271401NetAssetsOrFundBalancesEOY
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
Expense307334Expense
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)
Expense470982Expense
Revenue114995Revenue
DescriptionFAMILY PLANNING SERVICES IN A NINE COUNTY AREA IN SOUTHEAST NEBRASKA.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Revenue2670Revenue
FieldValueIRS element (for citing)
Total Of Other Program Service Rev2670TotalOfOtherProgramServiceRev
Total Program Service Expense778316TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
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 Employees28NumberOfEmployees
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
PRESIDENT1.00XX000
DR LAURENCE FALK
VICE PRESIDENT1.00XX000
JANELLE MORAN
SECRETARY1.00XX000
ROCHELLE COLLINS
DIRECTOR1.00X000
PAULA DARLING
DIRECTOR1.00X000
VINNY BITTINGER
DIRECTOR1.00X000
STEPHANIE CLARK
DIRECTOR1.00X000
SHIRLEY TERRY
DIRECTOR1.00X000
TED HARSHBARGER
DIRECTOR1.00X000
SHARON RICKMAN
EXECUTIVE DIRECTOR40.00X6351408043
JEAN BRINKMAN
DEPUTY DIRECTOR40.00X53900011109
FieldValueIRS element (for citing)
Total Reportable Comp From Org117414TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation19152TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants685388GovernmentGrants
All Other Contributions9918AllOtherContributions
Total Contributions695306TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRIVATE INSURANCE REIM6213006711467114
PATIENT FEES6213004520845208
MEDICAID REIMBURSEMENT62130026732673
FieldValueIRS element (for citing)
Total Program Service Revenue114995TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column988TotalRevenueColumn
Exclusion$988ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3708Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-3708Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-3708TotalRevenueColumn
Related Or Exempt Function Income-3708RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2670TotalRevenueColumn
Related Or Exempt Function Income2670RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2670TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column810251TotalRevenueColumn
Related Or Exempt Function Income113957RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$988ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total140126Total
Program Services65501ProgramServices
Management And General74625ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total395969Total
Program Services395969ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19380Total
Program Services19204ProgramServices
Management And General176ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total43959Total
Program Services32145ProgramServices
Management And General11814ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6150Total
Management And General6150ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total20139Total
Program Services20139ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31157Total
Program Services26655ProgramServices
Management And General4502ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total57157Total
Program Services48898ProgramServices
Management And General8259ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total28005Total
Program Services28005ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total22694Total
Program Services22694ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total5837Total
Program Services4994ProgramServices
Management And General843ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
CONTRACEPTIVES/PHARMACY6162261622
PATIENT CARE/LAB FEES2512525125
TELEPHONE1163599541681
EDUCATIONAL MATERIALS33853385

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total14163Total
Program Services14026ProgramServices
Management And General137ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total886503Total
Program Services778316ProgramServices
Management And General108187ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY130794BOY
EOY9115EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY56911BOY
EOY140440EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY73040BOY
EOY150667EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3292BOY
EOY10669EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18637BOY
EOY11330EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8890BOY
EOY14186EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis152108LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec107289LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY71221BOY
EOY44819EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY65BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY362850BOY
EOY381226EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY57957BOY
EOY39569EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY70256EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY57957BOY
EOY109825EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY304893BOY
EOY206957EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY64444EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY304893BOY
EOY271401EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY362850BOY
EOY381226EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-76252ReconcilationRevenueExpenses
Reconcilation Other Changes42760ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years441228CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years671567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years901906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year625607CurrentTaxYearMinus1Year
Current Tax Year695306CurrentTaxYear
Total3335614Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years441228CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years671567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years901906CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year625607CurrentTaxYearMinus1Year
Current Tax Year695306CurrentTaxYear
Total3335614Total
FieldValueIRS element (for citing)
Public Support Total1703335614PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3976CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3977CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1782CurrentTaxYearMinus1Year
Current Tax Year988CurrentTaxYear
Total14698Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2617CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5469CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year25077CurrentTaxYearMinus1Year
Total37206Total
FieldValueIRS element (for citing)
Total Support3387518TotalSupport
Gross Receipts From Admissions Etc117665GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.98470PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98260PublicSupportPertcentPriorYear
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 Basis152108OtherCostOrOtherBasis
Depreciation107289Depreciation
Book Value44819BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings44819TotalOfBookValueLandBuildings
Total Revenue810251TotalRevenue
Total Expenses886503TotalExpenses
Excess Or Deficit For Year-76252ExcessOrDeficitForYear
Prior Period Adjustments42760PriorPeriodAdjustments
Total Adjustments42760TotalAdjustments
Excess Or Deficit Per FS-33492ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt821529TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities7570DonatedSrvcAndUseOfFacilities
Other Revenues3708OtherRevenues
Revenue Not Rptd F99011278RevenueNotRptdF990
Revenue Subtotal810251RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990810251TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt897781TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities7570DonatedServicesUseOfFacilities
Other Expenses Included3708OtherExpensesIncluded
Expenses Not Rptd F99011278ExpensesNotRptdF990
Expenses Subtotal886503ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990886503TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 YEARS ENDED JUNE 30, 2012 AND 2011, 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 XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS 3,708.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS 3,708.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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, PART XI, LINE 5:PRIOR PERIOD ADJUSTMENTS: 42,760.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THIS HAS NOT CHANGED SINCE THE PRIOR YEAR.