AFRICAN FAMILY HEALTH ORGANIZATION AFAHO: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
AFRICAN FAMILY HEALTH ORGANIZATION AFAHO (EIN 73-1670436)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-04
IRS object ID
202033099349300623
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)
Return2020-11-04T07:08:00-08:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Renzi Bernardi Suarez & CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line141 Kings Highway NAddressLine1Txt
CityCherry HillCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08034ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731670436EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFRICAN FAMILY HEALTH ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAFRIBusinessNameControlTxt
Phone2155461232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15400 GRAYS AVEAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19143ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2155461232PhoneNum
Signature2020-09-25SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEdward A Suarez CPA MBAPreparerPersonNm
PTINP00018408PTIN
Phone8568587887PhoneNum
Preparation2020-11-04PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.248.71.99IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-04IPDt
IP Tm07:07:48IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8B9E014DAB012EA2131B0F01F198CEB9BAABAD8BAtSubmissionCreationDeviceId
At Submission Filing Device Id23919DADB595B9D02978021C5953163E5F7C3449AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerONI RICHARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15400 GRAYS AVEAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19143ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$834,106GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.afaho.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2005FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionAFAHO PROVIDES HEALTH AND HUMAN SERVICES TO AFRICAN AND CARIBBEAN IMMIGRANTS AND REFUGEES IN THE GREATER PHILADELPHIA AREA.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee7TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$525,416PYContributionsGrantsAmt
CY Contributions Grants$306,077CYContributionsGrantsAmt
PY Program Service Revenue$342,947PYProgramServiceRevenueAmt
CY Program Service Revenue$528,029CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$868,363PYTotalRevenueAmt
CY Total Revenue$834,106CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$437,164PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$415,339CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$24,569CYTotalFundraisingExpenseAmt
PY Other Expenses$274,102PYOtherExpensesAmt
CY Other Expenses$253,022CYOtherExpensesAmt
PY Total Expenses$711,266PYTotalExpensesAmt
CY Total Expenses$668,361CYTotalExpensesAmt
PY Revenues Less Expenses$157,097PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$165,745CYRevenuesLessExpensesAmt
Total Assets BOY$469,804TotalAssetsBOYAmt
Total Assets EOY$636,802TotalAssetsEOYAmt
Total Liabilities BOY$5,052TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,305TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$464,752NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$630,497NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAFAHO PROVIDES HEALTH AND HUMAN SERVICES TO AFRICAN AND CARIBBEAN IMMIGRANTS AND REFUGEES IN THE GREATER PHILADELPHIA AREA.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$331,913ExpenseAmt
Grant$0GrantAmt
Revenue$528,029RevenueAmt
Desc340B PROGRAM:THE AFRICAN FAMILY HEALTH ORGANIZATION (AFAHO) IS A "COVERED ENTITY" AS DEFINED IN SECTION 340B OF THE PUBLIC HEALTH SERVICE ACT AND IS ELIGIBLE TO PURCHASE CERTAIN OUTPATIENT DRUGS AT REDUCED PRICES FOR USE BY ELIGIBLE PATIENTS FROM DRUG MANUFACTURERS WHO HAVE SIGNED A DRUG PURCHASING AGREEMENT WITH THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES AND/OR THE MANUFACTURERS' WHOLESALERS. AFAHO PROVIDES HEALTH CARE AND OTHER CASE MANAGEMENT AND SUPPORTIVE SERVICES TO ELIGIBLE PATIENTS. AFAHO HAS PARTNERED WITH SOLVENCY PHARMACY WHO DISPENSES COVERED DRUGS TO ELIGIBLE PATIENTS IN ACCORDANCE WITH ALL APPLICABLE STATE AND FEDERAL STATUTES AND REGULATIONS AND THE PROFESSIONAL JUDGMENT OF THE DISPENSING PHARMACIST.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$62,389ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescFGC-NSC: A FEDERALLY FUNDED PROGRAM, THE PHILADELPHIA INTERNATIONAL WOMEN'S PROGRAM (PIWP) IS A PARTNERSHIP BETWEEN THE AFRICAN FAMILY HEALTH ORGANIZATION, DREXEL UNIVERSITY'S WOMEN'S CARE CENTER AND NATIONALITIES SERVICE CENTER (NSC) TO PROVIDE HEALTH AND SOCIAL SUPPORT SERVICES TO WOMEN IMPACTED BY FEMALE GENITAL CUTTING.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$28,093ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescTHE KYNETT FOUNDATION HELPED FUND THE "EAT RIGHT, LIVE BRIGHT" PROGRAM. THE EAT RIGHT, LIVE BRIGHT NUTRITION EDUCATION PROGRAM ENCOURAGES HEALTHY EATING HABITS, PROMOTES POSITIVE BODY IMAGES AND INCREASES PARTICIPATION IN PHYSICAL ACTIVITY AMONG CHILDREN BETWEEN THE AGES OF 6-8 AND THEIR PRIMARY CAREGIVER IN THE GREATER PHILADELPHIA AREA.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$122,376ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescMULTIPLE OTHER PROGRAMS WHICH INCLUDE YOUTH IN ACTION, HEALTHY BEGINNINGS, HIV/AIDS OUTREACH.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$122,376TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$544,771TotalProgramServiceExpensesAmt
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 FootnoteYes (true)IncludeFIN48FootnoteInd
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
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee7EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
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 PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Phone2155461232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14415 CHESTNUT STREET SUITE 202AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DR CHYKE DOUBENI
BOARD MEMBER1.00Yes (X)$0$0$0
DR MARY OSIRIM
TREASURER1.00Yes (X)$0$0$0Yes (X)
DR EMMANUEL KOKU
BOARD CHAIR1.00Yes (X)$0$0$0Yes (X)
DR CAMILLE RAGIN
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
ONI RICHARDS-WARITAY
EXECUTIVE DIRECTOR40.00$91,019$0$20,933Yes (X)
RACHELLE MARTINEZ
SECRETARY1.00Yes (X)$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$91,019TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$20,933TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$3,000GovernmentGrantsAmt
All Other Contributions$303,077AllOtherContributionsAmt
Total Contributions$306,077TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business624100BusinessCd
Total Revenue Column$528,029TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$528,029TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$834,106TotalRevenueColumnAmt
Related Or Exempt Func Income$528,029RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$91,019TotalAmt
Program Services$77,366ProgramServicesAmt
Management And General$9,102ManagementAndGeneralAmt
Fundraising$4,551FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$246,677TotalAmt
Program Services$209,677ProgramServicesAmt
Management And General$24,667ManagementAndGeneralAmt
Fundraising$12,333FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$51,276TotalAmt
Program Services$43,584ProgramServicesAmt
Management And General$5,129ManagementAndGeneralAmt
Fundraising$2,563FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$26,367TotalAmt
Program Services$22,412ProgramServicesAmt
Management And General$2,636ManagementAndGeneralAmt
Fundraising$1,319FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,515TotalAmt
Program Services$0ProgramServicesAmt
Management And General$6,515ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,049TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,049ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,909TotalAmt
Program Services$6,564ProgramServicesAmt
Management And General$345ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,890TotalAmt
Program Services$17,757ProgramServicesAmt
Management And General$2,089ManagementAndGeneralAmt
Fundraising$1,044FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,938TotalAmt
Program Services$0ProgramServicesAmt
Management And General$29,938ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,590TotalAmt
Program Services$6,452ProgramServicesAmt
Management And General$759ManagementAndGeneralAmt
Fundraising$379FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,341TotalAmt
Program Services$22,391ProgramServicesAmt
Management And General$2,635ManagementAndGeneralAmt
Fundraising$1,315FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$11,763TotalAmt
Program Services$9,999ProgramServicesAmt
Management And General$1,176ManagementAndGeneralAmt
Fundraising$588FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SERVICES$120,465$120,465$0$0
TELEPHONE$9,534$8,104$953$477
MISCELLANEOUS$9,028$0$9,028$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$668,361TotalAmt
Program Services$544,771ProgramServicesAmt
Management And General$99,021ManagementAndGeneralAmt
Fundraising$24,569FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,216BOYAmt
EOY$285,072EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$212,609BOYAmt
EOY$86,619EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$92,779BOYAmt
EOY$150,523EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,729EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$180,543LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$71,734LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$135,150BOYAmt
EOY$108,809EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,050BOYAmt
EOY$1,050EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$469,804BOYAmt
EOY$636,802EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,021BOYAmt
EOY$5,274EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$1,031BOYAmt
EOY$1,031EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,052BOYAmt
EOY$6,305EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$211,881BOYAmt
EOY$353,810EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$252,871BOYAmt
EOY$276,687EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$464,752BOYAmt
EOY$630,497EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$469,804BOYAmt
EOY$636,802EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$165,745ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind
Other Support Sum$0OtherSupportSumAmt

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$237,620CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$351,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$525,416CurrentTaxYearMinus1YearAmt
Current Tax Year$306,077CurrentTaxYearAmt
Total$1,715,900TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$295,395CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$237,620CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$351,392CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$525,416CurrentTaxYearMinus1YearAmt
Current Tax Year$306,077CurrentTaxYearAmt
Total$1,715,900TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$190,619SubstantialContributorsTotAmt
Public Support Total170$1,525,281PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$1,715,900TotalSupportAmt
Gross Receipts Rltd Activities$1,892,962GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88890PublicSupportCY170Pct
Public Support PY1700.93190PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Book Value$0BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,994OtherCostOrOtherBasisAmt
Depreciation$25,999DepreciationAmt
Book Value$77,995BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,710OtherCostOrOtherBasisAmt
Depreciation$11,103DepreciationAmt
Book Value$5,607BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,839OtherCostOrOtherBasisAmt
Depreciation$34,632DepreciationAmt
Book Value$25,207BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$108,809TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Relationship With OrgEXEC DIRECTORRelationshipWithOrgTxt
Loan PurposeGEN OPSLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$997OriginalPrincipalAmt
Balance Due$1,031BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementfalseWrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$1,031TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bA DRAFT COPY OF THE 990 IS REVIEWED BY THE BOARD PRIOR TO FILING
Pt VI, Line 12cWHEN VOLUNTEERS START WITH THE ORGANIZATION, THEY ARE GIVEN THIS POLICY TO REVIEW AND SIGN.
Pt VI, Line 15aTHE BOARD REVIEWS COMPARABLE COMPENSATION AT OTHER NON-PROFIT ORGANIZATIONS OF A SIMILAR SIZE AND STRUCTURE AS WELL AS THE EXECUTIVE DIRECTOR'S ROLES AND RESPONSIBILITIES TO DETERMINE AND VOTE ON THE EXECUTIVE DIRECTOR'S COMPENSATION.
Pt VI, Line 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part III, Line 4dMULTIPLE OTHER PROGRAMS WHICH INCLUDE YOUTH IN ACTION, HEALTHY 122376. 0. 0.

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