SEXUAL ASSAULT VICTIMS ADVOCACY CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SEXUAL ASSAULT VICTIMS ADVOCACY CENTER INC (EIN 26-4363410)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-28
IRS object ID
202232729349301753
Schema version
2021v4.2
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)
Return2022-09-28T12:15:05-00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461746240PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Rock Spring Tax Service IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1853 Old Hwy 27AddressLine1Txt
CityRock SpringCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30739ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264363410EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SEXUAL ASSAULT VICTIMS ADVOCACY CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSEXUBusinessNameControlTxt
Phone7068610929PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5407AddressLine1Txt
CityFORT OGLETHORPECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30742ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICIA MOOREPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7068610929PhoneNum
Signature2022-09-28SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstALICIAPersonFirstNm
Person LastMOOREPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAmber M KayPreparerPersonNm
PTINP00900255PTIN
Phone7063752290PhoneNum
Preparation2022-09-28PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALICIA MOOREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line138 ELAINE CIRCLEAddressLine1Txt
CityFORT OGLETHORPECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30742ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$425,993GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateGALegalDomicileStateCd
Activity Or MissionTo facilitate healing for victims of sexual assault and their families through on-going crisis intervention services to promote community awareness To educate our students and community, to foster strong partnerships wActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee11TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$369,128PYContributionsGrantsAmt
CY Contributions Grants$382,370CYContributionsGrantsAmt
PY Program Service Revenue$26,990PYProgramServiceRevenueAmt
CY Program Service Revenue$25,392CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$18,231CYOtherRevenueAmt
PY Total Revenue$396,118PYTotalRevenueAmt
CY Total Revenue$425,993CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,732PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$3,679CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$302,741PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$227,147CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,054CYTotalFundraisingExpenseAmt
PY Other Expenses$94,963PYOtherExpensesAmt
CY Other Expenses$114,064CYOtherExpensesAmt
PY Total Expenses$402,436PYTotalExpensesAmt
CY Total Expenses$344,890CYTotalExpensesAmt
PY Revenues Less Expenses-$6,318PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$81,103CYRevenuesLessExpensesAmt
Total Assets BOY$120,519TotalAssetsBOYAmt
Total Assets EOY$197,748TotalAssetsEOYAmt
Total Liabilities BOY$19,501TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,101TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,018NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$172,647NetAssetsOrFundBalancesEOYAmt
MissionHealing for victims of sexual assault and their families through crisis intervention services to promote community awareness to educate our students and community, to foster strong partnerships with all agenciesMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$343,234ExpenseAmt
Grant$396,601GrantAmt
Revenue$3,910RevenueAmt
Descfacilitate healing for victims of sexual assault and their families through on-going crisis intervention servicesDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,054ExpenseAmt
Grant$4,000GrantAmt
Revenue$21,482RevenueAmt
DescCOMMUNITY AWARENESSDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$602ExpenseAmt
Descfoster strong partnerships with all agencies involved in dealing with sexual assaultDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$344,890TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingYes (true)ProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee11EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANISSA COLLINSPersonNm
Phone7068610929PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 5407AddressLine1Txt
CityFORT OGLETHORPECityNm
State AbbreviationGAStateAbbreviationCd
ZIP30742ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
AMY LONG
KEY EMPLOYEE040.00Yes (X)$65,000$0$0
KRISTY LAWSON
EX DIRECTOR040.00$56,331$0$0Yes (X)
ALICIA MOORE
PRESIDENT002.00$0$0$0Yes (X)Yes (X)
VICTORIA SCOGGINS
DIRECTOR001.00$0$0$0Yes (X)Yes (X)
CINDIE ROBINSON-PATTY
DIRECTOR001.00$0$0$0Yes (X)
CHRIS HAGLER
DIRECTOR001.00$0$0$0Yes (X)
ANISSA COLLINS
TREASURER/SECRETARY001.00$0$0$0Yes (X)
LECIA GUTHRIE
DIRECTOR001.00$0$0$0Yes (X)
DON STULTZ
DIRECTOR001.00$0$0$0Yes (X)
RHONDA JAMES
DIRECTOR001.00$0$0$0Yes (X)
GEO MEJIA
DIRECTOR001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$121,331TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$3,251FundraisingAmt
Government Grants$344,717GovernmentGrantsAmt
All Other Contributions$34,402AllOtherContributionsAmt
Total Contributions$382,370TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL EXAMSDesc
Business621990BusinessCd
Total Revenue Column$25,392TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$25,392TotalProgramServiceRevenueAmt
Fundraising Gross Income$18,231FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$18,231ContriRptFundraisingEventAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,231TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$425,993TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$3,679TotalAmt
Program Services$3,679ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$213,755TotalAmt
Program Services$213,755ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,392TotalAmt
Program Services$13,392ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,631TotalAmt
Program Services$2,000ProgramServicesAmt
Management And General$5,631ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$21,124TotalAmt
Program Services$12,874ProgramServicesAmt
Management And General$7,196ManagementAndGeneralAmt
Fundraising$1,054FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$324TotalAmt
Management And General$324ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$46,730TotalAmt
Program Services$46,730ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,722TotalAmt
Program Services$4,722ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,487TotalAmt
Program Services$1,487ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$309TotalAmt
Program Services$309ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,956TotalAmt
Program Services$12,956ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmt
MEMBERSHIPS /DUES$938
OTHER CONTRACTED SERVICE$324
BANK FEES$42

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$17,477TotalAmt
Program Services$17,477ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$344,890TotalAmt
Program Services$329,381ProgramServicesAmt
Management And General$13,151ManagementAndGeneralAmt
Fundraising$1,054FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$47,812BOYAmt
EOY$115,315EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,998BOYAmt
EOY$76,644EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,709LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,920LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,098BOYAmt
EOY$5,789EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,611BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$120,519BOYAmt
EOY$197,748EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,611BOYAmt
EOY$14,165EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,890BOYAmt
EOY$10,936EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,501BOYAmt
EOY$25,101EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$101,018BOYAmt
EOY$172,647EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,018BOYAmt
EOY$172,647EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120,519BOYAmt
EOY$197,748EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$81,103ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$149PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$9,325OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$190,795CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$325,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$390,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,153CurrentTaxYearMinus1YearAmt
Current Tax Year$400,601CurrentTaxYearAmt
Total$1,702,994TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,390CurrentTaxYearMinus4YearsAmt
Total$6,390TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$197,185CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$325,316CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$390,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$396,153CurrentTaxYearMinus1YearAmt
Current Tax Year$400,601CurrentTaxYearAmt
Total$1,709,384TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,709,384PublicSupportTotal170Amt
Total Support$1,709,384TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,114OtherCostOrOtherBasisAmt
Depreciation$1,114DepreciationAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,313OtherCostOrOtherBasisAmt
Depreciation$14,313DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,282OtherCostOrOtherBasisAmt
Depreciation$493DepreciationAmt
Book Value$5,789BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,789TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Federal income taxes
PAYROLL TAXES$10,936
FieldValueIRS element (for citing)
Total Liability$10,936TotalLiabilityAmt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
All StatesAll StatesAllStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1LAUGHS UNLIMITED DINNEREvent1Nm
Gross Receipts Event1$18,231GrossReceiptsEvent1Amt
Gross Revenue Event1$18,231GrossRevenueEvent1Amt
Gross Receipts Total$18,231GrossReceiptsTotalAmt
Gross Revenue Total Events$18,231GrossRevenueTotalEventsAmt
Net Income Summary$18,231NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IX, Line 24EMEDICAL SUPPLIES 16156
Form 990, Part IX, Line 24EMISC EXPENSE 1321.00
Form 990, Part VI, Section A, Line 8ALL MINUTES WERE KEPT BY THE SECRETARY AND RECORDED VOTES AND PROXY VOTES WERE NOTED
Form 990, Part VI, Section B, Line 12ALL DIRECTORS ARE TO DISCLOSE CONFLICTS OF INTEREST. THROUGHOUT THE YEAR IF ANY CONFLICTS ARISE THEY ARE DISCUSSED IN EXECUTIVE SESSION
Form 990, Part VI, Section B, Line 13WHISTLEBLOWER POLICY IS IN THE BY LAWS AND DISCUSSED WITH NEW HIRES
Form 990, Part VI, Section B, Line 15THE BOD CONDUCTS REVIEWS ANNUALLY OF THE EXECTIVE DIRECTOR SALARY AND WHETHER BOD MEMBER SHOULD RECEIVE COMPENSATION
Form 990, Part XI, Line 9THE 9325 EQUALS THE AMOUNT OF ERC CLAIMED

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