STATE OF TEXAS KIDNEY FOUNDATION: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
STATE OF TEXAS KIDNEY FOUNDATION (EIN 27-4237653)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-10-31
IRS object ID
202033059349300708
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)
Return2020-10-31T06:26:40-00:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLANCHE LLC CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17300 BLANCO RD STE 501AddressLine1Txt
CitySAN ANTONIOCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78216ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274237653EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1STATE OF TEXAS KIDNEY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTATBusinessNameControlTxt
Phone2107399778PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14204 GARDENDALE Room 106AddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782293138ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTiffany Jones-SmithPersonNm
Person TitleCEOPersonTitleTxt
Phone2103968440PhoneNum
Signature2020-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonA EARL BLANCHE JRPreparerPersonNm
Phone2104082721PhoneNum
Preparation2020-10-31PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.79.32.174IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-10-31IPDt
IP Tm14:55:40IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id5281A58D8009F3FDBB2D6336E05C93A819792D49AtSubmissionCreationDeviceId
At Submission Filing Device Id5281A58D8009F3FDBB2D6336E05C93A819792D49AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Tiffany Jones-SmithBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14204 GARDENDALEAddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782293138ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$831,139GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.tkkindey.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionIMPROVE THE HEALTH AND WELL BEING OF PEOPLE AT RISK OR AFFECTED KIDNEY DISEASE, THROUGH EDUCATION, PREVENTION AND SUPPORT AND BY INCREASE ORGAN DONATION AND TRANSPLANT.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$600,067PYContributionsGrantsAmt
CY Contributions Grants$787,207CYContributionsGrantsAmt
PY Program Service Revenue$89,251PYProgramServiceRevenueAmt
CY Program Service Revenue$43,932CYProgramServiceRevenueAmt
PY Investment Income$3PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$689,321PYTotalRevenueAmt
CY Total Revenue$831,139CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$5,000CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$247,847PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$240,462CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$376,939PYOtherExpensesAmt
CY Other Expenses$427,586CYOtherExpensesAmt
PY Total Expenses$624,786PYTotalExpensesAmt
CY Total Expenses$673,048CYTotalExpensesAmt
PY Revenues Less Expenses$64,535PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$158,091CYRevenuesLessExpensesAmt
Total Assets BOY$429,249TotalAssetsBOYAmt
Total Assets EOY$198,017TotalAssetsEOYAmt
Total Liabilities BOY$11,458TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,218TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$417,791NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$187,799NetAssetsOrFundBalancesEOYAmt
MissionIMPROVE THE HEALTH AND WELL BEING OF PEOPLE AT RISK OR AFFECTED BY KIDNEY DISEASE, THROUGH EDUCATION, PREVENTION AND SUPPORT AND BY INCREASING ORGAN DONATION AND TRANSPLANT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$529,492ExpenseAmt
Revenue$623,999RevenueAmt
DescKIDNEY SCREENING TESTS WERE CONDUCTED AT VARIOUS VENUES AND AT VARIOUS TIMES THROUGHOUT THE YEAR TO TRY TO DETECT DISEASE AT EARLY STATE IN ORDER TO EXTEND SURVIVAL TIME.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$70,737ExpenseAmt
Revenue$43,932RevenueAmt
DescTHROUGH EDUCATIONAL SYMPOSIUMS, THE ISSUES OF KIDNEY DISEASE WERE PRESENTED AND TREATMENTS AND PROCEDURES WERE DISCUSSED AS TO HOW TO REDUCE THE RAMIFICATIONS OF THE DISEASE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$600,229TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSTATE OF TEXAS KIDNEY FOUNDATIONPersonNm
Phone2103968440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14204 GARDENDALEAddressLine1Txt
CitySan AntonioCityNm
State AbbreviationTXStateAbbreviationCd
ZIP782293138ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Tiffany Jones-Smith
CEO040.00Yes (X)Yes (X)$85,000$0$0
Anil T Mangla BSc MS MPH PhD FRSPH
Chairman005.00$0$0$0Yes (X)
Kumar Sharma MD
Vice Chair001.00$0$0$0Yes (X)
Oasim Butt MD
Treasurer003.00$0$0$0Yes (X)
Carl Dukes MD
Board Member001.00$0$0$0Yes (X)
Bruce Brockway MD
Board Member001.00$0$0$0Yes (X)
Matthias Kapturczak MD PhD
Board Member001.00$0$0$0Yes (X)
Francis Wright MD
Board Member001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$85,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$787,207AllOtherContributionsAmt
Noncash Contributions$39,350NoncashContributionsAmt
Total Contributions$787,207TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SYMPOSIUM611710$38,749$38,749
PROGRAM INCOME - SPECIAL EVENTS624100$5,183$5,183
FieldValueIRS element (for citing)
Total Program Service Revenue$43,932TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$831,139TotalRevenueColumnAmt
Related Or Exempt Func Income$43,932RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Program Services$5,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$85,000TotalAmt
Program Services$72,250ProgramServicesAmt
Management And General$12,750ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$135,939TotalAmt
Program Services$111,470ProgramServicesAmt
Management And General$24,469ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,523TotalAmt
Program Services$16,302ProgramServicesAmt
Management And General$3,221ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Fees For Services Prof FundraisingFeesForServicesProfFundraising

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$120,153TotalAmt
Program Services$120,153ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$39,346TotalAmt
Program Services$16,411ProgramServicesAmt
Management And General$22,935ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$38,996TotalAmt
Program Services$35,096ProgramServicesAmt
Management And General$3,900ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,596TotalAmt
Program Services$7,596ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,540TotalAmt
Program Services$5,540ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,547TotalAmt
Program Services$7,547ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
BANK AND MERCHANT SVC CHARGES$5,544$5,544
CONTRACT SERVICES$64,184$64,184
IN-KIND EXPENSES$39,350$39,350
EVENTS/SYMPOSIUMS$99,124$99,124

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$206TotalAmt
Program Services$206ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$673,048TotalAmt
Program Services$600,229ProgramServicesAmt
Management And General$72,819ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$61,027BOYAmt
EOY$166,572EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$345,567BOYAmt
EOY$14,330EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$37,851LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,736LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,655BOYAmt
EOY$17,115EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$429,249BOYAmt
EOY$198,017EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,458BOYAmt
EOY$10,218EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,458BOYAmt
EOY$10,218EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$86,720BOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$331,071BOYAmt
EOY$187,799EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$417,791BOYAmt
EOY$187,799EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$429,249BOYAmt
EOY$198,017EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$158,091ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$5PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$388,078OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt
Public Support CY1700.00000PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$322,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$302,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$620,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$689,318CurrentTaxYearMinus1YearAmt
Current Tax Year$831,139CurrentTaxYearAmt
Total$2,766,025TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$322,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$302,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$620,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$689,318CurrentTaxYearMinus1YearAmt
Current Tax Year$831,139CurrentTaxYearAmt
Total$2,766,025TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,766,025PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$322,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$302,239CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$620,633CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$689,318CurrentTaxYearMinus1YearAmt
Current Tax Year$831,139CurrentTaxYearAmt
Total$2,766,025TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,851OtherCostOrOtherBasisAmt
Depreciation$20,736DepreciationAmt
Book Value$17,115BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,115TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc
Financial derivatives and other financial products
Closely-held equity interests

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescFederal income taxesDesc

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescIN-KINDDesc
Noncash Contributions Rpt F990$39,350NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11The Board of Directors Executive Committee reviews and approves the Financials used in the preparation of the Form 990. The CEO approves and signs the Form 990 before submission to the IRS.
Form 990, Part VI, Line 12a, 12bThe Board of Directors reviews any conflict of interest and the governing documents are available upon request.
Form 990, Part VI, Line 12c, 19The Board of Directors reviews any conflict of interest and the governing documents are available upon request.
Form 990, Part VI, Line 19All governing documents are available upon request.
Form 990, Part VI, Line 15a, 15bThe organizations Board reviews the Offiers and key employees salaries and wages and compares it with other clubs of similar size.
Form 990, Part XI, Line 8Reconciliation Discrepancies - rounding.
Form 990, Part XI, Line 9Prior restricted Income released - Decrease in Net Assets from prior period 2018.

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