MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MENTAL HEALTH ASSOCIATION OF FORSYTH COUNTY (EIN 56-0776248)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-12-11
IRS object ID
202043469349300009
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-12-11T09:17:10-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561138530PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BUTLER BURKE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 CLUB OAKS COURTAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27104ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN560776248EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCURTIS BLANDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3367683880PhoneNum
Signature2020-12-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJANE R POTTERPreparerPersonNm
PTINP01057495PTIN
Phone3367682310PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerANDY HAGLERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11509 S HAWTHORNE ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27103ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$169,187GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TRIADMENTALHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1946FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE LIVES OF PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION & SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers90TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$213,559PYContributionsGrantsAmt
CY Contributions Grants$142,627CYContributionsGrantsAmt
PY Program Service Revenue$32,388PYProgramServiceRevenueAmt
CY Program Service Revenue$25,255CYProgramServiceRevenueAmt
PY Investment Income$1,071PYInvestmentIncomeAmt
CY Investment Income$993CYInvestmentIncomeAmt
PY Other Revenue$441PYOtherRevenueAmt
CY Other Revenue$312CYOtherRevenueAmt
PY Total Revenue$247,459PYTotalRevenueAmt
CY Total Revenue$169,187CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$181,647PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$181,160CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,639CYTotalFundraisingExpenseAmt
PY Other Expenses$60,190PYOtherExpensesAmt
CY Other Expenses$102,192CYOtherExpensesAmt
PY Total Expenses$241,837PYTotalExpensesAmt
CY Total Expenses$283,352CYTotalExpensesAmt
PY Revenues Less Expenses$5,622PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$114,165CYRevenuesLessExpensesAmt
Total Assets BOY$718,595TotalAssetsBOYAmt
Total Assets EOY$654,958TotalAssetsEOYAmt
Total Liabilities BOY$64,601TotalLiabilitiesBOYAmt
Total Liabilities EOY$119,065TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$653,994NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$535,893NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MENTAL HEALTH ASSOCIATION IN FORSYTH COUNTY IS A NON-PROFIT, NON-GOVERNMENTAL AGENCY THAT IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION AND SUPPORT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$114,274ExpenseAmt
Grant$0GrantAmt
Revenue$11,845RevenueAmt
DescCONSUMER SUPPORT IS COMPOSED OF 11 PROGRAMS. (1)HOSPITAL OUTREACH PROGRAM: VOLUNTEERS AND STAFF PROVIDE INFORMATION AND RESOURCE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AT LOCAL HOSPITALS AND AT MENTAL HEALTH FACILITIES ABOUT COMMUNITY SUPPORT SERVICES INFORMATION PRIOR TO THEIR DISCHARGE. THE ASSOCIATION RESPONDS TO SPECIAL REQUESTS FROM HOSPITAL PSYCHIATRIC STAFF AS NEEDED. (2) MOOD DISORDERS SUPPORT: TIDES IS A SUPPORT GROUP FOR PEOPLE WITH MOOD DISORDERS INCLUDING CLINICAL DEPRESSION, BI-POLAR DISORDER OR OTHER MOOD DISORDERS. SUPPORT GROUPS MEET FOUR TIMES A MONTH TO SHARE INFORMATION, RESOURCE ASSISTANCE AND TO DEVELOP SELF-ADVOCACY SKILLS. (3) ANXIETY DISORDERS:THIS SUPPORT GROUP IS FOR PEOPLE WITH PANIC DISORDER, AGORAPHOBIA, OBSESSIVE COMPULSIVE DISORDER, POSTTRAUMATIC STRESS DISORDER, ACUTE STRESS DISORDER OR GENERALIZED ANXIETY DISORDER. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT ANXIETY DISORDERS, TREATMENTS AND MEDICATION. (4) PSYCHOTIC DISORDERS: THIS SUPPORT GROUP IS FOR ADULTS WITH PSYCHOTIC DISORDERS, SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT PSYCHOTIC DISORDERS, TREATMENTS AND MEDICATION. (5) DUAL DIAGNOSIS: THIS SUPPORT GROUP IS OPEN TO ANYONE WHO IS DUALLY DIAGNOSED WITH MENTAL ILLNESS AND SUBSTANCE ABUSE, OR ANY OTHER ADDICTIVE DISORDER, OR BELIEVES THAT THEY FIT THIS DIAGNOSIS. (6) SPEAK OUT! ADOLESCENT SUPPORT: THIS SUPPORT GROUP IS FOR TEENS AGES 13-17 WHO HAVE MENTAL HEALTH ISSUES SUCH AS, BUT NOT LIMITED TO THE FOLLOWING: CLINICAL DEPRESSION, ANXIETY, BIPOLAR DISORDER, ADD AND/OR ADHD. SUPPORT GROUPS MEET EVERY FIRST, THIRD AND FIFTH MONDAY EVENINGS EACH MONTH AT BEST HEALTH IN HANES MALL. (7) SPEAKER MEETINGS: MENTAL HEALTH SPEAKER, EDUCATIONAL MEETINGS ARE DEVOTED SOLELY TO THE FIFTH TUESDAYS AND/OR FIFTH FRIDAYS IN A GIVEN MONTH. SPEAKER TOPICS VARY AND HAVE INCLUDED: STRESS AND CHANGE, NUTRITION, SMOKING CESSATION AND UPDATES ON SPECIFIC MENTAL DISORDERS SUCH AS DEPRESSION, OBSESSIVE-COMPULSIVE DISORDER AND BORDERLINE PERSONALITY DISORDER. TOPICS ARE CHOSEN FROM FEEDBACK FROM SUPPORT GROUP PARTICIPANTS AND OTHERS. (8) EATING DISORDERS: THIS SUPPORT GROUP IS FOR ADULTS WITH EATING DISORDERS SUCH AS ANOREXIA NERVOSA, BULIMIA NERVOSA OR OTHER ASSOCIATED EATING DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT EATING DISORDERS, TREATMENTS AND MEDICATION. (9) OPERATION SANTA CLAUS: GIFTS, SPECIAL HOLIDAY ACTIVITIES, AND, WHEN NEEDED, YEAR-ROUND ASSISTANCE ARE PROVIDED TO FORSYTH COUNTY MENTAL HEALTH PATIENTS (CHILDREN AND ADULTS) AT LOCAL FACILITIES AND AT CENTRAL REGIONAL HOSPITAL IN BUTNER, THE O'BERRY CENTER IN GOLDSBORO AND ANY OTHER STATE PSYCHIATRIC FACILITY DURING DECEMBER. COMMUNITY AGENCIES, LOCAL BUSINESSES AND CIVIC GROUPS DONATE THEIR TIME, MONEY AND GIFTS TO MAKE THE HOLIDAYS SPECIAL FOR OUR COUNTY'S MENTAL HEALTH PATIENTS. (10) REPRESENTATIVE PAYEE SERVICES: THROUGH REFERRALS, THIS PROGRAM BENEFITS PEOPLE WITH SEVERE MENTAL ILLNESS WHO RECEIVE SOCIAL SECURITY DISABILITY AND/OR SUPPLEMENTARY SECURITY INCOME OR OTHER ENTITLEMENTS, SUCH AS RAILROAD RETIREMENT, VA BENEFITS AND CANNOT MANAGE THEIR OWN FUNDS. THE ASSOCIATION BECOMES THE CLIENT'S PAYEE BY SETTING UP A BUDGET FOR EACH CLIENT AND MANAGING HIS OR HER FUNDS TO PAY HIS OR HER RENT, UTILITIES, MEDICATIONS, FOOD AND OTHER BASIC NECESSITIES. (11) CLUBHOUSE FUND: THIS PROGRAM RAISES FUNDS FOR TRIUMPH'S "CLUBHOUSE" PROJECT MEMBERS. THESE FUNDS ARE RESTRICTED FOR EXTRACURRICULAR ACTIVITIES THAT ARE NOT A NORMAL PART OF THE CLUBHOUSE CURRICULUM. THE ASSOCIATION RECEIVES CONTRIBUTIONS FROM OUTSIDE DONORS IN ADDITION TO THE FUNDS ACTUALLY RAISED BY THE PARTICIPANTS. THE MENTAL HEALTH ASSOCIATION MANAGES THESE FUNDS AND DISBURSES THEM UPON REQUEST.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$65,601ExpenseAmt
Grant$0GrantAmt
Revenue$13,275RevenueAmt
DescFAMILY SUPPORT IS COMPOSED OF 3 PROGRAMS. (1) COURT ASSISTANCE PROGRAM: EVERY WEEK TRAINED VOLUNTEERS AND STAFF PROVIDE EMOTIONAL SUPPORT, TECHNICAL ASSISTANCE AND INFORMATION AND REFERRALS TO FAMILY MEMBERS AND OUTPATIENTS DURING JUDICIAL HOSPITAL HEARINGS AT THE FORSYTH HALL OF JUSTICE. THE ASSOCIATION MONITORS THE OUTCOMES OF THE WEEKLY HEARINGS, TABULATES THE OUTCOMES IN A DATABASE AND REPORTS PAPERWORK OR OTHER CLERICAL ERRORS TO APPROPRIATE HOSPITAL OR PROVIDER STAFF. (2) FAMILY / CONSUMER ADVOCACY AND OUTREACH: THE ASSOCIATION PROVIDES FREE INDIVIDUAL AND FAMILY ADVOCACY SERVICES, RESOURCE ASSISTANCE AND SERVICE COORDINATION. THE ASSOCIATION WORKS DIRECTLY WITH CHILDREN AND ADULTS WITH MENTAL HEALTH NEEDS, THEIR FAMILIES, FRIENDS AND SERVICE PROVIDERS TO ENSURE THAT THEY LIVE FULL AND PRODUCTIVE LIVES. THE ASSOCIATION IS INVOLVED IN COLLABORATIVES SUCH AS "CRISIS INTERVENTION TEAM" TRAININGS TO LAW ENFORCEMENT PERSONNEL AND THE ASSOCIATION IS ACTIVE IN A TRIAD COALITION DESIGNED TO ADDRESS THE GROWING DILEMMA OF SUICIDES IN OUR REGION THROUGH EDUCATION AND PREVENTION. (3) TRIAD FRIENDS & FAMILY: THIS SUPPORT GROUP IS FOR FAMILIES AND FRIENDS THAT HAVE LOVED ONES WITH AN EATING DISORDER SUCH AS ANOREXIA NERVOSA AND BULIMIA NERVOSA. LED BY A LICENSED MENTAL HEALTH PROFESSIONAL, TRIAD FRIENDS & FAMILY MEET MONTHLY AT THE ASSOCIATION'S OFFICE TO HELP PARTICIPANTS GAIN A BETTER UNDERSTANDING OF HAVING A LOVED ONE WITH AN EATING DISORDER AND TO DEVELOP BETTER, MORE APPROPRIATE COPING SKILLS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$65,601ExpenseAmt
Grant$0GrantAmt
Revenue$135RevenueAmt
DescCOMMUNITY EDUCATION IS COMPOSED OF 6 PROGRAMS. (1) INFORMATION AND REFERRAL: THIS AGENCY PROVIDES INFORMATION/REFERRAL SERVICES TO CALLERS, E-MAIL INQUIRIES, AND WALK-IN VISITORS AS WELL AS TO AREA PROFESSIONALS ON VARIOUS TOPICS SUCH AS, BUT NOT LIMITED TO: SPECIFIC MENTAL HEALTH DISORDERS, COMMUNITY MENTAL HEALTH SERVICES, MEDICATION INFORMATION, COMMUNITY SUPPORT PROGRAMS AND/OR SUBSTANCE ABUSE SERVICES. THE ASSOCIATION MAINTAINS A DATABASE OF OVER 200 LOCAL MENTAL HEALTH PROVIDERS FOR THOSE INTERESTED IN SEEING A PROVIDER IN THE PRIVATE OR PUBLIC SECTORS AND PROVIDES REFERRALS BASED ON A PERSON'S MENTAL HEALTH AND/OR FINANCIAL NEEDS. (2) RESOURCE CENTER:THE ASSOCIATION HAS A LIBRARY FOR THE PUBLIC CONTAINING "FACT SHEETS", BOOKS, EDUCATIONAL PAMPHLETS, MEDICATION ASSISTANCE, ARTICLES, VIDEOS AND TAPES ABOUT MENTAL ILLNESS AND OTHER RELATED TOPICS. (3) SPEAKERS BUREAU: STAFF PROVIDES EDUCATIONAL PROGRAMS ON MENTAL HEALTH TOPICS TO BUSINESSES, CLUBS, SCHOOLS AND CHURCHES IN FORSYTH AND SURROUNDING COUNTIES. TOPICS INCLUDE: "MENTAL HEALTH 101", COPING WITH HOLIDAY STRESS, SEASONAL AFFECTIVE DISORDER, DEPRESSION AND ANXIETY DISORDERS AND SUICIDE AWARENESS. (4) MENTAL HEALTH AND MENTAL ILLNESS AWARENESS CAMPAIGNS: PROMOTIONAL CAMPAIGNS ARE HELD TWICE A YEAR TO SPREAD AWARENESS, UNDERSTANDING HEIGHTEN SENSITIVITY AND WORK TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. SERVICES INCLUDE: DEPRESSION AND ANXIETY SCREENINGS, RADIO AND TELEVISION INTERVIEWS AND PANEL DISCUSSIONS. THE ASSOCIATION SPONSORS FREE SEMINARS AND PUBLIC MEETINGS ON VARIOUS MENTAL HEALTH AND RELATED TOPICS, SUCH AS FUTURE PLANNING: LIFE PLAN TRUST. (5) SYSTEMS ADVOCACY: THE ASSOCIATION CONTINUALLY ADVOCATES ON THE LOCAL, STATE AND NATIONAL LEVELS TO GOVERNMENTAL AND LEGISLATIVE BODIES IN ORDER IMPROVE, ADVOCATE AND EXPAND MENTAL HEALTH AND RELATED SERVICES. (6) PRIMARY CARE PHYSICIAN OUTREACH: A MENTAL HEALTH AWARENESS AND OUTREACH INITIATIVE TARGETING LOCAL PRIMARY CARE PHYSICIANS, PEDIATRICIANS AND OB/GYNS AND THEIR STAFFS ABOUT THE ASSOCIATION'S PROGRAMS AND SERVICES AND HOW THEY CAN LINK THEIR PATIENTS TO SPECIALTY MENTAL HEALTH CARE, WHEN NEEDED. THIS PROGRAM BEGAN WITH START-UP FUNDING FROM THE WINSTON-SALEM FOUNDATION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$245,476TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMR ANDY HAGLERPersonNm
Phone3367683880PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ANDREW PRICE
HUMAN RESOURCES CHAIR1.00Yes (X)Yes (X)$0$0$0
APRIL M BROADWAY
BOARD MEMBER1.00Yes (X)$0$0$0
CATRINA THOMPSON
PAST PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CHRIS DUNN
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
CURTIS BLAND
TREASURER1.00Yes (X)Yes (X)$0$0$0
ELIZABETH BAICY
BOARD MEMBER1.00Yes (X)$0$0$0
HARRY HARRIS
BOARD MEMBER1.00Yes (X)$0$0$0
MONICA BROWN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ROB MCKINNIE
BOARD MEMBER (END. JANUARY 2020)1.00Yes (X)$0$0$0
TIFFANY HALL
BOARD MEMBER1.00Yes (X)$0$0$0
HARRISON DEAN
BOARD MEMBER (BEG. JANUARY 2020)1.00Yes (X)$0$0$0
ANDREW SACHS
BOARD MEMBER (BEG. MARCH 2020)1.00Yes (X)$0$0$0
ANDY HAGLER
EXECUTIVE DIRECTOR40.00Yes (X)$67,885$0$13,889
FieldValueIRS element (for citing)
Total Reportable Comp From Org$67,885TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,889TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$33,616FederatedCampaignsAmt
Government Grants$35,000GovernmentGrantsAmt
All Other Contributions$74,011AllOtherContributionsAmt
Total Contributions$142,627TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRAINING REVENUE900099$13,275$13,275
REPRESENTATIVE PAYEE F900099$11,845$11,845
ASSIST900099$135$135
FieldValueIRS element (for citing)
Total Program Service Revenue$25,255TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$993TotalRevenueColumnAmt
Exclusion$993ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$312TotalRevenueColumnAmt
Exclusion$312ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$312OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$169,187TotalRevenueColumnAmt
Related Or Exempt Func Income$25,255RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,305ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$82,108TotalAmt
Program Services$69,792ProgramServicesAmt
Management And General$10,674ManagementAndGeneralAmt
Fundraising$1,642FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$86,590TotalAmt
Program Services$73,601ProgramServicesAmt
Management And General$11,257ManagementAndGeneralAmt
Fundraising$1,732FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,749TotalAmt
Program Services$1,487ProgramServicesAmt
Management And General$227ManagementAndGeneralAmt
Fundraising$35FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$56TotalAmt
Program Services$48ProgramServicesAmt
Management And General$7ManagementAndGeneralAmt
Fundraising$1FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,657TotalAmt
Program Services$9,059ProgramServicesAmt
Management And General$1,385ManagementAndGeneralAmt
Fundraising$213FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,500TotalAmt
Program Services$6,375ProgramServicesAmt
Management And General$1,125ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$2,755TotalAmt
Management And General$2,755ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,187TotalAmt
Program Services$3,558ProgramServicesAmt
Management And General$613ManagementAndGeneralAmt
Fundraising$16FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$831TotalAmt
Program Services$706ProgramServicesAmt
Management And General$125ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,934TotalAmt
Program Services$7,595ProgramServicesAmt
Management And General$1,339ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,572TotalAmt
Program Services$13,236ProgramServicesAmt
Management And General$2,336ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$926TotalAmt
Program Services$788ProgramServicesAmt
Management And General$138ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$656TotalAmt
Program Services$558ProgramServicesAmt
Management And General$98ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$310TotalAmt
Program Services$263ProgramServicesAmt
Management And General$47ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,726TotalAmt
Program Services$4,868ProgramServicesAmt
Management And General$858ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BAD DEBT$23,536$23,536
PROGRAM EXPENSE$22,902$22,902
MISCELLANEOUS$4,571$3,886$685
REPAIRS AND MAINTENANCE$3,786$3,218$568

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$283,352TotalAmt
Program Services$245,476ProgramServicesAmt
Management And General$34,237ManagementAndGeneralAmt
Fundraising$3,639FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$214,884BOYAmt
EOY$272,180EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$157,500BOYAmt
EOY$31,563EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,304BOYAmt
EOY$1,060EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$998BOYAmt
EOY$2,897EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,866LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$36,463LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$613BOYAmt
EOY$2,403EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$337,296BOYAmt
EOY$344,855EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$718,595BOYAmt
EOY$654,958EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,299BOYAmt
EOY$11,520EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$53,302BOYAmt
EOY$78,445EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$29,100EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$64,601BOYAmt
EOY$119,065EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$494,741BOYAmt
EOY$500,148EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$159,253BOYAmt
EOY$35,745EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$653,994BOYAmt
EOY$535,893EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$718,595BOYAmt
EOY$654,958EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$114,165ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,936NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$456,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$200,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$213,559CurrentTaxYearMinus1YearAmt
Current Tax Year$142,627CurrentTaxYearAmt
Total$1,169,246TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$456,613CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$155,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$200,811CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$213,559CurrentTaxYearMinus1YearAmt
Current Tax Year$142,627CurrentTaxYearAmt
Total$1,169,246TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,169,246PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$159CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$512CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,103CurrentTaxYearMinus1YearAmt
Current Tax Year$993CurrentTaxYearAmt
Total$2,979TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,305CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus1 Year$441CurrentTaxYearMinus1YearAmt
Current Tax Year$312CurrentTaxYearAmt
Total$2,178TotalAmt
FieldValueIRS element (for citing)
Total Support$1,174,403TotalSupportAmt
Gross Receipts Rltd Activities$136,306GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99560PublicSupportCY170Pct
Public Support PY1700.99610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Beginning Balance$67,105BeginningBalanceAmt
Additions During Year$665,109AdditionsDuringYearAmt
Distributions During Year$653,769DistributionsDuringYearAmt
Ending Balance$78,445EndingBalanceAmt
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$259,876BeginningYearBalanceAmt
Investment Earnings Or Losses$25,899InvestmentEarningsOrLossesAmt
Other Expenditures$11,014OtherExpendituresAmt
End Year Balance$274,761EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$278,929BeginningYearBalanceAmt
Investment Earnings Or Losses-$7,723InvestmentEarningsOrLossesAmt
Other Expenditures$11,330OtherExpendituresAmt
End Year Balance$259,876EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,774OtherCostOrOtherBasisAmt
Depreciation$33,371DepreciationAmt
Book Value$2,403BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,403TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
CASH- REPRESENTATIVE PAYEE ACCOUNT$78,445
ENDOWMENT FUND$266,410
FieldValueIRS element (for citing)
Total Book Value Other Assets$344,855TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$162,496TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,936NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,936RevenueNotReportedAmt
Revenue Subtotal$166,432RevenueSubtotalAmt
Investment Expenses Not Incld$2,755InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$2,755RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$169,187TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$280,597TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$280,597ExpensesSubtotalAmt
Investment Expenses Not Incld2$2,755InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$2,755ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$283,352TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

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

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