COMMUNITY MEDICAL CLINIC OF KERSHAW COUNTY: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY MEDICAL CLINIC OF KERSHAW COUNTY (EIN 57-1074191)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202203199349321860
Schema version
2021v4.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-15T16:28:00-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN570568919PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CANTEY TILLER PIERCE & GREEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 862AddressLine1Txt
CityCAMDENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29021ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN571074191EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY MEDICAL CLINIC OF KERSHAWBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone8037130806PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110C E DEKALB STAddressLine1Txt
CityCAMDENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSUSAN WITKOWSKIPersonNm
Person TitleCEOPersonTitleTxt
Phone8034321436PhoneNum
Signature2022-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSUSANPersonFirstNm
Person LastWITKOWSKIPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonHENRY D GREEN IIIPreparerPersonNm
PTINP00497792PTIN
Phone8034321436PhoneNum
Preparation2022-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSUSAN WITKOWSKIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11907 CARRIAGE HOUSE LANEAddressLine1Txt
CityCAMDENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29020ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,914,252GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CMCOFKC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateSCLegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION IS ENGAGED IN THE OPERATION OF A MEDICAL CLINIC FOR RESIDENTS OF CAMDEN AND KERSHAW COUNTY.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee21TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$1,654,083PYContributionsGrantsAmt
CY Contributions Grants$4,756,319CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$4,719PYInvestmentIncomeAmt
CY Investment Income$65,630CYInvestmentIncomeAmt
PY Other Revenue$78,698PYOtherRevenueAmt
CY Other Revenue$104,237CYOtherRevenueAmt
PY Total Revenue$1,737,500PYTotalRevenueAmt
CY Total Revenue$4,926,186CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,055,475PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,117,903CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$25,256CYTotalFundraisingExpenseAmt
PY Other Expenses$584,130PYOtherExpensesAmt
CY Other Expenses$3,531,712CYOtherExpensesAmt
PY Total Expenses$1,639,605PYTotalExpensesAmt
CY Total Expenses$4,649,615CYTotalExpensesAmt
PY Revenues Less Expenses$97,895PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$276,571CYRevenuesLessExpensesAmt
Total Assets BOY$1,504,361TotalAssetsBOYAmt
Total Assets EOY$1,643,382TotalAssetsEOYAmt
Total Liabilities BOY$752,830TotalLiabilitiesBOYAmt
Total Liabilities EOY$615,280TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$751,531NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,028,102NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION IS ENGAGED IN THE OPERATION OF A MEDICAL CLINIC FOR RESIDENTS OF CAMDEN AND KERSHAW COUNTY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$4,603,487ExpenseAmt
DescTO PROVIDE OUT-PATIENT HEALTH CARE SERVICES TO PERSONS IN KERSHAW COUNTY WHO CANNOT PAY FOR SUCH SERVICES OUT OF POCKET AND WHO DO NOT HAVE HEALTH INSURANCEDesc
Total Program Service Expenses$4,603,487TotalProgramServiceExpensesAmt
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 AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 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 ContriYes (true)DeductibleNonCashContriInd
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 Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee21EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 BodyfalseForm990ProvidedToGvrnBodyInd
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUSAN WITKOWSKIPersonNm
Phone8037130806PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1110 E DEKALB STAddressLine1Txt
CityCAMDENCityNm
State AbbreviationSCStateAbbreviationCd
ZIP29020ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
WILLIAM COX
BOARD MEMBER0.25Yes (X)$0$0$0
CLAUDE EICHELBERGER
BOARD MEMBER0.25Yes (X)$0$0$0
CATHY FORRESTER
BOARD MEMBER0.25Yes (X)$0$0$0
HARVEY GALLOWAY
BOARD MEMBER0.25Yes (X)$0$0$0
HANK GREEN
TREASURER0.25Yes (X)$0$0$0
SHELLEY JANSSEN MD
BOARD MEMBER0.25Yes (X)$0$0$0
TORRILL MELSON
CHAIRMAN0.25Yes (X)$0$0$0
DEBORAH RANDOLPH
BOARD MEMBER0.25Yes (X)$0$0$0
APRIL WACH
BOARD MEMBER0.25Yes (X)$0$0$0
SUSAN WITKOWSKI
CEO40.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$1,724,909GovernmentGrantsAmt
All Other Contributions$3,031,410AllOtherContributionsAmt
Noncash Contributions$3,031,410NoncashContributionsAmt
Total Contributions$4,756,319TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,630TotalRevenueColumnAmt
Related Or Exempt Func Income$65,630RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$92,303FundraisingGrossIncomeAmt
Fundraising Direct Expenses-$11,934FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$104,237TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,926,186TotalRevenueColumnAmt
Related Or Exempt Func Income$65,630RelatedOrExemptFuncIncomeAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,029,213TotalAmt
Program Services$1,029,213ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$14,380TotalAmt
Program Services$14,380ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$74,310TotalAmt
Program Services$74,310ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,425TotalAmt
Program Services$12,701ProgramServicesAmt
Management And General$2,724ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,947TotalAmt
Program Services$4,947ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$36,019TotalAmt
Program Services$36,019ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$75,171TotalAmt
Program Services$75,171ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,849TotalAmt
Program Services$6,849ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,833TotalAmt
Program Services$3,833ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$442TotalAmt
Program Services-$766ProgramServicesAmt
Management And General$1,208ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$71,934TotalAmt
Program Services$71,934ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
DONATIONS IN KIND$3,031,410$3,031,410
CONSULTANTS$188,428$188,428
SPECIAL EVENT EXPENSE$25,256$25,256
MEDICATION$14,403$14,403

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$57,595TotalAmt
Program Services$40,655ProgramServicesAmt
Management And General$16,940ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,649,615TotalAmt
Program Services$4,603,487ProgramServicesAmt
Management And General$20,872ManagementAndGeneralAmt
Fundraising$25,256FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,232,675BOYAmt
EOY$1,091,722EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$260,448BOYAmt
EOY$261,752EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$22,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$175,598LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$165,202LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,838BOYAmt
EOY$10,396EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$256,612EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,504,361BOYAmt
EOY$1,643,382EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,354BOYAmt
EOY$68,148EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$714,476BOYAmt
EOY$547,132EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$752,830BOYAmt
EOY$615,280EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$751,531BOYAmt
EOY$771,490EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$256,612EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$751,531BOYAmt
EOY$1,028,102EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,504,361BOYAmt
EOY$1,643,382EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$276,571ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd

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$1,331,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,537,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,947,196CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,654,083CurrentTaxYearMinus1YearAmt
Current Tax Year$4,756,319CurrentTaxYearAmt
Total$17,226,592TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,331,052CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,537,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,947,196CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,654,083CurrentTaxYearMinus1YearAmt
Current Tax Year$4,756,319CurrentTaxYearAmt
Total$17,226,592TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$17,226,592PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,875CurrentTaxYearMinus4YearsAmt
Total$4,875TotalAmt
FieldValueIRS element (for citing)
Total Support$17,231,467TotalSupportAmt
Gross Receipts Rltd Activities$552,479GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99970PublicSupportCY170Pct
Public Support PY1700.99940PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$175,598OtherCostOrOtherBasisAmt
Depreciation$165,202DepreciationAmt
Book Value$10,396BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,396TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN TRUSTDesc
Book Value$256,612BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$256,612TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$4,926,186TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$4,926,186RevenueSubtotalAmt
Total Revenue Per Form990$4,926,186TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$4,649,615TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$4,649,615ExpensesSubtotalAmt
Total Expenses Per Form990$4,649,615TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPECIAL EVENTSEvent1Nm
Gross Receipts Event1$92,303GrossReceiptsEvent1Amt
Gross Revenue Event1$92,303GrossRevenueEvent1Amt
Other Direct Expenses Event1-$11,934OtherDirectExpensesEvent1Amt
Gross Receipts Total$92,303GrossReceiptsTotalAmt
Gross Revenue Total Events$92,303GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events-$11,934OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events-$11,934DirectExpenseSummaryEventsAmt
Net Income Summary$104,237NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$3,031,410NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR.
FORM 990, PAGE 6, PART VI, LINE 12CTHIS IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BTHIS IS REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9ROUNDING 0

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