TAYLORS FREE MEDICAL CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: TAYLORS FREE MEDICAL CLINIC INC (EIN 20-1715911)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-15
IRS object ID: 201202289349302385
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 C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-15T01:44:22-04:00	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	MARGARET M GAILLARD CPA PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	104 SUGAR CREEK ROAD	AddressLine1
City	GREER	City
State	SC	State
ZIP Code	29650	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	201715911	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	TAYLORS FREE MEDICAL CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	TAYL	NameControl
Phone	8642441134	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 W Main Street	AddressLine1
City	Taylors	City
State	SC	State
ZIP Code	29687	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Dennis Ballentine	Name
Title	Treasurer	Title
Phone	8642441134	Phone
Date Signed	2012-08-13	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Margaret M Gaillard	Name
Phone	8649155584	Phone
Date Prepared	2012-08-15	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	James Hayes	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 W Main St	AddressLine1
City	Taylors	City
State	SC	State
ZIP Code	29687	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	624672	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2004	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	TFMC exists to fill the community need for free medical services,including pharmaceuticals and specialty clinics. Current program initatives are to assure preventive health services, primary and specialty, to the community and to coordinate outreach services with local hospitals, physicians and social services.We offer specialty clinics in X-ray,Surgery Orthopedics,Gynecology,Dermatology,Counseling,and Neurology. We offer chronic disease management classes, both group and one on one, chronic diseases such as diabetes, hypertension, and other metabolic disorders, along with nutrition and mental health classes for both the patient and family members. In addition, we are able to refer our patients to other community agencies for needs such as clothing, food and employment. By offering these services to our patients, we provide them with the comprehensive health services that would otherwise be unattainable to them and we reduce the work-load on area emergency rooms.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	10	TotalNbrEmployees
Total Nbr Volunteers	500	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	411117	ContributionsGrantsPriorYear
Contributions Grants Current Year	624599	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	73	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	411117	TotalRevenuePriorYear
Total Revenue Current Year	624672	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	293140	SalariesEtcPriorYear
Salaries Etc Current Year	320957	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	222699	OtherExpensePriorYear
Other Expenses Current Year	236333	OtherExpensesCurrentYear
Total Expenses Prior Year	515839	TotalExpensesPriorYear
Total Expenses Current Year	557290	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-104722	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	67382	RevenuesLessExpensesCY
Total Assets BOY	337720	TotalAssetsBOY
Total Assets EOY	391413	TotalAssetsEOY
Total Liabilities BOY	219580	TotalLiabilitiesBOY
Total Liabilities EOY	205892	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	118140	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	185521	NetAssetsOrFundBalancesEOY
Mission Description	TFMC exists to fill the community need for free medical services,including pharmaceuticals and specialty clinics. Current program initatives are to assure preventive health services, primary and specialty, to the community and to coordinate outreach services with local hospitals, physicians and social services.We offer specialty clinics in X-ray,Surgery Orthopedics,Gynecology,Dermatology,Counseling,and Neurology. We offer chronic disease management classes, both group and one on one, chronic diseases such as diabetes, hypertension, and other metabolic disorders, along with nutrition and mental health classes for both the patient and family members. In addition, we are able to refer our patients to other community agencies for needs such as clothing, food and employment. By offering these services to our patients, we provide them with the comprehensive health services that would otherwise be unattainable to them and we reduce the work-load on area emergency rooms.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	577290	Expense
Description	Since opening in July of 2005, we have screened and provided medical services to over 3,100 patients. In 2011, we dispensed 23,383 prescriptions, provided 4,485 patient visits and 500 counseling visits for 1,478 individuals.	Description
Total Program Service Expense	577290	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	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	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	false	ProfessionalFundraising
Fundraising Activities	false	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	false	ComplianceWithBackupWitholding
Number Of Employees	10	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
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	true	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
Form720 Filed	false	Form720Filed
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	14	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	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Policies Reference Chapters	false	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	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Taylors Free Medical Clinic	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	8642441134	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 West Main Street	AddressLine1
City	Taylors	City
State	SC	State
ZIP Code	29687	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee
Russell Ashmore
Vice President	8.00	X	X	0	0	0
Ken Howell
Board Member	2.00	X		0	0	0
Robin Scott Blackburn
Board Member	2.00	X		0	0	0
Betty Brown
Secretary	8.00	X	X	0	0	0
Dave Herndon
Board Member	2.00	X		0	0	0
Barbara Massey
Board Member	2.00	X		0	0	0
Mike Burns
Board Member	2.00	X		0	0	0
Dennis Ballentine
Treasurer	8.00	X	X	0	0	0
Bill Clifton
Board Member	2.00	X		0	0	0
James Hayes MD
President	8.00	X	X	0	0	0
Queenie Scott
Board Member	2.00	X		0	0	0
Phillip Ellenburg
Board Member	2.00	X		0	0	0
Kenneth Smith
Board Member	2.00	X		0	0	0
Karen Salerno
Executive Director	50.00			0	0	0	X
Patricia Osbon
Board Member	2.00	X		0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	53372	TotalReportableCompFromOrg
Formers Listed	true	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	624599	AllOtherContributions
Total Contributions	624599	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	73	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	624672	TotalRevenueColumn

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	53372	Total
Program Services	37361	ProgramServices
Management And General	10675	ManagementAndGeneral
Fundraising	5336	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	218178	Total
Program Services	218178	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6931	Total
Program Services	6238	ProgramServices
Management And General	554	ManagementAndGeneral
Fundraising	139	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	19292	Total
Program Services	17597	ProgramServices
Management And General	1130	ManagementAndGeneral
Fundraising	565	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	23184	Total
Program Services	21872	ProgramServices
Management And General	875	ManagementAndGeneral
Fundraising	437	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	420	Total
Management And General	420	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8421	Total
Program Services	6482	ProgramServices
Management And General	1684	ManagementAndGeneral
Fundraising	255	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4215	Total
Program Services	3372	ProgramServices
Management And General	843	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	820	Total
Program Services	574	ProgramServices
Management And General	164	ManagementAndGeneral
Fundraising	82	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	12313	Total
Program Services	9850	ProgramServices
Management And General	2463	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12048	Total
Program Services	9638	ProgramServices
Management And General	2410	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	5931	Total
Program Services	4745	ProgramServices
Management And General	1186	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	FundraisingFundraising	Management And GeneralManagementAndGeneral
Supplies and Program expenses	88367	88367
Fundraising expenses	65006		65006
Professional Consulting	17283	8642		8641
Postage	7520	5264	752	1504

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	13989	Total
Program Services	12000	ProgramServices
Management And General	1989	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	557290	Total
Program Services	450180	ProgramServices
Management And General	34538	ManagementAndGeneral
Fundraising	72572	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	28008	BOY
EOY	94762	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	1013	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	401305	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	104654	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	308699	BOY
EOY	296651	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	337720	BOY
EOY	391413	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3482	BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	216098	BOY
EOY	205892	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	219580	BOY
EOY	205892	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	118140	BOY
EOY	185521	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	118140	BOY
EOY	185521	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	337720	BOY
EOY	391413	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	67382	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
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	218170	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	171938	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	497889	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	411117	CurrentTaxYearMinus1Year
Current Tax Year	624599	CurrentTaxYear
Total	1923713	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	218170	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	171938	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	497889	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	411117	CurrentTaxYearMinus1Year
Current Tax Year	624599	CurrentTaxYear
Total	1923713	Total

Field	Value	IRS element (for citing)
Public Support Total170	1923713	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	112	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	155	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	60	CurrentTaxYearMinus2Years
Current Tax Year	73	CurrentTaxYear
Total	400	Total

Field	Value	IRS element (for citing)
Total Support	1924113	TotalSupport
Public Support Pertcentage170	0.99980	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.99980	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Total509	1923713	PublicSupportTotal509

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Form4720 Filed4955 Tax	false	Form4720Filed4955Tax
Correction Made	false	CorrectionMade
Form1120 Pol Filed	false	Form1120PolFiled
Form4720 Filed	false	Form4720Filed
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax
Substantially All Dues Nondeduct	false	SubstantiallyAllDuesNondeduct
Only In House Lobbying	false	OnlyInHouseLobbying
Agree To Carryover Prior Year	false	AgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	120631	InvestmentCostOrOtherBasis
Book Value	120631	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	194659	InvestmentCostOrOtherBasis
Depreciation	26368	Depreciation
Book Value	168291	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	56048	InvestmentCostOrOtherBasis
Depreciation	51765	Depreciation
Book Value	4283	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	29967	InvestmentCostOrOtherBasis
Depreciation	26521	Depreciation
Book Value	3446	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	296651	TotalOfBookValueLandBuildings
Total Revenue	624672	TotalRevenue
Total Expenses	557290	TotalExpenses
Excess Or Deficit For Year	67382	ExcessOrDeficitForYear
Excess Or Deficit Per FS	67382	ExcessOrDeficitPerFS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

Field	Value	IRS element (for citing)
Explanation	The organization makes its governing documents,conflict of interest policy and financial statements available to the public upon request The treasurer and executive director review the Form 990 prepared by the CPA prior to the filing.	Explanation