CALIFORNIA BLACK HEALTH NETWORK: Form 990EZ, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CALIFORNIA BLACK HEALTH NETWORK (EIN 95-3794688)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-03
- IRS object ID
- 202113079349201996
- Schema version
- 2020v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-03T15:38:20-07:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 204994635 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IRYNA AC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Broadway 200-G | AddressLine1Txt |
| City | Oakland | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953794688 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | California Black Health Network | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CALI | BusinessNameControlTxt |
| Phone | 9163330613 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 9th Street Suite 100 | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rhonda M Smith | PersonNm |
| Person Title | Executive Dir. | PersonTitleTxt |
| Signature | 2021-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Rhonda M | PersonFirstNm |
| Person Last | Smith | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Iryna Oreshkova CPA | PreparerPersonNm |
| PTIN | P00842984 | PTIN |
| Phone | 5104679506 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Website Address | www.cablackhealthnetwork.org | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $191,828 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $92,178 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $99,650 | ProgramServiceRevenueAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
| Total Revenue | $191,828 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $200,075 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $122,716 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $20,706 | OccupancyRentUtltsAndMaintAmt |
| Other Expenses Total | $50,456 | OtherExpensesTotalAmt |
| Total Expenses | $393,953 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$202,125 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $501,019 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $298,894 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,819 | BOYAmt |
| EOY | $305,849 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,510 | BOYAmt |
| EOY | $7,631 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $567,329 | BOYAmt |
| EOY | $313,480 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,310 | BOYAmt |
| EOY | $14,586 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,019 | BOYAmt |
| EOY | $298,894 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | CBHN advocates for health equity by leading and facilitating convenings in all regions of California for the purpose of providing policy analysis, research and training that promotes best practices, which supports the creation of optimal conditions needed to sustain healthy Black people. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | As the leading organized statewide voice on African health, CBHN assistsdecision-makers throughout the state to develop policies and programs that create the social, economic and environmental conditions that improve the health of Africancommunities. CBHNs vision of striving to be the voice and trusted resource for Black Health Equity in California is supported through the following program categories: Prevention and Wellness; Health Equity; Health Care Access; Environmental Health. | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $229,128 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $229,128 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (11 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Brenda A Shipp | ||
| Board Chair | 1.00 | $0 |
| Kellie Todd Griffin | ||
| Vice Chair | 1.00 | $0 |
| Carl A McLaney | ||
| Treasurer | 1.00 | $0 |
| Angela L Minniefeld | ||
| Secretary | 1.00 | $0 |
| Nathan Allen | ||
| Director | 1.00 | $0 |
| Kristee Haggins | ||
| Director | 1.00 | $0 |
| Gwenna Hunter | ||
| Director | 1.00 | $0 |
| Auleria Sharey Eakins | ||
| Director | 1.00 | $0 |
| Terrence A Wooten | ||
| Director | 1.00 | $0 |
| Doretha Williams-Flournory | ||
| CEO | 40.00 | $44,724 |
| Rhonda M Smith | ||
| Executive Dir. | 40.00 | $63,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rhonda Smith | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 9th Street Suite 100 | AddressLine1Txt |
| City | Sacramento | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9163330613 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $265,107 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,782 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,178 | CurrentTaxYearAmt |
| Total | $458,437 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $265,107 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $56,782 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $24,628 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $92,178 | CurrentTaxYearAmt |
| Total | $458,437 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $286,733 | SubstantialContributorsTotAmt |
| Public Support Total170 | $171,704 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $584 | CurrentTaxYearMinus2YearsAmt |
| Total | $584 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $622 | CurrentTaxYearMinus2YearsAmt |
| Total | $622 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $459,643 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $111,018 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.37360 | PublicSupportCY170Pct |
| Public Support PY170 | 0.27610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Other Expenses.1001 | Advertising and Promotion $1985 |
| Other Expenses.1002 | Office Expenses $22270 |
| Other Expenses.1003 | Information Technology $13014 |
| Other Expenses.1005 | Travel $2350 |
| Other Expenses.1012 | Insurance $6993 |
| Other Expenses.1 | Storage $2911 |
| Other Expenses.2 | Staff development $848 |
| Other Expenses.3 | Other expenses $85 |
| Other Assets.1006 | Pledges and Grants Receivable - Beginning $250000 Pledges and Grants Receivable - Ending $6204 |
| Other Assets.1011 | Prepaid Expenses and Deferred Charges - Beginning $510 Prepaid Expenses and Deferred Charges - Ending $1427 |
| Total Liabilities.1001 | Accounts Payable and Accrued Expenses - Beginning $47678 Accounts Payable and Accrued Expenses - Ending $14586 |
| Total Liabilities.1003 | Deferred Revenue - Beginning $18632 Deferred Revenue - Ending $0 |
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