PORTLAND ANIMAL WELFARE TEAM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
PORTLAND ANIMAL WELFARE TEAM (EIN 73-1684628)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202213159349306556
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)
Return2022-11-11T15:38:45-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN931304312PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1IRVINE & COMPANY CPA'S LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1345 NE 102ND AVEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP972204108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731684628EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PORTLAND ANIMAL WELFARE TEAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPORTBusinessNameControlTxt
Phone5032066033PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 NE 82ND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97220ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARA KLEPINGERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5032066033PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKARAPersonFirstNm
Person LastKLEPINGERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCAROL NELSONPreparerPersonNm
PTINP00409883PTIN
Phone5032528449PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
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 OfficerKARA KLEPINGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 NE 82ND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97220ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$457,220GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PAWTEAM.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionFREE OR LOW COST VETERINARY CARE TO PETS OF THE UNHOUSED OR THOSE LIVING IN EXTREME POVERTY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers130TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$413,603PYContributionsGrantsAmt
CY Contributions Grants$434,958CYContributionsGrantsAmt
PY Program Service Revenue$15,452PYProgramServiceRevenueAmt
CY Program Service Revenue$21,626CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue-$13,421PYOtherRevenueAmt
CY Other Revenue$441CYOtherRevenueAmt
PY Total Revenue$415,634PYTotalRevenueAmt
CY Total Revenue$457,025CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$228,389PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$236,054CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,474CYTotalFundraisingExpenseAmt
PY Other Expenses$131,898PYOtherExpensesAmt
CY Other Expenses$103,370CYOtherExpensesAmt
PY Total Expenses$360,287PYTotalExpensesAmt
CY Total Expenses$339,424CYTotalExpensesAmt
PY Revenues Less Expenses$55,347PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$117,601CYRevenuesLessExpensesAmt
Total Assets BOY$176,769TotalAssetsBOYAmt
Total Assets EOY$294,474TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$104TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$176,769NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$294,370NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFREE OR LOW COST VETERINARY CARE TO PETS OF THE UNHOUSED OR THOSE LIVING IN EXTREME POVERTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$244,824ExpenseAmt
Revenue$11,213RevenueAmt
DescMEDICAL CLINICS. WE PROVIDE MEDICAL CLINICS TREATING FOR 1,400 PETS. WE HELP PETS OF THE UNHOUSED OR THOSE LIVING IN EXTREME POVERTY. SERVICES INCLUDE VETERINARY EXAMS, VACCINATIONS, PARASITE CONTROL, ONGOING TREATMENT AND MEDICATIONS, PET FOOD, PET SUPPLIES, AND COUNTY LICENSES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,335ExpenseAmt
Revenue$5,999RevenueAmt
DescLIFE SAVING/ENHANCING SURGERIES AND DIAGNOSTIC TESTING. WE PROVIDE LIFE SAVING AND LIFE ENHANCING SURGERIES TO PETS OF THE UNHOUSED OR THOSE LIVING IN EXTREME POVERTY. PROCEDURES INCLUDE DENTAL SURGERIES, MASS REMOVALS, AND MORE. ALL ANIMALS ALSO RECEIVE BLOOD WORK. ALL SERVICES ARE PROVIDED AT NO COST TO THE PET'S OWNER.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$19,429ExpenseAmt
Revenue$4,414RevenueAmt
DescSPAY/NEUTER SURGERIES. WE PROVIDE FREE SPAY/NEUTER SURGERIES TO PETS OF THE UNHOUSED OR THOSE LIVING IN EXTREME POVERTY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$441RevenueAmt
DescLICENSING & SWEATSHIRT/T-SHIRT SALESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$441TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$270,588TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNICOLE PERKINSPersonNm
Phone5032066033PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11718 NE 82ND AVENUEAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97220ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KARA KLEPINGER
PRESIDENT10.00Yes (X)Yes (X)$0$0$0
CHRIS GROSHKO MBA
TREASURER5.00Yes (X)Yes (X)$0$0$0
ELENA BAUER SHRM-CP
SECRETARY5.00Yes (X)Yes (X)$0$0$0
CRISTINA BOWERMAN MNM
DIRECTOR5.00Yes (X)$0$0$0
JORDAN NUCCIO DVM CVA
DIRECTOR5.00Yes (X)$0$0$0
KRISTINA HOGG DVM CVA CVCH
DIRECTOR5.00Yes (X)$0$0$0
SUSAN CHIEN PHARMD
DIRECTOR5.00Yes (X)$0$0$0
ANDREA SANCHEZ
PRESIDENT THROUGH MID-20215.00Yes (X)Yes (X)$0$0$0
MEGAN DORWIN
DIRECTOR5.00Yes (X)$0$0$0
WENDY CORDON
DIRECTOR5.00Yes (X)$0$0$0
NICOLE PERKINS
CO-EXECUTIVE DIRECTOR40.00Yes (X)$43,265$0$2,946
BRIANA SHRODE
CO-EXECUTIVE DIRECTOR40.00Yes (X)$40,690$0$2,946
FieldValueIRS element (for citing)
Total Reportable Comp From Org$83,955TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$5,892TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$2,703FundraisingAmt
Government Grants$432,255GovernmentGrantsAmt
Total Contributions$434,958TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL CLINICSDesc
Business541900BusinessCd
Total Revenue Column$21,626TotalRevenueColumnAmt
Related Or Exempt Func Income$21,626RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,626TotalProgramServiceRevenueAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$2,703ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$636GrossSalesOfInventoryAmt
Cost Of Goods Sold$195CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$441TotalRevenueColumnAmt
Related Or Exempt Func Income$441RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$457,025TotalRevenueColumnAmt
Related Or Exempt Func Income$22,067RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$89,847TotalAmt
Program Services$43,636ProgramServicesAmt
Management And General$46,211ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,221TotalAmt
Program Services$115,221ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,968TotalAmt
Program Services$8,969ProgramServicesAmt
Management And General$999ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,018TotalAmt
Program Services$16,198ProgramServicesAmt
Management And General$4,820ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$59TotalAmt
Program Services$59ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,125TotalAmt
Management And General$2,125ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$82TotalAmt
Management And General$82ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,016TotalAmt
Program Services$7,130ProgramServicesAmt
Management And General$9,886ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,779TotalAmt
Program Services$35,779ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$445TotalAmt
Program Services$391ProgramServicesAmt
Management And General$54ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,562TotalAmt
Program Services$3,562ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
SPAY AND NEUTER$19,429$19,429
MEDICAL SUPPLIES$10,656$10,656
DIAGNOSTIC TESTING$6,335$6,335
LICENSING$2,899$2,899

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,983TotalAmt
Program Services$324ProgramServicesAmt
Management And General$185ManagementAndGeneralAmt
Fundraising$4,474FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$339,424TotalAmt
Program Services$270,588ProgramServicesAmt
Management And General$64,362ManagementAndGeneralAmt
Fundraising$4,474FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$172,747BOYAmt
EOY$290,646EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,400BOYAmt
EOY$1,206EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,653LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,653LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,617BOYAmt
EOY$2,617EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$176,769BOYAmt
EOY$294,474EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$104EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$104EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$176,769BOYAmt
EOY$294,370EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,769BOYAmt
EOY$294,370EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$176,769BOYAmt
EOY$294,474EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$117,601ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$239,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,857CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$277,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,757CurrentTaxYearMinus1YearAmt
Current Tax Year$432,255CurrentTaxYearAmt
Total$1,598,858TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$239,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$305,857CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$277,276CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$343,757CurrentTaxYearMinus1YearAmt
Current Tax Year$432,255CurrentTaxYearAmt
Total$1,598,858TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,598,858PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$41,189CurrentTaxYearMinus1YearAmt
Total$41,189TotalAmt
FieldValueIRS element (for citing)
Total Support$1,640,047TotalSupportAmt
Gross Receipts Rltd Activities$8,488GrossReceiptsRltdActivitiesAmt
Public Support CY1700.97490PublicSupportCY170Pct
Public Support PY1700.96580PublicSupportPY170Pct
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 Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,653OtherCostOrOtherBasisAmt
Depreciation$9,653DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$104Amt
FieldValueIRS element (for citing)
Total Liability$104TotalLiabilityAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD WAS GIVEN A COPY OF THE RETURN TO REVIEW BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION PROVIDES THE FORM 990 TO ANYONE WHO REQUESTS A COPY.

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