AMHE INCORPORATED-NEW YORK CHAPTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: AMHE INCORPORATED-NEW YORK CHAPTER (EIN 20-0844452)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-05-16
IRS object ID: 201201379349300505
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-16T01:19:10-00:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BORNO FINANCIAL LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	60 E 42ND ST STE 1257	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10165	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	200844452	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	AMHE INCORPORATED - NEW YORK CHAPTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	AMHE	NameControl
Phone	7182451015	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7055	AddressLine1
City	HICKSVILLE	City
State	NY	State
ZIP Code	11802	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DR MARIO SAINT-LAURENT MD	Name
Title	TREASURER	Title
Date Signed	2012-02-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	ROSELINE M BORNO CPA	Name
Phone	2128675096	Phone
Date Prepared	2012-02-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JEAN-ROBERT DESROULEAUX MD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2035 Lakeville Rd Ste 206	AddressLine1
City	New Hyde Park	City
State	NY	State
ZIP Code	11042	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	82180	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.amheny.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	HEALTH PREVENTION AND RESEARCH - MEDICAL EDUCATION AND SCHOLARSHIP IN HAITI - MEDICAL DISASTER RELIEF - MEDICAL SUPPLIES AND EQUIPMENTS FOR THE UNIVERSITY HOSPITAL IN PORT-AU-PRINCE, HAITI - RADIO PROGRAM HEALTH CARE AND THE HAITIAN COMMUNITY, PREVENTION AND MANAGEMENT OF DISEASES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	99451	ContributionsGrantsPriorYear
Contributions Grants Current Year	59499	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1	InvestmentIncomePriorYear
Investment Income Current Year	3	InvestmentIncomeCurrentYear
Other Revenue Current Year	22678	OtherRevenueCurrentYear
Total Revenue Prior Year	99452	TotalRevenuePriorYear
Total Revenue Current Year	82180	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	27772	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	7850	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Current Year	0	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	6150	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	51542	TotalFundrsngExpCurrentYear
Other Expense Prior Year	59918	OtherExpensePriorYear
Other Expenses Current Year	82793	OtherExpensesCurrentYear
Total Expenses Prior Year	87690	TotalExpensesPriorYear
Total Expenses Current Year	96793	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11762	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-14613	RevenuesLessExpensesCY
Total Assets BOY	26822	TotalAssetsBOY
Total Assets EOY	12743	TotalAssetsEOY
Total Liabilities EOY	431	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	26822	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	12312	NetAssetsOrFundBalancesEOY
Mission Description	HEALTH PREVENTION AND RESEARCH - MEDICAL EDUCATION AND SCHOLARSHIP IN HAITI - MEDICAL DISASTER RELIEF - MEDICAL SUPPLIES AND EQUIPMENTS FOR THE UNIVERSITY HOSPITAL IN PORT-AU-PRINCE, HAITI - RADIO PROGRAM HEALTH CARE AND THE HAITIAN COMMUNITY, PREVENTION AND MANAGEMENT OF DISEASES	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	7850	Expense
Description	HAITI MEDICAL HEALTH RELIEF - SUPPLIES AND EQUIPMENTS FOR THE UNIVERSITY HOSPITAL IN PORT-AU-PRINCE	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7731	Expense
Description	RADIO PROGRAM HEALTH CARE AND THE HAITIAN COMMUNITY, PREVENTION AND MANAGEMENT OF DISEASES	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	4755	Expense
Description	EDUCATION / SCHOLARHIP / MEMBERSHIP	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	20336	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
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	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	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	true	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	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	0	NumberOfEmployees
Unrelated Business Income	false	UnrelatedBusinessIncome
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	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	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	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	NY	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DR MARIO SAINT-LAURENT MD	NamePerson
Telephone Number	7182451015	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1166 EASTERN PARKWAY 2ND FLOOR	AddressLine1
City	BROOKLYN	City
State	NY	State
ZIP Code	11225	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
LOUIS J AUGUSTE MD
Immediate Past President	001.00	X	0	0	0
JEAN-ROBERT DESROULEAUX MD
President	007.00	X	0	0	0	X
MICHELINE DOLE MD MPH
1st Vice President	003.00	X	0	0	0	X
LIONEL LEFEVRE MD
2nd Vice President	002.00	X	0	0	0	X
MARIO SAINT-LAURENT MD
Treasurer	003.00	X	0	0	0	X
KARL LATORTUE MD
Assistant Treasurer	001.00	X	0	0	0	X
HEROLD DUROSEAU MD
Secretary	002.00	X	0	0	0	X
BORDES LAURENT MD
1st Assistant Secretary	001.00	X	0	0	0	X
ALAIN BERTHOLD MD
2nd Assistant Secretary	001.00	X	0	0	0	X
HEROLD SIMON MD
Members-at-Large	001.00	X	0	0	0
DENIS MOCOMBE MD
Members-at-Large	001.00	X	0	0	0
GEORGE J CASIMIR MD
Members-at-Large	001.00	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	59499	AllOtherContributions
Total Contributions	59499	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3	TotalRevenueColumn
Related Or Exempt Function Income	3	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	22678	GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	22678	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	82180	TotalRevenueColumn
Related Or Exempt Function Income	3	RelatedOrExemptFunctionIncome

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	7850	Total
Program Services	7850	ProgramServices

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	0	Total

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	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	0	Total

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	60	Total
Management And General	60	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	5150	Total
Program Services	2000	ProgramServices
Management And General	1000	ManagementAndGeneral
Fundraising	2150	Fundraising

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	6150	Total
Fundraising	6150	Fundraising

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	4680	Total
Management And General	800	ManagementAndGeneral
Fundraising	3880	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	4503	Total
Program Services	1539	ProgramServices
Management And General	533	ManagementAndGeneral
Fundraising	2431	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7428	Total
Management And General	7428	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	29160	Total
Fundraising	29160	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	6216	Total
Program Services	1216	ProgramServices
Fundraising	5000	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	16252	Total
Program Services	7731	ProgramServices
Management And General	8521	ManagementAndGeneral

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	163	Total
Management And General	163	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	347	Total
Fundraising	347	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Management And GeneralManagementAndGeneral	FundraisingFundraising
Bank service fees	385	385
Printing reproduction	1580	675	905
Postage and delivery	2169	650	1519
Charitable contributions	4700	4700

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	96793	Total
Program Services	20336	ProgramServices
Management And General	24915	ManagementAndGeneral
Fundraising	51542	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	20315	BOY
EOY	1174	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1018	BOY
EOY	3243	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5000	BOY
EOY	8000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	815	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	489	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	489	BOY
EOY	326	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	26822	BOY
EOY	12743	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
EOY	431	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	431	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	26822	BOY
EOY	12312	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	26822	BOY
EOY	12312	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	26822	BOY
EOY	12743	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-14613	ReconcilationRevenueExpenses
Reconcilation Other Changes	103	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Audit Committee	false	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

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	47525	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	71978	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	69289	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	99451	CurrentTaxYearMinus1Year
Current Tax Year	82177	CurrentTaxYear
Total	370420	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	47525	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	71978	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	69289	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	99451	CurrentTaxYearMinus1Year
Current Tax Year	82177	CurrentTaxYear
Total	370420	Total

Field	Value	IRS element (for citing)
Public Support Total170	370420	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	1	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1	CurrentTaxYearMinus1Year
Current Tax Year	3	CurrentTaxYear
Total	7	Total

Field	Value	IRS element (for citing)
Total Support	370427	TotalSupport
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

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

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	815	OtherCostOrOtherBasis
Depreciation	489	Depreciation
Book Value	326	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	326	TotalOfBookValueLandBuildings

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
No Recipient Over5 K	X	NoRecipientOver5K

Grants To Orgs Outside US GrantsToOrgsOutsideUS

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Purpose Of Grant	Medical disaster relief	PurposeOfGrant
Amount Of Non Cash Assistance	7850	AmountOfNonCashAssistance
Description Of Non Cash Assistance	medical supplies	DescriptionOfNonCashAssistance
Method Of Valuation	FMV	MethodOfValuation

Field	Value	IRS element (for citing)
Total Number Of Other Orgs	1	TotalNumberOfOtherOrgs
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Schedule G IRS990ScheduleG

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

Fundraiser Activity Information FundraiserActivityInformation

Name Of Organization NameOfOrganization

Field	Value	IRS element (for citing)
Business Name Line1	THE GRAY ZONE LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	244 MADISON AVE 1520	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10016	ZIPCode

Field	Value	IRS element (for citing)
Activity	Fundraising	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Gross Receipts	22678	GrossReceipts
Amount Retained By Contractor	6150	AmountRetainedByContractor
Net To Organization	16528	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	22678	TotalGrossReceipts
Total Retained By Contractors	6150	TotalRetainedByContractors
Total Net To Organization	16528	TotalNetToOrganization
Licensed States	NY	LicensedStates

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	CONFERENCE	NameOfEvent1
Gross Receipts Event1	15000	GrossReceiptsEvent1
Gross Revenue Event1	15000	GrossRevenueEvent1
Name Of Event2	MEDICAL EDUCATIONS	NameOfEvent2
Gross Receipts Event2	7678	GrossReceiptsEvent2
Gross Revenue Event2	7678	GrossRevenueEvent2
Gross Receipts Total	22678	GrossReceiptsTotal
Gross Revenue Total Events	22678	GrossRevenueTotalEvents
Net Income Summary	22678	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	11b -	Before the financial records were forwarded to the tax preparer, the treasurer of the organization reviewed those recorded revenues and expenses related to program services, management and fundraising activities. When a draft of the form 990 is completed, the tax preparer reviewed and revised the draft-return with the treasurer. Then the treasurer gave the final approval to the preparer for e-filing the tax return.
Form 990 Part VI	19 -	The organization maintains all its records, governing documents, conflict of interest policy, financial statements, at its headquarters. Those records can be accessed at any time and by appointment upon request.
		Form 990 Part VI Section B Line 11b - Before the financial records were forwarded to the tax preparer, the treasurer of the organization reviewed those recorded revenues and expenses related to program services, management and fundraising activities. When a draft of the form 990 is completed, the tax preparer reviewed and revised the draft-return with the treasurer. Then the treasurer gave the final approval to the preparer for e-filing the tax return. Form 990 Part VI Section C Line 19 - The organization maintains all its records, governing documents, conflict of interest policy, financial statements, at its headquarters. Those records can be accessed at any time and by appointment upon request.