COMMUNITY HEALTH INITIATIVE NAPA COUNTY INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH INITIATIVE NAPA COUNTY INC (EIN 25-1924934)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-14
IRS object ID
202111349349307666
Schema version
2019v5.2
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)
Return2021-05-14T18:34:24-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN941587502PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1G & J SEIBERLICH & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13264 VILLA LANEAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94558ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN251924934EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH INITIATIVE NAPA COUNTYBusinessNameLine1Txt
Business Name Line2INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone7072270830PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 JEFFERSON STREET SUITE DAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELBA GONZALEZ-MARESPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7072270830PhoneNum
Signature2021-05-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHY CRUZPreparerPersonNm
PTINP00937005PTIN
Phone7072247948PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELBA GONZALEZ-MARESPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 JEFFERSON STREET SUITE DAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$828,948GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NAPACHI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH OF CHILDREN AND THEIR FAMILIES RESIDING IN NAPA COUNTY, CALIFORNIA, BY IMPROVING ACCESS TO HEALTH CARE SERVICES THROUGH HEALTH INSURANCE ENROLLMENT, EDUCATION, ADVOCACY AND FUNDING.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$800,423PYContributionsGrantsAmt
CY Contributions Grants$675,704CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$134,799CYProgramServiceRevenueAmt
PY Investment Income$811PYInvestmentIncomeAmt
CY Investment Income$443CYInvestmentIncomeAmt
PY Other Revenue$128,872PYOtherRevenueAmt
CY Other Revenue$18,002CYOtherRevenueAmt
PY Total Revenue$930,106PYTotalRevenueAmt
CY Total Revenue$828,948CYTotalRevenueAmt
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$701,819PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$712,616CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$15,295PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$2,802CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$33,095CYTotalFundraisingExpenseAmt
PY Other Expenses$207,833PYOtherExpensesAmt
CY Other Expenses$184,801CYOtherExpensesAmt
PY Total Expenses$924,947PYTotalExpensesAmt
CY Total Expenses$900,219CYTotalExpensesAmt
PY Revenues Less Expenses$5,159PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$71,271CYRevenuesLessExpensesAmt
Total Assets BOY$326,577TotalAssetsBOYAmt
Total Assets EOY$364,246TotalAssetsEOYAmt
Total Liabilities BOY$49,205TotalLiabilitiesBOYAmt
Total Liabilities EOY$158,146TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$277,372NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$206,100NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE HEALTH OF CHILDREN AND THEIR FAMILIES RESIDING IN NAPA COUNTY, CALIFORNIA, BY IMPROVING ACCESS TO HEALTH CARE SERVICES THROUGH HEALTH INSURANCE ENROLLMENT, EDUCATION, ADVOCACY AND FUNDING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$642,327ExpenseAmt
Revenue$134,799RevenueAmt
DescCONNECTED OVER 18,000 LOW INCOME CHILDREN AND THEIR FAMILIES TO HEALTHCARE SERVICES BY ENROLLING THEM IN HEALTH INSURANCE, HELPING THEM RE-ENROLL, AND ASSISTING WITH ACCESSING HEALTHCARE SERVICES.Desc
Total Program Service Expenses$642,327TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
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 RequiredYes (1)ScheduleJRequiredInd
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 Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
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
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7072270830PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12140 JEFFERSON STREET STE DAddressLine1Txt
CityNAPACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94559ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
MATTHEW BARRY SMITH
BOARD MEMBER0.40Yes (X)$0$0$0
ELIZABETH HEALY
BOARD MEMBER0.30Yes (X)$0$0$0
MONICA PARKER
BOARD MEMBER0.30Yes (X)$0$0$0
ANDREA WONG MD
BOARD MEMBER0.30Yes (X)$0$0$0
JEFF DODD
BOARD MEMBER0.30Yes (X)$0$0$0
MELINDA MENDELSON
PAST PRESIDENT0.30Yes (X)$0$0$0Yes (X)
REBECCA BARLOW
PRESIDENT0.60Yes (X)$0$0$0Yes (X)
HOLLY FINKELSTEIN
VICE PRESIDENT0.60Yes (X)$0$0$0Yes (X)
OSCAR ROBLES
SECRETARY0.60Yes (X)$0$0$0Yes (X)
CLIFFORD SARKIN
TREASURER0.60Yes (X)$0$0$0Yes (X)
ELBA GONZALEZ-MARES
EXECUTIVE DIRECTOR40.00$151,600$0$7,330Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$151,600TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$7,330TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$173,143GovernmentGrantsAmt
All Other Contributions$502,561AllOtherContributionsAmt
Total Contributions$675,704TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescBROKERAGE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$134,799TotalRevenueColumnAmt
Related Or Exempt Func Income$134,799RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$134,799TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$443TotalRevenueColumnAmt
Related Or Exempt Func Income$443RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$713FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$713TotalRevenueColumnAmt
Exclusion$713ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CONSULTING REVENUE624100$16,091$16,091
OTHER REVENUE900099$1,198$1,198
FieldValueIRS element (for citing)
Other Revenue Total$17,289OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$828,948TotalRevenueColumnAmt
Related Or Exempt Func Income$152,531RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$713ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$151,600TotalAmt
Program Services$112,184ProgramServicesAmt
Management And General$35,192ManagementAndGeneralAmt
Fundraising$4,224FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$435,040TotalAmt
Program Services$321,930ProgramServicesAmt
Management And General$100,990ManagementAndGeneralAmt
Fundraising$12,120FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,240TotalAmt
Program Services$16,458ProgramServicesAmt
Management And General$4,757ManagementAndGeneralAmt
Fundraising$1,025FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$52,278TotalAmt
Program Services$38,538ProgramServicesAmt
Management And General$12,190ManagementAndGeneralAmt
Fundraising$1,550FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$51,458TotalAmt
Program Services$38,079ProgramServicesAmt
Management And General$11,887ManagementAndGeneralAmt
Fundraising$1,492FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,617TotalAmt
Management And General$18,617ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$2,802TotalAmt
Fundraising$2,802FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,453TotalAmt
Program Services$2,802ProgramServicesAmt
Management And General$5,651ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,497TotalAmt
Program Services$1,497ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,889TotalAmt
Program Services$3,618ProgramServicesAmt
Management And General$1,129ManagementAndGeneralAmt
Fundraising$142FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$80,173TotalAmt
Program Services$59,328ProgramServicesAmt
Management And General$18,520ManagementAndGeneralAmt
Fundraising$2,325FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$8,436TotalAmt
Program Services$6,242ProgramServicesAmt
Management And General$1,949ManagementAndGeneralAmt
Fundraising$245FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,446TotalAmt
Program Services$3,290ProgramServicesAmt
Management And General$1,027ManagementAndGeneralAmt
Fundraising$129FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$196TotalAmt
Management And General$196ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$473TotalAmt
Program Services$237ProgramServicesAmt
Management And General$236ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,359TotalAmt
Program Services$7,666ProgramServicesAmt
Management And General$300ManagementAndGeneralAmt
Fundraising$2,393FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
TELEPHONE AND INTERNET$14,882$11,012$3,438$432
SUPPLIES$9,434$6,202$3,065$167
STAFF DEVELOPMENT$6,523$4,827$1,507$189
LEASED EQUIPMENT$4,361$3,227$1,134

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,062TotalAmt
Program Services$5,190ProgramServicesAmt
Management And General$3,012ManagementAndGeneralAmt
Fundraising$3,860FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$900,219TotalAmt
Program Services$642,327ProgramServicesAmt
Management And General$224,797ManagementAndGeneralAmt
Fundraising$33,095FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$242,685BOYAmt
EOY$353,643EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$73,028BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,767BOYAmt
EOY$3,979EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,506LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,628LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,351BOYAmt
EOY$1,878EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,746BOYAmt
EOY$4,746EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$326,577BOYAmt
EOY$364,246EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$49,205BOYAmt
EOY$47,586EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$110,560EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$49,205BOYAmt
EOY$158,146EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$227,372BOYAmt
EOY$196,100EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$10,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$277,372BOYAmt
EOY$206,100EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$326,577BOYAmt
EOY$364,246EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$71,271ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
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$544,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$660,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$758,086CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$736,922CurrentTaxYearMinus1YearAmt
Current Tax Year$693,706CurrentTaxYearAmt
Total$3,393,573TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127,464CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,745CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$161,552CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$149,042CurrentTaxYearMinus1YearAmt
Current Tax Year$134,799CurrentTaxYearAmt
Total$722,602TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$671,714CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$810,354CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$919,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$885,964CurrentTaxYearMinus1YearAmt
Current Tax Year$828,505CurrentTaxYearAmt
Total$4,116,175TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,116,175PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$231CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$811CurrentTaxYearMinus1YearAmt
Current Tax Year$443CurrentTaxYearAmt
Total$1,770TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$125CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$160CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$231CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$811CurrentTaxYearMinus1YearAmt
Current Tax Year$443CurrentTaxYearAmt
Total$1,770TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$671,839CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$810,514CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$919,869CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$886,775CurrentTaxYearMinus1YearAmt
Current Tax Year$828,948CurrentTaxYearAmt
Total$4,117,945TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,506OtherCostOrOtherBasisAmt
Depreciation$44,628DepreciationAmt
Book Value$1,878BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,878TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonELBA GONZALEZ-MARESPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$146,600BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$5,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$7,330NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$151,600TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$7,330TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationCOMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMMITTEE, WHICH DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING. ANY QUESTIONS OR ISSUES WILL BE DISCUSSED.
FORM 990, PART VI, SECTION B, LINE 12CBOARD OF DIRECTOR COMPLIANCE AND CONFLICT OF INTEREST IS FORMALLY DISCUSSED AT ONE BOARD MEETING EACH YEAR, AND EACH MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST DECLARATION.
FORM 990, PART VI, SECTION B, LINE 15ACOMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMMITTEE, WHICH DETERMINES THE COMPENSATION OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19CONSISTENT WITH THE REQUIREMENTS OF SECTION 6104(D) OF THE INTERNAL REVENUE CODE AND THE REGULATIONS THERE UNDER, COPIES OF THE ORGANIZATION'S FORM 990 SHALL BE MADE AVAILABLE, UPON REQUEST, IN A TIMELY MANNER, AND WITHOUT CHARGE OR SUBJECT TO THE CHARGES PERMITTED BY LAW TO ANY INDIVIDUALS WHO REQUEST IT.

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