STATE OF TEXAS KIDNEY FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: STATE OF TEXAS KIDNEY FOUNDATION (EIN 27-4237653)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202123199349324677
Schema version: 2020v4.1
Note: A later return for the same period supersedes this one.
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T04:26:56-00:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLANCHE LLC CPA	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	7300 BLANCO RD STE 501	AddressLine1Txt
City	SAN ANTONIO	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	78216	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	274237653	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STATE OF TEXAS KIDNEY FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STAT	BusinessNameControlTxt
Phone	2107399778	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4204 GARDENDALE Room 106	AddressLine1Txt
City	San Antonio	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782293138	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tiffany Jones-Smith	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	2107399778	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	TIFFANY	PersonFirstNm
Person Last	JONES-SMITH	PersonLastNm

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	A EARL BLANCHE JR	PreparerPersonNm
PTIN	P00643631	PTIN
Phone	2104082721	PhoneNum
Preparation	2021-11-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Tiffany Jones-Smith	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4204 GARDENDALE	AddressLine1Txt
City	San Antonio	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782293138	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$230,221	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.tkkindey.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2010	FormationYr
Legal Domicile State	TX	LegalDomicileStateCd
Activity Or Mission	IMPROVE THE HEALTH AND WELL BEING OF PEOPLE AT RISK OR AFFECTED KIDNEY DISEASE, THROUGH EDUCATION, PREVENTION AND SUPPORT AND BY INCREASE ORGAN DONATION AND TRANSPLANT.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$787,207	PYContributionsGrantsAmt
CY Contributions Grants	$230,213	CYContributionsGrantsAmt
PY Program Service Revenue	$43,932	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
CY Investment Income	$8	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$831,139	PYTotalRevenueAmt
CY Total Revenue	$230,221	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$5,000	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$6,000	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$240,462	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$149,594	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$427,586	PYOtherExpensesAmt
CY Other Expenses	$321,524	CYOtherExpensesAmt
PY Total Expenses	$673,048	PYTotalExpensesAmt
CY Total Expenses	$477,118	CYTotalExpensesAmt
PY Revenues Less Expenses	$158,091	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$246,897	CYRevenuesLessExpensesAmt
Total Assets BOY	$198,017	TotalAssetsBOYAmt
Total Assets EOY	$80,910	TotalAssetsEOYAmt
Total Liabilities BOY	$10,218	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$173,518	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$187,799	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	-$92,608	NetAssetsOrFundBalancesEOYAmt
Mission	IMPROVE THE HEALTH AND WELL BEING OF PEOPLE AT RISK OR AFFECTED BY KIDNEY DISEASE, THROUGH EDUCATION, PREVENTION AND SUPPORT AND BY INCREASING ORGAN DONATION AND TRANSPLANT.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$365,506	ExpenseAmt
Revenue	$230,221	RevenueAmt
Desc	KIDNEY SCREENING TESTS WERE CONDUCTED AT VARIOUS VENUES AND AT VARIOUS TIMES THROUGHOUT THE YEAR TO TRY TO DETECT DISEASE AT EARLY STATE IN ORDER TO EXTEND SURVIVAL TIME.	Desc
Total Program Service Expenses	$365,506	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	STATE OF TEXAS KIDNEY FOUNDATION	PersonNm
Phone	2103968440	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4204 GARDENDALE	AddressLine1Txt
City	San Antonio	CityNm
State Abbreviation	TX	StateAbbreviationCd
ZIP	782293138	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Tiffany Jones-Smith
CEO	040.00	Yes (X)	Yes (X)	$81,458	$0	$0
Varshi Broumand MD
Chairman	005.00			$0	$0	$0	Yes (X)
Kumar Sharma MD
Vice Chair	001.00			$0	$0	$0	Yes (X)
Sally Kanter
Treasurer	003.00			$0	$0	$0	Yes (X)
Hermina Ramos
Secretary	001.00			$0	$0	$0	Yes (X)
Bruce Brockway MD
Board Member	001.00			$0	$0	$0	Yes (X)
Carl Dukes MD
Board Member	001.00			$0	$0	$0	Yes (X)
Fred Kanter
Board Member	001.00			$0	$0	$0	Yes (X)
Grace Uzombia
Board Member	001.00			$0	$0	$0	Yes (X)
Francis Wright
Board Member	001.00			$0	$0	$0	Yes (X)
Fred La Juana Chambers Lawson
Board Member	001.00			$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$81,458	TotalReportableCompFromOrgAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
All Other Contributions	$230,213	AllOtherContributionsAmt
Noncash Contributions	$28,981	NoncashContributionsAmt
Total Contributions	$230,213	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8	TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,221	TotalRevenueColumnAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$6,000	TotalAmt
Program Services	$6,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$81,458	TotalAmt
Program Services	$12,219	ProgramServicesAmt
Management And General	$69,239	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$55,825	TotalAmt
Program Services	$55,825	ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$12,311	TotalAmt
Program Services	$4,793	ProgramServicesAmt
Management And General	$7,518	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,850	TotalAmt
Management And General	$4,850	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,300	TotalAmt
Program Services	$1,300	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$128,008	TotalAmt
Program Services	$128,008	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$30,840	TotalAmt
Program Services	$15,751	ProgramServicesAmt
Management And General	$15,089	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,187	TotalAmt
Program Services	$15,187	ProgramServicesAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$43,583	TotalAmt
Program Services	$39,233	ProgramServicesAmt
Management And General	$4,350	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,019	TotalAmt
Program Services	$2,019	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$390	TotalAmt
Management And General	$390	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,044	TotalAmt
Program Services	$6,044	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,648	TotalAmt
Program Services	$7,648	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
BANK AND MERCHANT SVC CHARGES	$3,537	$3,537
CONTRACT SERVICES	$25,975	$6,639	$19,336
IN-KIND EXPENSES	$4,024		$4,024
EVENTS/SYMPOSIUMS	$47,809		$47,809

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$310	TotalAmt
Program Services	$310	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$477,118	TotalAmt
Program Services	$365,506	ProgramServicesAmt
Management And General	$111,612	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$166,572	BOYAmt
EOY	$41,616	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,330	BOYAmt
EOY	$22,557	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$38,355	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$26,780	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,115	BOYAmt
EOY	$11,575	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$5,162	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$198,017	BOYAmt
EOY	$80,910	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$10,218	BOYAmt
EOY	$733	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$212,600	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	-$39,815	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,218	BOYAmt
EOY	$173,518	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$187,799	BOYAmt
EOY	-$92,608	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$187,799	BOYAmt
EOY	-$92,608	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$198,017	BOYAmt
EOY	$80,910	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$246,897	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$7	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$33,503	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind
Public Support Total170	$0	PublicSupportTotal170Amt
Public Support CY170	0.00000	PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$302,239	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$620,633	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$689,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$831,139	CurrentTaxYearMinus1YearAmt
Current Tax Year	$230,213	CurrentTaxYearAmt
Total	$2,673,542	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$302,239	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$620,633	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$689,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$831,139	CurrentTaxYearMinus1YearAmt
Current Tax Year	$230,213	CurrentTaxYearAmt
Total	$2,673,542	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$2,673,542	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$302,239	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$620,633	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$689,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$831,139	CurrentTaxYearMinus1YearAmt
Current Tax Year	$230,213	CurrentTaxYearAmt
Total	$2,673,542	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	1.00000	PublicSupportCY509Pct
Public Support PY509	1.00000	PublicSupportPY509Pct
Investment Income CY	0.00000	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Incl Escrow Custodial Acct Liab	false	InclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,851	OtherCostOrOtherBasisAmt
Depreciation	$26,276	DepreciationAmt
Book Value	$11,575	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$504	OtherCostOrOtherBasisAmt
Depreciation	$504	DepreciationAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,575	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
PREPAID EXPENSES	$67
INTANGIBLES	$5,095

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,162	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Federal income taxes
DIRECT DEPOSIT LIABILITIES	-$39,815

Field	Value	IRS element (for citing)
Total Liability	-$39,815	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	X 1	FormAndLineReferenceDesc
Explanation	Accrued paid Employer Taxes	ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	IN-KIND	Desc
Noncash Contributions Rpt F990	$28,981	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11	The Board of Directors Executive Committee reviews and approves the Financials used in the preparation of the Form 990. The CEO approves and signs the Form 990 before submission to the IRS.
Form 990, Part VI, Line 12a, 12b	The Board of Directors reviews any conflict of interest and the governing documents are available upon request.
Form 990, Part VI, Line 12c, 19	The Board of Directors reviews any conflict of interest and the governing documents are available upon request.
Form 990, Part VI, Line 19	All governing documents are available upon request.
Form 990, Part VI, Line 15a,15b	The organizations Board reviews the Offiers and key employees salaries and wages and compares it with other clubs of similar size.
Form 990, Part XI, Line 9	Prior restricted Income released - Decrease in Net Assets from prior period 2019.
Form 990, Part XI, Line 8	Reconciliation Discrepancies - rounding.