SHALOM FOUNDATION: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- SHALOM FOUNDATION (EIN 95-4894733)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-02
- IRS object ID
- 202023079349302522
- Schema version
- 2019v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-02T16:24:15-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450491842 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLANKENSHIP CPA GROUP PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 215 WARD CIRCLE | AddressLine1Txt |
| City | BRENTWOOD | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 370272304 | 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 | 954894733 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE SHALOM FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SHAL | BusinessNameControlTxt |
| Phone | 6155955811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1354 | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37065 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE MOORE | PersonNm |
| Person Title | CHAIRMAN | PersonTitleTxt |
| Phone | 6155955811 | PhoneNum |
| Signature | 2020-10-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SCOTT A FELTS CPA | PreparerPersonNm |
| PTIN | P01547515 | PTIN |
| Phone | 6153733771 | PhoneNum |
| Preparation | 2020-11-02 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.95.147.121 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-02 | IPDt |
| IP Tm | 16:24:15 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 63FD74F1367F6D951C20703D05A98574059F14E1 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5604C322B5A97152A25F5A6F9513FCEB269E3AC6 | 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 | STEVE MOORE | PrincipalOfficerNm |
| Gross Receipts | $1,211,658 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | THESHALOMFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING MEDICAL AND SURGICAL CARE TO IMPOVERISHED CHILDREN IN GUATEMALA THROUGH THE MOORE PEDIATRIC SURGERY CENTER. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $732,710 | PYContributionsGrantsAmt |
| CY Contributions Grants | $992,266 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$1,100 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,252 | CYInvestmentIncomeAmt |
| PY Other Revenue | $277,816 | PYOtherRevenueAmt |
| CY Other Revenue | $9,779 | CYOtherRevenueAmt |
| PY Total Revenue | $1,009,426 | PYTotalRevenueAmt |
| CY Total Revenue | $1,010,297 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $647,109 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $810,718 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $101,861 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,571 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,446 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $176,358 | PYOtherExpensesAmt |
| CY Other Expenses | $180,198 | CYOtherExpensesAmt |
| PY Total Expenses | $925,328 | PYTotalExpensesAmt |
| CY Total Expenses | $1,047,487 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $84,098 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$37,190 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,307,684 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,321,786 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,300 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $79,011 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,263,384 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,242,775 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING MEDICAL AND SURGICAL CARE TO IMPOVERISHED CHILDREN IN GUATEMALA THROUGH THE MOORE PEDIATRIC SURGERY CENTER. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,010,673 | ExpenseAmt |
| Grant | $810,718 | GrantAmt |
| Desc | THE MEDICAL PROGRAM ENGAGES VOLUNTEER UNITED STATES MEDICAL PROFESSIONALS ALONG WITH GUATEMALAN MEDICAL PROGESSIONALS THROUGH SHORT-TERM SURGERY AND CLINIC MISSION TEAMS IN ORDER TO HELP MEET THE NEEDS OF IMPOVERISHED CHILDREN IN GUATEMALA. IN 2019, SHALOM FOUNDATION VOLUNTEERS PROVIDED 937 CHILDREN WITH PEDIATRIC SURGICAL PROCEDURES AT THE MOORE PEDIATRIC SURGERY CENTER. MEDICAL/SURGICAL TEAMS PROVIDED MEDICAL AND SURGICAL CARE DURING THE YEAR, INCLUDING US AND GUATEMALAN DOCTORS AND MEDICAL PROFESSIONALS. | Desc |
| Total Program Service Expenses | $1,010,673 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (true) | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | TN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC HOBSON TREASURER | PersonNm |
| Phone | 6155955811 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 412 CUMMINS STREET | AddressLine1Txt |
| City | FRANKLIN | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 37064 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| STEVE MOORE | ||||||
| CHAIRMAN | 20.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KEN MOORE | ||||||
| VICE CHAIRMA | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BEVERLY HERRO | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ERIC HOBSON | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| AMY CASSERI | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAN SIMPSON | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARC GOLDSTONE | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HENRY LEVENTIS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $48,000 | FundraisingAmt |
| All Other Contributions | $944,266 | AllOtherContributionsAmt |
| Total Contributions | $992,266 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,999 | TotalRevenueColumnAmt |
| Exclusion | $1,999 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,000 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,000 | TotalRevenueColumnAmt |
| Exclusion | $9,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $185,393 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $179,140 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,253 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,253 | TotalRevenueColumnAmt |
| Exclusion | $6,253 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $23,000 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $48,000 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $22,221 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $779 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,010,297 | TotalRevenueColumnAmt |
| Exclusion | $17,252 | ExclusionAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,718 | TotalAmt |
| Program Services | $810,718 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,550 | TotalAmt |
| Program Services | $37,836 | ProgramServicesAmt |
| Management And General | $9,459 | ManagementAndGeneralAmt |
| Fundraising | $5,255 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,021 | TotalAmt |
| Program Services | $2,895 | ProgramServicesAmt |
| Management And General | $724 | ManagementAndGeneralAmt |
| Fundraising | $402 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $1,800 | ProgramServicesAmt |
| Management And General | $450 | ManagementAndGeneralAmt |
| Fundraising | $250 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,370 | TotalAmt |
| Program Services | $13,197 | ProgramServicesAmt |
| Management And General | $2,040 | ManagementAndGeneralAmt |
| Fundraising | $1,133 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62 | TotalAmt |
| Program Services | $53 | ProgramServicesAmt |
| Fundraising | $9 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,491 | TotalAmt |
| Program Services | $23,205 | ProgramServicesAmt |
| Management And General | $3,478 | ManagementAndGeneralAmt |
| Fundraising | $2,808 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,548 | TotalAmt |
| Program Services | $6,124 | ProgramServicesAmt |
| Management And General | $915 | ManagementAndGeneralAmt |
| Fundraising | $509 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,234 | TotalAmt |
| Program Services | $5,208 | ProgramServicesAmt |
| Management And General | $1,302 | ManagementAndGeneralAmt |
| Fundraising | $724 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,478 | TotalAmt |
| Program Services | $64,478 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500 | TotalAmt |
| Program Services | $430 | ProgramServicesAmt |
| Fundraising | $70 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,863 | TotalAmt |
| Program Services | $40,302 | ProgramServicesAmt |
| Fundraising | $6,561 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Total | $5,152 | TotalAmt |
| Program Services | $4,427 | ProgramServicesAmt |
| Fundraising | $725 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,047,487 | TotalAmt |
| Program Services | $1,010,673 | ProgramServicesAmt |
| Management And General | $18,368 | ManagementAndGeneralAmt |
| Fundraising | $18,446 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,329 | BOYAmt |
| EOY | $8,768 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,339 | BOYAmt |
| EOY | $100,442 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,302 | BOYAmt |
| EOY | $225,302 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,367,094 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $499,460 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $914,496 | BOYAmt |
| EOY | $867,634 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,218 | BOYAmt |
| EOY | $119,640 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,684 | BOYAmt |
| EOY | $1,321,786 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,887 | BOYAmt |
| EOY | $43,920 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,413 | BOYAmt |
| EOY | $35,091 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,300 | BOYAmt |
| EOY | $79,011 | 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 | $1,237,294 | BOYAmt |
| EOY | $1,220,721 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,090 | BOYAmt |
| EOY | $22,054 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,263,384 | BOYAmt |
| EOY | $1,242,775 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,307,684 | BOYAmt |
| EOY | $1,321,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$37,190 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $20,617 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$4,036 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
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 | $797,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $789,085 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,132,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $732,710 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $992,266 | CurrentTaxYearAmt |
| Total | $4,443,946 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $797,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $789,085 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,132,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $732,710 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $992,266 | CurrentTaxYearAmt |
| Total | $4,443,946 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $717,894 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,726,052 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,579 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,905 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,510 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,999 | CurrentTaxYearAmt |
| Total | $49,109 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $31,990 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $82,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $70,333 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $315,425 | CurrentTaxYearMinus1YearAmt |
| Total | $499,748 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,992,803 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,129,088 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.74630 | PublicSupportCY170Pct |
| Public Support PY170 | 0.79570 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 499,748 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,070,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $244,648 | DepreciationAmt |
| Book Value | $825,527 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $296,919 | OtherCostOrOtherBasisAmt |
| Depreciation | $254,812 | DepreciationAmt |
| Book Value | $42,107 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $867,634 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,069,135 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $20,617 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $16,000 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $22,221 | OtherRevenueAmt |
| Revenue Not Reported | $58,838 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,010,297 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,010,297 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,085,708 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $16,000 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $22,221 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $38,221 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,047,487 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,047,487 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PAGE 4, PART XI, LINE 2D | FUNDRAISING EVENT EXPENSES 22,221 |
| SCHEDULE D, PAGE 4, PART XII, LINE 2D | FUNDRAISING EVENT EXPENSES 22,221 |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 1 | EmployeeCnt |
| Type Of Activities Conducted | ASSISTANCE | TypeOfActivitiesConductedTxt |
| Specific Services Provided | MEDICAL/EDUCATION | SpecificServicesProvidedTxt |
| Region Total Expenditures | $810,718 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $810,718 | SubtotalSpentAmt |
| Total Spent | $810,718 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)
| Purpose Of GrantPurposeOfGrantTxt | Cash GrantCashGrantAmt | Manner Of Cash DisbursementMannerOfCashDisbursementTxt |
|---|---|---|
| MEDICAL SERVICES | $423,189 | WIRE TRANSFER |
| MEDICAL SERVICES | $387,529 | WIRE TRANSFER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE F, PAGE 1, PART I, LINE 2 | THE ORGANIZATION IS PHYSICALLY PRESENT TO MONITOR THE USE OF FUNDS. |
| SCHEDULE F, PAGE 1, PART I, LINE 3 | CENTRAL AMERICA 810,718 0 |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | THE MEAL THAT H | Event1Nm |
| Gross Receipts Event1 | $71,000 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $48,000 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $23,000 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $4,290 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,750 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $16,181 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $71,000 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $48,000 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $23,000 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $4,290 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,750 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,181 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $22,221 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $779 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 WAS DISTRIBUTED ELECTRONICALLY AND VIA PAPER FOR BOARD REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | UPDATES REQUESTED AT EACH BI-MONTHLY MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 15A | ANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS BY KEY BOARD MEMBERS AND CONSULTANTS. |
| FORM 990, PAGE 6, PART VI, LINE 15B | ANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | AVAILABLE UPON REQUEST MADE AT ORGANIZATION'S OFFICE. |
| FORM 990, PART XI, LINE 9 | RELEASED FROM RESTRICTION -4,036 |
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