MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY (EIN 56-0776248)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-11-15
IRS object ID
202113199349305246
Schema version
2020v4.1
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)
Return2021-11-15T10:03:47-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561138530PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUTLER BURKE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 CLUB OAKS COURTAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27104ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560776248EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MENTAL HEALTH ASSOCIATIONBusinessNameLine1Txt
Business Name Line2IN FORSYTH COUNTY INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMENTBusinessNameControlTxt
Phone3367683880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11509 S HAWTHORNE ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCURTIS BLANDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3367683880PhoneNum
Signature2021-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCURTISPersonFirstNm
Person LastBLANDPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANE R POTTERPreparerPersonNm
PTINP01057495PTIN
Phone3367682310PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDY HAGLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11509 S HAWTHORNE ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$446,190GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRIADMENTALHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE LIVES OF PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION & SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$142,627PYContributionsGrantsAmt
CY Contributions Grants$415,190CYContributionsGrantsAmt
PY Program Service Revenue$25,255PYProgramServiceRevenueAmt
CY Program Service Revenue$29,626CYProgramServiceRevenueAmt
PY Investment Income$993PYInvestmentIncomeAmt
CY Investment Income$372CYInvestmentIncomeAmt
PY Other Revenue$312PYOtherRevenueAmt
CY Other Revenue$1,002CYOtherRevenueAmt
PY Total Revenue$169,187PYTotalRevenueAmt
CY Total Revenue$446,190CYTotalRevenueAmt
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$181,160PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$205,420CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,423CYTotalFundraisingExpenseAmt
PY Other Expenses$102,192PYOtherExpensesAmt
CY Other Expenses$94,196CYOtherExpensesAmt
PY Total Expenses$283,352PYTotalExpensesAmt
CY Total Expenses$299,616CYTotalExpensesAmt
PY Revenues Less Expenses-$114,165PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$146,574CYRevenuesLessExpensesAmt
Total Assets BOY$654,958TotalAssetsBOYAmt
Total Assets EOY$862,356TotalAssetsEOYAmt
Total Liabilities BOY$119,065TotalLiabilitiesBOYAmt
Total Liabilities EOY$113,375TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$535,893NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$748,981NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MENTAL HEALTH ASSOCIATION IN FORSYTH COUNTY IS A NON-PROFIT, NON-GOVERNMENTAL AGENCY THAT IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION AND SUPPORT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$113,675ExpenseAmt
Grant$0GrantAmt
Revenue$4,361RevenueAmt
DescCONSUMER SUPPORT IS COMPOSED OF 11 PROGRAMS. (1)HOSPITAL OUTREACH PROGRAM: VOLUNTEERS AND STAFF PROVIDE INFORMATION AND RESOURCE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AT LOCAL HOSPITALS AND AT MENTAL HEALTH FACILITIES ABOUT COMMUNITY SUPPORT SERVICES INFORMATION PRIOR TO THEIR DISCHARGE. THE ASSOCIATION RESPONDS TO SPECIAL REQUESTS FROM HOSPITAL PSYCHIATRIC STAFF AS NEEDED. (2) MOOD DISORDERS SUPPORT: TIDES IS A SUPPORT GROUP FOR PEOPLE WITH MOOD DISORDERS INCLUDING CLINICAL DEPRESSION, BI-POLAR DISORDER OR OTHER MOOD DISORDERS. SUPPORT GROUPS MEET FOUR TIMES A MONTH TO SHARE INFORMATION, RESOURCE ASSISTANCE AND TO DEVELOP SELF-ADVOCACY SKILLS. (3) ANXIETY DISORDERS:THIS SUPPORT GROUP IS FOR PEOPLE WITH PANIC DISORDER, AGORAPHOBIA, OBSESSIVE COMPULSIVE DISORDER, POSTTRAUMATIC STRESS DISORDER, ACUTE STRESS DISORDER OR GENERALIZED ANXIETY DISORDER. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT ANXIETY DISORDERS, TREATMENTS AND MEDICATION. (4) PSYCHOTIC DISORDERS: THIS SUPPORT GROUP IS FOR ADULTS WITH PSYCHOTIC DISORDERS, SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT PSYCHOTIC DISORDERS, TREATMENTS AND MEDICATION. (5) DUAL DIAGNOSIS: THIS SUPPORT GROUP IS OPEN TO ANYONE WHO IS DUALLY DIAGNOSED WITH MENTAL ILLNESS AND SUBSTANCE ABUSE, OR ANY OTHER ADDICTIVE DISORDER, OR BELIEVES THAT THEY FIT THIS DIAGNOSIS. (6) SPEAK OUT! ADOLESCENT SUPPORT: THIS SUPPORT GROUP IS FOR TEENS AGES 13-17 WHO HAVE MENTAL HEALTH ISSUES SUCH AS, BUT NOT LIMITED TO THE FOLLOWING: CLINICAL DEPRESSION, ANXIETY, BIPOLAR DISORDER, ADD AND/OR ADHD. SUPPORT GROUPS MEET EVERY FIRST, THIRD AND FIFTH MONDAY EVENINGS EACH MONTH AT BEST HEALTH IN HANES MALL. (7) SPEAKER MEETINGS: MENTAL HEALTH SPEAKER, EDUCATIONAL MEETINGS ARE DEVOTED SOLELY TO THE FIFTH TUESDAYS AND/OR FIFTH FRIDAYS IN A GIVEN MONTH. SPEAKER TOPICS VARY AND HAVE INCLUDED: STRESS AND CHANGE, NUTRITION, SMOKING CESSATION AND UPDATES ON SPECIFIC MENTAL DISORDERS SUCH AS DEPRESSION, OBSESSIVE-COMPULSIVE DISORDER AND BORDERLINE PERSONALITY DISORDER. TOPICS ARE CHOSEN FROM FEEDBACK FROM SUPPORT GROUP PARTICIPANTS AND OTHERS. (8) EATING DISORDERS: THIS SUPPORT GROUP IS FOR ADULTS WITH EATING DISORDERS SUCH AS ANOREXIA NERVOSA, BULIMIA NERVOSA OR OTHER ASSOCIATED EATING DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT EATING DISORDERS, TREATMENTS AND MEDICATION. (9) OPERATION SANTA CLAUS: GIFTS, SPECIAL HOLIDAY ACTIVITIES, AND, WHEN NEEDED, YEAR-ROUND ASSISTANCE ARE PROVIDED TO FORSYTH COUNTY MENTAL HEALTH PATIENTS (CHILDREN AND ADULTS) AT LOCAL FACILITIES AND AT CENTRAL REGIONAL HOSPITAL IN BUTNER, THE O'BERRY CENTER IN GOLDSBORO AND ANY OTHER STATE PSYCHIATRIC FACILITY DURING DECEMBER. COMMUNITY AGENCIES, LOCAL BUSINESSES AND CIVIC GROUPS DONATE THEIR TIME, MONEY AND GIFTS TO MAKE THE HOLIDAYS SPECIAL FOR OUR COUNTY'S MENTAL HEALTH PATIENTS. (10) REPRESENTATIVE PAYEE SERVICES: THROUGH REFERRALS, THIS PROGRAM BENEFITS PEOPLE WITH SEVERE MENTAL ILLNESS WHO RECEIVE SOCIAL SECURITY DISABILITY AND/OR SUPPLEMENTARY SECURITY INCOME OR OTHER ENTITLEMENTS, SUCH AS RAILROAD RETIREMENT, VA BENEFITS AND CANNOT MANAGE THEIR OWN FUNDS. THE ASSOCIATION BECOMES THE CLIENT'S PAYEE BY SETTING UP A BUDGET FOR EACH CLIENT AND MANAGING HIS OR HER FUNDS TO PAY HIS OR HER RENT, UTILITIES, MEDICATIONS, FOOD AND OTHER BASIC NECESSITIES. (11) CLUBHOUSE FUND: THIS PROGRAM RAISES FUNDS FOR TRIUMPH'S "CLUBHOUSE" PROJECT MEMBERS. THESE FUNDS ARE RESTRICTED FOR EXTRACURRICULAR ACTIVITIES THAT ARE NOT A NORMAL PART OF THE CLUBHOUSE CURRICULUM. THE ASSOCIATION RECEIVES CONTRIBUTIONS FROM OUTSIDE DONORS IN ADDITION TO THE FUNDS ACTUALLY RAISED BY THE PARTICIPANTS. THE MENTAL HEALTH ASSOCIATION MANAGES THESE FUNDS AND DISBURSES THEM UPON REQUEST.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$70,433ExpenseAmt
Grant$0GrantAmt
Revenue$25,265RevenueAmt
DescFAMILY SUPPORT IS COMPOSED OF 3 PROGRAMS. (1) COURT ASSISTANCE PROGRAM: EVERY WEEK TRAINED VOLUNTEERS AND STAFF PROVIDE EMOTIONAL SUPPORT, TECHNICAL ASSISTANCE AND INFORMATION AND REFERRALS TO FAMILY MEMBERS AND OUTPATIENTS DURING JUDICIAL HOSPITAL HEARINGS AT THE FORSYTH HALL OF JUSTICE. THE ASSOCIATION MONITORS THE OUTCOMES OF THE WEEKLY HEARINGS, TABULATES THE OUTCOMES IN A DATABASE AND REPORTS PAPERWORK OR OTHER CLERICAL ERRORS TO APPROPRIATE HOSPITAL OR PROVIDER STAFF. (2) FAMILY / CONSUMER ADVOCACY AND OUTREACH: THE ASSOCIATION PROVIDES FREE INDIVIDUAL AND FAMILY ADVOCACY SERVICES, RESOURCE ASSISTANCE AND SERVICE COORDINATION. THE ASSOCIATION WORKS DIRECTLY WITH CHILDREN AND ADULTS WITH MENTAL HEALTH NEEDS, THEIR FAMILIES, FRIENDS AND SERVICE PROVIDERS TO ENSURE THAT THEY LIVE FULL AND PRODUCTIVE LIVES. THE ASSOCIATION IS INVOLVED IN COLLABORATIVES SUCH AS "CRISIS INTERVENTION TEAM" TRAININGS TO LAW ENFORCEMENT PERSONNEL AND THE ASSOCIATION IS ACTIVE IN A TRIAD COALITION DESIGNED TO ADDRESS THE GROWING DILEMMA OF SUICIDES IN OUR REGION THROUGH EDUCATION AND PREVENTION. (3) TRIAD FRIENDS & FAMILY: THIS SUPPORT GROUP IS FOR FAMILIES AND FRIENDS THAT HAVE LOVED ONES WITH AN EATING DISORDER SUCH AS ANOREXIA NERVOSA AND BULIMIA NERVOSA. LED BY A LICENSED MENTAL HEALTH PROFESSIONAL, TRIAD FRIENDS & FAMILY MEET MONTHLY AT THE ASSOCIATION'S OFFICE TO HELP PARTICIPANTS GAIN A BETTER UNDERSTANDING OF HAVING A LOVED ONE WITH AN EATING DISORDER AND TO DEVELOP BETTER, MORE APPROPRIATE COPING SKILLS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$70,433ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescCOMMUNITY EDUCATION IS COMPOSED OF 6 PROGRAMS. (1) INFORMATION AND REFERRAL: THIS AGENCY PROVIDES INFORMATION/REFERRAL SERVICES TO CALLERS, E-MAIL INQUIRIES, AND WALK-IN VISITORS AS WELL AS TO AREA PROFESSIONALS ON VARIOUS TOPICS SUCH AS, BUT NOT LIMITED TO: SPECIFIC MENTAL HEALTH DISORDERS, COMMUNITY MENTAL HEALTH SERVICES, MEDICATION INFORMATION, COMMUNITY SUPPORT PROGRAMS AND/OR SUBSTANCE ABUSE SERVICES. THE ASSOCIATION MAINTAINS A DATABASE OF OVER 200 LOCAL MENTAL HEALTH PROVIDERS FOR THOSE INTERESTED IN SEEING A PROVIDER IN THE PRIVATE OR PUBLIC SECTORS AND PROVIDES REFERRALS BASED ON A PERSON'S MENTAL HEALTH AND/OR FINANCIAL NEEDS. (2) RESOURCE CENTER:THE ASSOCIATION HAS A LIBRARY FOR THE PUBLIC CONTAINING "FACT SHEETS", BOOKS, EDUCATIONAL PAMPHLETS, MEDICATION ASSISTANCE, ARTICLES, VIDEOS AND TAPES ABOUT MENTAL ILLNESS AND OTHER RELATED TOPICS. (3) SPEAKERS BUREAU: STAFF PROVIDES EDUCATIONAL PROGRAMS ON MENTAL HEALTH TOPICS TO BUSINESSES, CLUBS, SCHOOLS AND CHURCHES IN FORSYTH AND SURROUNDING COUNTIES. TOPICS INCLUDE: "MENTAL HEALTH 101", COPING WITH HOLIDAY STRESS, SEASONAL AFFECTIVE DISORDER, DEPRESSION AND ANXIETY DISORDERS AND SUICIDE AWARENESS. (4) MENTAL HEALTH AND MENTAL ILLNESS AWARENESS CAMPAIGNS: PROMOTIONAL CAMPAIGNS ARE HELD TWICE A YEAR TO SPREAD AWARENESS, UNDERSTANDING HEIGHTEN SENSITIVITY AND WORK TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. SERVICES INCLUDE: DEPRESSION AND ANXIETY SCREENINGS, RADIO AND TELEVISION INTERVIEWS AND PANEL DISCUSSIONS. THE ASSOCIATION SPONSORS FREE SEMINARS AND PUBLIC MEETINGS ON VARIOUS MENTAL HEALTH AND RELATED TOPICS, SUCH AS FUTURE PLANNING: LIFE PLAN TRUST. (5) SYSTEMS ADVOCACY: THE ASSOCIATION CONTINUALLY ADVOCATES ON THE LOCAL, STATE AND NATIONAL LEVELS TO GOVERNMENTAL AND LEGISLATIVE BODIES IN ORDER IMPROVE, ADVOCATE AND EXPAND MENTAL HEALTH AND RELATED SERVICES. (6) PRIMARY CARE PHYSICIAN OUTREACH: A MENTAL HEALTH AWARENESS AND OUTREACH INITIATIVE TARGETING LOCAL PRIMARY CARE PHYSICIANS, PEDIATRICIANS AND OB/GYNS AND THEIR STAFFS ABOUT THE ASSOCIATION'S PROGRAMS AND SERVICES AND HOW THEY CAN LINK THEIR PATIENTS TO SPECIALTY MENTAL HEALTH CARE, WHEN NEEDED. THIS PROGRAM BEGAN WITH START-UP FUNDING FROM THE WINSTON-SALEM FOUNDATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$254,541TotalProgramServiceExpensesAmt
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 AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4EmployeeCnt
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMR ANDY HAGLERPersonNm
Phone3367683880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11509 S HAWTHORNE ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP271034125ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
ANDY HAGLER
EXECUTIVE DIRECTOR40.00Yes (X)$67,986$0$14,076
APRIL M BROADWAY
BOARD MEMBER1.00$0$0$0Yes (X)
ELIZABETH BAICY
BOARD MEMBER1.00$0$0$0Yes (X)
HARRY HARRIS
BOARD MEMBER1.00$0$0$0Yes (X)
TIFFANY HALL
BOARD MEMBER1.00$0$0$0Yes (X)
HARRISON DEAN
BOARD MEMBER1.00$0$0$0Yes (X)
ANDREW SACHS
BOARD MEMBER1.00$0$0$0Yes (X)
CHRIS DUNN
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
CURTIS BLAND
TREASURER1.00Yes (X)$0$0$0Yes (X)
MONICA BROWN
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ANDREW PRICE
HUMAN RESOURCES CHAIR1.00Yes (X)$0$0$0Yes (X)
CATRINA THOMPSON
PAST PRESIDENT1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$67,986TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$14,076TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$126,803FederatedCampaignsAmt
Government Grants$29,100GovernmentGrantsAmt
All Other Contributions$259,287AllOtherContributionsAmt
Total Contributions$415,190TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRAINING REVENUE900099$25,265$25,265
REPRESENTATIVE PAYEE F900099$4,361$4,361
FieldValueIRS element (for citing)
Total Program Service Revenue$29,626TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$372TotalRevenueColumnAmt
Exclusion$372ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$1,002TotalRevenueColumnAmt
Exclusion$1,002ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,002OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$446,190TotalRevenueColumnAmt
Related Or Exempt Func Income$29,626RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,374ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$83,948TotalAmt
Program Services$71,357ProgramServicesAmt
Management And General$10,913ManagementAndGeneralAmt
Fundraising$1,678FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$108,336TotalAmt
Program Services$92,087ProgramServicesAmt
Management And General$14,083ManagementAndGeneralAmt
Fundraising$2,166FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,116TotalAmt
Program Services$1,799ProgramServicesAmt
Management And General$275ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$69TotalAmt
Program Services$59ProgramServicesAmt
Management And General$9ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,951TotalAmt
Program Services$9,308ProgramServicesAmt
Management And General$1,424ManagementAndGeneralAmt
Fundraising$219FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,000TotalAmt
Program Services$5,950ProgramServicesAmt
Management And General$983ManagementAndGeneralAmt
Fundraising$67FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,826TotalAmt
Management And General$2,826ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$20,841TotalAmt
Program Services$17,713ProgramServicesAmt
Management And General$2,926ManagementAndGeneralAmt
Fundraising$202FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,029TotalAmt
Program Services$4,275ProgramServicesAmt
Management And General$706ManagementAndGeneralAmt
Fundraising$48FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,466TotalAmt
Program Services$8,050ProgramServicesAmt
Management And General$1,416ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,151TotalAmt
Program Services$13,729ProgramServicesAmt
Management And General$2,422ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$373TotalAmt
Program Services$317ProgramServicesAmt
Management And General$56ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$750TotalAmt
Program Services$639ProgramServicesAmt
Management And General$111ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$560TotalAmt
Program Services$476ProgramServicesAmt
Management And General$84ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,778TotalAmt
Program Services$4,062ProgramServicesAmt
Management And General$716ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROGRAM EXPENSE$15,072$15,072
MISCELLANEOUS$8,217$6,984$1,233
REPAIRS AND MAINTENANCE$3,133$2,664$469

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$299,616TotalAmt
Program Services$254,541ProgramServicesAmt
Management And General$40,652ManagementAndGeneralAmt
Fundraising$4,423FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$272,180BOYAmt
EOY$380,407EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,563BOYAmt
EOY$39,747EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,060BOYAmt
EOY$26,863EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,897BOYAmt
EOY$1,376EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$42,541LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,403BOYAmt
EOY$5,518EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$344,855BOYAmt
EOY$408,445EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$654,958BOYAmt
EOY$862,356EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,520BOYAmt
EOY$23,979EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$78,445BOYAmt
EOY$89,396EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$29,100BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,065BOYAmt
EOY$113,375EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500,148BOYAmt
EOY$646,594EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,745BOYAmt
EOY$102,387EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$535,893BOYAmt
EOY$748,981EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$654,958BOYAmt
EOY$862,356EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$146,574ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$66,514NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$155,636CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$200,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$213,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,627CurrentTaxYearMinus1YearAmt
Current Tax Year$415,190CurrentTaxYearAmt
Total$1,127,823TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$155,636CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$200,811CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$213,559CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$142,627CurrentTaxYearMinus1YearAmt
Current Tax Year$415,190CurrentTaxYearAmt
Total$1,127,823TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$92,484SubstantialContributorsTotAmt
Public Support Total170$1,035,339PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$212CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,103CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$993CurrentTaxYearMinus1YearAmt
Current Tax Year$372CurrentTaxYearAmt
Total$3,192TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$120CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$441CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$312CurrentTaxYearMinus1YearAmt
Current Tax Year$1,002CurrentTaxYearAmt
Total$1,875TotalAmt
FieldValueIRS element (for citing)
Total Support$1,132,890TotalSupportAmt
Gross Receipts Rltd Activities$143,053GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91390PublicSupportCY170Pct
Public Support PY1700.99560PublicSupportPY170Pct
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

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Beginning Balance$78,445BeginningBalanceAmt
Additions During Year$332,940AdditionsDuringYearAmt
Distributions During Year$321,989DistributionsDuringYearAmt
Ending Balance$89,396EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$266,410BeginningYearBalanceAmt
Investment Earnings Or Losses$66,543InvestmentEarningsOrLossesAmt
Other Expenditures$11,078OtherExpendituresAmt
Administrative Expenses$2,826AdministrativeExpensesAmt
End Year Balance$319,049EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$283,994BeginningYearBalanceAmt
Investment Earnings Or Losses-$3,829InvestmentEarningsOrLossesAmt
Other Expenditures$11,000OtherExpendituresAmt
Administrative Expenses$2,755AdministrativeExpensesAmt
End Year Balance$266,410EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$282,214BeginningYearBalanceAmt
Investment Earnings Or Losses$12,640InvestmentEarningsOrLossesAmt
Other Expenditures$10,860OtherExpendituresAmt
End Year Balance$283,994EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$274,761BeginningYearBalanceAmt
Investment Earnings Or Losses$18,255InvestmentEarningsOrLossesAmt
Other Expenditures$10,802OtherExpendituresAmt
End Year Balance$282,214EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$259,876BeginningYearBalanceAmt
Investment Earnings Or Losses$25,899InvestmentEarningsOrLossesAmt
Other Expenditures$11,014OtherExpendituresAmt
End Year Balance$274,761EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,092OtherCostOrOtherBasisAmt
Depreciation$3,092DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,449OtherCostOrOtherBasisAmt
Depreciation$33,931DepreciationAmt
Book Value$5,518BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,518TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CASH- REPRESENTATIVE PAYEE ACCOUNT$89,396
ENDOWMENT FUND$319,049
FieldValueIRS element (for citing)
Total Book Value Other Assets$408,445TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$509,878TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$66,514NetUnrealizedGainsInvstAmt
Revenue Not Reported$66,514RevenueNotReportedAmt
Revenue Subtotal$443,364RevenueSubtotalAmt
Investment Expenses Not Incld$2,826InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$2,826RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$446,190TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$296,790TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$296,790ExpensesSubtotalAmt
Investment Expenses Not Incld2$2,826InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$2,826ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$299,616TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:THE ASSOCIATION MAINTAINS CUSTODIAL ACCOUNTS FOR PERSONS WHO PARTICIPATE IN THE REPRESENTATIVE PAYEE PROGRAM. CASH IN THE CUSTODIAL BANK ACCOUNT IS RESTRICTED FOR THIS PURPOSE.
PART X, LINE 2:THE ASSOCIATION IS A NOT-FOR-PROFIT ORGANIZATION AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, INCOME TAX EXPENSE IS LIMITED TO ACTIVITIES THAT ARE DEEMED BY THE INTERNAL REVENUE SERVICE TO BE UNRELATED TO THEIR EXEMPT PURPOSE. THE ASSOCIATION'S PRIMARY TAX POSITIONS RELATE TO ITS STATUS AS A NOT-FOR-PROFIT ENTITY EXEMPT FROM INCOME TAXES AND CLASSIFICATION OF ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. IT IS THE OPINION OF MANAGEMENT THAT THE ASSOCIATION HAS NO UNCERTAIN TAX POSITIONS THAT WOULD BE SUBJECT TO CHANGE UPON EXAMINATION. THE ASSOCIATION IS REQUIRED TO FILE A FEDERAL EXEMPT ORGANIZATION TAX RETURN (FORM 990) ANNUALLY TO RETAIN ITS EXEMPT STATUS. THE ASSOCIATION IS ALSO REQUIRED TO FILE AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) FOR ANY YEAR UNRELATED BUSINESS INCOME EXCEEDS $1,000. THE ASSOCIATION'S FORM 990 FILINGS ARE GENERALLY SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS AFTER THEY ARE FILED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINE 13ANC
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS ELECTRONICALLY BEFORE IT IS FILED. THE TREASURER AND EXECUTIVE DIRECTOR REVIEW THE FORM 990 BEFORE IT IS FILED TO CHECK FOR ACCURACY. THE TREASURER AND EXECUTIVE DIRECTOR CO-SIGN AND DATE THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY REQUIRES EACH BOARD MEMBER TO SIGN TO VERIFY THAT THEY HAVE READ AND UNDERSTOOD THE AGENCY'S CONFLICT OF INTEREST POLICY.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS FACILITATES AN ANNUAL PERFORMANCE REVIEW TO DETERMINE THE COMPENSATION AND BENEFITS OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE OVERSIGHT/SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.