MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY (EIN 56-0776248)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2024-10-09
- IRS object ID
- 202432839349302253
- Schema version
- 2023v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-10-09T17:53:47-04:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 561138530 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BUTLER BURKE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 CLUB OAKS COURT SUITE A | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560776248 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MENTAL HEALTH ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | IN FORSYTH COUNTY INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MENT | BusinessNameControlTxt |
| Phone | 3367683880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 S HAWTHORNE ROAD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIA LANKFORD BEG 101023 | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3367683880 | PhoneNum |
| Signature | 2024-10-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JANE R POTTER | PreparerPersonNm |
| PTIN | P01057495 | PTIN |
| Phone | 3367682310 | PhoneNum |
| Preparation | 2024-10-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDY HAGLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 S HAWTHORNE ROAD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $322,556 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.TRIADMENTALHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1946 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE LIVES OF PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION & SUPPORT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 5 | TotalEmployeeCnt |
| Total Volunteers | 70 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $254,843 | PYContributionsGrantsAmt |
| CY Contributions Grants | $232,877 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $41,042 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $60,462 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,161 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | $455 | PYOtherRevenueAmt |
| CY Other Revenue | $18,981 | CYOtherRevenueAmt |
| PY Total Revenue | $298,501 | PYTotalRevenueAmt |
| CY Total Revenue | $317,239 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $206,741 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $191,828 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,931 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $144,081 | PYOtherExpensesAmt |
| CY Other Expenses | $139,458 | CYOtherExpensesAmt |
| PY Total Expenses | $350,822 | PYTotalExpensesAmt |
| CY Total Expenses | $331,286 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$52,321 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,047 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $730,403 | TotalAssetsBOYAmt |
| Total Assets EOY | $749,208 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $100,110 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $103,428 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $630,293 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $645,780 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MENTAL HEALTH ASSOCIATION IN FORSYTH COUNTY IS A NON-PROFIT, NON- GOVERNMENTAL AGENCY THAT IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION AND SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $126,123 | ExpenseAmt |
| Revenue | $12,562 | RevenueAmt |
| Desc | CONSUMER SUPPORT IS COMPOSED OF 8 PROGRAMS. (1) HOSPITAL OUTREACH PROGRAM - VOLUNTEERS AND STAFF PROVIDE INFORMATION AND RESOURCE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AT LOCAL HOSPITALS AND AT MENTAL HEALTH FACILITIES ABOUT COMMUNITY SUPPORT SERVICES INFORMATION PRIOR TO THEIR DISCHARGE. THE ASSOCIATION RESPONDS TO SPECIAL REQUESTS FROM HOSPITAL PSYCHIATRIC STAFF AS NEEDED. (2) MOOD DISORDERS SUPPORT - TIDES IS A SUPPORT GROUP FOR PEOPLE WITH MOOD DISORDERS INCLUDING CLINICAL DEPRESSION, BI-POLAR DISORDER OR OTHER MOOD DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON TUESDAY EVENINGS TO SHARE INFORMATION, RESOURCE ASSISTANCE AND TO DEVELOP SELF-ADVOCACY SKILLS. AN ADDITIONAL TIDES GROUP MEETS EVERY FRIDAY MORNING FOR ANYONE WITH A MOOD DISORDER, BUT IS ALSO OPEN TO ANYONE WITH ANY MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES. (3) ANXIETY DISORDERS - THIS SUPPORT GROUP IS FOR PEOPLE WITH PANIC DISORDER, AGORAPHOBIA, OBSESSIVE COMPULSIVE DISORDER, POSTTRAUMATIC STRESS DISORDER, ACUTE STRESS DISORDER OR GENERALIZED ANXIETY DISORDER. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY EVENINGS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT ANXIETY DISORDERS, TREATMENTS AND MEDICATION. (4) PSYCHOTIC DISORDERS - THIS SUPPORT GROUP IS FOR ADULTS WITH PSYCHOTIC DISORDERS, SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY AFTERNOONS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT PSYCHOTIC DISORDERS, TREATMENTS AND MEDICATION. (5) THRIVE - THIS SUPPORT GROUP IS FOR YOUNG ADULTS AGES 18-30 WITH ANY MENTAL HEALTH ISSUE. SUPPORT GROUPS MEET EVERY SECOND AND FOURTH TUESDAY EVENINGS EACH MONTH AT THE ASSOCIATION'S OFFICE. (6) SPEAKER MEETINGS - MENTAL HEALTH SPEAKER, EDUCATIONAL MEETINGS ARE DEVOTED SOLELY TO THE FIFTH TUESDAYS AND/OR FIFTH FRIDAYS IN A GIVEN MONTH. SPEAKER TOPICS VARY AND HAVE INCLUDED: STRESS AND CHANGE, NUTRITION, SMOKING CESSATION AND UPDATES ON SPECIFIC MENTAL DISORDERS SUCH AS DEPRESSION, OBSESSIVE-COMPULSIVE DISORDER AND BORDERLINE PERSONALITY DISORDER. TOPICS ARE CHOSEN FROM FEEDBACK FROM SUPPORT GROUP PARTICIPANTS AND OTHERS. (7) OPERATION SANTA CLAUS - HOLIDAY CHEER IN THE FORM OF GOODY BAGS AND/OR UNIT GIFTS ARE PROVIDED TO MENTAL HEALTH PATIENTS (CHILDREN AND ADULTS) AT LOCAL INPATIENT AND OUTPATIENT MENTAL HEALTH FACILITIES, INCLUDING OLD VINEYARD BEHAVIORAL HEALTH, FORSYTH MEDICAL CENTER/NOVANT, WAKE FOREST BAPTIST HEALTH, BRENNER'S CHILDREN'S HOSPITAL, FORSYTH MENTAL HEALTH COURT CLIENTS AND, WHEN APPLICABLE, OTHER MENTAL HEALTH AGENCIES. COMMUNITY GROUPS, LOCAL BUSINESSES, CHURCHES/HOUSES OF WORSHIP, CIVIC AND FRATERNAL GROUPS DONATE THEIR TIME, MONEY AND GIFTS TO HELP MAKE THE HOLIDAYS A LITTLE BRIGHTER FOR THOSE RECEIVING TREATMENT IN OUR LOCAL MENTAL HEALTH FACILITIES. (8) REPRESENTATIVE PAYEE SERVICES - THROUGH REFERRALS, THIS PROGRAM BENEFITS PEOPLE WITH SEVERE MENTAL ILLNESS WHO RECEIVE SOCIAL SECURITY DISABILITY AND/OR SUPPLEMENTARY SECURITY INCOME OR OTHER ENTITLEMENTS, SUCH AS RAILROAD RETIREMENT, AND CANNOT MANAGE THEIR OWN FUNDS. THE ASSOCIATION BECOMES THE CLIENT'S PAYEE BY SETTING UP A BUDGET FOR EACH CLIENT AND MANAGING HIS OR HER FUNDS TO PAY HIS OR HER RENT, UTILITIES, MEDICATIONS, FOOD AND OTHER BASIC NECESSITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,812 | ExpenseAmt |
| Revenue | $45,100 | RevenueAmt |
| Desc | FAMILY SUPPORT IS COMPOSED OF 3 PROGRAMS. (1) COURT ASSISTANCE PROGRAM - THE ASSOCIATION MONITORS THE OUTCOMES OF THE WEEKLY JUDICIAL HOSPITALIZATION HEARINGS (INVOLUNTARY COMMITMENT HEARINGS) AND REPORTS PAPERWORK AND OTHER CLERICAL ERRORS TO APPROPRIATE HOSPITAL OR PROVIDER STAFF. IF FAMILY MEMBERS ARE PRESENT, THE ASSOCIATION OFFERS INFORMATION, REFERRALS, AND RESOURCE ASSISTANCE. (2) FAMILY / CONSUMER ADVOCACY AND OUTREACH - THE ASSOCIATION PROVIDES FREE INDIVIDUAL AND FAMILY ADVOCACY SERVICES, RESOURCE ASSISTANCE AND SERVICE COORDINATION. THE ASSOCIATION WORKS DIRECTLY WITH CHILDREN AND ADULTS WITH MENTAL HEALTH NEEDS, THEIR FAMILIES, FRIENDS AND SERVICE PROVIDERS TO ENSURE THAT THEY LIVE FULL AND PRODUCTIVE LIVES. THE ASSOCIATION IS INVOLVED IN "CRISIS INTERVENTION TEAM" TRAININGS TO LAW ENFORCEMENT PERSONNEL TO HELP THEM RECOGNIZE THE SIGNS AND SYMPTOMS OF PERSONS EXPERIENCING A MENTAL HEALTH CRISIS, TO HELP THEM DE-ESCALATE A PERSON HAVING A MENTAL HEALTH CRISIS IN A SAFE AND HUMANE MANNER AND TO HELP INDIVIDUALS IN CRISIS ACCESS SERVICES. (3) WELLNESS RECOVERY ACTION PLAN (WRAP) TRAININGS - THE ASSOCIATION OFFERS WRAP TRAININGS, WHICH IS A 4-DAY, 20 HOUR TRAINING TO PERSONS LIVING WITH MENTAL ILLNESS DESIGNED TO HELP THEM IDENTIFY AND UNDERSTAND THEIR OWN PERSONAL WELLNESS AND TO DEVELOP AN INDIVIDUALIZED PLAN IN THE EVENT OF A MENTAL HEALTH CRISIS, INCLUDING ADVANCE DIRECTIVES. WRAP IS A SAMHSA- APPROVED TRAINING DESIGNED TO HELP THOSE LIVING WITH MENTAL ILLNESS BECOME THEIR OWN ADVOCATE BY ENCOURAGING: PERSONAL RESPONSIBILITY, EMOTIONAL REGULATION AND HOPE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $77,812 | ExpenseAmt |
| Revenue | $2,800 | RevenueAmt |
| Desc | COMMUNITY EDUCATION IS COMPOSED OF 7 PROGRAMS. (1) INFORMATION AND REFERRAL - THIS AGENCY PROVIDES INFORMATION/REFERRAL SERVICES TO CALLERS, E-MAIL INQUIRIES, AND WALK-IN VISITORS AS WELL AS TO AREA PROFESSIONALS ON VARIOUS TOPICS SUCH AS, BUT NOT LIMITED TO: SPECIFIC MENTAL HEALTH DISORDERS, COMMUNITY MENTAL HEALTH SERVICES, MEDICATION INFORMATION, COMMUNITY SUPPORT PROGRAMS AND/OR SUBSTANCE ABUSE SERVICES. THE ASSOCIATION MAINTAINS A DATABASE OF OVER 200 LOCAL MENTAL HEALTH PROVIDERS FOR THOSE INTERESTED IN SEEING A PROVIDER IN THE PRIVATE OR PUBLIC SECTORS AND PROVIDES REFERRALS BASED ON A PERSON'S MENTAL HEALTH AND/OR FINANCIAL NEEDS. (2) RESOURCE CENTER - THE ASSOCIATION MAINTAINS EDUCATIONAL MATERIALS, FACT SHEETS, PAMPHLETS, BROCHURES FOR THE GENERAL PUBLIC ABOUT MENTAL ILLNESS AND RELATED TOPICS. THESE MATERIALS ALSO INCLUDE LOCAL RESOURCE INFORMATION, SUCH AS: HOW TO ACCESS MENTAL HEALTH SERVICES, LOCAL MENTAL HEALTH CRISIS & WALK-IN CENTERS, LOCAL COUNSELING CENTERS THAT OFFER SLIDING SCALE FEES AND/OR FINANCIAL ASSISTANCE, AND A LISTING OF LOCAL MENTAL HEALTH FAMILY SUPPORT GROUPS. (3) SPEAKERS BUREAU - STAFF PROVIDES EDUCATIONAL PROGRAMS ON MENTAL HEALTH TOPICS TO BUSINESSES, CLUBS, SCHOOLS AND CHURCHES IN FORSYTH AND SURROUNDING COUNTIES. TOPICS INCLUDE: "MENTAL HEALTH 101", COPING WITH HOLIDAY STRESS, SEASONAL AFFECTIVE DISORDER, DEPRESSION AND ANXIETY DISORDERS AND SUICIDE AWARENESS. (4) MENTAL HEALTH AND MENTAL ILLNESS AWARENESS CAMPAIGNS - PROMOTIONAL CAMPAIGNS ARE HELD TWICE A YEAR TO SPREAD AWARENESS, UNDERSTANDING HEIGHTEN SENSITIVITY AND WORK TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. SERVICES INCLUDE: DEPRESSION AND ANXIETY SCREENINGS, RADIO AND TELEVISION INTERVIEWS AND PANEL DISCUSSIONS. THE ASSOCIATION SPONSORS FREE SEMINARS, TOWN HALL MEETINGS AND PANEL DISCUSSIONS AIMED TO HELP THE GENERAL PUBLIC BETTER UNDERSTAND MENTAL ILLNESS. (5) SYSTEMS ADVOCACY - THE ASSOCIATION CONTINUALLY ADVOCATES ON THE LOCAL, STATE AND NATIONAL LEVELS TO GOVERNMENTAL AND LEGISLATIVE BODIES IN ORDER IMPROVE, ADVOCATE AND EXPAND MENTAL HEALTH AND RELATED SERVICES. (6) MENTAL HEALTH AFRICAN-AMERICAN OUTREACH - THE ASSOCIATION PROVIDES EDUCATION, AWARENESS AND SPECIAL EVENTS TO HELP REMOVE THE STIGMA OF MENTAL ILLNESS PASSED DOWN THROUGH GENERATIONS WITHIN THE AFRICAN-AMERICAN COMMUNITY. (7) EDUCATION OUTREACH ON BULLYING - THE ASSOCIATION IS COMMITTED TO HELPING THE GENERAL PUBLIC BETTER UNDERSTAND THE MENTAL HEALTH IMPACT ON BULLYING AND THOSE WHO ARE VICTIMS OF BULLYING THROUGH EDUCATION, OUTREACH AND SPECIAL EVENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $281,747 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | Yes (true) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 5 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MR ANDY HAGLER | PersonNm |
| Phone | 3367683880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1509 S HAWTHORNE ROAD | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 271034125 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| ANDY HAGLER | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $78,406 | $0 | $15,286 | |
| APRIL M BROADWAY | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ELIZABETH BAICY | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| TIFFANY HALL | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| HARRISON DEAN END 122023 | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| SUSAN JOY | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JOEL SANDMAN | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| ALEXIA MITCHELL | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| KEYA EATON BEG 101023 | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CHRISTOPHER STEWART BEG 4924 | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| KIMBERLY MCCLURE | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TIA LANKFORD BEG 101023 | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MONICA BROWN | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ANDREW PRICE | ||||||
| HUMAN RESOUR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CHRIS DUNN END 51224 | ||||||
| PAST PRESIDE | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $78,406 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $15,286 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $89,442 | FederatedCampaignsAmt |
| Fundraising | $4,928 | FundraisingAmt |
| All Other Contributions | $138,507 | AllOtherContributionsAmt |
| Total Contributions | $232,877 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| TRAINING REVENUE | 900099 | $45,100 | $45,100 |
| REPRESENTATIVE PAYEE FEE | 900099 | $12,562 | $12,562 |
| OTHER PROGRAM REVENUE | 900099 | $2,800 | $2,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $60,462 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,919 | TotalRevenueColumnAmt |
| Exclusion | $4,919 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,050 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,050 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,050 | TotalRevenueColumnAmt |
| Exclusion | $1,050 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,248 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $4,928 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $5,317 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,931 | TotalRevenueColumnAmt |
| Exclusion | $17,931 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $317,239 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,462 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $23,900 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,606 | TotalAmt |
| Program Services | $73,615 | ProgramServicesAmt |
| Management And General | $11,259 | ManagementAndGeneralAmt |
| Fundraising | $1,732 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,003 | TotalAmt |
| Program Services | $73,954 | ProgramServicesAmt |
| Management And General | $11,310 | ManagementAndGeneralAmt |
| Fundraising | $1,739 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,600 | TotalAmt |
| Program Services | $2,210 | ProgramServicesAmt |
| Management And General | $338 | ManagementAndGeneralAmt |
| Fundraising | $52 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,929 | TotalAmt |
| Program Services | $2,489 | ProgramServicesAmt |
| Management And General | $381 | ManagementAndGeneralAmt |
| Fundraising | $59 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,690 | TotalAmt |
| Program Services | $10,786 | ProgramServicesAmt |
| Management And General | $1,650 | ManagementAndGeneralAmt |
| Fundraising | $254 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Program Services | $6,800 | ProgramServicesAmt |
| Management And General | $1,200 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,857 | TotalAmt |
| Management And General | $2,857 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,917 | TotalAmt |
| Program Services | $50,079 | ProgramServicesAmt |
| Management And General | $7,743 | ManagementAndGeneralAmt |
| Fundraising | $1,095 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,362 | TotalAmt |
| Program Services | $4,558 | ProgramServicesAmt |
| Management And General | $804 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,583 | TotalAmt |
| Program Services | $5,597 | ProgramServicesAmt |
| Management And General | $986 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,388 | TotalAmt |
| Program Services | $16,480 | ProgramServicesAmt |
| Management And General | $2,908 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181 | TotalAmt |
| Program Services | $153 | ProgramServicesAmt |
| Management And General | $28 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503 | TotalAmt |
| Program Services | $428 | ProgramServicesAmt |
| Management And General | $75 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,230 | TotalAmt |
| Program Services | $1,047 | ProgramServicesAmt |
| Management And General | $183 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,747 | TotalAmt |
| Program Services | $4,035 | ProgramServicesAmt |
| Management And General | $712 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM EXPENSE | $17,188 | $17,188 | |
| MISCELLANEOUS | $10,334 | $8,785 | $1,549 |
| REPAIRS AND MAINTENANCE | $2,140 | $1,819 | $321 |
| LEASE COSTS | $2,028 | $1,724 | $304 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,286 | TotalAmt |
| Program Services | $281,747 | ProgramServicesAmt |
| Management And General | $44,608 | ManagementAndGeneralAmt |
| Fundraising | $4,931 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $192,076 | BOYAmt |
| EOY | $315,020 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,671 | BOYAmt |
| EOY | $48,931 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421 | BOYAmt |
| EOY | $1,445 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,376 | BOYAmt |
| EOY | $579 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $42,541 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,712 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,058 | BOYAmt |
| EOY | $1,829 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,712 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $367,089 | BOYAmt |
| EOY | $377,904 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,403 | BOYAmt |
| EOY | $749,208 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,031 | BOYAmt |
| EOY | $22,711 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,700 | BOYAmt |
| EOY | $77,348 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,379 | BOYAmt |
| EOY | $3,369 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,110 | BOYAmt |
| EOY | $103,428 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $623,730 | BOYAmt |
| EOY | $625,035 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,563 | BOYAmt |
| EOY | $20,745 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,293 | BOYAmt |
| EOY | $645,780 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $730,403 | BOYAmt |
| EOY | $749,208 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$14,047 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $29,534 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,627 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $415,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $244,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $232,877 | CurrentTaxYearAmt |
| Total | $1,290,079 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $142,627 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $415,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $244,542 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $254,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $232,877 | CurrentTaxYearAmt |
| Total | $1,290,079 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $110,413 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,179,666 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $372 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $446 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,161 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,969 | CurrentTaxYearAmt |
| Total | $9,941 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $312 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,002 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,247 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $455 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $23,248 | CurrentTaxYearAmt |
| Total | $27,264 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,327,284 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $193,540 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.88880 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90080 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS 4,016 | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (true) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $282,010 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $29,720 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,686 | OtherExpendituresAmt |
| Administrative Expenses | $2,857 | AdministrativeExpensesAmt |
| End Year Balance | $297,187 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $280,960 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,331 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,512 | OtherExpendituresAmt |
| Administrative Expenses | $2,769 | AdministrativeExpensesAmt |
| End Year Balance | $282,010 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $319,049 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$23,691 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,228 | OtherExpendituresAmt |
| Administrative Expenses | $3,170 | AdministrativeExpensesAmt |
| End Year Balance | $280,960 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $266,410 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $66,543 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,078 | OtherExpendituresAmt |
| Administrative Expenses | $2,826 | AdministrativeExpensesAmt |
| End Year Balance | $319,049 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $283,994 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$3,829 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,000 | OtherExpendituresAmt |
| Administrative Expenses | $2,755 | AdministrativeExpensesAmt |
| End Year Balance | $266,410 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,092 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,092 | DepreciationAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $37,620 | DepreciationAmt |
| Book Value | $1,829 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,829 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ENDOWMENT FUND | $297,187 |
| CASH- REPRESENTATIVE PAYEE ACCOUNT | $77,348 |
| RIGHT-OF-USE ASSETS | $3,369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $377,904 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RIGHT-OF-USE LIABILITY | Desc |
| Amt | $3,369 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,369 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $349,233 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $29,534 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $5,317 | OtherRevenueAmt |
| Revenue Not Reported | $34,851 | RevenueNotReportedAmt |
| Revenue Subtotal | $314,382 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $2,857 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $2,857 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $317,239 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $333,746 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $5,317 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $5,317 | ExpensesNotReportedAmt |
| Expenses Subtotal | $328,429 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $2,857 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $2,857 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $331,286 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 2, PART IV, LINE 2B | THE ASSOCIATION MAINTAINS CUSTODIAL ACCOUNTS FOR PERSONS WHO PARTICIPATE IN THE REPRESENTATIVE PAYEE PROGRAM. CASH IN THE CUSTODIAL BANK ACCOUNT IS RESTRICTED FOR THIS PURPOSE. |
| SCHEDULE D, PAGE 2, PART V, LINE 4 | THE PURPOSE OF THE TRUST, WHICH WAS SET UP THROUGH A BOARD DESIGNATED FUND, IS TO PROVIDE A PERMANENT FUND THAT WILL ENSURE A PERMANENT SOURCE OF INCOME TO BE USED BY THE ORGANIZATION TO SUPPORT ITS MISSION AS DETERMINED BY THE BOARD OF DIRECTORS. |
| SCHEDULE D, PAGE 3, PART X | THE ASSOCIATION IS A NOT-FOR-PROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME TAX EXPENSE IS LIMITED TO ACTIVITIES THAT ARE DEEMED BY THE INTERNAL REVENUE SERVICE TO BE UNRELATED TO THEIR EXEMPT PURPOSE. THE ASSOCIATIONS PRIMARY TAX POSITIONS RELATE TO ITS STATUS AS A NOT-FOR PROFIT ENTITY EXEMPT FROM INCOME TAXES AND CLASSIFICATION OF ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. IT IS THE OPINION OF MANAGEMENT THAT THE ASSOCIATION HAS NO UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE ASSOCIATION IS REQUIRED TO FILE A FEDERAL EXEMPT ORGANIZATION TAX RETURN (FORM 990) ANNUALLY TO RETAIN ITS EXEMPT STATUS. THE ASSOCIATION IS ALSO REQUIRED TO FILE AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) FOR ANY YEAR UNRELATED BUSINESS INCOME EXCEEDS 1,000. THE ASSOCIATIONS FORM 990 FILINGS ARE GENERALLY SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY ARE FILED. |
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | FUNDRAISING EVENT EXPENSES NETTED WITH REVENUE 5,317 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | FUNDRAISING EVENT EXPENSES NETTED WITH REVENUE 5,317 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | FORE MHA | Event1Nm |
| Gross Receipts Event1 | $28,176 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $4,928 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,248 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $5,104 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $213 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $28,176 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $4,928 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,248 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $5,104 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $213 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,317 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $17,931 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MENTAL HEALTH ASSOCIATION IN FORSYTH COUNTY IS A NON-PROFIT, NON- GOVERNMENTAL AGENCY THAT IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION AND SUPPORT SERVICES. |
| FORM 990, PAGE 2, PART III, LINE 4A | CONSUMER SUPPORT IS COMPOSED OF 8 PROGRAMS. (1) HOSPITAL OUTREACH PROGRAM - VOLUNTEERS AND STAFF PROVIDE INFORMATION AND RESOURCE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AT LOCAL HOSPITALS AND AT MENTAL HEALTH FACILITIES ABOUT COMMUNITY SUPPORT SERVICES INFORMATION PRIOR TO THEIR DISCHARGE. THE ASSOCIATION RESPONDS TO SPECIAL REQUESTS FROM HOSPITAL PSYCHIATRIC STAFF AS NEEDED. (2) MOOD DISORDERS SUPPORT - TIDES IS A SUPPORT GROUP FOR PEOPLE WITH MOOD DISORDERS INCLUDING CLINICAL DEPRESSION, BI-POLAR DISORDER OR OTHER MOOD DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON TUESDAY EVENINGS TO SHARE INFORMATION, RESOURCE ASSISTANCE AND TO DEVELOP SELF-ADVOCACY SKILLS. AN ADDITIONAL TIDES GROUP MEETS EVERY FRIDAY MORNING FOR ANYONE WITH A MOOD DISORDER, BUT IS ALSO OPEN TO ANYONE WITH ANY MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES. (3) ANXIETY DISORDERS - THIS SUPPORT GROUP IS FOR PEOPLE WITH PANIC DISORDER, AGORAPHOBIA, OBSESSIVE COMPULSIVE DISORDER, POSTTRAUMATIC STRESS DISORDER, ACUTE STRESS DISORDER OR GENERALIZED ANXIETY DISORDER. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY EVENINGS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT ANXIETY DISORDERS, TREATMENTS AND MEDICATION. (4) PSYCHOTIC DISORDERS - THIS SUPPORT GROUP IS FOR ADULTS WITH PSYCHOTIC DISORDERS, SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY AFTERNOONS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT PSYCHOTIC DISORDERS, TREATMENTS AND MEDICATION. (5) THRIVE - THIS SUPPORT GROUP IS FOR YOUNG ADULTS AGES 18-30 WITH ANY MENTAL HEALTH ISSUE. SUPPORT GROUPS MEET EVERY SECOND AND FOURTH TUESDAY EVENINGS EACH MONTH AT THE ASSOCIATION'S OFFICE. (6) SPEAKER MEETINGS - MENTAL HEALTH SPEAKER, EDUCATIONAL MEETINGS ARE DEVOTED SOLELY TO THE FIFTH TUESDAYS AND/OR FIFTH FRIDAYS IN A GIVEN MONTH. SPEAKER TOPICS VARY AND HAVE INCLUDED: STRESS AND CHANGE, NUTRITION, SMOKING CESSATION AND UPDATES ON SPECIFIC MENTAL DISORDERS SUCH AS DEPRESSION, OBSESSIVE-COMPULSIVE DISORDER AND BORDERLINE PERSONALITY DISORDER. TOPICS ARE CHOSEN FROM FEEDBACK FROM SUPPORT GROUP PARTICIPANTS AND OTHERS. (7) OPERATION SANTA CLAUS - HOLIDAY CHEER IN THE FORM OF GOODY BAGS AND/OR UNIT GIFTS ARE PROVIDED TO MENTAL HEALTH PATIENTS (CHILDREN AND ADULTS) AT LOCAL INPATIENT AND OUTPATIENT MENTAL HEALTH FACILITIES, INCLUDING OLD VINEYARD BEHAVIORAL HEALTH, FORSYTH MEDICAL CENTER/NOVANT, WAKE FOREST BAPTIST HEALTH, BRENNER'S CHILDREN'S HOSPITAL, FORSYTH MENTAL HEALTH COURT CLIENTS AND, WHEN APPLICABLE, OTHER MENTAL HEALTH AGENCIES. COMMUNITY GROUPS, LOCAL BUSINESSES, CHURCHES/HOUSES OF WORSHIP, CIVIC AND FRATERNAL GROUPS DONATE THEIR TIME, MONEY AND GIFTS TO HELP MAKE THE HOLIDAYS A LITTLE BRIGHTER FOR THOSE RECEIVING TREATMENT IN OUR LOCAL MENTAL HEALTH FACILITIES. (8) REPRESENTATIVE PAYEE SERVICES - THROUGH REFERRALS, THIS PROGRAM BENEFITS PEOPLE WITH SEVERE MENTAL ILLNESS WHO RECEIVE SOCIAL SECURITY DISABILITY AND/OR SUPPLEMENTARY SECURITY INCOME OR OTHER ENTITLEMENTS, SUCH AS RAILROAD RETIREMENT, AND CANNOT MANAGE THEIR OWN FUNDS. THE ASSOCIATION BECOMES THE CLIENT'S PAYEE BY SETTING UP A BUDGET FOR EACH CLIENT AND MANAGING HIS OR HER FUNDS TO PAY HIS OR HER RENT, UTILITIES, MEDICATIONS, FOOD AND OTHER BASIC NECESSITIES. |
| FORM 990, PAGE 2, PART III, LINE 4B | FAMILY SUPPORT IS COMPOSED OF 3 PROGRAMS. (1) COURT ASSISTANCE PROGRAM - THE ASSOCIATION MONITORS THE OUTCOMES OF THE WEEKLY JUDICIAL HOSPITALIZATION HEARINGS (INVOLUNTARY COMMITMENT HEARINGS) AND REPORTS PAPERWORK AND OTHER CLERICAL ERRORS TO APPROPRIATE HOSPITAL OR PROVIDER STAFF. IF FAMILY MEMBERS ARE PRESENT, THE ASSOCIATION OFFERS INFORMATION, REFERRALS, AND RESOURCE ASSISTANCE. (2) FAMILY / CONSUMER ADVOCACY AND OUTREACH - THE ASSOCIATION PROVIDES FREE INDIVIDUAL AND FAMILY ADVOCACY SERVICES, RESOURCE ASSISTANCE AND SERVICE COORDINATION. THE ASSOCIATION WORKS DIRECTLY WITH CHILDREN AND ADULTS WITH MENTAL HEALTH NEEDS, THEIR FAMILIES, FRIENDS AND SERVICE PROVIDERS TO ENSURE THAT THEY LIVE FULL AND PRODUCTIVE LIVES. THE ASSOCIATION IS INVOLVED IN "CRISIS INTERVENTION TEAM" TRAININGS TO LAW ENFORCEMENT PERSONNEL TO HELP THEM RECOGNIZE THE SIGNS AND SYMPTOMS OF PERSONS EXPERIENCING A MENTAL HEALTH CRISIS, TO HELP THEM DE-ESCALATE A PERSON HAVING A MENTAL HEALTH CRISIS IN A SAFE AND HUMANE MANNER AND TO HELP INDIVIDUALS IN CRISIS ACCESS SERVICES. (3) WELLNESS RECOVERY ACTION PLAN (WRAP) TRAININGS - THE ASSOCIATION OFFERS WRAP TRAININGS, WHICH IS A 4-DAY, 20 HOUR TRAINING TO PERSONS LIVING WITH MENTAL ILLNESS DESIGNED TO HELP THEM IDENTIFY AND UNDERSTAND THEIR OWN PERSONAL WELLNESS AND TO DEVELOP AN INDIVIDUALIZED PLAN IN THE EVENT OF A MENTAL HEALTH CRISIS, INCLUDING ADVANCE DIRECTIVES. WRAP IS A SAMHSA- APPROVED TRAINING DESIGNED TO HELP THOSE LIVING WITH MENTAL ILLNESS BECOME THEIR OWN ADVOCATE BY ENCOURAGING: PERSONAL RESPONSIBILITY, EMOTIONAL REGULATION AND HOPE. |
| FORM 990, PAGE 2, PART III, LINE 4C | COMMUNITY EDUCATION IS COMPOSED OF 7 PROGRAMS. (1) INFORMATION AND REFERRAL - THIS AGENCY PROVIDES INFORMATION/REFERRAL SERVICES TO CALLERS, E-MAIL INQUIRIES, AND WALK-IN VISITORS AS WELL AS TO AREA PROFESSIONALS ON VARIOUS TOPICS SUCH AS, BUT NOT LIMITED TO: SPECIFIC MENTAL HEALTH DISORDERS, COMMUNITY MENTAL HEALTH SERVICES, MEDICATION INFORMATION, COMMUNITY SUPPORT PROGRAMS AND/OR SUBSTANCE ABUSE SERVICES. THE ASSOCIATION MAINTAINS A DATABASE OF OVER 200 LOCAL MENTAL HEALTH PROVIDERS FOR THOSE INTERESTED IN SEEING A PROVIDER IN THE PRIVATE OR PUBLIC SECTORS AND PROVIDES REFERRALS BASED ON A PERSON'S MENTAL HEALTH AND/OR FINANCIAL NEEDS. (2) RESOURCE CENTER - THE ASSOCIATION MAINTAINS EDUCATIONAL MATERIALS, FACT SHEETS, PAMPHLETS, BROCHURES FOR THE GENERAL PUBLIC ABOUT MENTAL ILLNESS AND RELATED TOPICS. THESE MATERIALS ALSO INCLUDE LOCAL RESOURCE INFORMATION, SUCH AS: HOW TO ACCESS MENTAL HEALTH SERVICES, LOCAL MENTAL HEALTH CRISIS & WALK-IN CENTERS, LOCAL COUNSELING CENTERS THAT OFFER SLIDING SCALE FEES AND/OR FINANCIAL ASSISTANCE, AND A LISTING OF LOCAL MENTAL HEALTH FAMILY SUPPORT GROUPS. (3) SPEAKERS BUREAU - STAFF PROVIDES EDUCATIONAL PROGRAMS ON MENTAL HEALTH TOPICS TO BUSINESSES, CLUBS, SCHOOLS AND CHURCHES IN FORSYTH AND SURROUNDING COUNTIES. TOPICS INCLUDE: "MENTAL HEALTH 101", COPING WITH HOLIDAY STRESS, SEASONAL AFFECTIVE DISORDER, DEPRESSION AND ANXIETY DISORDERS AND SUICIDE AWARENESS. (4) MENTAL HEALTH AND MENTAL ILLNESS AWARENESS CAMPAIGNS - PROMOTIONAL CAMPAIGNS ARE HELD TWICE A YEAR TO SPREAD AWARENESS, UNDERSTANDING HEIGHTEN SENSITIVITY AND WORK TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. SERVICES INCLUDE: DEPRESSION AND ANXIETY SCREENINGS, RADIO AND TELEVISION INTERVIEWS AND PANEL DISCUSSIONS. THE ASSOCIATION SPONSORS FREE SEMINARS, TOWN HALL MEETINGS AND PANEL DISCUSSIONS AIMED TO HELP THE GENERAL PUBLIC BETTER UNDERSTAND MENTAL ILLNESS. (5) SYSTEMS ADVOCACY - THE ASSOCIATION CONTINUALLY ADVOCATES ON THE LOCAL, STATE AND NATIONAL LEVELS TO GOVERNMENTAL AND LEGISLATIVE BODIES IN ORDER IMPROVE, ADVOCATE AND EXPAND MENTAL HEALTH AND RELATED SERVICES. (6) MENTAL HEALTH AFRICAN-AMERICAN OUTREACH - THE ASSOCIATION PROVIDES EDUCATION, AWARENESS AND SPECIAL EVENTS TO HELP REMOVE THE STIGMA OF MENTAL ILLNESS PASSED DOWN THROUGH GENERATIONS WITHIN THE AFRICAN-AMERICAN COMMUNITY. (7) EDUCATION OUTREACH ON BULLYING - THE ASSOCIATION IS COMMITTED TO HELPING THE GENERAL PUBLIC BETTER UNDERSTAND THE MENTAL HEALTH IMPACT ON BULLYING AND THOSE WHO ARE VICTIMS OF BULLYING THROUGH EDUCATION, OUTREACH AND SPECIAL EVENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS ELECTRONICALLY BEFORE IT IS FILED. THE PRESIDENT AND EXECUTIVE DIRECTOR REVIEW THE FORM 990 BEFORE IT IS FILED TO CHECK FOR ACCURACY. THE PRESIDENT AND EXECUTIVE DIRECTOR CO-SIGN AND DATE THE FORM 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY REQUIRES EACH BOARD MEMBER TO SIGN TO VERIFY THAT THEY HAVE READ AND UNDERSTOOD THE AGENCY'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS FACILITATES AN ANNUAL PERFORMANCE REVIEW TO DETERMINE THE COMPENSATION AND BENEFITS OF THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES 50,079 7,743 1,095 |
Comments