GATEWAY MEDICAL SOCIETY INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GATEWAY MEDICAL SOCIETY INC (EIN 02-0704699)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-12-26
- IRS object ID
- 202300129349301060
- Schema version
- 2021v4.0
- 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 | 2022-12-26T21:11:36-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 251480041 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STENGER BIES & COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1910 COCHRAN RD SUITE 726 | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15220 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020704699 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GATEWAY MEDICAL SOCIETY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GATE | BusinessNameControlTxt |
| Phone | 4122814086 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 BRIGHTON ROAD SUITE 1B | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15233 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA ISSAC MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4122814086 | PhoneNum |
| Signature | 2022-12-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LISA | PersonFirstNm |
| Person Last | ISAAC MD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DIANE M FEHL | PreparerPersonNm |
| PTIN | P00212278 | PTIN |
| Phone | 4123417788 | PhoneNum |
| Preparation | 2022-12-26 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-03-07 01:45:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Condition | EXTENSION GRANTED UNTIL NOVEMBER 15 2022 | SpecialConditionDesc |
| Principal Officer | LISA ISSAC MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 104 HAHN LANE | AddressLine1Txt |
| City | MONROEVILLE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15146 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $275,090 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GATEWAYMEDICALSOCIETY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE HEALTH CARE AND GENERAL WELFARE OF MINORTIY AND SOCIO- ECONOMICALLY CHALLANGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 4 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $150,645 | PYContributionsGrantsAmt |
| CY Contributions Grants | $272,131 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $164 | PYInvestmentIncomeAmt |
| CY Investment Income | $159 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,497 | PYOtherRevenueAmt |
| CY Other Revenue | $2,800 | CYOtherRevenueAmt |
| PY Total Revenue | $155,306 | PYTotalRevenueAmt |
| CY Total Revenue | $275,090 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,615 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $68,036 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $60,108 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,947 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,102 | PYOtherExpensesAmt |
| CY Other Expenses | $87,087 | CYOtherExpensesAmt |
| PY Total Expenses | $141,753 | PYTotalExpensesAmt |
| CY Total Expenses | $148,195 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,553 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $126,895 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $46,664 | TotalAssetsBOYAmt |
| Total Assets EOY | $156,159 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,400 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $156,159 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROMOTE HEALTH CARE AND GENERAL WELFARE OF MINORTIY AND SOCIO- ECONOMICALLY CHALLANGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $6,399 | ExpenseAmt |
| Grant | $1,000 | GrantAmt |
| Desc | TO PROMOTE HEALTH CARE AND GENERAL WELFARE OF MINORITY AND SOCIO- ECONOMICALLY CHALLENGED POPULATIONS IN SOUTHWESTERN PENNSYLVANIA. ENHANCE THE QUALITY OF HEALTH CARE SERVICES BY ADDRESSING THE ETHNIC AND RACIAL DISPARITIES IN HEALTH CARE. ENHANCE WELLNESS BY PROVIDING HEALTH EDUCATION TO THE COMMUNITY. PROVIDE CONTINUING EDUCATION FOR HEALTH CARE WORKERS. TO FACILITATE COMMUNICATION, COLLABORATION AND NETWORKING AMONG HEALTH CARE PROVIDERS. PROVIDE A FORUM FOR DISCUSSION OF ISSUES FOR SUCCESSFUL ACADEMIC, FINANCIAL AND CLINICAL GROWTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $20,217 | ExpenseAmt |
| Desc | SYMPOSIUM TO EDUCATE THE GENERAL COMMUNITY ABOUT STRATEGIES TO DECREASE HIGH MORTALITY/MORBIDITY LEVELS AND INCREASE HEALTHY LIFESTYLES. THIS INCLUDES KEYNOTE LECTURE, PLENARY SESSIONS AND WORKSHOPS GIVEN BY GATEWAY MEMBER PHYSICIANS AND GUEST EXPERTS. THE PROGRAM ALSO INCLUEDS INFORMATION TABLES SPONSORED BY HEALTH INSTITUTIONS AND NONPROFIT ORGANIZATIONS IN THE REGION, AS WELL AS REFRESHMENTS AND DOOR PRIZES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $63,919 | ExpenseAmt |
| Desc | YOUTH MENTORSHIP PROGRAM IS TO EDUCATE AND MENTOR MINORITY PRE-ADOLESCENT MALES IN THE ART AND SCIENCE OF MEDICINE. THE HOPE IS TO INSPIRE AND GUIDE THE STUDENTS AS THEY MATRICULATE THROUGH SECONDARY EDUCATION AND BEYOND. ULTIMATELY, THE HOPE IS FOR THE STUDENTS TO CHOOSE TO ENTER INTO THE FIELD OF MEDICINE AND THE ALLIED HEALTH PROFESSIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $90,535 | 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 | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | 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 | false | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 4 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAMARA REESE | PersonNm |
| Phone | 4122814086 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 925 BRIGHTON ROAD SUITE 1B | AddressLine1Txt |
| City | PITTSBURGH | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 15233 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| STEVEN EVANS | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| RHONDA MOORE JOHNSON | ||||||
| FUNDRAISING | Yes (X) | $0 | $0 | $0 | 1.00 | |
| MARVIN MCGOWAN | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM SIMMONS | ||||||
| MEMBER | Yes (X) | $0 | $0 | $0 | ||
| CHRIS ALLEN | ||||||
| VICE PRESIDE | $0 | $0 | $0 | 0.50 | Yes (X) | |
| ANITA EDWARDS | ||||||
| TREASURER/PR | $0 | $0 | $0 | 6.00 | Yes (X) | |
| JAN MADISON | ||||||
| TREASURER/JT | $0 | $0 | $0 | 6.00 | Yes (X) | |
| LISA ISSAC MD | ||||||
| PRESIDENT | $0 | $0 | $0 | 5.00 | Yes (X) | |
| RACHEL TONEY | ||||||
| SECRETARY | $0 | $0 | $0 | 0.50 | Yes (X) | |
| CATHERINE UDEKWU | ||||||
| IMMEDIATE PA | $0 | $0 | $0 | 2.00 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Membership Dues | $5,123 | MembershipDuesAmt |
| Fundraising | $12,256 | FundraisingAmt |
| All Other Contributions | $254,752 | AllOtherContributionsAmt |
| Noncash Contributions | $4,200 | NoncashContributionsAmt |
| Total Contributions | $272,131 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159 | TotalRevenueColumnAmt |
| Exclusion | $159 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $2,800 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $12,256 | ContriRptFundraisingEventAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,800 | TotalRevenueColumnAmt |
| Exclusion | $2,800 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $275,090 | TotalRevenueColumnAmt |
| Exclusion | $2,959 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Program Services | $1,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,085 | TotalAmt |
| Program Services | $47,583 | ProgramServicesAmt |
| Management And General | $5,158 | ManagementAndGeneralAmt |
| Fundraising | $2,344 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,023 | TotalAmt |
| Program Services | $4,393 | ProgramServicesAmt |
| Management And General | $433 | ManagementAndGeneralAmt |
| Fundraising | $197 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,806 | TotalAmt |
| Program Services | $873 | ProgramServicesAmt |
| Management And General | $7,915 | ManagementAndGeneralAmt |
| Fundraising | $18 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,592 | TotalAmt |
| Program Services | $15,469 | ProgramServicesAmt |
| Management And General | $5,143 | ManagementAndGeneralAmt |
| Fundraising | $7,980 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,454 | TotalAmt |
| Program Services | $2,710 | ProgramServicesAmt |
| Management And General | $2,868 | ManagementAndGeneralAmt |
| Fundraising | -$124 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,200 | TotalAmt |
| Management And General | $4,200 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153 | TotalAmt |
| Management And General | $153 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $955 | TotalAmt |
| Program Services | $473 | ProgramServicesAmt |
| Management And General | $482 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| HONORARIUM | $12,223 | $11,723 | $500 | |
| SCHOLARSHIP FUND RECIPIEN | $10,000 | $2,000 | $8,000 | |
| TELEPHONE | $5,018 | $1,171 | $3,847 | |
| VEHICLE USAGE/MILEAGE | $3,459 | $1,584 | $1,875 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,227 | TotalAmt |
| Program Services | $3,556 | ProgramServicesAmt |
| Management And General | $4,139 | ManagementAndGeneralAmt |
| Fundraising | $532 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,195 | TotalAmt |
| Program Services | $90,535 | ProgramServicesAmt |
| Management And General | $38,713 | ManagementAndGeneralAmt |
| Fundraising | $18,947 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,407 | BOYAmt |
| EOY | $31,878 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,257 | BOYAmt |
| EOY | $124,281 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,664 | BOYAmt |
| EOY | $156,159 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,400 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,400 | BOYAmt |
| EOY | $0 | 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 | $29,264 | BOYAmt |
| EOY | $156,159 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,264 | BOYAmt |
| EOY | $156,159 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,664 | BOYAmt |
| EOY | $156,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $126,895 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| 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 | $290,624 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $170,264 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,403 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $272,131 | CurrentTaxYearAmt |
| Total | $1,012,067 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $290,624 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $170,264 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $128,403 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,645 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $272,131 | CurrentTaxYearAmt |
| Total | $1,012,067 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,012,067 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $660 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $164 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159 | CurrentTaxYearAmt |
| Total | $2,697 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,900 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $43,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $45,080 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,800 | CurrentTaxYearAmt |
| Total | $129,440 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,144,204 | TotalSupportAmt |
| Public Support CY170 | 0.88450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85110 | 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 | DUES 126,640 | 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 G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BANQUET | Event1Nm |
| Gross Receipts Event1 | $15,056 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $12,256 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $2,800 | GrossRevenueEvent1Amt |
| Gross Receipts Total | $15,056 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $12,256 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $2,800 | GrossRevenueTotalEventsAmt |
| Net Income Summary | $2,800 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS HELP AT SPECIAL EVENTS AT REGISTRATION TABLE, SET UP AND TEAR DOWN. |
| FORM 990, PAGE 6, PART VI, LINE 11B | FORM 990 REVIEWED BY TREASURER AND DIRECTOR WITH ACCOUNTANT. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST THROUGH ENTITY WEBSITE OR IN PERSON. |
| FORM 990, PART IX, LINE 11G | INDEPENDENT CONTRACTOR 700 0 0 INDEPENDENT CONTRACTOR 13,625 0 0 INDEPENDENT CONTRACTOR 1,144 5,143 7,980 TOTAL 15,469 5,143 7,980 |
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