CAREREACH INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CAREREACH INC (EIN 56-2097503)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-09-19
IRS object ID
202232629349301118
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-19T16:44:19-04:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561042836PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GOULD KILLIAN CPA GROUP PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 COXE AVEAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP288012354ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562097503EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAREREACH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAREBusinessNameControlTxt
Phone8282326532PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 HENDERSONVILLE ROAD SUITE 301AddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP288031762ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPEGGY WILLIAMSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8282593879PhoneNum
Signature2022-09-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPEGGYPersonFirstNm
Person LastWILLIAMSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDAN MULLINIX CPAPreparerPersonNm
PTINP01306232PTIN
Phone8282580363PhoneNum
Preparation2022-09-19PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPEGGY WILLIAMSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 HENDERSONVILLE ROADAddressLine1Txt
Address Line2SUITE 301AddressLine2Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP288031762ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,180,369GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAREREACHNC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE CARE COORDINATION ACROSS MEDICAL, BEHAVIORAL HEALTH AND SOCIAL SERVICE SYSTEMS IN WESTERN NORTH CAROLINAActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$758,670PYContributionsGrantsAmt
CY Contributions Grants$583,991CYContributionsGrantsAmt
PY Program Service Revenue$96,036PYProgramServiceRevenueAmt
CY Program Service Revenue$216,030CYProgramServiceRevenueAmt
PY Investment Income$22,119PYInvestmentIncomeAmt
CY Investment Income-$499CYInvestmentIncomeAmt
PY Other Revenue$185,221PYOtherRevenueAmt
CY Other Revenue$118,662CYOtherRevenueAmt
PY Total Revenue$1,062,046PYTotalRevenueAmt
CY Total Revenue$918,184CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$652,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$768,806CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$329,783PYOtherExpensesAmt
CY Other Expenses$337,830CYOtherExpensesAmt
PY Total Expenses$982,167PYTotalExpensesAmt
CY Total Expenses$1,106,636CYTotalExpensesAmt
PY Revenues Less Expenses$79,879PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$188,452CYRevenuesLessExpensesAmt
Total Assets BOY$2,287,964TotalAssetsBOYAmt
Total Assets EOY$2,178,610TotalAssetsEOYAmt
Total Liabilities BOY$174,426TotalLiabilitiesBOYAmt
Total Liabilities EOY$251,911TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,113,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,926,699NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE CARE COORDINATION ACROSS MEDICAL, BEHAVIORAL HEALTH AND SOCIAL SERVICE SYSTEMS IN WESTERN NORTH CAROLINAMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$788,277ExpenseAmt
DescTO BE A PARTNER IN THE HEALTH SAFETY NET SYSTEM OF WESTERN NORTH CAROLINA AND BRIDGE CONNECTIONS BETWEEN THE MEDICAL SYSTEM, COMMUNITY RESOURCES, AND COMMUNITY MEMBERS TO CREATIVELY SOLVE COMPLEX HEALTH PROBLEMS THROUGH DIRECT SERVICES SUPPORT PROGRAMS AND HEALTH INITIATIVES.Desc
Total Program Service Expenses$788,277TotalProgramServiceExpensesAmt
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 EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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 ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPEGGY WILLIAMSPersonNm
Phone8282326532PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1900 HENDERSONVILLE RD SUITE 301AddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28803ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DR HARALD KOWA
CHAIRMAN0.25Yes (X)Yes (X)$0$0$0
DR CHAD SMOKER
VICE CHAIRMA0.25Yes (X)Yes (X)$0$0$0
SHAUN BRYSON
DIRECTOR0.25Yes (X)$0$0$0
DR EVAN BEASLEY
SECRETARY/TR0.25Yes (X)Yes (X)$0$0$0
MARGARITA RAMIREZ
DIRECTOR0.25Yes (X)$0$0$0
KEVIN PARKER
DIRECTOR0.25Yes (X)$0$0$0
WOODY AYERS
DIRECTOR0.25Yes (X)$0$0$0
PEGGY WILLIAMS
EXECUTIVE DI40.00Yes (X)$101,223$0$16,236
FieldValueIRS element (for citing)
Total Reportable Comp From Org$101,223TotalReportableCompFromOrgAmt
Total Other Compensation$16,236TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$583,991AllOtherContributionsAmt
Total Contributions$583,991TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUEDesc
Business900099BusinessCd
Total Revenue Column$216,030TotalRevenueColumnAmt
Related Or Exempt Func Income$216,030RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$216,030TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,663TotalRevenueColumnAmt
Related Or Exempt Func Income$10,663RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$251,023SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$262,185SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$11,162SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$11,162TotalRevenueColumnAmt
Related Or Exempt Func Income-$11,162RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PPP LOAN FORGIVENESS900099$108,720$108,720
MISCELLANEOUS$9,942$9,942
FieldValueIRS element (for citing)
Other Revenue Total$118,662OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$918,184TotalRevenueColumnAmt
Related Or Exempt Func Income$334,193RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$101,223TotalAmt
Management And General$101,223ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$513,987TotalAmt
Program Services$443,794ProgramServicesAmt
Management And General$70,193ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$153,596TotalAmt
Program Services$101,024ProgramServicesAmt
Management And General$52,572ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,251TotalAmt
Program Services$1,277ProgramServicesAmt
Management And General$7,974ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$109,145TotalAmt
Program Services$108,912ProgramServicesAmt
Management And General$233ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,613TotalAmt
Program Services$5,145ProgramServicesAmt
Management And General$8,468ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,350TotalAmt
Program Services$2,059ProgramServicesAmt
Management And General$11,291ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$41,700TotalAmt
Program Services$6,406ProgramServicesAmt
Management And General$35,294ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$16,415TotalAmt
Program Services$16,027ProgramServicesAmt
Management And General$388ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,286TotalAmt
Program Services$1,585ProgramServicesAmt
Management And General$8,701ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PATIENT ASSISTANCE$73,500$73,500
COMMS (PHONE & INTERNET)$15,370$7,114$8,256
NON CAP EQUIP. & RENTAL$11,309$1,786$9,523
PROGRAM MATERIALS$10,915$10,915

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,976TotalAmt
Program Services$8,733ProgramServicesAmt
Management And General$4,243ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,106,636TotalAmt
Program Services$788,277ProgramServicesAmt
Management And General$318,359ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$350,230BOYAmt
EOY$480,855EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,165,702BOYAmt
EOY$414,023EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,738BOYAmt
EOY$16,263EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,474BOYAmt
EOY$5,860EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$254,670BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$501,650BOYAmt
EOY$1,259,109EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,500EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,287,964BOYAmt
EOY$2,178,610EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,786BOYAmt
EOY$126,067EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$62,957EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$108,720BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,920BOYAmt
EOY$62,887EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$174,426BOYAmt
EOY$251,911EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,487,878BOYAmt
EOY$1,290,410EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$625,660BOYAmt
EOY$636,289EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,113,538BOYAmt
EOY$1,926,699EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,287,964BOYAmt
EOY$2,178,610EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$188,452ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,613NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
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$959,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$994,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$758,670CurrentTaxYearMinus1YearAmt
Current Tax Year$583,991CurrentTaxYearAmt
Total$3,769,122TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$959,994CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$994,389CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$472,078CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$758,670CurrentTaxYearMinus1YearAmt
Current Tax Year$583,991CurrentTaxYearAmt
Total$3,769,122TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$2,164,065SubstantialContributorsTotAmt
Public Support Total170$1,605,057PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,587CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$22,119CurrentTaxYearMinus1YearAmt
Total$45,156TotalAmt
FieldValueIRS element (for citing)
Total Support$3,814,278TotalSupportAmt
Gross Receipts Rltd Activities$17,504,321GrossReceiptsRltdActivitiesAmt
Public Support CY1700.42080PublicSupportCY170Pct
Public Support PY1700.60440PublicSupportPY170Pct
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

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FIXED ANNUITY CONTRACTS$759,242F
TREASURY BILLS$499,867F
FieldValueIRS element (for citing)
Total Book Value Securities$1,259,109TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED PAID TIME OFF$39,317
ACCRUED PAYROLL$23,570
FieldValueIRS element (for citing)
Total Liability$62,887TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$919,797TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,613NetUnrealizedGainsInvstAmt
Revenue Not Reported$1,613RevenueNotReportedAmt
Revenue Subtotal$918,184RevenueSubtotalAmt
Total Revenue Per Form990$918,184TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,106,636TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,106,636ExpensesSubtotalAmt
Total Expenses Per Form990$1,106,636TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990THE ORGANIZATION STARTED TO USE ADP TOTALSOURCE FOR PROCESSING PAYROLL DURING CALENDAR YEAR 2016. AS SUCH, THE ORGANIZATION'S 2021 PAYROLL REPORTING FOR EMPLOYEES WAS REPORTED UNDER TOTALSOURCE'S EIN THE ORGANIZATION EMPLOYED 17 EMPLOYEES DURING THE CALENDAR YEAR 2021, NONE OF WHICH ARE REPORTED ON A W-3 FOR THE ORGANIZATION. THEREFORE, PART V LINE 2A IS -0-. THE WAGES REPORTED FOR THE EXECUTIVE DIRECTOR AND ON THE STATEMENT OF FUNCTIONAL EXPENSES IS PAID THROUGH TOTALSOURCE.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 WAS PRESENTED TO ALL BOARD MEMBERS IN SUFFICIENT TIME FOR THEIR DETAILED REVIEW OF ALL PERTINENT ITEMS AND STATEMENTS PRIOR TO FILING OF THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12CTHERE IS A VERBAL DISCUSSION AT THE BOARD OF DIRECTORS MEETING TO DISCUSS COMPLIANCE WITH THE PUBLISHED CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION FOR THE EXECUTIVE DIRECTOR IS DISCUSSED AND VOTED ON BY THE BOARD OF DIRECTORS AND UPDATED AFTER AN ANNUAL REVIEW.
FORM 990, PAGE 6, PART VI, LINE 19ORGANIZATIONAL AND OTHER GOVERNING DOCUMENTS ARE MAINTAINED AT THE BUSINESS LOCATION AND ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.

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