FURP.ORG / PUBLIC DATA EXPLORER

PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST (EIN 34-2012430)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-05-14
IRS object ID
202531359349301723
Schema version
2023v6.0
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)
Return2025-05-14T17:39:47-07:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN262176601PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1EASY OFFICE DBA JITASABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11120 S RACKHAM WAY SUITE 300AddressLine1Txt
CityMERIDIANCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83642ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN342012430EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPEDIBusinessNameControlTxt
Phone7078386560PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 19TH ST HOLE DRIVEAddressLine1Txt
CityWINDSORCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95492ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTARA GOOD-YOUNGPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7078386560PhoneNum
Signature2025-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEREMY CORKPreparerPersonNm
PTINP01544850PTIN
Phone2082874777PhoneNum
Preparation2025-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerTARA GOOD-YOUNGPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11380 19TH ST HOLE DRIVEAddressLine1Txt
CityWINDSORCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95492ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,422,185GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pdisurgerycenter.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO DELIVER SAFE, HIGH QUALITY, AND SPECIALIZED DENTAL TREATMENT TO THE UNDERSERVED AND PROMOTE ORAL HEALTH THROUGH EDUCATION TO COMMUNITIES OF NORTH CALIFORNIA.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee33TotalEmployeeCnt
Total Volunteers3TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$360,774PYContributionsGrantsAmt
CY Contributions Grants$480,590CYContributionsGrantsAmt
PY Program Service Revenue$3,335,182PYProgramServiceRevenueAmt
CY Program Service Revenue$3,874,471CYProgramServiceRevenueAmt
PY Investment Income$251,084PYInvestmentIncomeAmt
CY Investment Income$153,906CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$63,715CYOtherRevenueAmt
PY Total Revenue$3,947,040PYTotalRevenueAmt
CY Total Revenue$4,572,682CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,449,062PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,427,820CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$72,976CYTotalFundraisingExpenseAmt
PY Other Expenses$3,000,402PYOtherExpensesAmt
CY Other Expenses$2,779,902CYOtherExpensesAmt
PY Total Expenses$4,449,464PYTotalExpensesAmt
CY Total Expenses$4,207,722CYTotalExpensesAmt
PY Revenues Less Expenses-$502,424PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$364,960CYRevenuesLessExpensesAmt
Total Assets BOY$5,343,629TotalAssetsBOYAmt
Total Assets EOY$6,599,063TotalAssetsEOYAmt
Total Liabilities BOY$556,599TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,202,695TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,787,030NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,396,368NetAssetsOrFundBalancesEOYAmt
MissionTO DELIVER SAFE, HIGH QUALITY, AND SPECIALIZED DENTAL TREATMENT TO THE UNDERSERVED AND PROMOTE ORAL HEALTH THROUGH EDUCATION TO COMMUNITIES OF NORTH CALIFORNIA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,000,895ExpenseAmt
Grant$0GrantAmt
Revenue$484,190RevenueAmt
DescANESTHESIA SERVICES - GENERAL ANESTHESIA SERVICES FOR PEDIATRIC PATIENTS AND SPECIAL NEEDS YOUNG ADULTS REFERRED TO PDI FOR DENTAL SURGERY AND TREATMENT UNDER GENERAL ANESTHESIA.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$915,819ExpenseAmt
Grant$0GrantAmt
Revenue$2,369,625RevenueAmt
DescDENTAL SERVICES - DENTAL SURGERY AND RESTORATION SERVICES DELIVERED BY DENTAL PROFESSIONALS FOR PEDIATRIC PATIENTS AND SPECIAL NEEDS YOUTH/ YOUNG ADULTS REFERRED TO PDI FOR TREATMENT UNDER GENERAL ANESTHESIA. 1620 PATIENTS WERE TREATED AND LIVES IMPROVED IN THIS FISCAL YEAR.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$774,937ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescGENERAL PROGRAMS - SUPPORT STAFF AND SERVICES THAT CROSS MULTIPLE PATIENT SUPPORT AND OPERATIONAL SERVICE NEEDS ENCOMPASING PATIENT CARE, EDUCATIONAL OUTREACH, PREVENTIVE ORAL HEALTH KIT DISTRIBUTION, ADMINISTRATIVE SUPPORT, GRANT WRITING, AND ADVOCACY FOR IMPROVED ACCESS TO CARE FOR MARGINALIZED OR SOCIOECONOMICALLY CHALLENGED FAMILIES WITH CHILDREN AT RISK FOR SEVERE TOOTH DECAY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$780,561ExpenseAmt
Grant$0GrantAmt
Revenue$1,020,656RevenueAmt
DescOTHER PROGRAMS - PATIENT RELATED AND SPECIAL NEEDSDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$780,561TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$1,020,656TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,472,212TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document43IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee33EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1EASY OFFICE DBA JITASABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2082874777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11120 S RACKHAM WAY SUITE 300AddressLine1Txt
CityMERIDIANCityNm
State AbbreviationIDStateAbbreviationCd
ZIP83642ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TARA GOOD-YOUNG
EXECUTIVE DIRECTOR40Yes (X)$89,996$0$0
SURANI HAYRE-KWAN
CHAIR2Yes (X)$0$0$0Yes (X)
DIANE AQUI ESQ
VICE CHAIR2Yes (X)$0$0$0Yes (X)
ANDREW MCCORMICK DDS
TREASURER2Yes (X)$0$0$0Yes (X)
SUZIE SHARPE ESQ
SECRETARY2Yes (X)$0$0$0Yes (X)
KRISTEN JOHNSON MD
BOARD MEMBER2$0$0$0Yes (X)
HUGO MATA
BOARD MEMBER2$0$0$0Yes (X)
ANTONIO PEREZ-LICEA
BOARD MEMBER2$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,996TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AIRPORT BUSINESS CENTERBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1414 AVIATION BLVDAddressLine1Txt
CitySANTA ROSACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95403ZIPCd
FieldValueIRS element (for citing)
ServicesOFFICE & STORAGE RENTServicesDesc
Compensation$212,096CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$156,352FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$324,238AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$480,590TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business621300BusinessCd
Total Revenue Column$3,874,471TotalRevenueColumnAmt
Related Or Exempt Func Income$3,874,471RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$3,874,471TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,608TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$160,608ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$805,658SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$812,360SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$6,702SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,702TotalRevenueColumnAmt
Related Or Exempt Func Income-$6,702RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$75,670FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$156,352ContriRptFundraisingEventAmt
Fundraising Direct Expenses$37,143FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,527TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38,527ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINSURANCE REIMBURSMENTDesc
Business900099BusinessCd
Total Revenue Column$25,000TotalRevenueColumnAmt
Related Or Exempt Func Income$25,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$188TotalRevenueColumnAmt
Related Or Exempt Func Income$188RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$25,188OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,572,682TotalRevenueColumnAmt
Related Or Exempt Func Income$3,892,957RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$199,135ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$180,861TotalAmt
Program Services$140,108ProgramServicesAmt
Management And General$37,005ManagementAndGeneralAmt
Fundraising$3,748FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,055,115TotalAmt
Program Services$817,367ProgramServicesAmt
Management And General$215,881ManagementAndGeneralAmt
Fundraising$21,867FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$4,214TotalAmt
Management And General$4,214ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$94,340TotalAmt
Management And General$94,340ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$93,290TotalAmt
Program Services$73,704ProgramServicesAmt
Management And General$17,568ManagementAndGeneralAmt
Fundraising$2,018FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,500TotalAmt
Management And General$2,500ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$82,336TotalAmt
Program Services$6,006ProgramServicesAmt
Management And General$76,330ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,615,620TotalAmt
Program Services$1,490,044ProgramServicesAmt
Management And General$94,448ManagementAndGeneralAmt
Fundraising$31,128FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,249TotalAmt
Program Services$2,036ProgramServicesAmt
Management And General$213ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$150,730TotalAmt
Program Services$88,935ProgramServicesAmt
Management And General$60,554ManagementAndGeneralAmt
Fundraising$1,241FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,235TotalAmt
Program Services$11,520ProgramServicesAmt
Management And General$2,794ManagementAndGeneralAmt
Fundraising$1,921FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$343,106TotalAmt
Program Services$336,306ProgramServicesAmt
Management And General$6,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$652TotalAmt
Program Services$196ProgramServicesAmt
Fundraising$456FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$34TotalAmt
Management And General$34ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$15,848TotalAmt
Program Services$15,848ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$49,531TotalAmt
Program Services$16,183ProgramServicesAmt
Management And General$33,348ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM EXPENSES$439,678$436,780$1,208$1,690
LICENCING AND FEES$44,123$35,130$8,993$0
BANK CHARGES & PROCESSING FEES$11,177$78$2,192$8,907
DUES AND SUBSCRIPTIONS$6,083$1,971$4,112$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,207,722TotalAmt
Program Services$3,472,212ProgramServicesAmt
Management And General$662,534ManagementAndGeneralAmt
Fundraising$72,976FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$423,369BOYAmt
EOY$78,008EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$2,210,518EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$65,790BOYAmt
EOY$779,953EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$112,995BOYAmt
EOY$112,967EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$10,576BOYAmt
EOY$2,032EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,323,905LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,155,231LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$114,198BOYAmt
EOY$168,674EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,111,966BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,155,383BOYAmt
EOY$2,355,514EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$349,352BOYAmt
EOY$891,397EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,343,629BOYAmt
EOY$6,599,063EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$257,800BOYAmt
EOY$304,371EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$3,333EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$298,799BOYAmt
EOY$894,991EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$556,599BOYAmt
EOY$1,202,695EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,639,694BOYAmt
EOY$3,249,032EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,147,336BOYAmt
EOY$2,147,336EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,787,030BOYAmt
EOY$5,396,368EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,343,629BOYAmt
EOY$6,599,063EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$364,960ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$173,852NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense-$20,246InvestmentExpenseAmt
Prior Period Adjustments$90,772PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$149,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$793,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$829,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$360,774CurrentTaxYearMinus1YearAmt
Current Tax Year$480,590CurrentTaxYearAmt
Total$2,613,970TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$149,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$793,573CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$829,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$360,774CurrentTaxYearMinus1YearAmt
Current Tax Year$480,590CurrentTaxYearAmt
Total$2,613,970TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$93,162SubstantialContributorsTotAmt
Public Support Total170$2,520,808PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$79,974CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,781CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,394CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$251,094CurrentTaxYearMinus1YearAmt
Current Tax Year$160,608CurrentTaxYearAmt
Total$614,851TotalAmt
FieldValueIRS element (for citing)
Total Support$3,228,821TotalSupportAmt
Gross Receipts Rltd Activities$18,325,135GrossReceiptsRltdActivitiesAmt
Public Support CY1700.78072PublicSupportCY170Pct
Public Support PY1700.8388PublicSupportPY170Pct
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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Book Value$0BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$855,170OtherCostOrOtherBasisAmt
Depreciation$855,170DepreciationAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$6,410OtherCostOrOtherBasisAmt
Depreciation$6,410DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$430,696OtherCostOrOtherBasisAmt
Depreciation$262,022DepreciationAmt
Book Value$168,674BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$31,629OtherCostOrOtherBasisAmt
Depreciation$31,629DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$168,674TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$2,355,514BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,355,514TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OPERATING LEASE RIGHT OF USE ASSETS$877,513
SECURITY DEPOSIT$13,884
FieldValueIRS element (for citing)
Total Book Value Other Assets$891,397TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE LIABILITYDesc
Amt$894,991Amt
FieldValueIRS element (for citing)
Total Liability$894,991TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,726,288TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$173,852NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$173,852RevenueNotReportedAmt
Revenue Subtotal$4,552,436RevenueSubtotalAmt
Investment Expenses Not Incld$20,246InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$20,246RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,572,682TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,207,722TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$4,207,722ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$4,207,722TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationTHE ACCOMPANYING FINANCIAL STATEMENTS DO NOT INCLUDE ANY PROVISIONS FOR INCOME TAXES. THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION HAS NOT INCURRED UNRELATED BUSINESS INCOME TAXES. AS A RESULT, NO INCOME TAX PROVISION OR LIABILITY HAS BEEN PROVIDED FOR IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT TAKEN ANY MATERIAL UNCERTAIN TAX POSITIONS FOR WHICH THE ASSOCIATED TAX BENEFITS MAY NOT BE RECOGNIZED UNDER ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA. FEDERAL AND STATE TAX AUTHORITIES MAY GENERALLY EXAMINE THE ORGANIZATION'S INCOME TAX POSITIONS OR (IF APPLICABLE) RETURNS FOR PERIODS OF APPROXIMATELY THREE TO SIX YEARS.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1MKS EVENTEvent1Nm
Gross Receipts Event1$226,604GrossReceiptsEvent1Amt
Charitable Contri Event1$151,280CharitableContriEvent1Amt
Gross Revenue Event1$75,324GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$7,051RentFacilityCostsEvent1Amt
Food And Beverage Event1$16,196FoodAndBeverageEvent1Amt
Entertainment Event1$13,701EntertainmentEvent1Amt
Other Direct Expenses Event1$196OtherDirectExpensesEvent1Amt
Event2STRIKE EVENTEvent2Nm
Gross Receipts Event2$5,090GrossReceiptsEvent2Amt
Charitable Contri Event2$5,090CharitableContriEvent2Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$0NonCashPrizesEvent2Amt
Rent Facility Costs Event2$0RentFacilityCostsEvent2Amt
Food And Beverage Event2$0FoodAndBeverageEvent2Amt
Entertainment Event2$0EntertainmentEvent2Amt
Other Direct Expenses Event2$0OtherDirectExpensesEvent2Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$231,694GrossReceiptsTotalAmt
Charitable Contributions Tot$156,370CharitableContributionsTotAmt
Gross Revenue Total Events$75,324GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$7,051RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,196FoodAndBeverageTotalEventsAmt
Entertainment Total Events$13,701EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$196OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$37,144DirectExpenseSummaryEventsAmt
Net Income Summary$38,180NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bBOARD MEMBERS REVIEW 990 INDIVIDUALLY.
Form 990, Part VI, Section B, Line 12cTHE ORGANIZATION REGULARY MONITORS FOR COMPLIANCE WITH THEIR CONFLICT OF INTEREST POLICY.
Form 990, Part VI, Section B, Line 15THE BOARD OF DIRECTORS ROUTINELY REVIEW THE COMPENSATION OF ALL EMPLOYEES.
Form 990, Part VI, Section C, Line 19DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990 CAN BE ACCESSED VIA IRS.GOV AND GUIDESTAR.ORG.
Form 990, Part IX, Line 11gCONTRACTORS - GENERAL ($39,525), GRANT WRITER ($26,126), PROFESSIONAL CONTRACTORS ($1,444,490), IT CONSULTANT ($63,222), HR COSTS & CREDENTIALING ($ 29,579), FUNDRAISING EVENTS ($4,213), PAYROLL SERVICE FEES ($8,465)