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GOOD SAMARITAN HEALTH CENTER OF COBB INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN HEALTH CENTER OF COBB INC (EIN 32-0045238)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-17
IRS object ID
201202619349301015
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)
Timestamp2012-09-17T10:32:21-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1POST & ASSOCIATES LLC CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13475 DALLAS HWY STE 125AddressLine1
CityMARIETTACity
StateGAState
ZIP Code30064ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN320045238EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HEALTH CENTER OFBusinessNameLine1
Business Name Line2COBBBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlGOODNameControl
Phone7704193120Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11605 ROBERTA DR SWAddressLine1
CityMARIETTACity
StateGAState
ZIP Code300083855ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSTEVE LAMONTAGNEName
TitleTREASURERTitle
Phone7704193120Phone
Date Signed2012-08-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDANIEL L POST JR CPAName
Phone6782905100Phone
Date Prepared2012-09-17DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY HORNSBY M DNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11605 ROBERTA DR SWAddressLine1
CityMARIETTACity
StateGAState
ZIP Code300083855ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8527243GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.GOODSAMCOBB.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS "TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED."ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees29TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year459843ContributionsGrantsPriorYear
Contributions Grants Current Year775634ContributionsGrantsCurrentYear
Program Service Revenue Prior Year413174ProgramServiceRevenuePriorYear
Program Service Revenue CY618475ProgramServiceRevenueCY
Investment Income Prior Year13244InvestmentIncomePriorYear
Investment Income Current Year2410InvestmentIncomeCurrentYear
Other Revenue Prior Year5443815OtherRevenuePriorYear
Other Revenue Current Year7130724OtherRevenueCurrentYear
Total Revenue Prior Year6330076TotalRevenuePriorYear
Total Revenue Current Year8527243TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year938214SalariesEtcPriorYear
Salaries Etc Current Year849171SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year6206TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY6144TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year73514TotalFundrsngExpCurrentYear
Other Expense Prior Year5824053OtherExpensePriorYear
Other Expenses Current Year7609974OtherExpensesCurrentYear
Total Expenses Prior Year6768473TotalExpensesPriorYear
Total Expenses Current Year8465289TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-438397RevenuesLessExpensesPriorYear
Revenues Less Expenses CY61954RevenuesLessExpensesCY
Total Assets BOY1853471TotalAssetsBOY
Total Assets EOY1891274TotalAssetsEOY
Total Liabilities BOY28213TotalLiabilitiesBOY
Total Liabilities EOY4062TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1825258NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1887212NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION'S MISSION IS "TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED."MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense8266894Expense
DescriptionTHE ORGANIZATION IS A PRIMARY HEALTHCARE CENTER FOR LOW-INCOME UNISURED INDIVIUDALS THAT INCLUDES MEDICAL, DENTAL, DISPENSARY, AND COUNSELING SERVICES. IT PROVIDED CARE FOR 19,232 PATIENT VISITS IN 2011 TOTALING 10.5 MILLION IN MEDICAL AND DENTAL CARE WHICH INCLUDES 2.34 MILLION IN PHARMACEUTICALS AND 4.1 MILLION IN LABS AND RADIOLOGY.Description
Total Program Service Expense8266894TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees29NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGAYLE NELSONNamePerson
Telephone Number7704193120TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11605 ROBERTA DRIVEAddressLine1
CityMARIETTACity
StateGAState
ZIP Code30008ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
ALAN KIRK
CHAIRMANX000
ROBERT SMITH DDS
X000
DAVID BOTTOMS
OPERATIONSX000
STEVE LAMONTAGNE
TREASURERX000
GRANT COLE
SPIRITUAL HEX000
JANIE MADDOX
FUNDRAISINGX000
LYNDA AUSBURN
FUNDRAISINGX000
BILLY EDENS
X000
KEN FARRAR DMD
X000
CONGRESSMAN PHIL GINGREY MD
X000
SCOTT KIMBROUGH
X000
J MIKE KINNEY DDS
X000
CYRL KITCHENS
X000
TERRY POOR PHD
X000
REVEREND FELIX LORA
X000
DAVID TUCKER MD
X000
JOHN SHERRER RRH BOARD AFFAIRS
X000
BARRY TEAGUE
X000
MICHAEL VICK MD
X000
REVEREND AMOS WILLIAMS
X000
LARRY HORNSBY M D
MEDICAL DIRE1278650040.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org127865TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions775634AllOtherContributions
Total Contributions775634TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL PROGRAM REVENUES259643259643
DENTAL PROGRAM REVENUES206068206068
DISPENSARY REVENUES101858101858
SPECIAL EVENTS5766057660
MISCELLANEOUS INCOME690690

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column-7444TotalRevenueColumn
Related Or Exempt Function Income-7444RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue618475TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2410TotalRevenueColumn
Related Or Exempt Function Income2410RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
DONATED SERVICES55638825563882
DONATED MEDICATION15668421566842
FieldValueIRS element (for citing)
Total Other Revenue7130724TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8527243TotalRevenueColumn
Related Or Exempt Function Income7751609RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total739067Total
Program Services694067ProgramServices
Fundraising45000Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total55564Total
Program Services51056ProgramServices
Fundraising4508Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total54540Total
Program Services51197ProgramServices
Fundraising3343Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9000Total
Management And General9000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total6144Total
Fundraising6144Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total23246Total
Management And General23246ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total23505Total
Program Services13854ProgramServices
Management And General9651ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DONATED SERVICES55638825563882
DONATED MEDICATIONS15668421566842
DEPRECIATION858205782827992
DISPENSARY COSTS7435674356

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total263323Total
Program Services193812ProgramServices
Management And General54992ManagementAndGeneral
Fundraising14519Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8465289Total
Program Services8266894ProgramServices
Management And General124881ManagementAndGeneral
Fundraising73514Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY52748BOY
EOY53685EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY535951BOY
EOY638814EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2750BOY
EOY2400EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY13527BOY
EOY17452EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9006BOY
EOY9006EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1634633LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec473870LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1239489BOY
EOY1160763EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY9154EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1853471BOY
EOY1891274EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28213BOY
EOY4062EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY28213BOY
EOY4062EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1825258BOY
EOY1887212EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1825258BOY
EOY1887212EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1853471BOY
EOY1891274EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses61954ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years702492CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years814959CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years498196CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year762767CurrentTaxYearMinus1Year
Current Tax Year775634CurrentTaxYear
Total3554048Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years259879CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years413174CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year472425CurrentTaxYearMinus1Year
Current Tax Year361242CurrentTaxYear
Total1506720Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years702492CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1074838CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years911370CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1235192CurrentTaxYearMinus1Year
Current Tax Year1136876CurrentTaxYear
Total5060768Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156707CurrentTaxYearMinus1Year
Current Tax Year161155CurrentTaxYear
Total695617Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114500CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years123000CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years140255CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year156707CurrentTaxYearMinus1Year
Current Tax Year161155CurrentTaxYear
Total695617Total
FieldValueIRS element (for citing)
Public Support Total5094365151PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6227CurrentTaxYearMinus1Year
Current Tax Year2410CurrentTaxYear
Total109495Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years49661CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6227CurrentTaxYearMinus1Year
Current Tax Year2410CurrentTaxYear
Total109495Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years591CurrentTaxYearMinus3Years
Total591Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years752153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1113382CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years924614CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1241419CurrentTaxYearMinus1Year
Current Tax Year1139286CurrentTaxYear
Total5170854Total
FieldValueIRS element (for citing)
Public Support Percentage5090.84420PublicSupportPercentage509
Prior Year Support Percentage0.84100PriorYearSupportPercentage
Investment Income Percentage0.02000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis402595OtherCostOrOtherBasis
Book Value402595BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis677481OtherCostOrOtherBasis
Depreciation140400Depreciation
Book Value537081BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis519019OtherCostOrOtherBasis
Depreciation305819Depreciation
Book Value213200BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35538OtherCostOrOtherBasis
Depreciation27651Depreciation
Book Value7887BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1160763TotalOfBookValueLandBuildings
Total Revenue8527243TotalRevenue
Total Expenses8465289TotalExpenses
Excess Or Deficit For Year61954ExcessOrDeficitForYear
Excess Or Deficit Per FS61954ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8527243TotRevenueEtcAuditedFinclStmt
Revenue Subtotal8527243RevenueSubtotal
Total Revenue Per Form9908527243TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8465289TotExpensesEtcAuditedFinclStmt
Expenses Subtotal8465289ExpensesSubtotal
Total Expenses Per Form9908465289TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BRETURN WILL BE REVIEWED PRIOR TO FILING.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19WEBSITE