VIP NEUROREHIBILITATION CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
VIP NEUROREHIBILITATION CENTER (EIN 45-3623205)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-05-15
IRS object ID
202501359349308495
Schema version
2024v5.0
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)
Return2025-05-15T13:44:53-04:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN814590836PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LING & BOUMAN CPA'S LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14669 MURPHY CYN RD STE 130AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92123ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453623205EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VIP NEUROREHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIPNBusinessNameControlTxt
Phone8586899643PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17340 TRADE ST STE FAddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRIAN TERRELLPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8586899643PhoneNum
Signature2025-04-22SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrfalseIRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON C GUTZMER CPAPreparerPersonNm
PTINP01204162PTIN
Phone8584674770PhoneNum
Preparation2025-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBRIAN TERRELLPrincipalOfficerNm
Gross Receipts$467,765GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VIPNEUROREHAB.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD AND BRAIN INJURIES, AND OTHER SERIOUS INJURIES;TO EDUCATE PATIENTS AND THEIR FAMILIES ABOUT THESE INJURIES AND CONDUCT AND PUBLISH RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$71,567PYContributionsGrantsAmt
CY Contributions Grants$194,430CYContributionsGrantsAmt
PY Program Service Revenue$306,866PYProgramServiceRevenueAmt
CY Program Service Revenue$267,344CYProgramServiceRevenueAmt
PY Investment Income$1,374PYInvestmentIncomeAmt
CY Investment Income-$79,654CYInvestmentIncomeAmt
PY Other Revenue$20,233PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$400,040PYTotalRevenueAmt
CY Total Revenue$382,120CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$239,761PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$183,459CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$191,604PYOtherExpensesAmt
CY Other Expenses$206,922CYOtherExpensesAmt
PY Total Expenses$431,365PYTotalExpensesAmt
CY Total Expenses$390,381CYTotalExpensesAmt
PY Revenues Less Expenses-$31,325PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$8,261CYRevenuesLessExpensesAmt
Total Assets BOY$769,300TotalAssetsBOYAmt
Total Assets EOY$761,039TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$769,300NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$761,039NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD AND BRAIN INJURIES, AND OTHER SERIOUS INJURIES;TO EDUCATE PATIENTS AND THEIR FAMILIES ABOUT THESE INJURIES AND CONDUCT AND PUBLISH RESEARCH.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$355,574ExpenseAmt
Revenue$382,120RevenueAmt
DescPROVIDED REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD, BRAIN AND OTHER SERIOUS INJURIES.Desc
Total Program Service Expenses$355,574TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRIAN TERRELLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8586899643PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17340 TRADE ST SUITE F-2AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BRIAN TERRELL
EXECUTIVE DI40.00Yes (X)Yes (X)$74,383$0$0
DAVID CHARBONNET
BOD CHAIRMAN15.00Yes (X)$0$0$0
MICHAEL HETRICK
DIRECTOR5.00Yes (X)$0$0$0
DANA MOORE
DIRECTOR5.00Yes (X)$0$0$0
SEAN PETERSON
DIRECTOR5.00Yes (X)$0$0$0
TIM SAYRE
DIRECTOR5.00Yes (X)$0$0$0
JANET CHARBONNET
SECRETARY10.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$74,383TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$194,430AllOtherContributionsAmt
Noncash Contributions$3,116NoncashContributionsAmt
Total Contributions$194,430TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescREHABILITATION SERVICESDesc
Total Revenue Column$267,344TotalRevenueColumnAmt
Related Or Exempt Func Income$267,344RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$267,344TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,991TotalRevenueColumnAmt
Exclusion$5,991ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$85,645OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$85,645OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$85,645TotalRevenueColumnAmt
Related Or Exempt Func Income-$85,645RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$382,120TotalRevenueColumnAmt
Related Or Exempt Func Income$181,699RelatedOrExemptFuncIncomeAmt
Exclusion$5,991ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$116,860TotalAmt
Program Services$105,174ProgramServicesAmt
Management And General$11,686ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,585TotalAmt
Program Services$7,726ProgramServicesAmt
Management And General$859ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$58,014TotalAmt
Program Services$52,213ProgramServicesAmt
Management And General$5,801ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,600TotalAmt
Program Services$12,240ProgramServicesAmt
Management And General$1,360ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,580TotalAmt
Program Services$2,322ProgramServicesAmt
Management And General$258ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,882TotalAmt
Program Services$4,394ProgramServicesAmt
Management And General$488ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,188TotalAmt
Program Services$1,069ProgramServicesAmt
Management And General$119ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$84,492TotalAmt
Program Services$76,043ProgramServicesAmt
Management And General$8,449ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,321TotalAmt
Program Services$42,321ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,600TotalAmt
Program Services$6,840ProgramServicesAmt
Management And General$760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS AND MAINTENANCE$14,680$13,212$1,468
CREDIT CARD FEES$10,066$9,059$1,007
EQUIPMENT$5,991$5,392$599
UTILITIES$4,773$4,296$477

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,749TotalAmt
Program Services$13,273ProgramServicesAmt
Management And General$1,476ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$390,381TotalAmt
Program Services$355,574ProgramServicesAmt
Management And General$34,807ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$263,549BOYAmt
EOY$316,403EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,402BOYAmt
EOY$8,403EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$627,039LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$190,806LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$497,099BOYAmt
EOY$436,233EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$769,300BOYAmt
EOY$761,039EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$755,050BOYAmt
EOY$718,059EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,250BOYAmt
EOY$42,980EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$769,300BOYAmt
EOY$761,039EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$769,300BOYAmt
EOY$761,039EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$8,261ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$197,815CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$133,836CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$214,672CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$71,567CurrentTaxYearMinus1YearAmt
Current Tax Year$194,430CurrentTaxYearAmt
Total$812,320TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$245,240CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$278,120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$243,294CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$327,099CurrentTaxYearMinus1YearAmt
Current Tax Year$267,344CurrentTaxYearAmt
Total$1,361,097TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$443,055CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$411,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$457,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$398,666CurrentTaxYearMinus1YearAmt
Current Tax Year$461,774CurrentTaxYearAmt
Total$2,173,417TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,173,417PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,374CurrentTaxYearMinus1YearAmt
Current Tax Year$5,991CurrentTaxYearAmt
Total$7,365TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$1,374CurrentTaxYearMinus1YearAmt
Current Tax Year$5,991CurrentTaxYearAmt
Total$7,365TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$443,055CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$411,956CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$457,966CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$400,040CurrentTaxYearMinus1YearAmt
Current Tax Year$467,765CurrentTaxYearAmt
Total$2,180,782TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99660PublicSupportCY509Pct
Public Support PY5090.99950PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$14,250BeginningYearBalanceAmt
Contributions$146,386ContributionsAmt
Grants Or Scholarships$117,656GrantsOrScholarshipsAmt
End Year Balance$42,980EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$25,969BeginningYearBalanceAmt
Contributions$12,502ContributionsAmt
Grants Or Scholarships$24,224GrantsOrScholarshipsAmt
End Year Balance$14,250EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,602BeginningYearBalanceAmt
Contributions$25,683ContributionsAmt
Grants Or Scholarships$12,316GrantsOrScholarshipsAmt
End Year Balance$25,969EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,025BeginningYearBalanceAmt
Contributions$27,412ContributionsAmt
Grants Or Scholarships$19,835GrantsOrScholarshipsAmt
End Year Balance$12,602EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$80,086BeginningYearBalanceAmt
Contributions$66,249ContributionsAmt
Grants Or Scholarships$21,310GrantsOrScholarshipsAmt
Other Expenditures$120,000OtherExpendituresAmt
End Year Balance$5,025EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$627,039OtherCostOrOtherBasisAmt
Depreciation$190,806DepreciationAmt
Book Value$436,233BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$436,233TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 2DAVID CHARBONNET JANET CHARBONNET BOARD CHAIR BOD SECRETAR HUSBAND AND WIFE
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING OF THE FORM.
FORM 990, PAGE 6, PART VI, LINE 19ITEMS ARE AVAILABLE BY WRITTEN REQUEST TO THE ORGANIZATION

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