OMNIPATH INC: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- OMNIPATH INC (EIN 45-4345238)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-16
- IRS object ID
- 202241369349104634
- Schema version
- 2020v4.0
- 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
- Form 990-PF
- Mortgages And Notes Payable Sch
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T14:37:34-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 610979763 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLAYTON BYRD & MEEKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1901 KENTUCKY AVENUE | AddressLine1Txt |
| City | PADUCAH | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454345238 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OMNIPATH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OMNI | BusinessNameControlTxt |
| Phone | 2704427121 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 BROADWAY SUITE 201 | AddressLine1Txt |
| City | PADUCAH | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42001 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TERRY HUDSPETH | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 2704427121 | PhoneNum |
| Signature | 2022-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TERRY | PersonFirstNm |
| Person Last | HUDSPETH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GREG L YATES CPA | PreparerPersonNm |
| PTIN | P01076959 | PTIN |
| Phone | 2704438763 | PhoneNum |
| Preparation | 2022-05-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $660,564 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Other Income Rev And Expnss | $9,841,059 | OtherIncomeRevAndExpnssAmt |
| Other Income Adj Net Incm | $9,841,059 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $9,841,059 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $9,841,059 | TotalAdjNetIncmAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $8,303,244 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $82,676 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $8,220,568 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $1,557,462 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Adj Net Incm | $13,455 | PensionEmplBnftAdjNetIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $1,544,007 | PensionEmplBnftDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $102,294 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Adj Net Incm | $102,294 | OtherExpensesAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $9,963,000 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $198,425 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $9,764,575 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $0 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $0 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $9,963,000 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $198,425 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $9,764,575 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$121,941 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $9,642,634 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,582,523 | CashBOYAmt |
| Cash EOY | $73,079 | CashEOYAmt |
| Cash EOYFMV | $73,079 | CashEOYFMVAmt |
| Acct Rcvbl | $494,546 | AcctRcvblAmt |
| Acct Rcvbl BOY | $429,156 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $494,546 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $494,546 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses BOY | $105,749 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $92,939 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $92,939 | PrepaidExpensesEOYFMVAmt |
| Total Assets BOY | $2,117,428 | TotalAssetsBOYAmt |
| Total Assets EOY | $660,564 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $660,564 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $7,655 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $36,292 | AccountsPayableEOYAmt |
| Mortgages And Notes Payable BOY | $1,463,600 | MortgagesAndNotesPayableBOYAmt |
| Other Liabilities BOY | $649,330 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $749,370 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $2,120,585 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $785,662 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | -$3,157 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | -$125,098 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | -$3,157 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | -$125,098 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $2,117,428 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $660,564 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | -$3,157 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$121,941 | ExcessRevenueOverExpensesAmt |
| Subtotal | -$125,098 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | -$125,098 | TotNetAstOrFundBalancesEOYAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | false | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (true) | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | WWW.4RBH.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2704427121 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 BROADWAY | AddressLine1Txt |
| City | PADUCAH | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| TERRY HUDSPETH | ||||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | PRESIDENT | 5.00 | $0 | $0 | $0 |
| SCOTT JOHNSTON | ||||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | VICE PRES | 0.50 | $0 | $0 | $0 |
| LOIS BIRK | ||||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | SECRETARY | 0.50 | $0 | $0 | $0 |
| KIRT LANGSTON | ||||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | TREASURER | 5.00 | $0 | $0 | $0 |
| RUDELE ORAZINE | ||||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | DIRECTOR | 0.50 | $0 | $0 | $0 |
Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee BenefitsEmployeeBenefitsAmt |
|---|---|---|---|---|---|---|---|
| FUMIKO HATTORI | |||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | MEDICAL PRAC | 40.00 | $110,703 | $16,615 |
| DEVIN LEWIS | |||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | MEDICAL PRAC | 40.00 | $95,406 | $10,968 |
| SAMANTHA HUDSON | |||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | MEDICAL PRAC | 40.00 | $84,065 | |
| JEAN HURFORD | |||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | CONTROLLER | 40.00 | $76,549 | $3,825 |
| MICHELLE WALLS | |||||||
| 425 BROADWAY | PADUCAH | KY | 42001 | PROG MGR | 40.00 | $66,023 | $2,016 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 20 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HUMANA HEALTH PLAN INC | |||||
| PO BOX 4608 | CAROL STREAM | IL | 601974608 | THIRD PARTY ADM | $653,578 |
| CITY OF PADUCAH | |||||
| 300 S 5TH ST | PADUCAH | KY | 42003 | PAYROLL W/H | $108,442 |
| GUARDIAN | |||||
| PO BOX 677458 | DALLAS | TX | 752677458 | EMPLOYEE INS | $108,308 |
| FOUR RIVERS BEHAVORIAL HEALTH | |||||
| 425 BROADWAY | PADUCAH | KY | 42001 | MANAGEMENT SERV | $90,000 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | TO PROVIDE STAFFING SERVICES TO WESTERN KENTUCKY REGIONAL MENTAL HEALTH AND MENTAL RETARDATION BOARD, INC., A NON-PROFIT ORGANIZATION. | Description1Txt |
| Expenses1 | $9,377,175 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,193,478 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $92,939 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,286,417 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,286,417 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $19,296 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,267,121 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $63,356 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $9,764,575 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $9,764,575 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $9,764,575 | AdjustedQualifyingDistriAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Fndtn Ruling | 2011-06-30 | PrivateOperatingFndtnRulingDt |
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $63,356 | CurrentYearAmt |
| Year1 | $33,152 | Year1Amt |
| Year2 | $20,071 | Year2Amt |
| Year3 | $22,592 | Year3Amt |
| Total | $139,171 | TotalAmt |
Pct85 Lessor Adj Incm Or Min Ret Pct85LessorAdjIncmOrMinRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $53,853 | CurrentYearAmt |
| Year1 | $28,179 | Year1Amt |
| Year2 | $17,060 | Year2Amt |
| Year3 | $19,203 | Year3Amt |
| Total | $118,295 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $9,764,575 | CurrentYearAmt |
| Year1 | $8,522,250 | Year1Amt |
| Year2 | $7,388,282 | Year2Amt |
| Year3 | $7,343,431 | Year3Amt |
| Total | $33,018,538 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $9,764,575 | CurrentYearAmt |
| Year1 | $8,522,250 | Year1Amt |
| Year2 | $7,388,282 | Year2Amt |
| Year3 | $7,343,431 | Year3Amt |
| Total | $33,018,538 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $660,564 | CurrentYearAmt |
| Year1 | $2,117,428 | Year1Amt |
| Year2 | $754,502 | Year2Amt |
| Year3 | $790,887 | Year3Amt |
| Total | $4,323,381 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $660,564 | CurrentYearAmt |
| Year1 | $2,117,428 | Year1Amt |
| Year2 | $754,502 | Year2Amt |
| Year3 | $790,887 | Year3Amt |
| Total | $4,323,381 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | THE ORGANIZATION | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 BROADWAY | AddressLine1Txt |
| City | PADUCAH | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 42001 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 2704447121 | RecipientPhoneNum |
| Form And Info And Materials | N/A | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | N/A | SubmissionDeadlinesTxt |
| Restrictions On Awards | N/A | RestrictionsOnAwardsTxt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Other Revenue Described OtherRevenueDescribedGrp (4 entries)
| DescDesc | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt |
|---|---|
| STAFFING SERVICES REVENUE | $8,372,386 |
| PANDEMIC RELIEF PAYMENT | $5,063 |
| DISCLOSIURE FEE | $10 |
| PPP LOAN FORGIVEN | $1,463,600 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $9,841,059 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $9,841,059 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 11A | LineNumberTxt |
| Relationship Statement | PROVIDING EMPLOYMENT STAFFING SERVICES TO AN EXEMPT ENTITY | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | Yes (true) | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
Transfer Schedule Detail TransferScheduleDetail (2 entries)
| Line NumberLineNumberTxt | InvolvedInvolvedAmt | Transfers Trans And Shr ArrngmTransfersTransAndShrArrngmDesc |
|---|---|---|
| WESTERN KY REG MHMR | ||
| 1b(6) | $7,974,549 | REVENUE FROM STAFFING SERVICES |
| WESTERN KY REG MHMR | ||
| 1b(6) | $90,000 | EXPENSES PAID FOR MGMT SERVICES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationships Nonchrtbl EO | Yes (true) | RelationshipsNonchrtblEOInd |
Relationship Schedule Detail RelationshipScheduleDetail
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WESTERN KY REG MHMR | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Type | 501(C)(3) | OrganizationTypeDesc |
| Relationship Description | PROVIDE STAFFING SERVICES TO NON-PROFIT ORG WHO SHARE SOME COMMON DIRECTORS FOR GOVERNANCE | RelationshipDescriptionTxt |
Mortgages And Notes Payable Sch MortgagesAndNotesPayableSch
Note Payable NotePayableGrp
Lender Name LenderNameGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PADUCAH BANK | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Loan Original | $1,463,600 | LoanOriginalAmt |
| Note | 2020-04 | NoteDt |
| Loan Maturity | 2022-04 | LoanMaturityDt |
| Loan Purpose | SBA PPP LOAN | LoanPurposeTxt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| EXPENSES | ||
| PURCH SERV - OTHER | $1,827 | $1,827 |
| CONTRACT LABOR | $90,000 | $90,000 |
| INSURANCE | $7,543 | $7,543 |
| MISCELLANEOUS | $2,924 | $2,924 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| STAFFING SERVICES REVENUE | $8,372,386 | $8,372,386 |
| PANDEMIC RELIEF PAYMENT | $5,063 | $5,063 |
| DISCLOSIURE FEE | $10 | $10 |
| PPP LOAN FORGIVEN | $1,463,600 | $1,463,600 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (6 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| ACCRUED PAYROLL | $362,028 | $400,716 |
| ACCRUED VACATION | $174,783 | $218,771 |
| ACCRUED PAYROLL EXP-FICA & KERS | $35,909 | $39,323 |
| PAYROLL WITHHOLDINGS | $60,343 | $70,222 |
| SUTA PAYABLE | $10,017 | $10,179 |
| WORKERS COMP PAYABLE | $6,250 | $10,159 |
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