Community Counseling Centers of Chicago Inc: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- Community Counseling Centers of Chicago Inc (EIN 23-7115384)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202231339349306968
- Schema version
- 2020v4.2
- Note
- A later return for the same period supersedes this one.
- 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 | 2022-05-13T13:54:36-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1899 L STREET NW 850 | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237115384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY COUNSELING CENTERS OF CHICAGO | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7737690205 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2014 W BELLE PLAINE AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60618 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERRI BROWN | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7737690205 | PhoneNum |
| Signature | 2022-05-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KERRI | PersonFirstNm |
| Person Last | BROWN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AARON M FOX | PreparerPersonNm |
| PTIN | P01365820 | PTIN |
| Phone | 2028225000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KERRI BROWN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2014 W BELLE PLAINE AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60618 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,378,031 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | C4CHICAGO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | A BEHAVIORAL HEALTH ADVOCATE AND SOCIAL SERVICE PROVIDER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 124 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,756,651 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,638,971 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $5,931,156 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,653,375 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,214 | PYInvestmentIncomeAmt |
| CY Investment Income | $617 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,896 | PYOtherRevenueAmt |
| CY Other Revenue | $85,068 | CYOtherRevenueAmt |
| PY Total Revenue | $7,702,917 | PYTotalRevenueAmt |
| CY Total Revenue | $11,378,031 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,117,627 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,329,863 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $70,980 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,061,025 | PYOtherExpensesAmt |
| CY Other Expenses | $3,085,505 | CYOtherExpensesAmt |
| PY Total Expenses | $10,178,652 | PYTotalExpensesAmt |
| CY Total Expenses | $11,415,368 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,475,735 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$37,337 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,756,396 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,332,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,044,965 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,482,437 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,288,569 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$4,150,203 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE COUNSELING, CRISIS INTERVENTION, CASE MANAGEMENT, PSYCHOSOCIAL REHABILITATIVE AND VOCATIONAL SERVICES TO MENTALLY ILL AND SUBSTANCE ABUSE CLIENTS IN OUTPATIENT AND COMMUNITY BASED SETTINGS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,618,721 | ExpenseAmt |
| Revenue | $5,653,375 | RevenueAmt |
| Desc | 1. 580 CRISIS GRANT PROGRAM- COMMUNITY COUNSELING CENTERS OF CHICAGO, INC. (C4) HAS STRENGTHENED ITS' OUTREACH TO INDIVIDUALS IN THE COMMUNITY WITH NO INSURANCE COVERAGE FOR CRISIS ASSESSMENT AND CRISIS INTERVENTIONS. C4 EXPANDED ITS REACH TO PROVIDE CRISIS CALLS COVERAGE AND FOLLOW-UP LINKAGE AND STABILIZATION BY 2X. C4 HAS ENSURED STAFFING IS 24/7 FOR CRISIS CALLS AND ENSURED WE HAVE STAFF ONSITE TO PROVIDE WALK-IN TRIAGE AND BRIEF INTERVENTIONS. C4 PARTNERS WITH THOREK, METHODIST, AND WEISS HOSPITALS TO DO USARF ASSESSMENTS. 2. 720 DROP IN CENTER- THE C4 DROP IN CENTER HAS PROVIDED AN ENVIRONMENT THAT EMPOWERS INDIVIDUALS TO SET RECOVERY GOALS AND TAKE OWNERSHIP OF THEIR OWN RECOVERY THROUGH A STRENGTH IN COMMUNITY APPROACH. INDIVIDUALS ARE ENCOURAGED TO PARTICIPATE IN ART THERAPY, ENRICHMENT CLASSES AND CREATIVE DEVELOPMENT. 3. CITY OF CHICAGO GRANT PROGRAM - C4 PROVIDED A CRISIS PREVENTION SPECIALIST TEAM TO WORK IN THE CHICAGO WEST SIDE NEIGHBORHOODS. THE SERVICES WERE FOCUSED ON ADDRESSING THE BARRIERS THAT WEST SIDE COMMUNITIES EXPERINECE IN ACCESSING PREVENTATIVE SERVICES. THE TEAM INTERVIENED WITH FAMILY, CHILDREN AND ADULTS NEEDING CRISIS SERVICES AND WORKED TO REMOVE BARRIERS TO ACCESSING MENTAL HEALTH SERIVES. | Desc |
| Total Program Service Expenses | $8,618,721 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 124 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | 0 | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | 0 | TaxableDistributionsInd |
| Distribution To Donor | 0 | DistributionToDonorInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KERRI BROWN | PersonNm |
| Phone | 8472350096 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2014 W BELLE PLAINE AVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60618 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| ANJUM KHAJA | |||||||||
| MD - PSYCHIATRIST | 37.50 | Yes (X) | $162,667 | $0 | $18,133 | ||||
| PAT NICHOLS | |||||||||
| INTERIM PRESIDENT & CEO | 37.50 | $161,538 | $0 | $0 | 1.00 | Yes (X) | |||
| CHRIS CARROLL | |||||||||
| FORMER PRESIDENT & CEO | 37.50 | $143,174 | $0 | $10,419 | Yes (X) | ||||
| KELLY CRAIG-GATES | |||||||||
| FORMER CHIEF ADMINISTRATIVE OFFICER | 37.50 | $103,968 | $0 | $1,535 | Yes (X) | ||||
| DOUGLAS MYERS | |||||||||
| INTERIM CFO | 37.50 | $90,000 | $0 | $0 | Yes (X) | ||||
| LAUREL LEGLER | |||||||||
| CHAIRPERSON | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| JAMES HALLBERG | |||||||||
| VICE CHAIRPERSON | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| EVAN FREUND | |||||||||
| TREASURER | 4.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| JACK QUIGLEY | |||||||||
| SECRETARY | 4.00 | $0 | $0 | $0 | 1.00 | Yes (X) | Yes (X) | ||
| MICHAEL ANDERSON MD | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| MIMI ALSHULER | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| JOHN FRANKLIN MD | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| PHILIP HANDAL | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| BRENT PRUIM | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| STEVEN Z ROUTBURG | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| PATRICK THOMPSON | |||||||||
| DIRECTOR | 4.00 | $0 | $0 | $0 | 1.00 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $661,347 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $30,087 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NETRIX LLC | |||||
| 2801 LAKESIDE DRIVE | BANNOCKBURN | IL | 60015 | IT & COMMUNICATIONS | $314,636 |
| KENNETH YOUNG CENTER | |||||
| 1001 ROHLWING ROAD | ELK GROVE VILLAGE | IL | 60007 | ELECTRONIC MEDICAL HEALTH RECORD (EMHR) | $126,244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,563,372 | GovernmentGrantsAmt |
| All Other Contributions | $75,599 | AllOtherContributionsAmt |
| Total Contributions | $5,638,971 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 621400 | $4,566,594 | $4,566,594 |
| SASS | 621400 | $548,578 | $548,578 |
| PRE-ADMISSION SCREENS | 621400 | $394,320 | $394,320 |
| OTHER SERVICES | 621400 | $81,891 | $81,891 |
| MEDICARE | 621400 | $61,992 | $61,992 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,653,375 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $617 | TotalRevenueColumnAmt |
| Exclusion | $617 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER REVENUE | 900099 | $73,882 | $73,882 |
| SUBLEASE | 900099 | $11,186 | $11,186 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $85,068 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,378,031 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,653,375 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $85,685 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,457 | TotalAmt |
| Program Services | $130,246 | ProgramServicesAmt |
| Management And General | $312,788 | ManagementAndGeneralAmt |
| Fundraising | $14,423 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,520,815 | TotalAmt |
| Program Services | $5,139,782 | ProgramServicesAmt |
| Management And General | $1,361,997 | ManagementAndGeneralAmt |
| Fundraising | $19,036 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $622,970 | TotalAmt |
| Program Services | $470,470 | ProgramServicesAmt |
| Management And General | $149,513 | ManagementAndGeneralAmt |
| Fundraising | $2,987 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $728,621 | TotalAmt |
| Program Services | $550,258 | ProgramServicesAmt |
| Management And General | $174,869 | ManagementAndGeneralAmt |
| Fundraising | $3,494 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $213,476 | TotalAmt |
| Program Services | $160,107 | ProgramServicesAmt |
| Management And General | $51,234 | ManagementAndGeneralAmt |
| Fundraising | $2,135 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,747 | TotalAmt |
| Program Services | $123,054 | ProgramServicesAmt |
| Management And General | $28,052 | ManagementAndGeneralAmt |
| Fundraising | $1,641 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,000 | TotalAmt |
| Program Services | $56,250 | ProgramServicesAmt |
| Management And General | $18,000 | ManagementAndGeneralAmt |
| Fundraising | $750 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,089 | TotalAmt |
| Program Services | $66,160 | ProgramServicesAmt |
| Management And General | $14,047 | ManagementAndGeneralAmt |
| Fundraising | $882 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,825 | TotalAmt |
| Program Services | $91,369 | ProgramServicesAmt |
| Management And General | $29,238 | ManagementAndGeneralAmt |
| Fundraising | $1,218 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $273,444 | TotalAmt |
| Program Services | $205,083 | ProgramServicesAmt |
| Management And General | $65,627 | ManagementAndGeneralAmt |
| Fundraising | $2,734 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,616 | TotalAmt |
| Program Services | $366,462 | ProgramServicesAmt |
| Management And General | $117,268 | ManagementAndGeneralAmt |
| Fundraising | $4,886 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $538,130 | TotalAmt |
| Program Services | $403,598 | ProgramServicesAmt |
| Management And General | $129,151 | ManagementAndGeneralAmt |
| Fundraising | $5,381 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,574 | TotalAmt |
| Program Services | $16,180 | ProgramServicesAmt |
| Management And General | $5,178 | ManagementAndGeneralAmt |
| Fundraising | $216 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,302 | TotalAmt |
| Program Services | $3,227 | ProgramServicesAmt |
| Management And General | $1,032 | ManagementAndGeneralAmt |
| Fundraising | $43 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,469 | TotalAmt |
| Program Services | $97,851 | ProgramServicesAmt |
| Management And General | $31,313 | ManagementAndGeneralAmt |
| Fundraising | $1,305 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,508 | TotalAmt |
| Program Services | $102,381 | ProgramServicesAmt |
| Management And General | $32,762 | ManagementAndGeneralAmt |
| Fundraising | $1,365 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $814,859 | $611,144 | $195,566 | $8,149 |
| OTHER EXPENSE | $33,466 | $25,099 | $8,032 | $335 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,415,368 | TotalAmt |
| Program Services | $8,618,721 | ProgramServicesAmt |
| Management And General | $2,725,667 | ManagementAndGeneralAmt |
| Fundraising | $70,980 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,780 | BOYAmt |
| EOY | $2,580,489 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $646,851 | BOYAmt |
| EOY | $2,103,880 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,844 | BOYAmt |
| EOY | $92,708 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,422,556 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $278,010 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,221,144 | BOYAmt |
| EOY | $2,144,546 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $617,777 | BOYAmt |
| EOY | $410,611 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,756,396 | BOYAmt |
| EOY | $7,332,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,892,183 | BOYAmt |
| EOY | $1,377,393 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,105 | BOYAmt |
| EOY | $1,636,316 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,992 | BOYAmt |
| EOY | $1,648,503 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,527,500 | BOYAmt |
| EOY | $2,949,246 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,536,185 | BOYAmt |
| EOY | $3,870,979 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,044,965 | BOYAmt |
| EOY | $11,482,437 | 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 | -$4,446,725 | BOYAmt |
| EOY | -$4,308,359 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,156 | BOYAmt |
| EOY | $158,156 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,288,569 | BOYAmt |
| EOY | -$4,150,203 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,756,396 | BOYAmt |
| EOY | $7,332,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$37,337 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $175,703 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | 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 | $3,070,202 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,471,335 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,551,291 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,756,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,638,971 | CurrentTaxYearAmt |
| Total | $15,488,450 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,070,202 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,471,335 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,551,291 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,756,651 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,638,971 | CurrentTaxYearAmt |
| Total | $15,488,450 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $15,488,450 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $4,410 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,203 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,658 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,869 | CurrentTaxYearAmt |
| Total | $56,140 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $330,055 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,892,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $161,692 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,816 | CurrentTaxYearAmt |
| Total | $3,447,489 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,992,079 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $42,523,811 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.81550 | PublicSupportCY170Pct |
| Public Support PY170 | 0.77610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $75,000 | DirectContactLegislatorsAmt |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $75,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | C4 HAS DIRECTLY SPOKEN WITH LEGISLATORS, THEIR STAFF AND GOVERNMENT OFFICIALS, CHAMPIONING THE NEEDS WITHIN THE BEHAVIORAL HEALTH INDUSTRY AS WELL AS RETAINED A LOBBYIST TO ADVOCATE FOR SEVERAL CAUSES RELATED TO MENTAL HEALTH AND BEHAVIORAL ISSUES FOR THE ORGANIZATION. SOME AREAS OF CONCERN WERE RELATED TO BETTER PAY FOR CLINICIANS, HIGHER REIMBURSABLE RATES FOR CERTAIN PROGRAMS, AND IMPROVED ACCESS TO CARE. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,430 | BeginningYearBalanceAmt |
| End Year Balance | $32,430 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,430 | BeginningYearBalanceAmt |
| End Year Balance | $32,430 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,430 | BeginningYearBalanceAmt |
| End Year Balance | $32,430 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,430 | BeginningYearBalanceAmt |
| End Year Balance | $32,430 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,430 | BeginningYearBalanceAmt |
| End Year Balance | $32,430 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,771 | OtherCostOrOtherBasisAmt |
| Book Value | $231,771 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,853,478 | OtherCostOrOtherBasisAmt |
| Depreciation | $138,019 | DepreciationAmt |
| Book Value | $1,715,459 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,561 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,521 | DepreciationAmt |
| Book Value | $52,040 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $182,786 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,190 | DepreciationAmt |
| Book Value | $140,596 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $60,960 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,280 | DepreciationAmt |
| Book Value | $4,680 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,144,546 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS HELD FOR OTHERS | $299,240 |
| BENEFICIAL INTEREST IN CHARITABLE REMAINDER UNITRUST | $111,371 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $410,611 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTY | $3,571,739 |
| DEPOSITS HELD FOR OTHERS | $299,240 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,870,979 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION C4 ACTS AS PAYEES TO SOCIAL SECURITY OR SUPPLEMENTAL SSI BENEFICIARIES THAT ARE INCAPABLE OF MANAGING THEIR FINANCIAL NEEDS AND PAYS THEIR MONTHLY LIVING EXPENSES SUCH AS RENT, UTILITIES, MEDICAL, ETC. |
| PART V, LINE 4: | TO BE A CONTINUING FINANCIAL RESOURCE FOR PRESENT AND FUTURE MISSION-DRIVEN PROGRAMS BY C4. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANJUM KHAJA | ||||||||||||||
| MD - PSYCHIATRIST | $162,667 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $18,133 | $0 | $180,800 | $0 | $0 | $0 |
| PAT NICHOLS | ||||||||||||||
| INTERIM PRESIDENT & CEO | $161,538 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $161,538 | $0 | $0 | $0 |
| CHRIS CARROLL | ||||||||||||||
| FORMER PRESIDENT & CEO | $143,174 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $10,419 | $0 | $153,593 | $0 | $0 | $0 |
| KELLY CRAIG-GATES | ||||||||||||||
| FORMER CHIEF ADMINISTRATIVE OFFICER | $103,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,535 | $0 | $105,503 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE DRAFT FEDERAL FORM 990 WILL BE PROVIDED TO THE FULL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICTS OF INTEREST FORMS WERE REQUIRED OF ALL BOARD MEMBERS AND ALL STAFF RESPONSIBLE FOR THE PURCHASE OF GOODS AND SERVICES. THESE FORMS ARE UPDATED ANNUALLY AND ANY CONFLICTS ARE DEALT WITH ACCORDINGLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | ON AN ANNUAL BASIS, PERFORMANCE OF THE PRESIDENT & CEO AND CFO ARE REVIEWED BY THE COMMITTEE OF THE BOARD OF DIRECTORS AND COMPARABILITY DATA IS USED IN MAKING THE COMPENSATION DECISION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDGEWATER UPTOWN BUILDING CORPORATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4740 N CLARK STREET | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60640 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363442418 | EIN |
| Primary Activities | LEASING PROPERTIES TO THE AFFILIATED REPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY COUNSELING CENTERS OF CHICAGO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EDGEWATER UPTOWN BUILDING CORPORATION | ||
| C | $306,766 | FAIR VALUE-DONATED FACILITY RENT |
| EDGEWATER UPTOWN BUILDING CORPORATION | ||
| K | $306,766 | LEASE AGREEMENTS |
| EDGEWATER UPTOWN BUILDING CORPORATION | ||
| E | $3,571,739 | OUTSTANDING LOAN BALANCE |
Comments