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HANDS UP FOR HAITI INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HANDS UP FOR HAITI INC (EIN 45-2107443)
Tax period
2022-09-01 to 2023-08-31
Filed
2024-06-17
IRS object ID
202411699349301211
Schema version
2022v5.0
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)
Return2024-06-17T11:54:45-05:00ReturnTs
Tax Period End2023-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271807953PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARK KOTLAROFF CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118 LAUREL ROADAddressLine1Txt
CityNEW CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10956ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452107443EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANDS UP FOR HAITI INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHANDBusinessNameControlTxt
Phone9145236572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 913AddressLine1Txt
CityMOUNT KISCOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10549ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDY MARXPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone9145236572PhoneNum
Signature2024-06-17SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWENDYPersonFirstNm
Person LastMARXPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK KOTLAROFF CPAPreparerPersonNm
PTINP00765790PTIN
Phone8457098860PhoneNum
Preparation2024-06-17PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMARY ANN LOFRUMENTOPrincipalOfficerNm
Gross Receipts$494,929GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://handsupforhaiti.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE CORPORATION EXPECTS TO ACHIEVE THIS MISSION BY ESTABLISHING OR SUPPORTING EXISTING HEALTH CARE CLINICS, IMMUNIZATION PROGRAMS, NUTRITION AND DEVELOPMENT PROGRAMS, AND HEALTH EDUCATION PROGRAMS IN UNDERSERVED COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$518,924PYContributionsGrantsAmt
CY Contributions Grants$375,888CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1PYInvestmentIncomeAmt
CY Investment Income$5CYInvestmentIncomeAmt
PY Other Revenue$30,333PYOtherRevenueAmt
CY Other Revenue$84,887CYOtherRevenueAmt
PY Total Revenue$549,258PYTotalRevenueAmt
CY Total Revenue$460,780CYTotalRevenueAmt
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$107,856PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$107,932CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$12,676CYTotalFundraisingExpenseAmt
PY Other Expenses$420,791PYOtherExpensesAmt
CY Other Expenses$369,415CYOtherExpensesAmt
PY Total Expenses$528,647PYTotalExpensesAmt
CY Total Expenses$477,347CYTotalExpensesAmt
PY Revenues Less Expenses$20,611PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16,567CYRevenuesLessExpensesAmt
Total Assets BOY$78,109TotalAssetsBOYAmt
Total Assets EOY$61,570TotalAssetsEOYAmt
Total Liabilities BOY$370TotalLiabilitiesBOYAmt
Total Liabilities EOY$398TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$77,739NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,172NetAssetsOrFundBalancesEOYAmt
MissionTO ALLEVIATE HUMAN SUFFERING AND DISTRESS BY ASSISTING MEDICAL PROFESSIONALS TO PROVIDE HEALTH CARE SERVICES TO THOSE LIVING IN IMPOVERISHED AREAS, INCLUDING BUT NOT LIMITED TO THE REPUBLIC OF HAITI.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$430,962ExpenseAmt
DescA HEALTHCARE CLINIC WAS ESTABLISHED.NUMEROUS MEDICAL MISSIONS TO PROVIDE HEALTHCARE IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, OPTHMOLOGY AND INTERNAL MEDICINE. EDUCATED EXPECTANT MOTHERS ON NUTRITION AND HELD BREASTFEEDING CLINICS FOR NEW MOTHERS.Desc
Total Program Service Expenses$430,962TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 Contri0DeductibleNonCashContriInd
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
Employee1EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryHAForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARY ANN LOFRUMENTOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9145236572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 913AddressLine1Txt
CityMOUNT KISCOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10549ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR MARY ANN LOFRUMENTO
EXECUTIVE DIRECTOR5.00Yes (X)Yes (X)$0$0$0
LYNN PERTON
Director5.00Yes (X)$0$0$0
DR ADAM HANDLER
Director5.00Yes (X)$0$0$0
HOPE BECHARD POOLE
Director5.00Yes (X)$0$0$0
DR ALLISON PLATT ROTHFLEISCH
Director5.00Yes (X)$0$0$0
DR BARNEY SOFTNESS
Director5.00Yes (X)$0$0$0
DR ALEXIS CAPOZZOLI
Director5.00Yes (X)$0$0$0
DR YEWADE NG
Director5.00Yes (X)$0$0$0
ERIC DOUBT
Director5.00Yes (X)$0$0$0
BOBBY DERIVAL
VICE PRESIDENT10.00Yes (X)$0$0$0
DR WENDY MARX
President10.00Yes (X)$0$0$0
STEPHANIE KORN
Secretary5.00Yes (X)$0$0$0
KAREN SCHECTER
PAST EXECUTIVE DIRECTOR45.00Yes (X)$99,502$0$0
ALICE TING
Past Treasurer10.00Yes (X)$0$0$0
DANIELLE MONCURE
Treasurer10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$99,502TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$375,888AllOtherContributionsAmt
Total Contributions$375,888TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Related Or Exempt Func Income$5RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$119,036FundraisingGrossIncomeAmt
Fundraising Direct Expenses$34,149FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,887TotalRevenueColumnAmt
Exclusion$84,887ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$460,780TotalRevenueColumnAmt
Related Or Exempt Func Income$5RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$84,887ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$99,502TotalAmt
Program Services$69,651ProgramServicesAmt
Management And General$19,901ManagementAndGeneralAmt
Fundraising$9,950FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,430TotalAmt
Program Services$5,901ProgramServicesAmt
Management And General$1,686ManagementAndGeneralAmt
Fundraising$843FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,026TotalAmt
Program Services$718ProgramServicesAmt
Management And General$205ManagementAndGeneralAmt
Fundraising$103FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,614TotalAmt
Program Services$3,307ProgramServicesAmt
Management And General$3,307ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$883TotalAmt
Program Services$618ProgramServicesAmt
Management And General$177ManagementAndGeneralAmt
Fundraising$88FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM COORDINATION CO$169,958$169,958
MALNUTRITION PROGRAM$48,639$48,639
COMMUNITY HEALTH WORKER$28,176$28,176
PRENATAL PROGRAM$23,512$23,512

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$90,607TotalAmt
Program Services$80,482ProgramServicesAmt
Management And General$8,433ManagementAndGeneralAmt
Fundraising$1,692FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$477,347TotalAmt
Program Services$430,962ProgramServicesAmt
Management And General$33,709ManagementAndGeneralAmt
Fundraising$12,676FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$59,076BOYAmt
EOY$49,151EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$54,754LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$42,335LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,033BOYAmt
EOY$12,419EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,109BOYAmt
EOY$61,570EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$370BOYAmt
EOY$398EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$370BOYAmt
EOY$398EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,739BOYAmt
EOY$61,172EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$77,739BOYAmt
EOY$61,172EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,109BOYAmt
EOY$61,570EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$16,567ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$729,612CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$422,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$490,048CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,257CurrentTaxYearMinus1YearAmt
Current Tax Year$460,950CurrentTaxYearAmt
Total$2,652,322TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$729,612CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$422,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$490,048CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,257CurrentTaxYearMinus1YearAmt
Current Tax Year$460,950CurrentTaxYearAmt
Total$2,652,322TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,652,322PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$9TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1CurrentTaxYearMinus1YearAmt
Current Tax Year$5CurrentTaxYearAmt
Total$9TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$729,612CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$422,455CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$490,051CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,258CurrentTaxYearMinus1YearAmt
Current Tax Year$460,955CurrentTaxYearAmt
Total$2,652,331TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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)
Other Cost Or Other Basis$54,754OtherCostOrOtherBasisAmt
Depreciation$42,335DepreciationAmt
Book Value$12,419BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,419TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARDS PAYABLEDesc
Amt$398Amt
FieldValueIRS element (for citing)
Total Liability$398TotalLiabilityAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPECIAL EVENTSEvent1Nm
Gross Receipts Event1$119,036GrossReceiptsEvent1Amt
Gross Revenue Event1$119,036GrossRevenueEvent1Amt
Other Direct Expenses Event1$34,149OtherDirectExpensesEvent1Amt
Gross Receipts Total$119,036GrossReceiptsTotalAmt
Gross Revenue Total Events$119,036GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$34,149OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$34,149DirectExpenseSummaryEventsAmt
Net Income Summary$84,887NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bLine 11b Explanation - RETURN WILL BE REVIEWED BY TREASURER AND PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS MUST DISCLOSE IF A POTENTIAL CONTRACTOR IS A RELATED PARTY.
Form 990, Part VI, Section B, line 15THE BOARD APPROVED COMPENSATION FOR ALL HIRED PERSONNEL. IF A BOARD MEMBER RECEIVES COMPENSATION FOR ANY SERVICES THEY ARE PROHIBITED FROM VOTING ON THEIR COMPENSATION. COMPENSATION IS BASED ON INDEPENDENT COMPARABILITY DATA COLLECTED. COMPENSATION IS BASED ON COMPARABILITY DATA
Form 990, Part VI, Section C, line 19ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
Form 990, Part IX, line 24eMOBILE CLINIC: Program service expenses 17711. Management and general expenses 0. Fundraising expenses 0. Total expenses 17711. HYPERTENSION PROGRAM: Program service expenses 12580. Management and general expenses 0. Fundraising expenses 0. Total expenses 12580. WELL-BABY PROGRAM: Program service expenses 12119. Management and general expenses 0. Fundraising expenses 0. Total expenses 12119. MARKETING AND WEBSITE: Program service expenses 7232. Management and general expenses 2066. Fundraising expenses 1033. Total expenses 10331. CLEAN WATER INITIATIVE: Program service expenses 8308. Management and general expenses 0. Fundraising expenses 0. Total expenses 8308. TRIP COSTS: Program service expenses 6826. Management and general expenses 0. Fundraising expenses 0. Total expenses 6826. PROFESSIONAL FEES: Program service expenses 3308. Management and general expenses 3308. Fundraising expenses 0. Total expenses 6616. TRAVEL & CONFERENCES: Program service expenses 4617. Management and general expenses 1319. Fundraising expenses 659. Total expenses 6595. EMERGENCY CARE: Program service expenses 5561. Management and general expenses 0. Fundraising expenses 0. Total expenses 5561. OTHER PROJECTS: Program service expenses 2220. Management and general expenses 0. Fundraising expenses 0. Total expenses 2220. BANK CHARGES AND FEES: Program service expenses 0. Management and general expenses 1715. Fundraising expenses 0. Total expenses 1715. STATE TAXES: Program service expenses 0. Management and general expenses 25. Fundraising expenses 0. Total expenses 25.

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