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LAKE AREA FREE CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
LAKE AREA FREE CLINIC INC (EIN 39-2006388)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-16
IRS object ID
201212299349300721
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)
Timestamp2012-08-16T08:58:42-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WINTER KLOMAN MOTER AND REPP SCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11040 OCONOMOWOC PKWYAddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN392006388EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LAKE AREA FREE CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLAKENameControl
Phone2625694990Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1856 Armour RoadAddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAMANDA MCNUTTName
TitleTreasurerTitle
Date Signed2012-08-16DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJames K Holsen CPAName
Phone2625676540Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARY REICHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1W356 ALLEN RDAddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode
FieldValueIRS element (for citing)
Gross Receipts446414GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.lakeareafreeclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL ATTENTION TO THE UNINSURED MEMBERS OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body28NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees5TotalNbrEmployees
Total Nbr Volunteers200TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year310796ContributionsGrantsPriorYear
Contributions Grants Current Year294233ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year996InvestmentIncomePriorYear
Investment Income Current Year1131InvestmentIncomeCurrentYear
Other Revenue Prior Year61571OtherRevenuePriorYear
Other Revenue Current Year88016OtherRevenueCurrentYear
Total Revenue Prior Year373363TotalRevenuePriorYear
Total Revenue Current Year383380TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year120416SalariesEtcPriorYear
Salaries Etc Current Year125794SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year6144TotalFundrsngExpCurrentYear
Other Expense Prior Year199191OtherExpensePriorYear
Other Expenses Current Year206572OtherExpensesCurrentYear
Total Expenses Prior Year319607TotalExpensesPriorYear
Total Expenses Current Year332366TotalExpensesCurrentYear
Revenues Less Expenses Prior Year53756RevenuesLessExpensesPriorYear
Revenues Less Expenses CY51014RevenuesLessExpensesCY
Total Assets BOY460527TotalAssetsBOY
Total Assets EOY511541TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY460527NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY511541NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL ATTENTION TO THE UNINSURED MEMBERS OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense279935Expense
DescriptionDURING THE YEAR, OVER 4,720 PATIENTS WHO WHERE UNINSURED WERE GIVEN MEDICAL ATTENTION.Description
Total Program Service Expense279935TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees5NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members28NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAMANDA MCNUTTNamePerson
Telephone Number2625676540TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11040 OCONOMOWOC PARKWAYAddressLine1
CityOCONOMOWOCCity
StateWIState
ZIP Code53066ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Mark Zwaska
Director1.00X000
Thomas Schroeder MD
Director1.00X000
MARY REICH
Executive Direc40.00X6592000
KAREN JENSEN
Director1.00X000
Shannon Sander
Director1.00X000
SANDRA STEARNS
V. Chairperson1.00X000X
SETH TEIGEN
Director1.00X000
WAYNE EUCLIDE
Director1.00X000
SALLY CHRISTIANSEN
DIRECTOR1.00X000
DONNA VOIGT
CHAIRPERSON5.00X1802000X
MAUREEN STAPLETON
Director1.00X000
CURT NEUDECKER
Director1.00X000
DR PETER GEISS
MEDICAL DIRECT5.00X000
MICHAEL RODE
Director5.00X000
MARY RODE
Director5.00X000
SUSAN RUSSLER MD
Director5.00X000
Kathy McCann
Director1.00X000
JAN NAVIN
Director5.00X000
Ellyn Helberg
Director1.00X000
Rev David Dukovan
Secretary1.00X000
GINA MAGNUS
Director1.00X000
ELIZABETH SCHUMACHER
Director5.00X000
DAN MILLER MD
Director1.00X000
CHRIS BOTH
Director1.00X000
AMANDA MCNUTT
Treasurer5.00X000X
CORTNEY EWALD-IHDE
DIRECTOR1.00X000
Dan Bonk
Director1.00X000
NICK ARGEROUDIS
Director1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org83940TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions294233AllOtherContributions
Total Contributions294233TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1129TotalRevenueColumn
Exclusion$1,129ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities46291Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities46289Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2TotalRevenueColumn
Related Or Exempt Function Income2RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events104761GrossIncomeFundraisingEvents
Fundraising Direct Expenses16745FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column88016TotalRevenueColumn
Exclusion$88,016ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column383380TotalRevenueColumn
Related Or Exempt Function Income2RelatedOrExemptFunctionIncome
Exclusion$89,145ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total18020Total
Program Services18020ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total92862Total
Program Services59902ProgramServices
Management And General32960ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5306Total
Program Services2653ProgramServices
Management And General2653ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9606Total
Program Services6751ProgramServices
Management And General2855ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3300Total
Program Services1100ProgramServices
Management And General1100ManagementAndGeneral
Fundraising1100Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total7096Total
Program Services3548ProgramServices
Management And General3548ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total41802Total
Program Services41802ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2000Total
Program Services2000ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12737Total
Program Services12737ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total3189Total
Program Services3189ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
REPAIRS & MAINTENANCE55025502
PROMOTIONAL ACTIVITIES39843984
MEDICAL SUPPLIES117400117400
INTERPRETER32903290
BANK & CREDIT CARD FEES25882588

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3684Total
Program Services2041ProgramServices
Management And General583ManagementAndGeneral
Fundraising1060Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total332366Total
Program Services279935ProgramServices
Management And General46287ManagementAndGeneral
Fundraising6144Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY266900BOY
EOY167333EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY58282BOY
EOY219005EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis132776LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec34910LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY107469BOY
EOY97866EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY27876BOY
EOY27337EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY460527BOY
EOY511541EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY389541BOY
EOY434221EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY70986BOY
EOY77320EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY460527BOY
EOY511541EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY460527BOY
EOY511541EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses51014ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years342475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years372244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year310796CurrentTaxYearMinus1Year
Current Tax Year294233CurrentTaxYear
Total1498130Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years178382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years342475CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years372244CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year310796CurrentTaxYearMinus1Year
Current Tax Year294233CurrentTaxYear
Total1498130Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701498130PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5908CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3936CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1638CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year935CurrentTaxYearMinus1Year
Current Tax Year1129CurrentTaxYear
Total13546Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support1511676TotalSupport
Public Support Pertcentage1700.99100PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98850PublicSupportPertcentPriorYear
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

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis101260OtherCostOrOtherBasis
Depreciation15678Depreciation
Book Value85582BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31516OtherCostOrOtherBasis
Depreciation19232Depreciation
Book Value12284BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings97866TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
SOFTWARE8537
ARTWORK18800
FieldValueIRS element (for citing)
Total Book Value Other Assets27337TotalBookValueOtherAssets
Total Revenue383380TotalRevenue
Total Expenses332366TotalExpenses
Excess Or Deficit For Year51014ExcessOrDeficitForYear
Excess Or Deficit Per FS51014ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt383380TotRevenueEtcAuditedFinclStmt
Revenue Subtotal383380RevenueSubtotal
Total Revenue Per Form990383380TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt332366TotExpensesEtcAuditedFinclStmt
Expenses Subtotal332366ExpensesSubtotal
Total Expenses Per Form990332366TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event1104761GrossReceiptsEvent1
Gross Revenue Event1104761GrossRevenueEvent1
Other Direct Expenses Event116745OtherDirectExpensesEvent1
Gross Receipts Total104761GrossReceiptsTotal
Gross Revenue Total Events104761GrossRevenueTotalEvents
Other Direct Expenses Total Events16745OtherDirectExpensesTotalEvents
Direct Expense Summary Events16745DirectExpenseSummaryEvents
Net Income Summary88016NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL DOCUMENTS & STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 IS SUBMITTED TO & REVIEWED BY THE GOVERNING BODY AT A BOARD MEETING.