HEALTH HORIZONS INTERNATIONAL FOUNDATION INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH HORIZONS INTERNATIONAL FOUNDATION INC (EIN 27-1060487)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-12
- IRS object ID
- 202023179349302782
- 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 | 2020-11-12T10:23:34-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 061009205 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUM SHAPIRO & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | TWO INTERNATIONAL PLACE 22ND FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | 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 | 271060487 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH HORIZONS INTERNATIONAL | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HEAL | BusinessNameControlTxt |
| Phone | 8602433977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE REGENCY DRIVE | AddressLine1Txt |
| City | BLOOMFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06002 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROMIYA BARRY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8602433977 | PhoneNum |
| Signature | 2020-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAURA J KENNEY | PreparerPersonNm |
| PTIN | P00202198 | PTIN |
| Phone | 6177170831 | PhoneNum |
| Preparation | 2020-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 64.251.63.131 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-05 | IPDt |
| IP Tm | 14:07:39 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C2A8F68C24BA4106533A6CD8C72FD917E7C6626D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F655607A01BC9414CB150F5C2D5B642F4B7C09E6 | 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 | ROMIYA BARRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE REGENCY DRIVE | AddressLine1Txt |
| City | BLOOMSFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06002 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $184,945 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HHIDR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | CT | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE COMMUNITY HEALTH IN DOMINICAN REPUBLIC | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $278,654 | PYContributionsGrantsAmt |
| CY Contributions Grants | $169,706 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,675 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,395 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,956 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,844 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $295,285 | PYTotalRevenueAmt |
| CY Total Revenue | $184,945 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $167,746 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $152,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $4,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $4,230 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $280,490 | PYOtherExpensesAmt |
| CY Other Expenses | $213,013 | CYOtherExpensesAmt |
| PY Total Expenses | $448,236 | PYTotalExpensesAmt |
| CY Total Expenses | $369,835 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$152,951 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$184,890 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $405,047 | TotalAssetsBOYAmt |
| Total Assets EOY | $226,324 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,530 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,352 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $401,517 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $214,972 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE COMMUNITY HEALTH IN DOMINICAN REPUBLIC | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $126,234 | ExpenseAmt |
| Desc | PROVIDED TRAINING TO GENERALIST PHYSICIANS IN COMPREHENSIVE DIABETES MANAGEMENT, AND TO NURSES IN HEALTH BEHAVIOR AND SUPPORT FOR CHRONIC DISEASE PATIENTS. PARTNERED WITH PRIMARY HEALTH CARE CLINICS AND HOSPITALS TO STRENGTHEN QUALITY MEASURES FOR CHRONIC DISEASE TREATMENT AND MANAGEMENT. LED DIABETES AWARENESS AND EDUCATION CAMPAIGNS IN COLLABORATION WITH MINISTRY OF HEALTH. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $46,888 | ExpenseAmt |
| Revenue | $13,395 | RevenueAmt |
| Desc | PROVIDED 366 PRIMARY HEALTH CARE CONSULTATIONS, INCLUDING MEDICATION AND FOLLOW-UP, AND ENGAGED 11 PHYSICIANS, 3 ADVANCED PRACTICE MEDICAL PROFESSIONALS, AND 6 STUDENTS AND OTHER VOLUNTEERS IN INTERNATIONAL SERVICE. THE MEDICAL SERVICE TRIPS FACILITATE CONTINUITY OF PRIMARY HEALTH CARE IN FOUR COMMUNITIES IN THE DOMINICAN REPUBLIC. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,939 | ExpenseAmt |
| Desc | ENROLLED PATIENTS DIAGNOSED WITH HYPERTENSION OR DIABETES TO HHI'S CHRONIC DISEASE MANAGEMENT PROGRAM. PROVIDED PATIENTS WITH YEAR-ROUND ACCESS TO MEDICATION, MONTHLY HOME VISITS BY A COMMUNITY HEALTH WORKER, PERSONALIZED HEALTH EDUCATION COUNSELING, AND TRI-ANNUAL CONSULTATION WITH A PHYSICIAN. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $27,683 | ExpenseAmt |
| Desc | PROVIDED TRAINING AND CONTINUING EDUCATION TO COMMUNITY HEALTH WORKERS FROM LOCAL COMMUNITIES ACROSS THE PUERTO PLATA PROVINCE. CHWS FROM FOUR COMMUNITIES PROVIDED CASE MANAGEMENT SERVICES TO PATIENTS ENROLLED IN HHI'S CHRONIC DISEASE MANAGEMENT PROGRAM. CHWS FROM NUMEROUS COMMUNITIES LED NUTRITION, PHYSICAL ACTIVITY, AND HEALTH BEHAVIOR EDUCATION PROGRAMMING FOR INDIVIDUALS ENROLLED IN HHI'S SANO Y FELIZ (HEALTH AND HAPPY) GROUP PROGRAM. CHWS FROM ACROSS THE PROVINCE CONDUCTED DIABETES RISK FACTOR ASSESSMENTS FOR INDIVIDUALS AND COMPLETED REFERRALS TO PRIMARY CARE CENTERS FOR INDIVIDUALS.312 PATIENTS PROVIDED WITH REFERRALS AND DIRECT ACCOMPANIMENT TO SPECIALIST CONSULTS, PREVENTIVE CARE, SURGERY, DIAGNOSTIC TESTING, AND IMAGING AND OTHER CRITICAL FOLLOW-UP. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $27,683 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $230,744 | 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 | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | Yes (1) | ForeignOfficeInd |
| Foreign Activities | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | DR | ForeignCountryCd |
| 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 | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | S AND S MANAGEMENT SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8602433977 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | STE 209 | AddressLine1Txt |
| City | BLOOMFIELD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06022 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| LAURA MCNULTY | ||||||
| PRESIDENT/CHAIR- (UNTIL 3/2019) | 15.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRIS MEELIA | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CYNTHIA MARGARET MCMURRY | ||||||
| TREASURER- (UNTIL 11/2019) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANGELA KANG MD | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ROMIYA BARRY | ||||||
| PRESIDENT/CHAIR- (AS OF 3/2019) | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ANNE BREWER | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| TEO NORMAN | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BRAD WILKINSON MD | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CRAIG W CZARTSY MD | ||||||
| PRESIDENT EMERITUS | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| EDGGAR CASTILLO | ||||||
| EXECUTIVE DIRECTOR- (UNTIL 2/2019) | 40.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $169,706 | AllOtherContributionsAmt |
| Noncash Contributions | $1,019 | NoncashContributionsAmt |
| Total Contributions | $169,706 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VOLUNTEER FEES | Desc |
| Business | 561000 | BusinessCd |
| Total Revenue Column | $13,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,395 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,395 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,844 | TotalRevenueColumnAmt |
| Exclusion | $1,844 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,945 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,395 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,844 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,138 | TotalAmt |
| Program Services | $51,375 | ProgramServicesAmt |
| Management And General | $43,763 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,344 | TotalAmt |
| Program Services | $27,726 | ProgramServicesAmt |
| Management And General | $23,618 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,340 | TotalAmt |
| Management And General | $6,340 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,000 | TotalAmt |
| Management And General | $12,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412 | TotalAmt |
| Management And General | $1,412 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,542 | TotalAmt |
| Management And General | $12,542 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,000 | TotalAmt |
| Fundraising | $4,000 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,905 | TotalAmt |
| Program Services | $4,905 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,090 | TotalAmt |
| Management And General | $14,090 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,414 | TotalAmt |
| Program Services | $17 | ProgramServicesAmt |
| Management And General | $5,167 | ManagementAndGeneralAmt |
| Fundraising | $230 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,362 | TotalAmt |
| Management And General | $4,362 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,524 | TotalAmt |
| Management And General | $1,524 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROGRAM EXPENSES | $142,751 | $142,751 | |
| FACILITY AND EQUIPMENT | $9,367 | $3,970 | $5,397 |
| BANKING FEES | $2,220 | $2,220 | |
| STAFF DEVELOPMENT | $1,864 | $1,864 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562 | TotalAmt |
| Management And General | $562 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,835 | TotalAmt |
| Program Services | $230,744 | ProgramServicesAmt |
| Management And General | $134,861 | ManagementAndGeneralAmt |
| Fundraising | $4,230 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $346,969 | BOYAmt |
| EOY | $156,250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,081 | BOYAmt |
| EOY | $52,079 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,704 | BOYAmt |
| EOY | $7,974 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,424 | BOYAmt |
| EOY | $1,486 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $21,811 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $13,813 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,360 | BOYAmt |
| EOY | $7,998 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509 | BOYAmt |
| EOY | $537 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,047 | BOYAmt |
| EOY | $226,324 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,530 | BOYAmt |
| EOY | $11,352 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,530 | BOYAmt |
| EOY | $11,352 | 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 | $273,194 | BOYAmt |
| EOY | $129,872 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,323 | BOYAmt |
| EOY | $85,100 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $401,517 | BOYAmt |
| EOY | $214,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,047 | BOYAmt |
| EOY | $226,324 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$184,890 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,707 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$4,362 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | 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 | $257,471 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $589,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $308,671 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $278,654 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $169,706 | CurrentTaxYearAmt |
| Total | $1,604,383 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $257,471 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $589,881 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $308,671 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $278,654 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $169,706 | CurrentTaxYearAmt |
| Total | $1,604,383 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,604,383 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $131 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $243 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $838 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,955 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,844 | CurrentTaxYearAmt |
| Total | $5,011 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$1,342 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $169,033 | CurrentTaxYearMinus2YearsAmt |
| Total | $168,861 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,778,255 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $13,395 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90220 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90800 | 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 | $21,811 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,813 | DepreciationAmt |
| Book Value | $7,998 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $7,998 | TotalBookValueLandBuildingsAmt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS | RegionTxt |
| Offices | 1 | OfficesCnt |
| Employee | 15 | EmployeeCnt |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | ALL PROGRAM SERVICES OF THE ORGANIZATION ARE CONDUCTED IN THE DOMINICAN REPUBLIC | SpecificServicesProvidedTxt |
| Region Total Expenditures | $230,744 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Subtotal Employees | 15 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 1 | TotalOfficeCnt |
| Total Employee | 15 | TotalEmployeeCnt |
| Subtotal Spent | $230,744 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $230,744 | TotalSpentAmt |
| Transfer To Foreign Corp | 0 | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | 0 | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III ACCOUNTING METHOD: | |
| PART I, LINE 2: | ORGANIZATION PROGRAM IS BASED IN DOMINICAN REPUBLIC. ORGANIZATION HAS STAFF LOCATED IN THE DR TO MONITOR USE OF FUNDS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART V, LINE 2A: | THE ORGANIZATION HAS NO EMPLOYEES IN THE UNITED STATES; THEREFORE FORMS W-2 WERE NOT REQUIRED TO BE FILED. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE GOVERNING BODY REVIEWED THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER, OFFICER OR EMPLOYEE IS DISCLOSED IN WRITING TO THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | INFORMATION AVAILABLE UPON REQUEST |
Comments