BERKSHIRE FAMILY AND INDIVIDUAL RESOURCES INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- BERKSHIRE FAMILY AND INDIVIDUAL RESOURCES INC (EIN 04-3246975)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2024-10-30
- IRS object ID
- 202413049349302156
- 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 | 2024-10-30T13:29:05-04:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042832237 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KILLEEN ARACE & QUINN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1819 | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 012021819 | 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 | 043246975 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERKSHIRE FAMILY & INDIVIDUAL | BusinessNameLine1Txt |
| Business Name Line2 | RESOURCES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERK | BusinessNameControlTxt |
| Phone | 4136649382 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 771 SOUTH CHURCH STREET | AddressLine1Txt |
| City | NORTH ADAMS | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01247 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREW BRIGGS | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 4136649382 | PhoneNum |
| Signature | 2024-10-24 | 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 | CHRISTINE ARACE CPA | PreparerPersonNm |
| PTIN | P01237136 | PTIN |
| Phone | 4134437366 | PhoneNum |
| Preparation | 2024-10-24 | 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 | ANDREW BRIGGS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 ONTARIO STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,992,782 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BFAIR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | THROUGH ORGANIZATIONAL RESOLVE, SKILLED AND DEDICATED STAFF, AND DYNAMIC LEADERSHIP, BFAIR PROVIDES QUALITY SERVICES, ADVOCACY, AND EDUCATION FOR PEOPLE WITH DISABILITIES WHICH AFFIRM THE RIGHTS OF FULL INCLUSION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 313 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $4,479,599 | PYContributionsGrantsAmt |
| CY Contributions Grants | $120,526 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,679,486 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,963,388 | CYProgramServiceRevenueAmt |
| PY Investment Income | $219,066 | PYInvestmentIncomeAmt |
| CY Investment Income | $579,181 | CYInvestmentIncomeAmt |
| PY Other Revenue | $640 | PYOtherRevenueAmt |
| CY Other Revenue | $7,704 | CYOtherRevenueAmt |
| PY Total Revenue | $21,378,791 | PYTotalRevenueAmt |
| CY Total Revenue | $17,670,799 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,219,329 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,288,350 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $17,844 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,622,175 | PYOtherExpensesAmt |
| CY Other Expenses | $4,173,466 | CYOtherExpensesAmt |
| PY Total Expenses | $16,841,504 | PYTotalExpensesAmt |
| CY Total Expenses | $17,461,816 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,537,287 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $208,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,280,036 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,347,472 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,737,589 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,635,256 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,542,447 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,712,216 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THROUGH ORGANIZATIONAL RESOLVE, SKILLED AND DEDICATED STAFF, AND DYNAMIC LEADERSHIP, BFAIR PROVIDES QUALITY SERVICES, ADVOCACY, AND EDUCATION FOR PEOPLE WITH DISABILITIES WHICH AFFIRM THE RIGHTS OF FULL INCLUSION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $5,066,775 | ExpenseAmt |
| Revenue | $5,739,495 | RevenueAmt |
| Desc | BERKSHIRE RESIDENTIAL - PROVIDES FLEXIBLE AND INDIVIDUALIZED LIVING ASSISTANCE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES AND ACQUIRED BRAIN INJURY, RANGING IN AGE FROM YOUNG ADULT TO ELDERLY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $522,624 | ExpenseAmt |
| Revenue | $565,666 | RevenueAmt |
| Desc | INDIVIDUAL AND FAMILY SUPPORTS - PROVIDES CASE MANAGEMENT, PLANNED AND EMERGENCY RESPITE FOR FAMILIES, OUTREACH, SOCIAL CLUBS, BI-LINGUAL SERVICES FOR SPANISH SPEAKING PERSONS, INTENSIVE FLEXIBLE FAMILY SUPPORTS FOR ADOLESCENTS, EDUCATION AND SELF ADVOCACY SUPPORTS, AND FAMILY WORKSHOPS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,173,428 | ExpenseAmt |
| Revenue | $1,453,109 | RevenueAmt |
| Desc | BERKSHIRE DAY - PROVIDES INDIVIDUALIZED SERVICES FOR ADULTS AND STUDENTS WITH DEVELOPMENTAL DISABILITIES, AUTISM, AND BRAIN INJURIES. SERVICES INCLUDE CLINICAL, PHYSICAL, AND OCCUPATIONAL AND SPEECH THERAPIES AS WELL AS ON-SITE NURSING CARE, AND SUPPORTED EMPLOYMENT. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,844,335 | ExpenseAmt |
| Revenue | $9,806,083 | RevenueAmt |
| Desc | ACQUIRED BRAIN INJURY - PROVIDING RESIDENTIAL SERVICES FOR PEOPLE WITH AN ACQUIRED BRAIN INJURY, INCLUDING ADULT COMPANION, CHORE SERVICES, SUPPORTED EMPLOYMENT, DAY SERVICES, INDIVIDUAL SUPPORTS & COMMUNITY HABILITATION AND TRANSPORTAION EXPENSES 1,479,062 REVENUE 1,676,064 ADULT FAMILY CARE - DESIGNED FOR ANY PERSON WHO IS 15 YEARS OF AGE OR OLDER, WITH A PHYSICAL OR MENTAL DISABILITY OR MEDICAL CONDITION EXPENSES 764,148 REVENUE 770,124 ACQUIRED BRAIN INJURY AND MONEY FOLLOWS THE PERSON RESIDENTIAL EXPENSES 5,047,288 REVENUE 4,181,342 SHARED LIVING EXPENSES 395,498 REVENUE 321,590 COMMUNITY BASED DAY SUPPORT EXPENSES 395,498 REVENUE 321,590 EMPLOYMENT/CIES EMPLOYMENT EXPENSES 1,157,966 REVENUE 1,025,246 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $8,844,335 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $9,806,083 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $15,607,162 | 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 | Yes (true) | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | 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 | Yes (true) | 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 | 37 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 313 | 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 |
| 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANE PATENAUDE-LEBEAU | PersonNm |
| Phone | 4136649382 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 771 SOUTH CHURCH STREET | AddressLine1Txt |
| City | NORTH ADAMS | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| RICH WEISENFLUE | |||||||
| CHIEF EXECUT | 40.00 | Yes (X) | $264,989 | $0 | $14,442 | ||
| ETHEL ALTIERY | |||||||
| CHIEF OPERAT | 40.00 | Yes (X) | $173,288 | $0 | $12,084 | ||
| LAILA BOUCHER | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| BARBARA CHAPUT | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| JACOB DABROWSKI | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| DR GRAY ELLRODT | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| MARISSA KIRCHNER | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| JANA KUMAR | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| PATTI MESSINA | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| DANA MULLEN | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| STEPHEN NAREY | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| KAREN ROWE | |||||||
| DIRECTOR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| KIM BAKER | |||||||
| VICE CHAIR | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| ANDREW BRIGGS | |||||||
| TREASURER | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| DANA JOHNSON | |||||||
| CLERK | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| PETER MIRANTE | |||||||
| CHAIRPERSON | 2.00 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $438,277 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $26,526 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOURCEPASS INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 FENN STREET | AddressLine1Txt |
| City | PITTSFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | COMP CONSULT/EQ | ServicesDesc |
| Compensation | $142,330 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $26,250 | FederatedCampaignsAmt |
| All Other Contributions | $94,276 | AllOtherContributionsAmt |
| Noncash Contributions | $3,379 | NoncashContributionsAmt |
| Total Contributions | $120,526 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| GOV'T CONTRACTS FOR SERVICE | $13,369,135 | $13,369,135 |
| MEDICAID | $2,940,601 | $2,940,601 |
| CLIENT RESOURCES | $571,510 | $571,510 |
| COMMERCIAL ACTIVITIES - CLIEN | $82,142 | $82,142 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,963,388 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $578,649 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $578,649 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $322,515 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $321,983 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $532 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $532 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $532 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|
| ANNUAL MEETING | $6,183 | $6,183 |
| OTHER REVENUE | $1,521 | $1,521 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,704 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,670,799 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,542,569 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $7,704 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,277 | TotalAmt |
| Management And General | $438,277 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,698,271 | TotalAmt |
| Program Services | $9,933,164 | ProgramServicesAmt |
| Management And General | $765,107 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,972 | TotalAmt |
| Program Services | $134,553 | ProgramServicesAmt |
| Management And General | $25,419 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $906,508 | TotalAmt |
| Program Services | $762,465 | ProgramServicesAmt |
| Management And General | $144,043 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,085,322 | TotalAmt |
| Program Services | $1,002,314 | ProgramServicesAmt |
| Management And General | $83,008 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,468 | TotalAmt |
| Management And General | $1,468 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,600 | TotalAmt |
| Management And General | $32,600 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,520 | TotalAmt |
| Management And General | $5,520 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,340 | TotalAmt |
| Program Services | $226,934 | ProgramServicesAmt |
| Management And General | $126,406 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,745 | TotalAmt |
| Program Services | $174,640 | ProgramServicesAmt |
| Management And General | $28,105 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,284 | TotalAmt |
| Program Services | $53,228 | ProgramServicesAmt |
| Management And General | $18,056 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,031 | TotalAmt |
| Program Services | $26,474 | ProgramServicesAmt |
| Management And General | $5,557 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $899,569 | TotalAmt |
| Program Services | $878,321 | ProgramServicesAmt |
| Management And General | $21,248 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,527 | TotalAmt |
| Program Services | $66,980 | ProgramServicesAmt |
| Management And General | $3,547 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146 | TotalAmt |
| Management And General | $146 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,803 | TotalAmt |
| Program Services | $463,360 | ProgramServicesAmt |
| Management And General | $14,443 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,224 | TotalAmt |
| Program Services | $118,307 | ProgramServicesAmt |
| Management And General | $9,917 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CLIENT/CAREGIVER STIPEND | $692,725 | $692,725 | |
| MEALS | $281,756 | $275,436 | $6,320 |
| DIRECT CARE CONSULTANTS | $266,657 | $266,657 | |
| VEHICLE/CLIENT TRANSPORTA | $192,136 | $182,554 | $9,582 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $464,935 | TotalAmt |
| Program Services | $349,050 | ProgramServicesAmt |
| Management And General | $98,041 | ManagementAndGeneralAmt |
| Fundraising | $17,844 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,461,816 | TotalAmt |
| Program Services | $15,607,162 | ProgramServicesAmt |
| Management And General | $1,836,810 | ManagementAndGeneralAmt |
| Fundraising | $17,844 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,950,352 | BOYAmt |
| EOY | $73,801 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,885,909 | BOYAmt |
| EOY | $10,429,314 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,048,157 | BOYAmt |
| EOY | $1,357,261 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $289,851 | BOYAmt |
| EOY | $304,214 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,473,757 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,089,707 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,541,765 | BOYAmt |
| EOY | $7,384,050 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $550,403 | BOYAmt |
| EOY | $1,792,532 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,599 | BOYAmt |
| EOY | $6,300 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,280,036 | BOYAmt |
| EOY | $21,347,472 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,645,747 | BOYAmt |
| EOY | $1,878,260 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,586 | BOYAmt |
| EOY | $25,639 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,909,256 | BOYAmt |
| EOY | $5,731,357 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,737,589 | BOYAmt |
| EOY | $7,635,256 | 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 | $13,542,447 | BOYAmt |
| EOY | $13,709,910 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,306 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,542,447 | BOYAmt |
| EOY | $13,712,216 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,280,036 | BOYAmt |
| EOY | $21,347,472 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $208,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $39,838 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$79,052 | PriorPeriodAdjustmentsAmt |
| 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 | $56,096 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,007,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $292,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,479,599 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,526 | CurrentTaxYearAmt |
| Total | $6,955,662 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,096 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,007,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $292,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,479,599 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,526 | CurrentTaxYearAmt |
| Total | $6,955,662 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $6,955,662 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $42,693 | CurrentTaxYearMinus4YearsAmt |
| Total | $42,693 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,913 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $255,575 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,271 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $6,704 | CurrentTaxYearAmt |
| Total | $284,463 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $7,282,818 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $81,177,446 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95510 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91930 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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) |
|---|---|---|
| Donor Advised Funds Held | 1 | DonorAdvisedFundsHeldCnt |
| Donor Advised Funds Contri | $25,390 | DonorAdvisedFundsContriAmt |
| Donor Advised Funds Grants | $12,867 | DonorAdvisedFundsGrantsAmt |
| Donor Advised Funds Vl EOY | $12,523 | DonorAdvisedFundsVlEOYAmt |
| Disclosed Org Leg Ctrl | Yes (true) | DisclosedOrgLegCtrlInd |
| Disclosed For Charitable Prps | Yes (true) | DisclosedForCharitablePrpsInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $885,590 | OtherCostOrOtherBasisAmt |
| Book Value | $885,590 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,282,340 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,255,596 | DepreciationAmt |
| Book Value | $6,026,744 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,044,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $671,443 | DepreciationAmt |
| Book Value | $373,498 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $162,668 | DepreciationAmt |
| Book Value | $98,218 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,384,050 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $17,705,117 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $39,838 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $39,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,665,279 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $5,520 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $5,520 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $17,670,799 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $17,456,296 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $17,456,296 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $5,520 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $5,520 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $17,461,816 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|
| RICH WEISENFLUE | |||||
| CHIEF EXECUTIVE OFF. | $205,789 | $56,125 | $3,075 | $14,442 | $279,431 |
| ETHEL ALTIERY | |||||
| CHIEF OPERATING OFF. | $160,401 | $12,887 | $12,084 | $185,372 | |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| KIM BAKER | |||
| VICE CHAIR | $6,862 | INSURANCE AGENT COMM | false |
| STEVE NAREY OF DONOVAN O'CONNOR | |||
| BOARD MEMBER | $1,343 | LEGAL SERVICES | false |
| ANDREW BRIGGS | |||
| TREASURER | $28,298 | HEATING/COOLING SVC | false |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | ACQUIRED BRAIN INJURY - PROVIDING RESIDENTIAL SERVICES FOR PEOPLE WITH AN ACQUIRED BRAIN INJURY, INCLUDING ADULT COMPANION, CHORE SERVICES, SUPPORTED EMPLOYMENT, DAY SERVICES, INDIVIDUAL SUPPORTS & COMMUNITY HABILITATION AND TRANSPORTAION EXPENSES 1,479,062 REVENUE 1,676,064 ADULT FAMILY CARE - DESIGNED FOR ANY PERSON WHO IS 15 YEARS OF AGE OR OLDER, WITH A PHYSICAL OR MENTAL DISABILITY OR MEDICAL CONDITION EXPENSES 764,148 REVENUE 770,124 ACQUIRED BRAIN INJURY AND MONEY FOLLOWS THE PERSON RESIDENTIAL EXPENSES 5,047,288 REVENUE 4,181,342 SHARED LIVING EXPENSES 395,498 REVENUE 321,590 COMMUNITY BASED DAY SUPPORT EXPENSES 395,498 REVENUE 321,590 EMPLOYMENT/CIES EMPLOYMENT EXPENSES 1,157,966 REVENUE 1,025,246 |
| FORM 990, PAGE 6, PART VI, LINE 11B | BOARD REVIEW ANNUALLY WITH AGENCY CPA AT BOARD MEETING PRIOR TO SUBMISSION |
| FORM 990, PAGE 6, PART VI, LINE 12C | THERE IS AN ANNUAL REVIEW AND RE-SIGNING OF THE DISCLOSURE POLICY. ANY POSSIBLE CONFLICTS ARE DISCUSSED AT BOARD MEETINGS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | SUBCOMMITTEE OF BOARD DOES ANNUAL REVIEW OF CEO. SUBCOMMITTEE GATHERS INFORMATION FROM OTHER BOARD MEMBERS AS WELL AS STAFF. REVIEW IS DONE OF OTHER AGENCY COMPENSATION OF CEO FOR COMPARABILITY ANALYSIS. CEO DOES THIS REVIEW FOR THE CHIEF OPERATING OFFICER |
| FORM 990, PAGE 6, PART VI, LINE 15B | SUBCOMMITTEE OF BOARD DOES AN ANNUAL REVIEW FOR CEO. |
| FORM 990, PAGE 6, PART VI, LINE 19 | COPY OF FORM 990 PROVIDED UPON REQUEST |
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