CAMDEN AREA DISTRICT NURSING ASSOCIATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CAMDEN AREA DISTRICT NURSING ASSOCIATION (EIN 01-0212434)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-12-16
IRS object ID
202113509349300036
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

FieldValueIRS element (for citing)
Return2021-12-16T13:52:46-08:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN261446750PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Camden Tax & FinancialBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1083AddressLine1Txt
CityCamdenCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04843ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010212434EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Camden Area District Nursing AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCAMDBusinessNameControlTxt
Phone2073016272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 547AddressLine1Txt
CityCamdenCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04843ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonElaine DavisPersonNm
Person TitlePresidentPersonTitleTxt
Signature2021-12-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstElainePersonFirstNm
Person LastDavisPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMartin E Lloyd EAPreparerPersonNm
PTINP01023004PTIN
Phone2072369687PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 547AddressLine1Txt
CityCamdenCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04843ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$255,604GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Activity Or MissionProvide health services to the Camden Area community.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee9TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$131,053PYContributionsGrantsAmt
CY Contributions Grants$184,739CYContributionsGrantsAmt
PY Program Service Revenue$26,415PYProgramServiceRevenueAmt
CY Program Service Revenue$32,850CYProgramServiceRevenueAmt
PY Investment Income$6,919PYInvestmentIncomeAmt
CY Investment Income$33,678CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$164,387PYTotalRevenueAmt
CY Total Revenue$251,267CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$144,879PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$182,952CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$12,279CYTotalFundraisingExpenseAmt
PY Other Expenses$34,505PYOtherExpensesAmt
CY Other Expenses$45,960CYOtherExpensesAmt
PY Total Expenses$179,384PYTotalExpensesAmt
CY Total Expenses$228,912CYTotalExpensesAmt
PY Revenues Less Expenses-$14,997PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$22,355CYRevenuesLessExpensesAmt
Total Assets BOY$461,904TotalAssetsBOYAmt
Total Assets EOY$500,976TotalAssetsEOYAmt
Total Liabilities EOY$12,400TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$461,904NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$488,576NetAssetsOrFundBalancesEOYAmt
MissionProvide health services to the Camden Area community.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$188,210ExpenseAmt
Revenue$32,850RevenueAmt
DescThe District Nurses provide visits to patients and conducts numerous health related clinics in the Camden, Maine area.Desc
Total Program Service Expenses$188,210TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee9EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLisa PaysonPersonNm
Phone2073016272PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 547AddressLine1Txt
CityCAMDENCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04843ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
JUDITH LYDON
NURSING MANG.40.000.00$68,083$0$0
SARA ADAMS
32.000.00$36,278$0$0
PAM BROWN
Trustee1.000.00$0$0$0Yes (X)
JULIE CLEMENTS
Secretary1.000.00$0$0$0Yes (X)Yes (X)
SHARON FLANAGAN
Trustee1.000.00$0$0$0Yes (X)
JOHN LONG
Trustee1.000.00$0$0$0Yes (X)
JUDY CLOSSEY
Trustee1.000.00$0$0$0Yes (X)
ELAINE DAVIS
President5.000.00$0$0$0Yes (X)Yes (X)
JESSE BIFULCO
Trustee1.000.00$0$0$0Yes (X)
AMY ROLLINS
Trustee1.000.00$0$0$0Yes (X)
DR DEBORAH PEABODY
Trustee1.000.00$0$0$0Yes (X)
DEBRA SEIBEL-OROSZ
Treasurer1.000.00$0$0$0Yes (X)Yes (X)
NANCY GRAHAM
Trustee1.000.00$0$0$0Yes (X)
BYRON HAINING III
Vice President3.000.00$0$0$0Yes (X)Yes (X)
HILLARY JACKSON
Trustee1.000.00$0$0$0Yes (X)
CAROL OWEN
Trustee1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$104,361TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$26,006GovernmentGrantsAmt
All Other Contributions$158,733AllOtherContributionsAmt
Total Contributions$184,739TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Care RevenueDesc
Total Revenue Column$32,850TotalRevenueColumnAmt
Related Or Exempt Func Income$32,850RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$32,850TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,870TotalRevenueColumnAmt
Exclusion$1,870ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$36,145SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,337SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$31,808SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,808TotalRevenueColumnAmt
Exclusion$31,808ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$251,267TotalRevenueColumnAmt
Related Or Exempt Func Income$32,850RelatedOrExemptFuncIncomeAmt
Exclusion$33,678ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$169,194TotalAmt
Program Services$143,815ProgramServicesAmt
Management And General$16,919ManagementAndGeneralAmt
Fundraising$8,460FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,420TotalAmt
Program Services$1,207ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt
Fundraising$71FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,338TotalAmt
Program Services$10,487ProgramServicesAmt
Management And General$1,234ManagementAndGeneralAmt
Fundraising$617FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,725TotalAmt
Program Services$1,725ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$7,429TotalAmt
Management And General$7,429ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,442TotalAmt
Program Services$1,954ProgramServicesAmt
Management And General$244ManagementAndGeneralAmt
Fundraising$244FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,278TotalAmt
Program Services$1,822ProgramServicesAmt
Management And General$228ManagementAndGeneralAmt
Fundraising$228FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,993TotalAmt
Program Services$8,795ProgramServicesAmt
Management And General$1,099ManagementAndGeneralAmt
Fundraising$1,099FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,225TotalAmt
Program Services$7,225ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$81TotalAmt
Management And General$81ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,577TotalAmt
Program Services$4,740ProgramServicesAmt
Management And General$558ManagementAndGeneralAmt
Fundraising$279FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Printing and Publications$3,163$1,898$316$949
Medical supplies$1,870$1,870
Bad Debts$1,445$1,445
Postage and Shipping$1,030$618$103$309

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$702TotalAmt
Program Services$609ProgramServicesAmt
Management And General$70ManagementAndGeneralAmt
Fundraising$23FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$228,912TotalAmt
Program Services$188,210ProgramServicesAmt
Management And General$28,423ManagementAndGeneralAmt
Fundraising$12,279FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$107,980BOYAmt
EOY$135,952EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY-$1,887BOYAmt
EOY$2,310EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,418LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,296LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$203BOYAmt
EOY$122EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$355,608BOYAmt
EOY$362,592EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$461,904BOYAmt
EOY$500,976EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$12,400EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$12,400EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$461,904BOYAmt
EOY$488,576EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$461,904BOYAmt
EOY$488,576EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$461,904BOYAmt
EOY$500,976EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$22,355ReconcilationRevenueExpnssAmt
Prior Period Adjustments$4,317PriorPeriodAdjustmentsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$112,450CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$126,275CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$147,780CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$128,332CurrentTaxYearMinus1YearAmt
Current Tax Year$184,739CurrentTaxYearAmt
Total$699,576TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$42,540CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,784CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,107CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$29,075CurrentTaxYearMinus1YearAmt
Current Tax Year$32,850CurrentTaxYearAmt
Total$180,356TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$154,990CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$169,059CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$180,887CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$157,407CurrentTaxYearMinus1YearAmt
Current Tax Year$217,589CurrentTaxYearAmt
Total$879,932TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$65,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$80,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,277CurrentTaxYearMinus1YearAmt
Current Tax Year$79,914CurrentTaxYearAmt
Total$364,601TotalAmt

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$65,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,093CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$80,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$75,277CurrentTaxYearMinus1YearAmt
Current Tax Year$79,914CurrentTaxYearAmt
Total$364,601TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$515,331PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,919CurrentTaxYearMinus1YearAmt
Current Tax Year$33,678CurrentTaxYearAmt
Total$92,369TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,555CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$29,223CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,994CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,919CurrentTaxYearMinus1YearAmt
Current Tax Year$33,678CurrentTaxYearAmt
Total$92,369TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$162,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$198,282CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$195,881CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$164,326CurrentTaxYearMinus1YearAmt
Current Tax Year$251,267CurrentTaxYearAmt
Total$972,301TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.53000PublicSupportCY509Pct
Public Support PY5090.52530PublicSupportPY509Pct
Investment Income CY0.09500InvestmentIncomeCYPct
Investment Income PY0.07920InvestmentIncomePYPct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,395OtherCostOrOtherBasisAmt
Depreciation$5,273DepreciationAmt
Book Value$122BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,023OtherCostOrOtherBasisAmt
Depreciation$1,023DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$122TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL TAXES PAYABLEDesc
Amt$12,400Amt
FieldValueIRS element (for citing)
Total Liability$12,400TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4: Intended uses of the endowment fund.FormAndLineReferenceDesc
ExplanationPROCEEDS TO BE USED TO HELP PAY FOR ROUTINE OPERATING AND ADMINISTRATIVE EXPENSES OF THE ORGANIZATION EACH YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessFORM 990 AND ATTACHMENTS REVIEWED BY TREASURER PRIOR TO SUBMISSION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD OF DIRECTORS APPROVAL OF COMPENSATION REQUIRED BY MAJORITY VOTE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.

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