NATIONAL INDIAN HEALTH BOARD: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL INDIAN HEALTH BOARD (EIN 23-7226316)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-21
- IRS object ID
- 202012959349301311
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-21T13:35:49-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 363168081 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SIKICH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 N FAIRFAX STREET 10TH FLOOR | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237226316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL INDIAN HEALTH BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STACY BOHLEN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2025074070 | PhoneNum |
| Signature | 2020-10-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROHINI CHANDRABHATLA | PreparerPersonNm |
| PTIN | P00740442 | PTIN |
| Phone | 7038361350 | PhoneNum |
| Preparation | 2020-10-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.127.47.190 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-21 | IPDt |
| IP Tm | 12:28:15 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F21D72B834DA8EE103968182D94B9680F7B8E8AD | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STACY BOHLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,066,082 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NIHB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 34 | TotalEmployeeCnt |
| Total Volunteers | 67 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,551,606 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,046,756 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $902,750 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $975,293 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,141 | PYInvestmentIncomeAmt |
| CY Investment Income | $758 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,755 | PYOtherRevenueAmt |
| CY Other Revenue | $43,275 | CYOtherRevenueAmt |
| PY Total Revenue | $5,459,252 | PYTotalRevenueAmt |
| CY Total Revenue | $5,066,082 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $378,246 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $470,325 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,777,616 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,577,242 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,099,788 | PYOtherExpensesAmt |
| CY Other Expenses | $1,692,968 | CYOtherExpensesAmt |
| PY Total Expenses | $5,255,650 | PYTotalExpensesAmt |
| CY Total Expenses | $4,740,535 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $203,602 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $325,547 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,985,008 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,088,347 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $584,365 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $362,157 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,400,643 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,726,190 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | ESTABLISHED BY THE TRIBES TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES, NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS, SECURE RESOURCES, AND BUILD CAPACITY TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,407,760 | ExpenseAmt |
| Grant | $470,325 | GrantAmt |
| Desc | PUBLIC HEALTH POLICY AND PROGRAMS:THE PUBLIC HEALTH POLICY AND PROGRAMS DEPARTMENT OF THE NATIONAL INDIAN HEALTH BOARD SEEKS TO BOLSTER THE PUBLIC HEALTH INFRASTRUCTURE AND SERVICES WITHIN INDIAN COUNTRY. TO THIS END, NIHB OPERATES PROGRAMS THAT ARE PROVIDING CAPACITY BUILDING AND TECHNICAL ASSISTANCE TO TRIBES AND TRIBAL ORGANIZATIONS TO STRENGTHEN OUTREACH, EDUCATION, PROGRAM DEVELOPMENT, RESEARCH CAPACITY, AND SERVICE DELIVERY ACROSS A VARIETY OF PUBLIC HEALTH ISSUES AND TOPICS (INCLUDING BUT NOT LIMITED TO: DIABETES, CLIMATE CHANGE, HIV/AIDS, OPIOID USE, ADVERSE CHILDHOOD EXPERIENCES, AND CANCER). NIHB ALSO UTILIZES A POLICY-BASED APPROACH TO STRENGTH THE VOICE AND PRESENCE OF TRIBES AND TRIBAL LEADERS ON THE NATIONAL LEVEL THROUGH THE PROVISION OF (CONTINUED ON SCHEDULE O)SUPPORT TO TRIBAL LEADERS SERVING ON FEDERAL ADVISORY COMMITTEES; TRAINING ON HOW TO BUILD COMMUNICATIVE BRIDGES WITH COMMUNITY-BASED, TRIBALLY-BASED, AND FEDERALLY-BASED PARTNERS; ANALYZING FEDERAL ACTION THAT COULD IMPACT TRIBAL PUBLIC HEALTH; AND ENSURING THAT CONVERSATIONS AROUND HEALTH EQUITY INCORPORATE THE LEGAL, POLITICAL AND SOCIAL PERSPECTIVE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,542,981 | ExpenseAmt |
| Desc | REGULATORY ANALYSIS AND FEDERAL RELATIONS:NIHB'S EXISTENCE IS BASED UPON AN ADVOCACY AND POLICY-BASED APPROACH TO INDIAN HEALTH. THE FEDERAL RELATIONS STAFF AT THE NATIONAL INDIAN HEALTH BOARD RESEARCH THE LOGS OF FEDERAL ACTION AND ANALYZE THE IMPACT OR POTENTIAL IMPACT OF THESE REGULATIONS, LAWS, CODES, POLICIES, AND EXECUTIVE ORDERS ON THE TRIBAL AND FEDERAL COMPONENT OF THE INDIAN HEALTH SYSTEM. NIHB WRITES SUMMARIES ON THESE ACTIONS, DISSEMINATES INFORMATION TO ENSURE THAT TRIBES UNDERSTAND ANY SUCH COURSE OF ACTION AND ITS RAMIFICATIONS (EITHER POTENTIALLY POSITIVE OR NEGATIVE), AND WORKS WITH TRIBAL AND FEDERAL LEADERS ON THE IMPLEMENTATION OF SUCH ACTIONS. NIHB HAS A RESEARCH FUNCTION THAT HELPS TO COLLECT AND SYNTHESIZE DATA ON THE HEALTH SYSTEM AND THE (CONTINUED ON SCHEDULE O) IMPACT OF LAWS AND REGULATIONS, AND PROVIDES THIS DATA TO TRIBAL LEADERS SO THAT THEY CAN MAKE INFORMED DECISIONS ABOUT HOW THEY WOULD LIKE TO SEE THEIR TRIBAL OR FEDERAL HEALTH SYSTEM OPERATE. THIS ARM OF NIHB ALSO HELPS TO FACILITATE FORMAL CONSULTATION OR LISTENING SESSIONS BETWEEN TRIBAL AND FEDERAL LEADERS - AS REQUIRED BY LAW. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $533,099 | ExpenseAmt |
| Desc | PROGRAM SERVICES FOR CONFERENCE, YOUTH, ORAL HEALTH AND CONGRESSIONAL RELATIONS | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ANNUAL CONSUMER CONFERENCE: TO PROVIDE THE TOOLS TO EMPOWER INDIAN HEALTH ADVOCATES TO UNITE AND ENSURE A HEALTHY FUTURE FOR ALL AMERICAN INDIANS AND ALASKA NATIVES.OTHER PROGRAM SERVICES: W.G. KELLOGG FOUNDATION, HEALTH RESOURCES & SERVICES ADMINISTRATION, PUBLIC HEALTH SUMMIT, AND OTHER PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,483,840 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| 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 | Yes (1) | 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 | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 34 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 0 | QuidProQuoContributionsInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | DC | 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 | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| VICTORIA KITCHEYAN | |||||||
| CHAIRPERSON | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA ELGIN | |||||||
| SECRETARY | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WILLIAM SMITH | |||||||
| VICE CHAIRPERSON | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NICKOLAUS LEWIS | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| MARTY WAFFORD | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| DONNIE GARCIA | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| SAM MOOSE | |||||||
| TREASURER | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KACI WALLETTE | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY COOK | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| JONATHAN NEZ | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA ORTEGA | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| AMBER TORRES | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| STACY BOHLEN | |||||||
| EXECUTIVE DIRECTOR | 45.00 | Yes (X) | $203,332 | $0 | $27,367 | ||
| ROBERT FOLEY | |||||||
| CHIEF PROGRAM OFFICER | 45.00 | $129,129 | $0 | $17,055 | Yes (X) | ||
| CAROLYN ANGUS-HORNBUCKLE | |||||||
| DEPUTY DIRECTOR | 45.00 | $154,316 | $0 | $13,593 | Yes (X) | ||
| DEVIN DELROW | |||||||
| POLICY DIRECTOR | 45.00 | $112,617 | $0 | $15,236 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $599,394 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $73,251 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,533,880 | GovernmentGrantsAmt |
| All Other Contributions | $512,876 | AllOtherContributionsAmt |
| Total Contributions | $4,046,756 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONFERENCE INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $975,293 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $975,293 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $975,293 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $758 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $758 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $43,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,275 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $43,275 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,066,082 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,019,326 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $470,325 | TotalAmt |
| Program Services | $470,325 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,700 | TotalAmt |
| Program Services | $227,486 | ProgramServicesAmt |
| Management And General | $3,214 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,903,285 | TotalAmt |
| Program Services | $1,876,782 | ProgramServicesAmt |
| Management And General | $26,503 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,135 | TotalAmt |
| Program Services | $38,936 | ProgramServicesAmt |
| Management And General | $3,199 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,942 | TotalAmt |
| Program Services | $219,076 | ProgramServicesAmt |
| Management And General | $15,866 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,180 | TotalAmt |
| Program Services | $155,565 | ProgramServicesAmt |
| Management And General | $10,615 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,782 | TotalAmt |
| Program Services | $30,829 | ProgramServicesAmt |
| Management And General | $953 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,073 | TotalAmt |
| Program Services | $20,441 | ProgramServicesAmt |
| Management And General | $632 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,284 | TotalAmt |
| Program Services | $88,992 | ProgramServicesAmt |
| Management And General | $17,292 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,142 | TotalAmt |
| Program Services | $333,348 | ProgramServicesAmt |
| Management And General | $26,794 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,265 | TotalAmt |
| Program Services | $138,484 | ProgramServicesAmt |
| Management And General | $7,781 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,735 | TotalAmt |
| Program Services | $166,125 | ProgramServicesAmt |
| Management And General | $25,610 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,910 | TotalAmt |
| Program Services | $371,583 | ProgramServicesAmt |
| Management And General | $29,327 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $343,837 | TotalAmt |
| Program Services | $303,412 | ProgramServicesAmt |
| Management And General | $40,425 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,016 | TotalAmt |
| Program Services | $2,573 | ProgramServicesAmt |
| Management And General | $443 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER OPERATING EXPENSE | $46,893 | $39,871 | $7,022 |
| BANK CHARGES AND BAD DE | $41,031 | $12 | $41,019 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,740,535 | TotalAmt |
| Program Services | $4,483,840 | ProgramServicesAmt |
| Management And General | $256,695 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $607,259 | BOYAmt |
| EOY | $1,266,177 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,141 | BOYAmt |
| EOY | $253,890 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,086,689 | BOYAmt |
| EOY | $461,337 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,251 | BOYAmt |
| EOY | $87,160 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $155,129 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $146,081 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,063 | BOYAmt |
| EOY | $9,048 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,605 | BOYAmt |
| EOY | $10,735 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,985,008 | BOYAmt |
| EOY | $2,088,347 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $217,734 | BOYAmt |
| EOY | $259,616 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,631 | BOYAmt |
| EOY | $102,541 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,365 | BOYAmt |
| EOY | $362,157 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,226,025 | BOYAmt |
| EOY | $1,636,190 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,618 | BOYAmt |
| EOY | $90,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,400,643 | BOYAmt |
| EOY | $1,726,190 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,985,008 | BOYAmt |
| EOY | $2,088,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $325,547 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,411,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,347,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,505,995 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,551,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,046,756 | CurrentTaxYearAmt |
| Total | $19,863,655 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,411,962 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,347,336 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,505,995 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,551,606 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,046,756 | CurrentTaxYearAmt |
| Total | $19,863,655 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $19,863,655 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $2,114 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $758 | CurrentTaxYearAmt |
| Total | $2,872 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,380 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,296 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,755 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $43,275 | CurrentTaxYearAmt |
| Total | $68,817 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,935,344 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,608,801 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99640 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99820 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $144,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,921 | DepreciationAmt |
| Book Value | $9,048 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,160 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,160 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,048 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,066,082 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,066,082 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,066,082 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,740,535 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,740,535 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,740,535 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME DERIVED FROM ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. THIS CODE SECTION ENABLES THE ORGANIZATION TO ACCEPT DONATIONS THAT QUALIFY AS CHARITABLE CONTRIBUTIONS TO THE DONOR. THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON TAXABLE INCOME FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEAR ENDED DECEMBER 31, 2019 THE ORGANIZATION DID NOT RECOGNIZE INCOME TAX EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS AS THERE WAS NO UNRELATED BUSINESS TAXABLE INCOME. BEGINNING JANUARY 1, 2019, THE ORGANIZATION IS SUBJECT TO UNRELATED BUSINESS INCOME TAXES ON QUALIFIED TRANSPORTATION FRINGE BENEFITS PROVIDED TO ITS EMPLOYEES. THE AMOUNT OF THE TAX FOR THE YEAR ENDED DECEMBER 31, 2019 IS IMMATERIAL, AND THUS, IS NOT REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX-EXEMPT STATUS THAT WOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR UP TO THREE YEARS FROM THE DATE A COMPLETED RETURN IS FILED. IF THERE ARE MATERIAL OMISSIONS OF INCOME, TAX RETURNS MAY BE SUBJECT TO EXAMINATION FOR UP TO SIX YEARS. IT IS THE ORGANIZATION'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2019, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS WHICH SHOULD BE RECOGNIZED AS A LIABILITY. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| INTER TRIBAL COUNCIL OF AZINC | ||||||||
| 2214 N CENTRAL AVENUE SUITE 100 | PHOENIX | AZ | 85004 | 860343181 | 501(C)(3) | $20,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| LOWER SIOUX INDIAN COMMUNITY | ||||||||
| 39527 RESERVATION HIGHWAY | MORTON | MN | 56270 | 258562596 | TRIBAL GOVERNMENT | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| THE EASTERN BAND OF THE CHEROKEE NATION | ||||||||
| PO BOX 666 | CHEROKEE | NC | 28719 | 560572090 | TRIBAL GOVERNMENT | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| BAD RIVER BAND OF LAKE SUPERIOR TRIBE | ||||||||
| PO BOX 39 | ODANAH | WI | 54861 | 391178897 | TRIBAL GOVERNMENT | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| BURNESS COMMUNICATION | ||||||||
| 7910 WOODMONT AVE STE 700 | BETHESDA | MD | 20814 | 521807766 | 501(C)(3) | $7,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| FOREST COUNTY POTWATOMI COMMUNITY | ||||||||
| PO BOX 340 | CRANDON | WI | 54520 | 391225059 | TRIBAL GOVERNMENT | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| KAW NATION OF OKLAHOMA | ||||||||
| PO BOX 50 | KAW CITY | OK | 746410050 | 731184157 | TRIBAL GOVERNMENT | $5,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| LAKE COUNTY TRIBAL HEALTH CONSORTIUM | ||||||||
| 925 BEVINS COURT | LAKEPORT | CA | 95453 | 942847137 | 501(C)(3) | $5,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| LUMMI INDIAN BUSINESS COUNCIL | ||||||||
| 2665 KWINA ROAD | BELLINGHAM | WA | 992269298 | 911004074 | 501(C)(3) | $77,724 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| NATIONAL COUNCIL OF URBAN INDIAN HEALTH | ||||||||
| 924 PENNSYLVANIA AVE SE | WASHINGTON | DC | 20003 | 501(C)(3) | $15,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | ||
| OGLALA SIOUX TRIBE HEALTH ADMINISTRATION | ||||||||
| PO BOX 2070 | PINE RIDGE | SD | 57770 | 330798803 | 501(C)(3) | $6,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| ONEIDA TRIBE OF INDIANS OF WISCONSIN | ||||||||
| N7210 SEMINARY RD PO BOX 365 | ONEIDA | WI | 54155 | 396081138 | TRIBAL GOVERNMENT | $20,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| PALA BAND OF MISSION INDIANS | ||||||||
| PHD PMB 50 35008 TEMECULA RD | PALA | CA | 92059 | 952863815 | TRIBAL GOVERNMENT | $74,847 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| RED CLIFF BAND OF LAKE SUPERIOR CHIPPEWAS | ||||||||
| 88455 PIKE ROAD | BAYFIELD | WI | 54814 | 391178866 | TRIBAL GOVERNMENT | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| SAGE ASSOCIATES INC | ||||||||
| C/O DEBORAH SCOTT 5732 E 22ND PLACE | TULSA | OK | 74114 | 760642534 | 501(C)(3) | $7,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| SAN CARLOS APACHE TRIBE | ||||||||
| SAN CARLOS AVE BUILDING 15 - ATTN | SAN CAROLOS | AZ | 85550 | 953968219 | TRIBAL GOVERNMENT | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | NATSAI ZHOU |
| SAULT STE MARIE TRIBE | ||||||||
| 2864 ASHMUN STREET | SAULT STE MARIE | MI | 49783 | 237249643 | TRIBAL GOVERNMENT | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| SITKA TRIBE OF ALASKA | ||||||||
| 456 KATLIAN ST | SITKA | AK | 99835 | 920060383 | TRIBAL GOVERNMENT | $48,754 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| SONOMA COUNTY INDIAN HEALTH PROJECT | ||||||||
| 144 STONY POINT ROAD | SANTA ROSA | CA | 95401 | 941741896 | 501(C)(3) | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| STANDING ROCK SIOUX TRIBE | ||||||||
| P O BOX D | FORT YATES | ND | 58538 | 450220519 | TRIBAL GOVERNMENT | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| WICHITA AND AFFILIATED TRIBES | ||||||||
| PO BOX 729 | ANADARKO | OK | 73005 | 731003906 | TRIBAL GOVERNMENT | $6,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| WINNEBAGO COMPREHENSIVE HEALTHCARE SYSTEM | ||||||||
| PO BOX HH 225 S BLUFF ST | WINNEBAGO | NE | 68071 | 371889645 | 501(C)(3) | $13,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| WINSLOW INDIAN HEALTH CARE CENTER INC | ||||||||
| 500 NORTH INDIANA AVENUE | WINSLOW | AZ | 86047 | 810549382 | 501(C)(3) | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| CANOCITO BAND OF NAVAJOS HEALTH CENTER | ||||||||
| PO BOX 3338 | TOHAJIILEE | NM | 87026 | 421606345 | 501(C)(3) | $8,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| TAOS PUEBLO | ||||||||
| PO BOX 1846 | TAOS | NM | 87571 | 850222954 | TRIBAL GOVERNMENT | $9,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
| Total Other Org | 14 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NIHB GRANTS FUNDS BASED ON A CONTRACTUAL AGREEMENT WITH THE GRANTEES WHICH ENUNCIATES THE DELIVERABLES AND OBJECTIVES FOR THE GRANT. THE GRANTOR IS REQUIRED TO SUBMIT PERIODICAL REPORTS ON THE PROGRESS MADE TO ACHIEVE THE DELIVERABLES OF THE GRANT. GRANTEES ARE ALSO REQUIRED TO SUBMIT THEIR FINAL REPORT WITHIN THE SPECIFIED TIME IN THE GRANT AGREEMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STACY BOHLEN | ||||||||||||||
| EXECUTIVE DIRECTOR | $203,332 | $0 | $0 | $0 | $0 | $0 | $10,167 | $0 | $17,200 | $0 | $230,699 | $0 | $0 | $0 |
| CAROLYN ANGUS-HORNBUCKLE | ||||||||||||||
| DEPUTY DIRECTOR | $154,316 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,593 | $0 | $167,909 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL RECEIVE AN ELECTRONIC COPY OF THE 990. THE RESPONSIBILITY OF THE BOARD TREASURER IS TO REVIEW AND AUTHORIZE THE FILING OF THE 990. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMMITTEE RECOMMENDS CONTRACT APPROVAL AND COMPENSATION LEVEL TO THE FULL BOARD OF DIRECTORS. CONTEMPORANEOUS DISCUSSION OCCURS AND IT IS FORMALIZED IN A WRITTEN CONTRACT. THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR COMPENSATION TO ALL EMPLOYEES. COMPARABILITY DATA AND SUBSTANTIATION DATA IS MAINTAINED BY THE EXECUTIVE DIRECTOR IN SUPPORT OF COMPENSATION DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |