STRATEGY STUDIO / PUBLIC DATA EXPLORER

HARDEMAN COUNTY COMMUNITY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HARDEMAN COUNTY COMMUNITY HEALTH CENTER (EIN 58-1995646)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-24
IRS object ID
201222989349300307
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)
Timestamp2012-10-24T06:33:09-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY HORNE CPA & ASSOCIATESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1732 WEST MAIN STREETAddressLine1
CityLEBANONCity
StateTNState
ZIP Code37087ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581995646EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HARDEMAN COUNTY COMMUNITY HEALTH CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHARDNameControl
Phone7316583388Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 720AddressLine1
CityBOLIVARCity
StateTNState
ZIP Code38008ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARY HEINZENName
TitleCHIEF EXECUTIVE OFFICERTitle
Phone7316583388Phone
Date Signed2012-10-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY HORNEName
Phone6154447293Phone
Date Prepared2012-10-24DatePrepared
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 HEINZENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 720AddressLine1
CityBOLIVARCity
StateTNState
ZIP Code38008ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3495557GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileTNStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees43TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2167711ContributionsGrantsPriorYear
Contributions Grants Current Year2068439ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1228750ProgramServiceRevenuePriorYear
Program Service Revenue CY1406389ProgramServiceRevenueCY
Investment Income Prior Year14454InvestmentIncomePriorYear
Investment Income Current Year20729InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year3410915TotalRevenuePriorYear
Total Revenue Current Year3495557TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2103791SalariesEtcPriorYear
Salaries Etc Current Year2365659SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year964570OtherExpensePriorYear
Other Expenses Current Year800929OtherExpensesCurrentYear
Total Expenses Prior Year3068361TotalExpensesPriorYear
Total Expenses Current Year3166588TotalExpensesCurrentYear
Revenues Less Expenses Prior Year342554RevenuesLessExpensesPriorYear
Revenues Less Expenses CY328969RevenuesLessExpensesCY
Total Assets BOY3066373TotalAssetsBOY
Total Assets EOY3358886TotalAssetsEOY
Total Liabilities BOY1223665TotalLiabilitiesBOY
Total Liabilities EOY1187209TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1842708NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2171677NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION PROVIDES HEALTH CAREMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2131931Expense
Revenue1406389Revenue
DescriptionTHE ORGANIZATION PROVIDES HEALTH CARE REGARDLESS OF THE INDIVIDUALS ABILITY TO PAY. THESE MEDICAL SERVICES ARE PROVIDED IN AREAS THAT HAVE A SHORTAGE OF HEALTH CARE PROVIDERS. THIS IS A DIRECT FULFILLMENT OF THEIR TAX EXEMPT PURPOSE. OVER 23,100 VISITS WERE PROVIDED DURING THE YEAR.Description
Total Program Service Expense2131931TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 RequiredtrueScheduleJRequired
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
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees43NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY HEINZENNamePerson
Telephone Number7316583388TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1629 NUCKOLLS ROADAddressLine1
CityBOLIVARCity
StateTNState
ZIP Code38008ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PAUL ELLIS
CHAIRMAN1.00X000
JUANITA WILLIAMS
VICE CHAIR1.00X000
EDNA FORD
SECRETARY1.00X000
DARRELL DICK TEUBNER
TREASURER1.00X000
JANIE ROSS
BOARD MEMBER1.00X000
MAE PREWITT
BOARD MEMBER1.00X000
EVELYN C ROBERTSON JR
BOARD MEMBER1.00X000
DELPHUS HICKS
BOARD MEMBER1.00X000
ERMA WILLIAMS
BOARD MEMBER1.00X000
GLADIS THOMAS
BOARD MEMBER1.00X000
JENNY JOHNSON
BOARD MEMBER1.00X000
VERNON MORTON
BOARD MEMBER1.00X000
MARVIN CROOM
BOARD MEMBER1.00X000
BARBARA HUDSON
BOARD MEMBER1.00X000
MARY HEINZEN
CHIEF EXECUTIVE OFFICER4010925810529X
RAHAMAN SUARA
MEDICAL DIRECTOR4018145914594X
CASANDRA BUFFORD
NURSING DIRECTOR40616708476X
LINDA LOVELACE
CHIEF FINANCIAL OFFICER407742710358X
JOHN SPENCER
PHYSICIAN401447569184X
OLUFEMI SOYINKA
PHYSICIAN4014043710952X
EJIKEME U NWOKOLO
PHYSICIAN4013210310469X
KAREN SALVAGGIO
NURSE PRACTIONER4010814910125X
FieldValueIRS element (for citing)
Total Reportable Comp From Org955259TotalReportableCompFromOrg
Total Other Compensation84687TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants1418119GovernmentGrants
All Other Contributions650320AllOtherContributions
Total Contributions2068439TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621110BusinessCode
Total Revenue Column1406389TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue1406389TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20729TotalRevenueColumn
Exclusion$20,729ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3495557TotalRevenueColumn
Related Or Exempt Function Income1406389RelatedOrExemptFunctionIncome
Exclusion$20,729ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total429814Total
Program Services243129ProgramServices
Management And General186685ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1507420Total
Program Services1084552ProgramServices
Management And General422868ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total34998Total
Program Services24149ProgramServices
Management And General10849ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total304959Total
Program Services163592ProgramServices
Management And General141367ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total88468Total
Program Services61043ProgramServices
Management And General27425ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2661Total
Program Services0ProgramServices
Management And General2661ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19265Total
Program Services0ProgramServices
Management And General19265ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total160786Total
Program Services111889ProgramServices
Management And General48897ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total350105Total
Program Services266682ProgramServices
Management And General83423ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total143525Total
Program Services122549ProgramServices
Management And General20976ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total36605Total
Program Services13755ProgramServices
Management And General22850ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total82306Total
Program Services39889ProgramServices
Management And General42417ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total5676Total
Program Services702ProgramServices
Management And General4974ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3166588Total
Program Services2131931ProgramServices
Management And General1034657ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY348300BOY
EOY65201EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY525961BOY
EOY1031774EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY277428BOY
EOY410342EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY32251BOY
EOY13197EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2564460LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec760816LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1882433BOY
EOY1803644EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY34728EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3066373BOY
EOY3358886EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY210893BOY
EOY127797EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1012772BOY
EOY1059412EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1223665BOY
EOY1187209EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1807980BOY
EOY2136949EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34728BOY
EOY34728EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1842708BOY
EOY2171677EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3066373BOY
EOY3358886EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses328969ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1542362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1698262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2436755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2167711CurrentTaxYearMinus1Year
Current Tax Year2068439CurrentTaxYear
Total9913529Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1542362CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1698262CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2436755CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2167711CurrentTaxYearMinus1Year
Current Tax Year2068439CurrentTaxYear
Total9913529Total
FieldValueIRS element (for citing)
Public Support Total1709913529PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23448CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17410CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16415CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year14454CurrentTaxYearMinus1Year
Current Tax Year20729CurrentTaxYear
Total92456Total
FieldValueIRS element (for citing)
Total Support10005985TotalSupport
Gross Receipts From Admissions Etc6564194GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99080PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98980PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis65353InvestmentCostOrOtherBasis
Book Value65353BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2152649InvestmentCostOrOtherBasis
Depreciation425888Depreciation
Book Value1726761BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis346458InvestmentCostOrOtherBasis
Depreciation334928Depreciation
Book Value11530BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1803644TotalOfBookValueLandBuildings
Total Revenue3495557TotalRevenue
Total Expenses3166588TotalExpenses
Excess Or Deficit For Year328969ExcessOrDeficitForYear
Excess Or Deficit Per FS328969ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3495557TotRevenueEtcAuditedFinclStmt
Revenue Subtotal3495557RevenueSubtotal
Total Revenue Per Form9903495557TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3166588TotExpensesEtcAuditedFinclStmt
Expenses Subtotal3166588ExpensesSubtotal
Total Expenses Per Form9903166588TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
RAHAMAN SUARA
18145958258769196053
JOHN SPENCER
14475612937891153940
OLUFEMI SOYINKA
14043742156737151389

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST
POLICY AND FORM 990 AVAILABLE UPON WRITTEN REQUEST.
Pt XII, Line 2cTHE CEO AND CFO OVERSEE FINANCIAL STATEMENT PREPARATION AND AUDIT ENGAGEMENT.
Pt VI, Line 11aTHE CEO, CFO AND FINANCE COMMITTEE REVIEW THE FORM 990.
Pt VI, Line 12cANNUALLY THE CONFLICT OF INTEREST STATEMENT IS SIGNED BY BOARD MEMBERS AND
REVIEWED BY THE ENTIRE BOARD. BOARD MEMBERS SHALL EXCUSE THEMSELVES FROM
ISSUES THAT ENHANCE THE PROBABILITY OF THEIR OWN PERSONAL AND PRIVATE GAIN.
Pt VI, Line 15STATE AND NATIONAL SALARY COMPARISONS ARE USED TO ESTABLISH SALARY LIMITS
FOR TOP MANAGEMENT OFFICIALS. PERFORMANCE EVALUATION ARE PREFORMED ANNUALLY
AND SALARY INCREASES ARE BOARD APPROVED.