CYCLIC VOMITING SYNDROME ASSOCIATION INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CYCLIC VOMITING SYNDROME ASSOCIATION INC (EIN 39-1767509)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-05-16
IRS object ID
202141379349300819
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)
Return2021-05-16T22:36:37-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391767509EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Cyclic Vomiting Syndrome Association IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Jeffrey L StamnInCareOfNm
Business Name ControlCYCLBusinessNameControlTxt
Phone4143427880PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 20341AddressLine1Txt
CityMilwaukeeCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53227ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEFFREY L STAMNPersonNm
Person TitleTreasurerPersonTitleTxt
Phone4143427880PhoneNum
Signature2021-05-16SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJEFFREYPersonFirstNm
Person LastSTAMNPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBLYNDA KILLIANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19014 Amador Valley CtAddressLine1Txt
CitySacramentoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95829ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$352,678GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.cvsaonline.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionProvides support and education to the general public Support of research and publishing through the medical advisorsActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$352,678CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$352,678CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$83,487CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,238CYTotalFundraisingExpenseAmt
CY Other Expenses$26,890CYOtherExpensesAmt
CY Total Expenses$110,377CYTotalExpensesAmt
CY Revenues Less Expenses$242,301CYRevenuesLessExpensesAmt
Total Assets BOY$169,990TotalAssetsBOYAmt
Total Assets EOY$423,387TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$169,990NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$423,387NetAssetsOrFundBalancesEOYAmt
MissionCVSA provides support for our members and the general public by: Providing newletters, education, support groups, webhosting, outreach. Also supports research through the medical advisory board.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,138ExpenseAmt
DescPublic outreach and support for those suffering with CVS Includes support groups, newsletters, personal outreach.Desc
Total Program Service Expenses$72,138TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
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 ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members4GoverningBodyVotingMembersCnt
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 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 FldWYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJEFFREY L STAMNPersonNm
Phone2628608048PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1325 N Park BlvdAddressLine1Txt
CityBrookfieldCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53005ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
BLYNDA KILLIAN
President10.0010.00Yes (X)$0$0$0
DEBORAH CONKLYN
Program Director40.0040.00$58,190$58,190$0Yes (X)
JEFFREY L STAMN
Treasurer5.0005.000Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,190TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$58,190TotReportableCompRltdOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Membership Dues$3,598MembershipDuesAmt
Fundraising$2,246FundraisingAmt
All Other Contributions$346,834AllOtherContributionsAmt
Total Contributions$352,678TotalContributionsAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$352,678TotalRevenueColumnAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$67,565TotalAmt
Program Services$59,746ProgramServicesAmt
Management And General$5,819ManagementAndGeneralAmt
Fundraising$2,000FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$15,922TotalAmt
Program Services$13,859ProgramServicesAmt
Management And General$1,592ManagementAndGeneralAmt
Fundraising$471FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,728TotalAmt
Program Services$17,961ProgramServicesAmt
Fundraising$1,767FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,806TotalAmt
Program Services$1,806ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,618TotalAmt
Program Services$3,618ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,738TotalAmt
Management And General$1,738ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$110,377TotalAmt
Program Services$96,990ProgramServicesAmt
Management And General$9,149ManagementAndGeneralAmt
Fundraising$4,238FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$169,990BOYAmt
EOY$423,387EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$169,990BOYAmt
EOY$423,387EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$169,990BOYAmt
EOY$402,392EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$20,995EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,990BOYAmt
EOY$423,387EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$169,990BOYAmt
EOY$423,387EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$242,301ReconcilationRevenueExpnssAmt
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$96,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,788CurrentTaxYearMinus1YearAmt
Current Tax Year$352,671CurrentTaxYearAmt
Total$771,744TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,178CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$109,788CurrentTaxYearMinus1YearAmt
Current Tax Year$352,671CurrentTaxYearAmt
Total$771,744TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$771,744PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$491CurrentTaxYearMinus1YearAmt
Current Tax Year$7CurrentTaxYearAmt
Total$696TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$70CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$58CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$491CurrentTaxYearMinus1YearAmt
Current Tax Year$7CurrentTaxYearAmt
Total$696TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$96,248CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$87,332CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$125,903CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$110,279CurrentTaxYearMinus1YearAmt
Current Tax Year$352,678CurrentTaxYearAmt
Total$772,440TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99910PublicSupportCY509Pct
Investment Income CY0.00090InvestmentIncomeCYPct
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues NondedfalseSubstantiallyAllDuesNondedInd
Only In House LobbyingfalseOnlyInHouseLobbyingInd
Agree Carryover Prior YearfalseAgreeCarryoverPriorYearInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 11bReview and approved at regular board meetings
Part VI Line 12cConflict of interest statements are renewed annually, the board must
Part VI Line 12cdisclose and recuse themselves if there is a concern of conflict.
Part VI Line 19By request as well as through agencies such as Guidestar

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