RELIEF RESOURCES INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
RELIEF RESOURCES INC (EIN 52-2323151)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-05-13
IRS object ID
202121339349305707
Schema version
2019v5.0
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)
Return2021-05-13T15:38:37-07:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN133358774PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Bernath & Rosenberg PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11430 Broadway 7th FloorAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10018ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522323151EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1RELIEF RESOURCES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRELIBusinessNameControlTxt
Phone7184319501PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15904 13TH AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALEXANDER ORNSTEINPersonNm
Person TitlePresidentPersonTitleTxt
Signature2021-05-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBenjamin BergerPreparerPersonNm
PTINP00236799PTIN
Phone2122211140PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALEXANDER ORNSTEINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15904 13TH AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,831,170GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.RELIEFHELP.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HELP AND SUPPORT FOR THE MENTALLY ILL AND THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee23TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,371,108PYContributionsGrantsAmt
CY Contributions Grants$2,730,605CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$76,715PYOtherRevenueAmt
CY Other Revenue$29,252CYOtherRevenueAmt
PY Total Revenue$2,447,823PYTotalRevenueAmt
CY Total Revenue$2,759,857CYTotalRevenueAmt
PY Grants And Similar Paid$323,498PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$275,719CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,667,315PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,617,969CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$286,989CYTotalFundraisingExpenseAmt
PY Other Expenses$864,864PYOtherExpensesAmt
CY Other Expenses$795,392CYOtherExpensesAmt
PY Total Expenses$2,855,677PYTotalExpensesAmt
CY Total Expenses$2,689,080CYTotalExpensesAmt
PY Revenues Less Expenses-$407,854PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$70,777CYRevenuesLessExpensesAmt
Total Assets BOY$835,940TotalAssetsBOYAmt
Total Assets EOY$233,735TotalAssetsEOYAmt
Total Liabilities BOY$1,634,735TotalLiabilitiesBOYAmt
Total Liabilities EOY$961,753TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$798,795NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$728,018NetAssetsOrFundBalancesEOYAmt
MissionTO OPERATE MENTAL HEALTH REFERRAL AND SUPPORT SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,023,469ExpenseAmt
Grant$275,719GrantAmt
DescPROVIDED MEDICAL REFERRALS, COMMUNITY EDUCATION, SUPPORT GROUPS, MENTORS FOR TEENAGERS AND FINANCIAL ASSISTANCE FOR PERSONS SUFFERING FROM MENTAL ILLNESS.Desc
Total Program Service Expenses$2,023,469TotalProgramServiceExpensesAmt
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 StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
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 EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document151IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee23EmployeeCnt
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 Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonRACHEL ETZIONYPersonNm
Phone7184319501PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15904 13TH AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11219ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BENJAMIN BABAD
PROGRAM DIRECTO40.000.00Yes (X)Yes (X)$208,703$0$41,580
ALEXANDER ORNSTEIN
President12.000.00Yes (X)Yes (X)$0$0$0
SHIYA OSTREICHER
Chairman5.000.00Yes (X)Yes (X)$0$0$0
AVI SCHRON
BOARD MEMBER5.000.00Yes (X)$0$0$0
MEIR GELLEY
BOARD MEMBER5.000.00Yes (X)$0$0$0
DANIEL WOLFSON
BOARD MEMBER5.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$208,703TotalReportableCompFromOrgAmt
Total Other Compensation$41,580TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$567,685FundraisingAmt
All Other Contributions$2,162,920AllOtherContributionsAmt
Total Contributions$2,730,605TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

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

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

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$71,313FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$567,685ContriRptFundraisingEventAmt
Fundraising Direct Expenses$71,313FundraisingDirectExpensesAmt

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
FORGIVENESS OF DEBT900099$4,252$4,252
OTHER INCOME900099$25,000$25,000
FieldValueIRS element (for citing)
Other Revenue Total$29,252OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,759,857TotalRevenueColumnAmt
Exclusion$29,252ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$275,719TotalAmt
Program Services$275,719ProgramServicesAmt

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$250,283TotalAmt
Program Services$139,046ProgramServicesAmt
Management And General$64,888ManagementAndGeneralAmt
Fundraising$46,349FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,185,841TotalAmt
Program Services$942,992ProgramServicesAmt
Management And General$130,633ManagementAndGeneralAmt
Fundraising$112,216FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$72,015TotalAmt
Program Services$54,259ProgramServicesAmt
Management And General$9,805ManagementAndGeneralAmt
Fundraising$7,951FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$109,830TotalAmt
Program Services$82,751ProgramServicesAmt
Management And General$14,953ManagementAndGeneralAmt
Fundraising$12,126FundraisingAmt

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$0TotalAmt

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$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$79,397TotalAmt
Program Services$14,096ProgramServicesAmt
Management And General$33,231ManagementAndGeneralAmt
Fundraising$32,070FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,873TotalAmt
Program Services$21,371ProgramServicesAmt
Management And General$11,470ManagementAndGeneralAmt
Fundraising$32FundraisingAmt

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$48,803TotalAmt
Management And General$48,803ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$24,263TotalAmt
Program Services$16,069ProgramServicesAmt
Management And General$7,979ManagementAndGeneralAmt
Fundraising$215FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$43,524TotalAmt
Program Services$36,133ProgramServicesAmt
Management And General$7,253ManagementAndGeneralAmt
Fundraising$138FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
COMMUNITY AWARENESS$208,800$208,800
RENT$146,120$103,828$20,578$21,714
COMMUNITY OUTREACH$67,639$33,820$33,819
COMPUTER EXPENSES$54,088$44,013$10,075

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$89,885TotalAmt
Program Services$50,572ProgramServicesAmt
Management And General$29,029ManagementAndGeneralAmt
Fundraising$10,284FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,689,080TotalAmt
Program Services$2,023,469ProgramServicesAmt
Management And General$378,622ManagementAndGeneralAmt
Fundraising$286,989FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$111,517BOYAmt
EOY$12,433EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$12,500EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,630BOYAmt
EOY$7,579EOYAmt

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)
BOY$674,279BOYAmt
EOY$167,613EOYAmt

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$83,529LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,983LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,450BOYAmt
EOY$27,546EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

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)
BOY$6,064BOYAmt
EOY$6,064EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$835,940BOYAmt
EOY$233,735EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$103,705BOYAmt
EOY$90,659EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$234,212EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$595,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,531,030BOYAmt
EOY$41,882EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,634,735BOYAmt
EOY$961,753EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$798,795BOYAmt
EOY-$728,018EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$798,795BOYAmt
EOY-$728,018EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$835,940BOYAmt
EOY$233,735EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$70,777ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$1,744,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,661,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,114,610CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,371,108CurrentTaxYearMinus1YearAmt
Current Tax Year$2,730,605CurrentTaxYearAmt
Total$10,622,852TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,744,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,661,739CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,114,610CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,371,108CurrentTaxYearMinus1YearAmt
Current Tax Year$2,730,605CurrentTaxYearAmt
Total$10,622,852TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$116,258SubstantialContributorsTotAmt
Public Support Total170$10,506,594PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$32,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$74,223CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$76,715CurrentTaxYearMinus1YearAmt
Current Tax Year$29,252CurrentTaxYearAmt
Total$220,370TotalAmt
FieldValueIRS element (for citing)
Total Support$10,843,222TotalSupportAmt
Public Support CY1700.96900PublicSupportCY170Pct
Public Support PY1700.95260PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSupport Schedule: Other Income ExplanationFormAndLineReferenceDesc
ExplanationSCHEDULE A, PART II, LINE 10, EXPLANATION FOR OTHER INCOME:FORGIVENESS OF DEBTCONSULTING INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,740OtherCostOrOtherBasisAmt
Depreciation$3,548DepreciationAmt
Book Value$14,192BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,500OtherCostOrOtherBasisAmt
Depreciation$52,221DepreciationAmt
Book Value$9,279BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,289OtherCostOrOtherBasisAmt
Depreciation$214DepreciationAmt
Book Value$4,075BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$27,546TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PAYROLL AND RELATED BENEFITSDesc
Amt$41,882Amt
FieldValueIRS element (for citing)
Total Liability$41,882TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,759,857TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,759,857RevenueSubtotalAmt
Total Revenue Per Form990$2,759,857TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,689,080TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,689,080ExpensesSubtotalAmt
Total Expenses Per Form990$2,689,080TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNEREvent1Nm
Gross Receipts Event1$638,998GrossReceiptsEvent1Amt
Charitable Contri Event1$567,685CharitableContriEvent1Amt
Gross Revenue Event1$71,313GrossRevenueEvent1Amt
Rent Facility Costs Event1$13,466RentFacilityCostsEvent1Amt
Food And Beverage Event1$36,750FoodAndBeverageEvent1Amt
Entertainment Event1$4,600EntertainmentEvent1Amt
Other Direct Expenses Event1$16,497OtherDirectExpensesEvent1Amt
Gross Receipts Total$638,998GrossReceiptsTotalAmt
Charitable Contributions Tot$567,685CharitableContributionsTotAmt
Gross Revenue Total Events$71,313GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$13,466RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$36,750FoodAndBeverageTotalEventsAmt
Entertainment Total Events$4,600EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,497OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$71,313DirectExpenseSummaryEventsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd
Total501c3 Org0Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMENTAL HEALTH PATIENT ASSISTANCEGrantTypeTxt
Recipient118RecipientCnt
Cash Grant$275,719CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceAdditional Supplemental InformationFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2RECORDS ARE KEPT ON THE PATIENT'S LEVEL OF CARE AND FUNDS ARE AWARDEDBASED ON THE LEVEL OF CAREExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBENJAMIN BABADPersonNm
TitlePROGRAM DIRECTOTitleTxt
Base Compensation Filing Org$182,000BaseCompensationFilingOrgAmt
Bonus Filing Organization$26,000BonusFilingOrganizationAmount
Other Compensation Filing Org$703OtherCompensationFilingOrgAmt
Nontaxable Benefits Filing Org$41,580NontaxableBenefitsFilingOrgAmt
Total Compensation Filing Org$250,283TotalCompensationFilingOrgAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7: Non-Fixed payments not listed above
Part III, Additional InformationPART I, LINE 7:THE BONUS WAS DETERMINED AND APPROVED BY THE BOARD BASED ON THE GROWTH AND EXPANSION OF THE ORGANIZATION.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (3 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementIndLoan To OrganizationLoanToOrganizationInd
PREMIUM HEALTH
FORMER COMBWORKING CAPYes (X)$1,445,954$167,613falseYes (true)Yes (true)
S OSTREICHER
CHAIRMANWORKING CAP$310,923$234,212falseYes (true)Yes (true)Yes (X)
AVI SCHRON
BOARD MEMBEWORKING CAP$50,000falseYes (true)Yes (true)Yes (X)
FieldValueIRS element (for citing)
Total Balance Due$401,825TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessBOARD MEMBERS REVIEW THE RETURN.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS ARE ASKED REGARDING ANY POTENTIAL CONFLICT OF INTEREST
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableUPON REQUEST
EXPLANATIONS FOR SCHEDULE OFORM 990, PART VI, SECTION B, LINE 11BTHE RETURN DRAFT IS PRESENTED TO THE ENTIRE BOARD FOR REVIEW AND APPROVAL. ALL QUESTIONS AND COMMENTS ARE DIRECTED TO THE PREPARER WHO MAKES THE CHANGES BEFORE THE FINAL RETURN IS SIGNED AND FILED.FORM 990, PART VI, SECTION B, LINE 12:ALL BOARD MEMBERS, SENIOR MANAGEMENT, AND KEY EMPLOYEES ARE REQUIRED TO MAKE FULL DISCLOSURE OF INDIVIDUAL INTERESTS THAT MAY APPEAR IN CONFLICT WITH THE INTERESTS OF THE ORGANIZATION. ANY VIOLATION OF THE POLICY WILL RESULT IN IMMEDIATE DISCIPLINE, UP TO AND INCLUDING TERMINATION.FORM 990, PART VI, SECTION C, LINE 19:DOCUMENTS ARE MADE AVILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART XII, LINE 2C:THE PROCESS HAD NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PREMIUM HEALTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1620 FOSTER AVENUEAddressLine1Txt
CityBROOKLYNCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11230ZIPCd
FieldValueIRS element (for citing)
EIN300640372EIN
Primary ActivitiesCHARITABLEPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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