INTERVOL INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- INTERVOL INC (EIN 16-1347201)
- Tax period
- 2018-03-01 to 2019-02-28
- Filed
- 2020-01-15
- IRS object ID
- 202000159349300160
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-01-15T08:27:49-06:00 | ReturnTs |
| Tax Period End | 2019-02-28 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271895149 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Heveron & Company CPAs PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 260 Plymouth Avenue South | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-03-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161347201 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | InterVol Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INTE | BusinessNameControlTxt |
| Phone | 5859225810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Kings Highway South 1200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Dr Ralph Pennino MD | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 5859225810 | PhoneNum |
| Signature | 2020-01-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Stephanie Annunziata | PreparerPersonNm |
| PTIN | P00195472 | PTIN |
| Phone | 5852322956 | PhoneNum |
| Preparation | 2020-01-13 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 24.213.221.209 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-01-13 | IPDt |
| IP Tm | 11:52:06 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3FC2AC741DD80864B6B29AAF924A7E171A12EEEE | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EED34D6A34E9B096F1693306A9DCD468B0143128 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-23 17:36:50Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Dr Ralph Pennino MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Kings Highway South 1200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $960,945 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.intervol.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | To connect the world's neediest to materials, people, and opportunities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 750 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $556,351 | PYContributionsGrantsAmt |
| CY Contributions Grants | $476,780 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,245 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,840 | CYProgramServiceRevenueAmt |
| PY Investment Income | $23,865 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,468 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$18,989 | PYOtherRevenueAmt |
| CY Other Revenue | -$15,658 | CYOtherRevenueAmt |
| PY Total Revenue | $572,472 | PYTotalRevenueAmt |
| CY Total Revenue | $472,430 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $86,892 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $44,650 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $180,000 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $180,000 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $59,795 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $224,109 | PYOtherExpensesAmt |
| CY Other Expenses | $193,014 | CYOtherExpensesAmt |
| PY Total Expenses | $491,001 | PYTotalExpensesAmt |
| CY Total Expenses | $417,664 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $81,471 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $54,766 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $737,695 | TotalAssetsBOYAmt |
| Total Assets EOY | $789,305 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $737,695 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $789,305 | NetAssetsOrFundBalancesEOYAmt |
| Mission | InterVol as an organization envisions a better, more connected world, where people, materials, opportunities, and needs are brought together for mutual benefit. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $278,572 | ExpenseAmt |
| Grant | $44,650 | GrantAmt |
| Revenue | $35,447 | RevenueAmt |
| Desc | InterVol recovers and distributes unused medical supplies to approximately 50 organizations, benefiting those less fortunate around the world, and right here in the Rochester area. Teams of health care professionals travel to Belize and Haiti, areas with acute medical personnel shortages, serving more than 1,000 patients annually. InterVol also provides opportunities for civic engagement and service learning through ongoing volunteer activities. | Desc |
| Total Program Service Expenses | $278,572 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Organization | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5859225810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Kings Highway South 1200 | AddressLine1Txt |
| City | Rochester | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| Dr Ralph Pennino MD | ||||||
| President | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Dr Timothy O'Connor MD | ||||||
| Treasurer | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Cynthia Gordon RN | ||||||
| Secretary | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Ginny Clark | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Hugh Thomas Esq | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Nancy Bond RN | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Peter Parts | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Michael Szuromi | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Dan Meyers | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Marcie Hamilton | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Paul Cabral | ||||||
| Member | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $214,365 | FundraisingAmt |
| All Other Contributions | $262,415 | AllOtherContributionsAmt |
| Total Contributions | $476,780 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Medical Supply Shippin | Desc |
| Business | 446199 | BusinessCd |
| Total Revenue Column | $4,840 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,840 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,840 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,510 | TotalRevenueColumnAmt |
| Exclusion | $12,510 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $375,433 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $381,475 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$6,042 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$6,042 | TotalRevenueColumnAmt |
| Exclusion | -$6,042 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $60,775 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $214,365 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $107,040 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$46,265 | TotalRevenueColumnAmt |
| Exclusion | -$46,265 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other Income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $30,607 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,607 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $30,607 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $472,430 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $35,447 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$39,797 | ExclusionAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,650 | TotalAmt |
| Program Services | $44,650 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,000 | TotalAmt |
| Program Services | $122,774 | ProgramServicesAmt |
| Management And General | $28,613 | ManagementAndGeneralAmt |
| Fundraising | $28,613 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,100 | TotalAmt |
| Management And General | $6,100 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,889 | TotalAmt |
| Management And General | $3,889 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,202 | TotalAmt |
| Management And General | $8,202 | ManagementAndGeneralAmt |
| Fundraising | $2,000 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,658 | TotalAmt |
| Program Services | $17,956 | ProgramServicesAmt |
| Management And General | $17,898 | ManagementAndGeneralAmt |
| Fundraising | $13,804 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,401 | TotalAmt |
| Program Services | $13,401 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,841 | TotalAmt |
| Program Services | $53,507 | ProgramServicesAmt |
| Fundraising | $5,334 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,882 | TotalAmt |
| Program Services | $5,882 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,943 | TotalAmt |
| Program Services | $5,396 | ProgramServicesAmt |
| Management And General | $724 | ManagementAndGeneralAmt |
| Fundraising | $823 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Food | $7,250 | $5,779 | $1,471 |
| Fees | $3,632 | $3,632 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,216 | TotalAmt |
| Program Services | $9,227 | ProgramServicesAmt |
| Management And General | $8,768 | ManagementAndGeneralAmt |
| Fundraising | $9,221 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,664 | TotalAmt |
| Program Services | $278,572 | ProgramServicesAmt |
| Management And General | $79,297 | ManagementAndGeneralAmt |
| Fundraising | $59,795 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $388,064 | BOYAmt |
| EOY | $442,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $50,210 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $21,235 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,285 | BOYAmt |
| EOY | $28,975 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,346 | BOYAmt |
| EOY | $317,770 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,695 | BOYAmt |
| EOY | $789,305 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,695 | BOYAmt |
| EOY | $789,305 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,695 | BOYAmt |
| EOY | $789,305 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $737,695 | BOYAmt |
| EOY | $789,305 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $54,766 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,156 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $290,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $297,506 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $358,807 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $556,351 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,780 | CurrentTaxYearAmt |
| Total | $1,980,220 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $35,458 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $44,949 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,911 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,840 | CurrentTaxYearAmt |
| Total | $118,403 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $30,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,074 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,698 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $52,643 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,775 | CurrentTaxYearAmt |
| Total | $226,811 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $356,855 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $381,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $424,416 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $620,239 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $542,395 | CurrentTaxYearAmt |
| Total | $2,325,434 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $25,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $129,100 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $132,900 | CurrentTaxYearAmt |
| Total | $342,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,210 | CurrentTaxYearMinus4YearsAmt |
| Total | $4,210 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $29,210 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $129,100 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $132,900 | CurrentTaxYearAmt |
| Total | $346,210 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,979,224 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,958 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,342 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,510 | CurrentTaxYearAmt |
| Total | $54,030 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,816 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,404 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,958 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,342 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,510 | CurrentTaxYearAmt |
| Total | $54,030 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,397 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $31,162 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $31,624 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,607 | CurrentTaxYearAmt |
| Total | $94,790 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $369,068 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $390,933 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $467,536 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $661,205 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $585,512 | CurrentTaxYearAmt |
| Total | $2,474,254 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.79990 | PublicSupportCY509Pct |
| Public Support PY509 | 0.83200 | PublicSupportPY509Pct |
| Investment Income CY | 0.02180 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02250 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part III, Line 12, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | Other Program Revenue Administrative Fee Income Recycling Income Sales of Materials | ExplanationTxt |
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
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $21,235 | DepreciationAmt |
| Book Value | $28,975 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,975 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $500,801 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,156 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,156 | RevenueNotReportedAmt |
| Revenue Subtotal | $503,957 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $3,889 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$35,416 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$31,527 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $472,430 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $449,191 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $449,191 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $3,889 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$35,416 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$31,527 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $417,664 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part XI, Line 4b - Other Adjustments: | Special Event Direct Expenses -35,416. |
| Part XII, Line 4b - Other Adjustments: | Special Event Direct Expenses -35,416. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America & the Caribbean | RegionTxt |
| Purpose Of Grant | Humanitarian Efforts | PurposeOfGrantTxt |
| Cash Grant | $44,650 | CashGrantAmt |
| Manner Of Cash Disbursement | Wire Transfer | MannerOfCashDisbursementTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Off the Vine | Event1Nm |
| Gross Receipts Event1 | $219,797 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $191,797 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,000 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $13,709 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,495 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $27,262 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,750 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $29,523 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $24,739 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $16,373 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $8,366 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $476 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $4,910 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $3,456 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $5,224 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $21,761 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $6,195 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $15,566 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $10,482 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $5,084 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $669 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $266,297 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $214,365 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $51,932 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $14,185 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,887 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $35,802 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,750 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $35,416 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $107,040 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$55,108 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 8b | There are no other committees with authority to act on behalf of the governing body. |
| Form 990, Part VI, Section B, line 11b | The 990 is provided to the board for their review prior to filing. |
| Form 990, Part VI, Section B, line 12c | The organization provides each officer and director with the conflict of interest policy when they are elected or appointed. The policy is also reviewed annually. If a potential conflict with any officer or director arises, the organization follows the conflict of interest policy and documents that in meeting minutes. |
| Form 990, Part VI, Section B, line 15 | All employees are paid through Rochester Regional Health (RRH) and reimbursed by the Organization. The RRH Human Resources department sought out and vetted candidates and also determined compensation. |
| Form 990, Part VI, Section C, line 19 | Governing documents are made available to the public upon request. |
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