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HANDS UP FOR HAITI INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HANDS UP FOR HAITI INC (EIN 45-2107443)
Tax period
2020-09-01 to 2021-08-31
Filed
2022-07-14
IRS object ID
202231959349302328
Schema version
2020v4.2
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)
Return2022-07-14T17:11:18-05:00ReturnTs
Tax Period End2021-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271807953PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARK KOTLAROFF CPA PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118 LAUREL ROADAddressLine1Txt
CityNEW CITYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10956ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452107443EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANDS UP FOR HAITI INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHANDBusinessNameControlTxt
Phone9145236572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 913AddressLine1Txt
CityMOUNT KISCOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10549ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDY MARXPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9145236572PhoneNum
Signature2022-07-14SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstWENDYPersonFirstNm
Person LastMARXPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK KOTLAROFF CPAPreparerPersonNm
PTINP00765790PTIN
Phone8457098860PhoneNum
Preparation2022-07-13PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerWENDY MARXPrincipalOfficerNm
Gross Receipts$490,051GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://handsupforhaiti.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE CORPORATION EXPECTS TO ACHIEVE THIS MISSION BY ESTABLISHING OR SUPPORTING EXISTING HEALTH CARE CLINICS, IMMUNIZATION PROGRAMS, NUTRITION AND DEVELOPMENT PROGRAMS, AND HEALTH EDUCATION PROGRAMS IN UNDERSERVED COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$246,168PYContributionsGrantsAmt
CY Contributions Grants$361,207CYContributionsGrantsAmt
PY Program Service Revenue$53,680PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$7PYInvestmentIncomeAmt
CY Investment Income$3CYInvestmentIncomeAmt
PY Other Revenue$96,986PYOtherRevenueAmt
CY Other Revenue$109,690CYOtherRevenueAmt
PY Total Revenue$396,841PYTotalRevenueAmt
CY Total Revenue$470,900CYTotalRevenueAmt
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$100,004PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$106,093CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,084CYTotalFundraisingExpenseAmt
PY Other Expenses$292,011PYOtherExpensesAmt
CY Other Expenses$343,624CYOtherExpensesAmt
PY Total Expenses$392,015PYTotalExpensesAmt
CY Total Expenses$449,717CYTotalExpensesAmt
PY Revenues Less Expenses$4,826PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,183CYRevenuesLessExpensesAmt
Total Assets BOY$56,629TotalAssetsBOYAmt
Total Assets EOY$78,514TotalAssetsEOYAmt
Total Liabilities BOY$20,683TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,385TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,946NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$57,129NetAssetsOrFundBalancesEOYAmt
MissionTO ALLEVIATE HUMAN SUFFERING AND DISTRESS BY ASSISTING MEDICAL PROFESSIONALS TO PROVIDE HEALTH CARE SERVICES TO THOSE LIVING IN IMPOVERISHED AREAS, INCLUDING BUT NOT LIMITED TO THE REPUBLIC OF HAITI.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$399,458ExpenseAmt
DescA HEALTHCARE CLINIC WAS ESTABLISHED.NUMEROUS MEDICAL MISSIONS TO PROVIDE HEALTHCARE IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, OPTHMOLOGY AND INTERNAL MEDICINE. EDUCATED EXPECTANT MOTHERS ON NUTRITION AND HELD BREASTFEEDING CLINICS FOR NEW MOTHERS.Desc
Total Program Service Expenses$399,458TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryHAForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KAREN SCHECTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9145236572PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 913AddressLine1Txt
CityMOUNT KISCOCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10549ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DR MARY ANN LOFRUMENTO
Director5.00Yes (X)$0$0$0
LYNN PERTON
Director5.00Yes (X)$0$0$0
DR ADAM HANDLER
Director5.00Yes (X)$0$0$0
HOPE BECHARD POOLE
Director5.00Yes (X)$0$0$0
DR ALLISON PLATT ROTHFLEISCH
Director5.00Yes (X)$0$0$0
EDWARD BIRKHAHN
Director5.00Yes (X)$0$0$0
DR BARNEY SOFTNESS
Director5.00Yes (X)$0$0$0
DR ALEXIS CAPOZZOLI
Director5.00Yes (X)$0$0$0
YEWADE NG
Director5.00Yes (X)$0$0$0
BETH BROMBERG
Director5.00Yes (X)$0$0$0
BOBBY DERIVAL
VICE PRESIDENT10.00$0$0$0Yes (X)
DR WENDY MARX
President10.00$0$0$0Yes (X)
JOHN PARTENZA
Treasurer10.00$0$0$0Yes (X)
STEPHANIE KORN
Secretary5.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
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
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$361,207AllOtherContributionsAmt
Noncash Contributions$10,525NoncashContributionsAmt
Total Contributions$361,207TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Related Or Exempt Func Income$3RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$128,841FundraisingGrossIncomeAmt
Fundraising Direct Expenses$19,151FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,690TotalRevenueColumnAmt
Exclusion$109,690ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$470,900TotalRevenueColumnAmt
Related Or Exempt Func Income$3RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$109,690ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$97,636TotalAmt
Program Services$68,345ProgramServicesAmt
Management And General$19,527ManagementAndGeneralAmt
Fundraising$9,764FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,457TotalAmt
Program Services$5,920ProgramServicesAmt
Management And General$1,691ManagementAndGeneralAmt
Fundraising$846FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,053TotalAmt
Program Services$1,437ProgramServicesAmt
Management And General$410ManagementAndGeneralAmt
Fundraising$206FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,427TotalAmt
Program Services$3,714ProgramServicesAmt
Management And General$3,713ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$804TotalAmt
Program Services$563ProgramServicesAmt
Management And General$161ManagementAndGeneralAmt
Fundraising$80FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
PROGRAM COORDINATION CO$134,762$134,762
MALNUTRITION PROGRAM$58,091$58,091
MOBILE CLINIC$31,420$31,420
PRENATAL PROGRAM$21,957$21,957

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$87,110TotalAmt
Program Services$73,249ProgramServicesAmt
Management And General$11,673ManagementAndGeneralAmt
Fundraising$2,188FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$449,717TotalAmt
Program Services$399,458ProgramServicesAmt
Management And General$37,175ManagementAndGeneralAmt
Fundraising$13,084FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$53,745BOYAmt
EOY$52,667EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$54,754LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,907LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,884BOYAmt
EOY$25,847EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$56,629BOYAmt
EOY$78,514EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,683BOYAmt
EOY$21,385EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,683BOYAmt
EOY$21,385EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,946BOYAmt
EOY$57,129EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,946BOYAmt
EOY$57,129EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$56,629BOYAmt
EOY$78,514EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$21,183ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$737,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$550,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$729,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,455CurrentTaxYearMinus1YearAmt
Current Tax Year$490,048CurrentTaxYearAmt
Total$2,929,743TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$737,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$550,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$729,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,455CurrentTaxYearMinus1YearAmt
Current Tax Year$490,048CurrentTaxYearAmt
Total$2,929,743TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,929,743PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$3CurrentTaxYearAmt
Total$3TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year$3CurrentTaxYearAmt
Total$3TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$737,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$550,178CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$729,612CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$422,455CurrentTaxYearMinus1YearAmt
Current Tax Year$490,051CurrentTaxYearAmt
Total$2,929,746TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,754OtherCostOrOtherBasisAmt
Depreciation$28,907DepreciationAmt
Book Value$25,847BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$25,847TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CREDIT CARDS PAYABLE$1,040
PPP LOAN PAYABLE$20,345
FieldValueIRS element (for citing)
Total Liability$21,385TotalLiabilityAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPECIAL EVENTSEvent1Nm
Gross Receipts Event1$128,841GrossReceiptsEvent1Amt
Gross Revenue Event1$128,841GrossRevenueEvent1Amt
Other Direct Expenses Event1$19,151OtherDirectExpensesEvent1Amt
Gross Receipts Total$128,841GrossReceiptsTotalAmt
Gross Revenue Total Events$128,841GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$19,151OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$19,151DirectExpenseSummaryEventsAmt
Net Income Summary$109,690NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bLine 11b Explanation - RETURN WILL BE REVIEWED BY TREASURER AND PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
Form 990, Part VI, Section B, line 12cBOARD MEMBERS MUST DISCLOSE IF A POTENTIAL CONTRACTOR IS A RELATED PARTY.
Form 990, Part VI, Section B, line 15THE BOARD APPROVED COMPENSATION FOR ALL HIRED PERSONNEL. IF A BOARD MEMBER RECEIVES COMPENSATION FOR ANY SERVICES THEY ARE PROHIBITED FROM VOTING ON THEIR COMPENSATION. COMPENSATION IS BASED ON INDEPENDENT COMPARABILITY DATA COLLECTED. COMPENSATION IS BASED ON COMPARABILITY DATA
Form 990, Part VI, Section C, line 19ALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
Form 990, Part IX, line 24eMARKETING AND WEBSITE: Program service expenses 12081. Management and general expenses 3452. Fundraising expenses 1725. Total expenses 17258. COMMUNITY HEALTH WORKERS PROGR: Program service expenses 13205. Management and general expenses 0. Fundraising expenses 0. Total expenses 13205. EMERGENCY CARE: Program service expenses 10942. Management and general expenses 0. Fundraising expenses 0. Total expenses 10942. HYPERTENSION PROGRAM: Program service expenses 9904. Management and general expenses 0. Fundraising expenses 0. Total expenses 9904. CLEAN WATER INITIATIVE: Program service expenses 8870. Management and general expenses 0. Fundraising expenses 0. Total expenses 8870. PROFESSIONAL FEES: Program service expenses 4250. Management and general expenses 4250. Fundraising expenses 0. Total expenses 8500. OTHER PROJECTS: Program service expenses 6658. Management and general expenses 0. Fundraising expenses 0. Total expenses 6658. TRAVEL & CONFERENCES: Program service expenses 3245. Management and general expenses 927. Fundraising expenses 463. Total expenses 4635. BANK CHARGES AND FEES: Program service expenses 0. Management and general expenses 3019. Fundraising expenses 0. Total expenses 3019. MEDICINE AND MEDICAL EQUIP.: Program service expenses 2505. Management and general expenses 0. Fundraising expenses 0. Total expenses 2505. TRIP COSTS: Program service expenses 1589. Management and general expenses 0. Fundraising expenses 0. Total expenses 1589. STATE TAXES: Program service expenses 0. Management and general expenses 25. Fundraising expenses 0. Total expenses 25.

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