MIAMI RESCUE MISSION CLINIC INC: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
MIAMI RESCUE MISSION CLINIC INC (EIN 45-1481860)
Tax period
2025-01-01 to 2025-12-31
Filed
2026-07-06
IRS object ID
202621879349301017
Schema version
2025v4.2
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)
Return2026-07-06T10:39:16-05:00ReturnTs
Tax Period End2025-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN830696713PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GARCIA ESPINOSA MIYARES RODRIGUEZ TRUEBABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12600 S DOUGLAS ROAD SUITE 800AddressLine1Txt
CityCORAL GABLESCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33134ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451481860EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MIAMI RESCUE MISSION CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMIAMBusinessNameControlTxt
Phone7868665705PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12015 NW 1ST AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33127ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPETER A GUTIERREZ MD MMSPersonNm
Person TitleOFFICER AND DIRECTORPersonTitleTxt
Phone3055722026PhoneNum
Signature2026-07-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJARNETTE G RODRIGUEZ CPAPreparerPersonNm
PTINP01062623PTIN
Phone3055295440PhoneNum
Preparation2026-06-25PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPETER A GUTIERREZ MD MMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12015 NW FIRST AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33127ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,948,455GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CARINGPLACECLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionMIAMI RESCUE MISSION CLINIC, INC. IS COMMITTED TO PROVIDE ACCESS TO COMPREHENSIVE PRIMARY HEALTH CARE TO THE COMMUNITY'S HOMELESS, MEDICALLY UNINSURED AND UNDERSERVED, AS WELL AS TO IMPLEMENT AND DELIVER COMMUNITY OUTREACH PROGRAMS THAT INCLUDE HEALTHCARE SCREENINGS INFORMATION AND EDUCATION, INCLUDING GUIDANCE ON AND REFERRALS TO THE FULL CONTINUUM OF PERSONAL AND COMMUNITY DEVELOPMENT. TO THIS END, MIAMI RESCUE MISSION, INC. WILL SERVE THE LOCAL COMMMUNITY WITH HIGHER STANDARDS OF MEDICAL CARE IN AN ENVIRONMENT IN WHICH EACH PATIENT IS TREATED WITH DIGNITY AND RESPECT.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers169TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$423,628PYContributionsGrantsAmt
CY Contributions Grants$346,173CYContributionsGrantsAmt
PY Program Service Revenue$1,445,953PYProgramServiceRevenueAmt
CY Program Service Revenue$1,584,173CYProgramServiceRevenueAmt
PY Investment Income$11,674PYInvestmentIncomeAmt
CY Investment Income$18,109CYInvestmentIncomeAmt
PY Other Revenue$6,450PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,887,705PYTotalRevenueAmt
CY Total Revenue$1,948,455CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$714,091PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$733,973CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$28,445CYTotalFundraisingExpenseAmt
PY Other Expenses$1,103,941PYOtherExpensesAmt
CY Other Expenses$1,379,004CYOtherExpensesAmt
PY Total Expenses$1,818,032PYTotalExpensesAmt
CY Total Expenses$2,112,977CYTotalExpensesAmt
PY Revenues Less Expenses$69,673PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$164,522CYRevenuesLessExpensesAmt
Total Assets BOY$1,088,137TotalAssetsBOYAmt
Total Assets EOY$933,348TotalAssetsEOYAmt
Total Liabilities BOY$61,871TotalLiabilitiesBOYAmt
Total Liabilities EOY$71,604TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,026,266NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$861,744NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITY IS TO PROVIDE PRIMARY HEALTHCARE TO THE COMMUNITY'S HOMELESS, MEDICALLY UNINSURED AND UNDERSERVED, AS WELL AS TO IMPLEMENT AND DELIVER COMMUNITY OUTREACH PROGRAMS THAT INCLUDE HEALTHCARE SCREENINGS, INFORMATION AND EDUCATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,731,577ExpenseAmt
Revenue$1,602,282RevenueAmt
DescMIAMI RESCUE MISSION CLINIC, INC. HAS BEEN PROVIDING COMPREHENSIVE HEALTHCARE TO THE COMMUNITY'S HOMELESS AND MEDICALLY INSURED.Desc
Total Program Service Expenses$1,731,577TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUSTAVO AGUIARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3055722026PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12015 NE FIRST AVENUEAddressLine1Txt
CityMIAMICityNm
State AbbreviationFLStateAbbreviationCd
ZIP33127ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
CARLOS ACOSTA
DIRECTOR5.00Yes (X)$0$0$0
RICARDO FORBES
DIRECTOR5.00Yes (X)$0$0$0
DR ARMANDO FERRER
DIRECTOR5.00Yes (X)$0$0$0
JEFF TEW JD
DIRECTOR4.00Yes (X)$0$0$0
DR LINDA WASHINGTON
DIRECTOR5.00Yes (X)$0$0$0
JIMMY SANTANA
DIRECTOR4.00Yes (X)$0$0$0
ENRIQUE FERNANDEZ
DIRECTOR5.00Yes (X)$0$0$0
VICTOR MILIAN
DIRECTOR4.00Yes (X)$0$0$0
STANLEY MARKS
DIRECTOR4.00Yes (X)$0$0$0
PAUL DAVIES
DIRECTOR5.00Yes (X)$0$0$0
ANTONIO VILLASUSO
DIRECTOR5.00Yes (X)$0$0$0
MARK LAWRENCE RABINOWITZ
DIRECTOR4.00Yes (X)$0$0$0
PETER A GUTIERREZ MD
PRESIDENT40.00$103,500$0$0Yes (X)
GISELA BRETONES
CHIEF OPERATING OFFICER40.00$101,953$0$0Yes (X)
MARIO ALVAREZ
CLINIC MANAGER40.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$205,453TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$240,260GovernmentGrantsAmt
All Other Contributions$105,913AllOtherContributionsAmt
Total Contributions$346,173TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
IN-KIND GIFTS/SERVICES621110$1,279,719$1,279,719
FEES FOR SERVICES621110$304,454$304,454
FieldValueIRS element (for citing)
Total Program Service Revenue$1,584,173TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,109TotalRevenueColumnAmt
Related Or Exempt Func Income$18,109RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,948,455TotalRevenueColumnAmt
Related Or Exempt Func Income$1,602,282RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$680,494TotalAmt
Program Services$529,189ProgramServicesAmt
Management And General$135,639ManagementAndGeneralAmt
Fundraising$15,666FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$53,479TotalAmt
Program Services$41,594ProgramServicesAmt
Management And General$10,664ManagementAndGeneralAmt
Fundraising$1,221FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,750TotalAmt
Management And General$16,750ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,680TotalAmt
Program Services$9,718ProgramServicesAmt
Management And General$18,962ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$10,868TotalAmt
Management And General$175ManagementAndGeneralAmt
Fundraising$10,693FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,312TotalAmt
Program Services$13,312ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,464TotalAmt
Management And General$2,464ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$61,335TotalAmt
Program Services$52,914ProgramServicesAmt
Management And General$7,556ManagementAndGeneralAmt
Fundraising$865FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DONATED PROFESSIONAL FE$680,515$680,515
MEDICAL DOCTOR$209,343$209,343
DONATED RENT$140,520$23,304$117,216
MISCELLANEOUS EXPENSES$70,951$68,331$2,620

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$144,266TotalAmt
Program Services$103,357ProgramServicesAmt
Management And General$40,909ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,112,977TotalAmt
Program Services$1,731,577ProgramServicesAmt
Management And General$352,955ManagementAndGeneralAmt
Fundraising$28,445FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$334,321BOYAmt
EOY$166,971EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$740,735BOYAmt
EOY$41,825EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,151EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$44,254LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$33,176LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,497BOYAmt
EOY$11,078EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$689,028EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,584BOYAmt
EOY$16,295EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,088,137BOYAmt
EOY$933,348EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,960BOYAmt
EOY$30,693EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$48,911BOYAmt
EOY$27,200EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$13,711EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,871BOYAmt
EOY$71,604EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,026,266BOYAmt
EOY$861,744EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,026,266BOYAmt
EOY$861,744EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,088,137BOYAmt
EOY$933,348EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$164,522ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$44,254InvestmentCostOrOtherBasisAmt
Depreciation$33,176DepreciationAmt
Book Value$11,078BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,078TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
U.S. TREASURY AND AGENCY SECURITIES$347,886C
CORPORATE BONDS$341,142C
FieldValueIRS element (for citing)
Total Book Value Securities$689,028TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE LIABILITYDesc
Amt$13,711Amt
FieldValueIRS element (for citing)
Total Liability$13,711TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,948,455TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,948,455RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,948,455TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,112,977TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,112,977ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,112,977TotalExpensesPerForm990Amt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)PROFESSIONAL SERVICES0$680,515ORGANIZATION'S LIST
Yes (X)RENT0$140,520MARKET VALUE OF RENT
Yes (X)MEDICINES0$9,944CONTRIBUTORS PROVIDE
IN-KIND GIFTS0$0CONTRIBUTORS PROVIDE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED AND APPROVED BY THE ORGANIZATION TREASURER PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION WILL PROVIDE INFORMATION TO THE PUBLIC UPON REQUEST

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