HAILEY MAYZ FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HAILEY MAYZ FOUNDATION (EIN 80-0459455)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202223199349330282
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)
Return2022-11-15T19:07:38-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN364824950PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MM & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 MACARTHUR PLACE 500AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92707ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN800459455EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAILEY MAYZ FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAILBusinessNameControlTxt
Phone9496005437PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line122431 ANTONIO PARKWAY STE B160-49AddressLine1Txt
CityRANCHO SANTA MARGARITACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92688ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSEAN VASSILAROSPersonNm
Person TitleCHAIRMANPersonTitleTxt
Phone9496005437PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSEANPersonFirstNm
Person LastVASSILAROSPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHELLE MCDUFFIEPreparerPersonNm
PTINP00334122PTIN
Phone9494847990PhoneNum
Preparation2022-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1AMAYZING KIDSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSEAN VASSILAROSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line122431 ANTONIO PARKWAY STE B160-493AddressLine1Txt
CityRANCHO SANTA MARGARITACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92688ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,214,961GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMAYZING.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE FINANCIAL ASSISTANCE TO FAMILIES THAT CANNOT AFFORD MEDICAL & OTHER COSTS ASSOCIATED WITH CHILDREN SUFFERING FROM SPECIAL NEEDS.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee19TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$168,662PYContributionsGrantsAmt
CY Contributions Grants$44,500CYContributionsGrantsAmt
PY Program Service Revenue$692,686PYProgramServiceRevenueAmt
CY Program Service Revenue$1,170,461CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$16,154PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$877,502PYTotalRevenueAmt
CY Total Revenue$1,214,961CYTotalRevenueAmt
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$628,671PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$893,665CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$179,623PYOtherExpensesAmt
CY Other Expenses$317,166CYOtherExpensesAmt
PY Total Expenses$808,294PYTotalExpensesAmt
CY Total Expenses$1,210,831CYTotalExpensesAmt
PY Revenues Less Expenses$69,208PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,130CYRevenuesLessExpensesAmt
Total Assets BOY$399,765TotalAssetsBOYAmt
Total Assets EOY$477,234TotalAssetsEOYAmt
Total Liabilities BOY$18,608TotalLiabilitiesBOYAmt
Total Liabilities EOY$14,409TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$381,157NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$462,825NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FINANCIAL ASSISTANCE TO FAMILIES THAT CANNOT AFFORD MEDICAL & OTHER COSTS ASSOCIATED WITH CHILDREN SUFFERING FROM SPECIAL NEEDS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$978,771ExpenseAmt
Revenue$1,170,461RevenueAmt
DescTO PROVIDE FINANCIAL ASSISTANCE WITH COSTS FOR THE FOLLOWING:- TRAVEL EXPENSES FOR THE CHILD & FAMILY TO A CITY OFFERING PROPER CARE- MEALS & LODGING WHILE THE FAMILY IS AWAY FROM HOME TO OBTAIN CARE- SMALL ITEMS TO AID & COMFORT THE CHILDDesc
Total Program Service Expenses$978,771TotalProgramServiceExpensesAmt
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 OutstandingYes (1)LoanOutstandingInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee19EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
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 Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
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 PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAILEY MAYZ FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9494227839PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line129811 SANTA MARGARITA PKWY 600AddressLine1Txt
CityRANCHO SANTA MARGARITACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92688ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (2 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
SEAN VASSILAROS
CHAIRMAN1.00Yes (X)$0$0$0
WENDY VASSILAROS
TREASURER1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$25,000GovernmentGrantsAmt
All Other Contributions$19,500AllOtherContributionsAmt
Total Contributions$44,500TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE REVENUDesc
Business624100BusinessCd
Total Revenue Column$1,170,461TotalRevenueColumnAmt
Related Or Exempt Func Income$1,170,461RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,170,461TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,214,961TotalRevenueColumnAmt
Related Or Exempt Func Income$1,170,461RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$836,078TotalAmt
Program Services$685,584ProgramServicesAmt
Management And General$150,494ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$57,587TotalAmt
Program Services$47,221ProgramServicesAmt
Management And General$10,366ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,942TotalAmt
Program Services$1,592ProgramServicesAmt
Management And General$350ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$70,824TotalAmt
Program Services$58,076ProgramServicesAmt
Management And General$12,748ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,348TotalAmt
Management And General$6,348ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,311TotalAmt
Management And General$17,311ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$65,230TotalAmt
Program Services$53,489ProgramServicesAmt
Management And General$11,741ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,930TotalAmt
Program Services$4,863ProgramServicesAmt
Management And General$1,067ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,994TotalAmt
Program Services$5,735ProgramServicesAmt
Management And General$1,259ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,538TotalAmt
Program Services$1,538ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,544TotalAmt
Program Services$5,366ProgramServicesAmt
Management And General$1,178ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,285TotalAmt
Program Services$3,514ProgramServicesAmt
Management And General$771ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER EXPENSES$42,376$34,748$7,628
PRACTICE SOFTWARE$15,694$15,694
CREDIT CARD PROCESSING$11,699$11,699
WORKERS COMP$9,216$7,557$1,659

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$51,235TotalAmt
Program Services$42,095ProgramServicesAmt
Management And General$9,140ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,210,831TotalAmt
Program Services$978,771ProgramServicesAmt
Management And General$232,060ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$352,522BOYAmt
EOY$430,413EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,689LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,162LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$35,139BOYAmt
EOY$34,527EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,104BOYAmt
EOY$12,294EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$399,765BOYAmt
EOY$477,234EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$2,535BOYAmt
EOY$2,535EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,073BOYAmt
EOY$11,874EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,608BOYAmt
EOY$14,409EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$381,157BOYAmt
EOY$462,825EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$381,157BOYAmt
EOY$462,825EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$399,765BOYAmt
EOY$477,234EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,130ReconcilationRevenueExpnssAmt
Prior Period Adjustments$77,538PriorPeriodAdjustmentsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,800CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$94,660CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,622CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$163,031CurrentTaxYearMinus1YearAmt
Current Tax Year$44,500CurrentTaxYearAmt
Total$436,613TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$894,380CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$687,038CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$901,416CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$714,471CurrentTaxYearMinus1YearAmt
Current Tax Year$1,170,461CurrentTaxYearAmt
Total$4,367,766TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$927,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$781,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,003,038CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$877,502CurrentTaxYearMinus1YearAmt
Current Tax Year$1,214,961CurrentTaxYearAmt
Total$4,804,379TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,000CurrentTaxYearMinus4YearsAmt
Total$2,000TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,000CurrentTaxYearMinus4YearsAmt
Total$2,000TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,802,379PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11CurrentTaxYearMinus2YearsAmt
Total$11TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$11CurrentTaxYearMinus2YearsAmt
Total$11TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$927,180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$781,698CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,003,049CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$877,502CurrentTaxYearMinus1YearAmt
Current Tax Year$1,214,961CurrentTaxYearAmt
Total$4,804,390TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99900PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,500OtherCostOrOtherBasisAmt
Book Value$28,500BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,189OtherCostOrOtherBasisAmt
Depreciation$11,162DepreciationAmt
Book Value$6,027BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,527TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCHASE BANK VISADesc
Amt$11,874Amt
FieldValueIRS element (for citing)
Total Liability$11,874TotalLiabilityAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SEAN VASSILAROSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgCOORelationshipWithOrgTxt
Loan PurposeOPERATING EXPENSESLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$8,616OriginalPrincipalAmt
Balance Due$2,535BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$2,535TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BORGANIZATION'S PROCESS TO REVIEW FORM 990 THE TAXPAYER'S ACCOUNTING FIRM PROVIDED THE FORM 990 TO THE COO AND CEO WHO FORWARDED THE RETURN TO THE BOARD MEMBERS FOR THEIR REVIEW. PRIOR TO FILING, BOARD MEMBERS WERE ENCOURAGED TO REVIEW THE FORM 990 AND TO FORWARD THEIR QUESTIONS TO THE COO OR CEO. THE COO, CEO OR ACCOUNTING FIRM ADDRESSED THE QUESTIONS FROM THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GBILLING SERVICES: PROGRAM SERVICE EXPENSES 56,282. MANAGEMENT AND GENERAL EXPENSES 12,354. TOTAL EXPENSES 68,636. OTHER SERVICES: PROGRAM SERVICE EXPENSES 1,794. MANAGEMENT AND GENERAL EXPENSES 394. TOTAL EXPENSES 2,188.
FORM 990, PART IX, LINE 24EPAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 6,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,971. INTERNET SERVICES: PROGRAM SERVICE EXPENSES 5,214. MANAGEMENT AND GENERAL EXPENSES 1,144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,358. UTILITIES: PROGRAM SERVICE EXPENSES 4,439. MANAGEMENT AND GENERAL EXPENSES 974. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,413. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 3,327. MANAGEMENT AND GENERAL EXPENSES 730. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,057. TELEPHONE: PROGRAM SERVICE EXPENSES 2,960. MANAGEMENT AND GENERAL EXPENSES 650. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,610. COMPUTER-SOFTWARE: PROGRAM SERVICE EXPENSES 3,242. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,242. MEALS: PROGRAM SERVICE EXPENSES 2,647. MANAGEMENT AND GENERAL EXPENSES 581. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,228. JANITORIAL SERVICES: PROGRAM SERVICE EXPENSES 2,640. MANAGEMENT AND GENERAL EXPENSES 580. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,220. OPERATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,050. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,050. FACILITIES AND EQUIPMENT: PROGRAM SERVICE EXPENSES 2,343. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,343. COMPUTER-HARDWARE: PROGRAM SERVICE EXPENSES 1,781. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,781. SUPPLIES: PROGRAM SERVICE EXPENSES 1,126. MANAGEMENT AND GENERAL EXPENSES 247. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,373. HR FEES: PROGRAM SERVICE EXPENSES 1,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,338. PRINTING & COPYING: PROGRAM SERVICE EXPENSES 782. MANAGEMENT AND GENERAL EXPENSES 172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 954. TRAINING SUPPLIES: PROGRAM SERVICE EXPENSES 673. MANAGEMENT AND GENERAL EXPENSES 148. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 821. PROPERTY TAXES: PROGRAM SERVICE EXPENSES 591. MANAGEMENT AND GENERAL EXPENSES 130. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 721. STORAGE FEES: PROGRAM SERVICE EXPENSES 420. MANAGEMENT AND GENERAL EXPENSES 92. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 512. POSTAGE & MAILING SERVICE: PROGRAM SERVICE EXPENSES 389. MANAGEMENT AND GENERAL EXPENSES 85. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 474. BANK FEES: PROGRAM SERVICE EXPENSES 334. MANAGEMENT AND GENERAL EXPENSES 73. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 407. SHREDDING: PROGRAM SERVICE EXPENSES 253. MANAGEMENT AND GENERAL EXPENSES 55. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 308. PRACTICE EQUIPMENT AND SUPPLIES: PROGRAM SERVICE EXPENSES 288. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 288. GIFTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 223. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 223. MANAGEMENT TRAINING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 169. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169. MISCELLANEOUS EXPENSE: PROGRAM SERVICE EXPENSES 169. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 169. AUTO EXPENES: PROGRAM SERVICE EXPENSES 90. MANAGEMENT AND GENERAL EXPENSES 20. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110. BUSINESS REGISTRATION FEES: PROGRAM SERVICE EXPENSES 78. MANAGEMENT AND GENERAL EXPENSES 17. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95.

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