GATEWAY MEDICAL SOCIETY INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
GATEWAY MEDICAL SOCIETY INC (EIN 02-0704699)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202443209349303404
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

FieldValueIRS element (for citing)
Return2024-11-15T08:46:09-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN871456824PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HENNESSY BLOTZER LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12539 WASHINGTON ROAD SUITE 1020-DAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15241ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020704699EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GATEWAY MEDICAL SOCIETY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGATEBusinessNameControlTxt
Phone4122814086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 BRIGHTON ROAD SUITE 1BAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15233ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANITA EDWARDSPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4122814086PhoneNum
Signature2024-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCORY T BLOTZER CPAPreparerPersonNm
PTINP01990713PTIN
Phone4129304224PhoneNum
Preparation2024-11-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA ISSAC MDPrincipalOfficerNm
Gross Receipts$125,848GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressGATEWAYMEDICALSOCIETY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROMOTE HEALTH CARE AND GENERAL WELFARE OF MINORITY AND SOCIOECONOMICALLY CHALLENGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$143,802PYContributionsGrantsAmt
CY Contributions Grants$87,100CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$627PYInvestmentIncomeAmt
CY Investment Income$1,174CYInvestmentIncomeAmt
PY Other Revenue-$11,418PYOtherRevenueAmt
CY Other Revenue-$6,173CYOtherRevenueAmt
PY Total Revenue$133,011PYTotalRevenueAmt
CY Total Revenue$82,101CYTotalRevenueAmt
PY Grants And Similar Paid$7,500PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,000CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$55,110PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$64,319CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$8,225CYTotalFundraisingExpenseAmt
PY Other Expenses$75,571PYOtherExpensesAmt
CY Other Expenses$61,934CYOtherExpensesAmt
PY Total Expenses$138,181PYTotalExpensesAmt
CY Total Expenses$135,253CYTotalExpensesAmt
PY Revenues Less Expenses-$5,170PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$53,152CYRevenuesLessExpensesAmt
Total Assets BOY$150,989TotalAssetsBOYAmt
Total Assets EOY$102,037TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$150,989NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$102,037NetAssetsOrFundBalancesEOYAmt
MissionTO PROMOTE HEALTH CARE AND GENERAL WELFARE OF MINORITY AND SOCIOECONOMICALLY CHALLANGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,600ExpenseAmt
Grant$9,000GrantAmt
DescTHE ORGANIZATION PROMOTES HEALTH CARE AND GENERAL WELFARE OF MINORITY AND SOCIO ECONOMICALLY CHALLENGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA; ENHANCES THE QUALITY OF HEALTH CARE SERVICES BY ADDRESSING THE ETHNIC AND RACIAL DISPARITIES IN HEALTH CARE; ENHANCES WELLNESS BY PROVIDING HEALTH EDUCATION TO THE COMMUNITY; PROVIDES CONTINUING EDUCATION FOR HEALTH CARE WORKERS; FACILITATES COMMUNICATION, COLLABORATION, AND NETWORKING AMONG HEALTH CARE PROVIDERS; AND PROVIDE A FORUM FOR DISCUSSION OF ISSUES FOR SUCCESSFUL ACADEMIC, FINANCIAL AND CLINICAL GROWTH.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$20,771ExpenseAmt
DescSYMPOSIUM TO EDUCATE THE GENERAL COMMUNITY ABOUT STRATEGIES TO DECREASE HIGH MORTALITY/MORBIDITY LEVELS AND INCREASE HEALTHY LIFESTYLES. IT INCLUDES KEYNOTE MEMBER PHYSICIANS AND GUEST EXPERTS, AND INFORMATION TABLES SPONSORED BY HEALTH INSTITUTIONS AND NONPROFIT ORGANIZATIONS IN THE REGION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$70,574ExpenseAmt
DescYOUTH MENTORSHIP PROGRAM IS TO EDUCATE AND MENTOR MINORITY PRE-ADOLESCENT MALES IN THE ART AND SCIENCE OF MEDICINE. THE ORGANIZATIONS HOPE IS TO INSPIRE AND GUIDE THE STUDENTS AS THEY MATRICULATE THROUGH SECONDARY EDUCATION AND BEYOND. ULTIMATELY, THE ORGANIZATION HOPES SOME STUDENTS WILL CHOOSE TO ENTER INTO THE FIELD OF MEDICINE AND THE ALLIED HEALTH PROFESSIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$104,945TotalProgramServiceExpensesAmt
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 EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
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 ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTAMARA REESEPersonNm
Phone4122814086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1925 BRIGHTON ROAD STE 1BAddressLine1Txt
CityPITTSBURGHCityNm
State AbbreviationPAStateAbbreviationCd
ZIP15233ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHRISTOPHER CONTI
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ANITA EDWARDS
TREASURER6.00Yes (X)Yes (X)$0$0$0
LISA ISSAC MD
PRESIDENT5.00Yes (X)Yes (X)$0$0$0
JAN MADISON
FUNDRAISING/6.00Yes (X)Yes (X)$0$0$0
RACHEL TONEY
VICE PRESIDE1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$4,950MembershipDuesAmt
Fundraising$40,000FundraisingAmt
All Other Contributions$42,150AllOtherContributionsAmt
Total Contributions$87,100TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,174TotalRevenueColumnAmt
Exclusion$1,174ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$37,574FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$40,000ContriRptFundraisingEventAmt
Fundraising Direct Expenses$43,747FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,173TotalRevenueColumnAmt
Exclusion-$6,173ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$82,101TotalRevenueColumnAmt
Exclusion-$4,999ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,000TotalAmt
Program Services$9,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$59,151TotalAmt
Program Services$50,278ProgramServicesAmt
Management And General$5,915ManagementAndGeneralAmt
Fundraising$2,958FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,168TotalAmt
Program Services$4,393ProgramServicesAmt
Management And General$517ManagementAndGeneralAmt
Fundraising$258FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$734TotalAmt
Program Services$165ProgramServicesAmt
Management And General$569ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,000TotalAmt
Program Services$3,000ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,005TotalAmt
Program Services$2,515ProgramServicesAmt
Management And General$2,956ManagementAndGeneralAmt
Fundraising$1,534FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,886TotalAmt
Program Services$950ProgramServicesAmt
Management And General$936ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,200TotalAmt
Management And General$4,200ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,367TotalAmt
Program Services$931ProgramServicesAmt
Fundraising$436FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
HONORARIUM$14,180$13,130$250$800
GRANT AND MENTORING$9,639$9,639
CONTRACTORS$9,377$7,212$2,165
DUES AND SUBSCRIPTIONS$3,118$1,360$1,758

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,428TotalAmt
Program Services$2,372ProgramServicesAmt
Management And General$4,982ManagementAndGeneralAmt
Fundraising$74FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$135,253TotalAmt
Program Services$104,945ProgramServicesAmt
Management And General$22,083ManagementAndGeneralAmt
Fundraising$8,225FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$31,886BOYAmt
EOY$32,550EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$119,103BOYAmt
EOY$69,487EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$150,989BOYAmt
EOY$102,037EOYAmt

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$150,989BOYAmt
EOY$102,037EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,989BOYAmt
EOY$102,037EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$150,989BOYAmt
EOY$102,037EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$53,152ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts$4,200DonatedServicesAndUseFcltsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$128,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$150,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$272,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,802CurrentTaxYearMinus1YearAmt
Current Tax Year$87,100CurrentTaxYearAmt
Total$782,081TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$128,403CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$150,645CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$272,131CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$143,802CurrentTaxYearMinus1YearAmt
Current Tax Year$87,100CurrentTaxYearAmt
Total$782,081TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$782,081PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$660CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$164CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$159CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$627CurrentTaxYearMinus1YearAmt
Current Tax Year$1,174CurrentTaxYearAmt
Total$2,784TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$37,574CurrentTaxYearAmt
Total$37,574TotalAmt
FieldValueIRS element (for citing)
Total Support$822,439TotalSupportAmt
Public Support CY1700.95090PublicSupportCY170Pct
Public Support PY1700.89330PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1BANQUETEvent1Nm
Gross Receipts Event1$77,574GrossReceiptsEvent1Amt
Charitable Contri Event1$40,000CharitableContriEvent1Amt
Gross Revenue Event1$37,574GrossRevenueEvent1Amt
Rent Facility Costs Event1$43,747RentFacilityCostsEvent1Amt
Gross Receipts Total$77,574GrossReceiptsTotalAmt
Charitable Contributions Tot$40,000CharitableContributionsTotAmt
Gross Revenue Total Events$37,574GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$43,747RentFcltyCostsTotalEventsAmt
Direct Expense Summary Events$43,747DirectExpenseSummaryEventsAmt
Net Income Summary-$6,173NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSCHOLARSHIPSGrantTypeTxt
Recipient8RecipientCnt
Cash Grant$9,000CashGrantAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS HELP SET UP AND TEAR DOWN DURING SPECIAL EVENTS AT REGISTRATION TABLES.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY THE TREASURER AND DIRECTOR WITH ACCOUNTANT.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST THROUGH ENTITY WEBSITE OR IN PERSON.

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