RISE FOR AUTISM INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
RISE FOR AUTISM INC (EIN 45-4548790)
Tax period
2024-07-01 to 2025-06-30
Filed
2026-06-11
IRS object ID
202611629349301021
Schema version
2024v5.2
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)
Return2026-06-11T09:25:55-07:00ReturnTs
Tax Period End2025-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521861549PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ANDERSON DAVIS & ASSOCIATES CPA PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11406 B SOUTH CRAIN HWY 204AddressLine1Txt
CityGLEN BURNIECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21061ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN454548790EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RISE FOR AUTISM INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRISEBusinessNameControlTxt
Phone4104876011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 MCCORMICK DRIVEAddressLine1Txt
CityGLEN BURNIECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21061ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHERYL ANTLITZPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone4104876011PhoneNum
Signature2026-06-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMichael C Davis CPAPreparerPersonNm
PTINP00066528PTIN
Phone4107662645PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHERYL ANTLITZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 MCCORMICK DRIVE SUITE U-VAddressLine1Txt
CityGLEN BURNIECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21061ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,053,645GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RISEFORAUTISM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionTO PROVIDE COMMUNITY AND PROFESSIONAL AWARENESS, FAMILY SUPPORT AND RESOURCES, FINANCIAL ASSISTANCE, RISE STRIVES TO BRIDGE THE GAP IN SERVICES AND OPPORTUNITIES FOR THOSE WITH AUTISM.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee31TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,121PYContributionsGrantsAmt
CY Contributions Grants$28,472CYContributionsGrantsAmt
PY Program Service Revenue$757,248PYProgramServiceRevenueAmt
CY Program Service Revenue$992,526CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$11,320PYOtherRevenueAmt
CY Other Revenue$3,020CYOtherRevenueAmt
PY Total Revenue$774,049PYTotalRevenueAmt
CY Total Revenue$1,024,018CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$606,733PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$652,841CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,900CYTotalFundraisingExpenseAmt
PY Other Expenses$254,617PYOtherExpensesAmt
CY Other Expenses$230,981CYOtherExpensesAmt
PY Total Expenses$861,350PYTotalExpensesAmt
CY Total Expenses$883,822CYTotalExpensesAmt
PY Revenues Less Expenses-$87,301PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$140,196CYRevenuesLessExpensesAmt
Total Assets BOY$154,774TotalAssetsBOYAmt
Total Assets EOY$298,570TotalAssetsEOYAmt
Total Liabilities BOY$317,689TotalLiabilitiesBOYAmt
Total Liabilities EOY$321,289TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$162,915NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$22,719NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMMUNITY AND PROFESSIONAL AWARENESS, FAMILY SUPPORT AND RESOURCES, FINANCIAL ASSISTANCE, RISE STRIVES TO BRIDGE THE GAP IN SERVICES AND OPPORTUNITIES FOR THOSE WITH AUTISM.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$773,693ExpenseAmt
Grant$0GrantAmt
Revenue$992,526RevenueAmt
DescRISE FOR AUTISM PROVIDES PERSON-CENTERED SERVICES THAT PROMOTE INDEPENDENCE, COMMUNITY INCLUSION, AND AN ENHANCED QUALITY OF LIFE FOR INDIVIDUALS WITH AUTISM AND OTHER DEVELOPMENTAL DISABILITIES. RISE OFFERS PROGRAMS THAT PROVIDE FINANCIAL ASSISTANCE TO FAMILIES SEEKING ACCESS TO BEHAVIORAL SERVICES, THERAPEUTIC SUPPORTS, FUNCTIONAL LIFE SKILLS TRAINING, AND COMMUNICATION DEVICES. ADDITIONAL SERVICES INCLUDE SOCIAL SKILLS GROUPS AND APPLIED BEHAVIOR ANALYSIS THERAPY. AS A MARYLAND AUTISM WAIVER PROVIDER, RISE DELIVERS THERAPEUTIC INTEGRATION, RESPITE CARE, INTENSIVE INDIVIDUAL SUPPORT SERVICES, ADULT LIFE PLANNING, AND FAMILY CONSULTATION. AS A MARYLAND DEVELOPMENTAL DISABILITIES ADMINISTRATION (DDA) VENDOR, RISE OFFERS COMMUNITY DEVELOPMENT SERVICES AND PERSONAL SUPPORT SERVICES TAILORED TO EACH INDIVIDUALS GOALS, STRENGTHS, AND VISION FOR A MEANINGFUL, FULFILLING LIFE.Desc
Total Program Service Expenses$773,693TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee31EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCHERYL ANTLITZPersonNm
Phone4104876011PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1510 MCCORMICK DRIVE SUITE U-WAddressLine1Txt
CityGLEN BURNIECityNm
State AbbreviationMDStateAbbreviationCd
ZIP21061ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BRETT LUNDEEN
DIRECTOR2.00Yes (X)$0$0$0
MEGHAN MURPHY
DIRECTOR2.00Yes (X)$0$0$0
DAN RAMSEY
DIRECTOR2.00Yes (X)$0$0$0
IAN RIDDLE
DIRECTOR2.00Yes (X)$0$0$0
MARY MIGUES-JORDAN
VICE PRESIDENT2.00Yes (X)$0$0$0Yes (X)
TAMMIE MERSON
TREASURER2.00$0$0$0Yes (X)
CHERYL ANTLITZ
PRESIDENT40.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$24,510FundraisingAmt
All Other Contributions$3,962AllOtherContributionsAmt
Total Contributions$28,472TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFAMILY SERVICESDesc
Business624190BusinessCd
Total Revenue Column$992,526TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$992,526TotalProgramServiceRevenueAmt
Fundraising Gross Income$32,400FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$24,510ContriRptFundraisingEventAmt
Fundraising Direct Expenses$29,627FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,773TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,773ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Business900099BusinessCd
Total Revenue Column$247TotalRevenueColumnAmt
Related Or Exempt Func Income$247RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$247OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,024,018TotalRevenueColumnAmt
Related Or Exempt Func Income$992,773RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,773ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$583,393TotalAmt
Program Services$569,327ProgramServicesAmt
Management And General$14,066ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,618TotalAmt
Program Services$162ProgramServicesAmt
Management And General$28,456ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$40,830TotalAmt
Program Services$69ProgramServicesAmt
Management And General$40,761ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,358TotalAmt
Program Services$3,844ProgramServicesAmt
Management And General$1,514ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,130TotalAmt
Program Services$3,720ProgramServicesAmt
Management And General$410ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,255TotalAmt
Program Services$5,697ProgramServicesAmt
Management And General$223ManagementAndGeneralAmt
Fundraising$335FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,629TotalAmt
Program Services$16,246ProgramServicesAmt
Management And General$244ManagementAndGeneralAmt
Fundraising$139FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$155,046TotalAmt
Program Services$144,318ProgramServicesAmt
Management And General$7,758ManagementAndGeneralAmt
Fundraising$2,970FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,769TotalAmt
Program Services$3,047ProgramServicesAmt
Management And General$722ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,881TotalAmt
Program Services$1,881ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$11,458$9,891$1,165$402
SUBSCRIPTIONS$6,410$4,365$2,045$0
MERCHANT FEES$5,056$55$4,980$21
OTHER PROGRAM EXPENSES$4,335$4,335$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,654TotalAmt
Program Services$6,736ProgramServicesAmt
Management And General$3,885ManagementAndGeneralAmt
Fundraising$33FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$883,822TotalAmt
Program Services$773,693ProgramServicesAmt
Management And General$106,229ManagementAndGeneralAmt
Fundraising$3,900FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$40,860BOYAmt
EOY$143,557EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$96,971BOYAmt
EOY$141,058EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$364BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,463LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$17,701LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,386BOYAmt
EOY$2,762EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,193BOYAmt
EOY$11,193EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$154,774BOYAmt
EOY$298,570EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,769BOYAmt
EOY$22,361EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$278,928BOYAmt
EOY$298,928EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$15,992BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$317,689BOYAmt
EOY$321,289EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$162,915BOYAmt
EOY-$22,719EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$162,915BOYAmt
EOY-$22,719EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$154,774BOYAmt
EOY$298,570EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$140,196ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$185,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,121CurrentTaxYearMinus1YearAmt
Current Tax Year$28,472CurrentTaxYearAmt
Total$436,839TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$185,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,983CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,121CurrentTaxYearMinus1YearAmt
Current Tax Year$28,472CurrentTaxYearAmt
Total$436,839TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$169,834SubstantialContributorsTotAmt
Public Support Total170$267,005PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,240CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,240CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,600CurrentTaxYearMinus1YearAmt
Current Tax Year$32,400CurrentTaxYearAmt
Total$103,740TotalAmt
FieldValueIRS element (for citing)
Total Support$540,579TotalSupportAmt
Public Support CY1700.49390PublicSupportCY170Pct
Public Support PY1700.47840PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePt II Ln 10FormAndLineReferenceDesc
ExplanationOther Income Part II, Line 10 Description: FUNDRAISING EVENT INCOME 2020: 13260. 2021: 12240. 2022: 12240. 2023: 33600. 2024: 32400.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,691OtherCostOrOtherBasisAmt
Depreciation$8,929DepreciationAmt
Book Value$2,762BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,772OtherCostOrOtherBasisAmt
Depreciation$8,772DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,762TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$56,910GrossReceiptsEvent1Amt
Charitable Contri Event1$24,510CharitableContriEvent1Amt
Gross Revenue Event1$32,400GrossRevenueEvent1Amt
Non Cash Prizes Event1$72NonCashPrizesEvent1Amt
Rent Facility Costs Event1$23,750RentFacilityCostsEvent1Amt
Food And Beverage Event1$1,319FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$4,486OtherDirectExpensesEvent1Amt
Gross Receipts Total$56,910GrossReceiptsTotalAmt
Charitable Contributions Tot$24,510CharitableContributionsTotAmt
Gross Revenue Total Events$32,400GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$72NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$23,750RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$1,319FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$4,486OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$29,627DirectExpenseSummaryEventsAmt
Net Income Summary$2,773NetIncomeSummaryAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonCHERYL ANTLITZPersonNm
Relationship With OrgBOARD OF DIRRelationshipWithOrgTxt
Loan PurposeOPERATING EXPENSELoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$298,928OriginalPrincipalAmt
Balance Due$298,928BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$298,928TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bA DRAFT OF FORM 990 IS PROVIDED TO ALL BOARD MEMBERS FOR REVIEW/DISCUSSION BEFORE IT IS FILED.
Pt VI, Line 12cBOARD MEMBERS ARE REQUIRED TO DISCLOSE INTERESTS THAT COULD BE A CONFLICT AS THEY ARISE. BOARD MEMBERS ARE REMINDED EACH YEAR WHEN THEY RENEW THEIR TERM ABOUT ALL POLICIES TO INCLUDE THE CONFLICT OF INTEREST AND THEY SIGN STATING THEY HAVE RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAVE READ AND UNDERSTAND THE POLICY.
Pt VI, Line 15bCOMPENSATION OF THE CLINICAL SUPERVISOR WAS DETERMINED BY SUBMITTING RESUMES AND MARKET SURVEYS TO THE BOARD FOR REVIEW AND DISCUSSION OF AN APPROPRIATE SALARY AND EXPERIENCE FOR THE JOB.
Pt VI, Line 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.

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