CORPORATION FOR ADVANCEMENT OF MEDICAL TECHNOLOGIES: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CORPORATION FOR ADVANCEMENT OF MEDICAL TECHNOLOGIES (EIN 52-2079827)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-04-09
IRS object ID
202021009349300147
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)
Return2020-04-09T16:35:06-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN273571151PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1INGLE & ASSOCIATES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line135 WALNUT STREETAddressLine1Txt
CityWELLESLEY HILLSCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02481ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522079827EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CORPORATION FOR ADVANCEMENT OF MEDICALBusinessNameLine1Txt
Business Name Line2TECHNOLOGIES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCORPBusinessNameControlTxt
Phone6175233535PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 BOSTON PLACE 26TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFAINA SHTERNPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6175233535PhoneNum
Signature2020-04-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJAMES DRAPERPreparerPersonNm
PTINP00155641PTIN
Phone7818783933PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address199.44.61.252IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-09IPDt
IP Tm17:34:47IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id0C8A3369C034B4C859A7F780ED96B58670B01D6AAtSubmissionCreationDeviceId
At Submission Filing Device Id0C8A3369C034B4C859A7F780ED96B58670B01D6AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerFAINA STHERNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 BOSTON PLACE 26TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$949,596GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADMETECH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMDLegalDomicileStateCd
Activity Or MissionPROVIDE LEADERSHIP IN EXPEDITING ADVANCES IN PROSTATE CANCER CARE THRU AWARENESS & RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent1VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$3TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$575,581PYContributionsGrantsAmt
CY Contributions Grants$509,806CYContributionsGrantsAmt
PY Program Service Revenue$210,685PYProgramServiceRevenueAmt
CY Program Service Revenue$414,825CYProgramServiceRevenueAmt
PY Investment Income$355PYInvestmentIncomeAmt
CY Investment Income$3CYInvestmentIncomeAmt
PY Other Revenue$11,786PYOtherRevenueAmt
CY Other Revenue$24,962CYOtherRevenueAmt
PY Total Revenue$798,407PYTotalRevenueAmt
CY Total Revenue$949,596CYTotalRevenueAmt
PY Grants And Similar Paid$35,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$249,084PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$338,962CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$380,489PYOtherExpensesAmt
CY Other Expenses$449,914CYOtherExpensesAmt
PY Total Expenses$664,573PYTotalExpensesAmt
CY Total Expenses$788,876CYTotalExpensesAmt
PY Revenues Less Expenses$133,834PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$160,720CYRevenuesLessExpensesAmt
Total Assets BOY$288,624TotalAssetsBOYAmt
Total Assets EOY$353,621TotalAssetsEOYAmt
Total Liabilities BOY$122,615TotalLiabilitiesBOYAmt
Total Liabilities EOY$26,891TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$166,009NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$326,730NetAssetsOrFundBalancesEOYAmt
MissionTHE ORGANIZATION REPRESENTS A UNIQUE INTEGRATED MULTI-INSTITUTIONAL, MULTI-DISCIPLINARY EFFORT WHICH EXPEDITES ADVANCEMENT, CLINICAL EVALUATION AND IMPLEMENTATION OF ADVANCED IMAGING TOOLS TO IMPROVE SCREENING, EARLY DIAGNOSIS AND TREATMENT OF PROSTATE CANCER.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$648,639ExpenseAmt
Revenue$922,631RevenueAmt
DescRESEARCH- THE ORGANIZATION IDENTIFIES FUNDS AND ADMINISTERS RESEARCH & DEVELOPMENT PROJECTS CONDUCTED AT LEADING ACADEMIC AND INDUSTRIAL INSTITUTIONS TO EXPEDITE THE ADVANCEMENT OF TECHNOLOGIES THAT IMPROVE DIAGNOSIS AND TREATMENT OF LIFE THREATENING DISEASES.Desc
Total Program Service Expenses$648,639TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
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 Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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
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 Members1GoverningBodyVotingMembersCnt
Independent Voting Member1IndependentVotingMemberCnt
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAINA SHTERNBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6175233535PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11 BOSTON PLACEAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp

FieldValueIRS element (for citing)
PersonFAINA SHTERNPersonNm
TitlePRESIDENTTitleTxt
Average Hours Per Week40.00AverageHoursPerWeekRt
Individual Trustee Or DirectorYes (X)IndividualTrusteeOrDirectorInd
OfficerYes (X)OfficerInd
Reportable Comp From Org$143,000ReportableCompFromOrgAmt
Reportable Comp From Rltd Org$0ReportableCompFromRltdOrgAmt
Other Compensation$0OtherCompensationAmt
FieldValueIRS element (for citing)
Total Reportable Comp From Org$143,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$507,806GovernmentGrantsAmt
All Other Contributions$2,000AllOtherContributionsAmt
Total Contributions$509,806TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SPONSORSHIPS$391,250$391,250
EVENT REGISTRATIONS$23,575$23,575
FieldValueIRS element (for citing)
Total Program Service Revenue$414,825TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3TotalRevenueColumnAmt
Unrelated Business Revenue$3UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescINTERNSHIP REIMBURSEMEDesc
Total Revenue Column$24,962TotalRevenueColumnAmt
Related Or Exempt Func Income$24,962RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$24,962OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$949,596TotalRevenueColumnAmt
Related Or Exempt Func Income$439,787RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$125,000TotalAmt
Program Services$121,875ProgramServicesAmt
Management And General$3,125ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$168,945TotalAmt
Program Services$158,816ProgramServicesAmt
Management And General$10,129ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$19,501TotalAmt
Program Services$19,463ProgramServicesAmt
Management And General$38ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$25,516TotalAmt
Program Services$24,878ProgramServicesAmt
Management And General$638ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$12,500TotalAmt
Management And General$12,500ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,681TotalAmt
Program Services$2,985ProgramServicesAmt
Management And General$27,696ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$53,278TotalAmt
Management And General$53,278ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$59,526TotalAmt
Program Services$38,036ProgramServicesAmt
Management And General$21,490ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,854TotalAmt
Program Services$3,854ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$682TotalAmt
Management And General$682ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,503TotalAmt
Program Services$5,333ProgramServicesAmt
Management And General$3,170ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONSULTANTS$160,968$159,461$1,507
CONFERENCE EXPENSES$114,023$113,938$85
MEMBERSHIPS AND SUBSCRI$5,899$5,899

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$788,876TotalAmt
Program Services$648,639ProgramServicesAmt
Management And General$140,237ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$278,379BOYAmt
EOY$284,860EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,000BOYAmt
EOY$66,714EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,515BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,988LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,941LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,730BOYAmt
EOY$2,047EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$288,624BOYAmt
EOY$353,621EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,419BOYAmt
EOY$22,698EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$94,196BOYAmt
EOY$4,193EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$122,615BOYAmt
EOY$26,891EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$166,009BOYAmt
EOY$326,730EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$166,009BOYAmt
EOY$326,730EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$288,624BOYAmt
EOY$353,621EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$160,720ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd
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$877,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,014,978CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$634,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$773,081CurrentTaxYearMinus1YearAmt
Current Tax Year$901,056CurrentTaxYearAmt
Total$4,201,050TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$877,103CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,014,978CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$634,832CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$773,081CurrentTaxYearMinus1YearAmt
Current Tax Year$901,056CurrentTaxYearAmt
Total$4,201,050TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$4,201,050PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$355CurrentTaxYearMinus1YearAmt
Current Tax Year$3CurrentTaxYearAmt
Total$358TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$11,786CurrentTaxYearMinus1YearAmt
Current Tax Year$24,962CurrentTaxYearAmt
Total$36,748TotalAmt
FieldValueIRS element (for citing)
Total Support$4,238,156TotalSupportAmt
Gross Receipts Rltd Activities$36,760GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99120PublicSupportCY170Pct
Public Support PY1700.99710PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,988OtherCostOrOtherBasisAmt
Depreciation$4,941DepreciationAmt
Book Value$2,047BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,047TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationTHE PRESIDENT RECEIVES A MONTHLY HOUSING ALLOWANCE OF $1,500, TOTALING $18,000 PER YEAR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE PRESIDENT PRIOR TO BEING FILED.
FORM 990, PART VI, SECTION C, LINE 19COPIES WILL BE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 1.

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