PATIENT ASSISTANCE FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
PATIENT ASSISTANCE FOUNDATION (EIN 94-2944137)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201913169349300601
Schema version
2018v3.1
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)
Return2019-11-12T00:30:25-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330835986PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SQUAR MILNER LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1135 MAIN STREET 9TH FLOORAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941051815ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN942944137EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PATIENT ASSISTANCE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPATIBusinessNameControlTxt
Phone4159233155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 WEBSTER STREET SUITE 100AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94115ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOTT PLYMALE LCSWPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone4159233155PhoneNum
Signature2019-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOUA LOPreparerPersonNm
PTINP01225144PTIN
Phone4157812500PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.6.48.101IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-07IPDt
IP Tm11:34:41IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE2EA9FACFDC92D91A7B2E1D38CDE8E962D13A943AtSubmissionCreationDeviceId
At Submission Filing Device Id04688926A99AB1187F8A3E5828E2B676A02AA1A4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH RESOURCE CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSCOTT PLYMALEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12100 WEBSTER STREET SUITE 100AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94115ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,047,369GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressCHRCSF.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE AND PROMOTE INNOVATIVE HEALTH CARE AND HEALTH MAINTENANCE PROGRAMS TO THE GREATER BAY AREA AS WELL AS PATIENTS SERVED BY CPMC. CHRC PROVIDES COUNSELING, EDUCATION AND COORDINATION OF MULTIPLE PATIENT SERVICES TO SUPPLEMENT THE CARE AND SUPPORT PROVIDED BY PHYSICIANS.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers16TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$389,771PYContributionsGrantsAmt
CY Contributions Grants$365,307CYContributionsGrantsAmt
PY Program Service Revenue$314,437PYProgramServiceRevenueAmt
CY Program Service Revenue$322,718CYProgramServiceRevenueAmt
PY Investment Income$23,659PYInvestmentIncomeAmt
CY Investment Income$40,839CYInvestmentIncomeAmt
PY Other Revenue$16,989PYOtherRevenueAmt
CY Other Revenue$13,242CYOtherRevenueAmt
PY Total Revenue$744,856PYTotalRevenueAmt
CY Total Revenue$742,106CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$658,234PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$674,815CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$60,027CYTotalFundraisingExpenseAmt
PY Other Expenses$393,168PYOtherExpensesAmt
CY Other Expenses$418,045CYOtherExpensesAmt
PY Total Expenses$1,051,402PYTotalExpensesAmt
CY Total Expenses$1,092,860CYTotalExpensesAmt
PY Revenues Less Expenses-$306,546PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$350,754CYRevenuesLessExpensesAmt
Total Assets BOY$3,847,625TotalAssetsBOYAmt
Total Assets EOY$3,392,119TotalAssetsEOYAmt
Total Liabilities BOY$45,246TotalLiabilitiesBOYAmt
Total Liabilities EOY$53,291TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,802,379NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,338,828NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE AND PROMOTE INNOVATIVE HEALTH CARE AND HEALTH MAINTENANCE PROGRAMS TO THE GREATER BAY AREA AS WELL AS PATIENTS SERVED BY CPMC. CHRC PROVIDES COUNSELING, EDUCATION AND COORDINATION OF MULTIPLE PATIENT SERVICES TO SUPPLEMENT THE CARE AND SUPPORT PROVIDED BY PHYSICIANS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$444,813ExpenseAmt
Revenue$310,313RevenueAmt
DescBEHAVIORAL/MENTAL HEALTH SERVICES AND NUTRITION COUNSELING -- THE ORGANIZATION HAS A TEAM OF LICENSED PROFESSIONALS OFFERING SUPPORT FOR INDIVIDUALS, GROUPS AND FAMILIES LOOKING FOR EMOTIONAL OR PRACTICAL GUIDANCE AND SUPPORT. LIKEWISE, THE ORGANIZATION HAS A TEAM OF REGISTERED DIETITIANS THAT PROVIDES NUTRITION COUNSELING SERVICES. THE ORGANIZATION'S NUTRITION SERVICES PROVIDE EDUCATION AND INSTRUCTION TO HELP SUPPORT ONE'S INDIVIDUAL VARIETY OF CONDITIONS, CONCERNS, GOALS AND LIFE STAGES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$346,897ExpenseAmt
Revenue$1,790RevenueAmt
DescHEALTH EDUCATION -- THE ORGANIZATION OFFERS MONTHLY WELLNESS EVENTS THAT INCLUDE HEALTH SCREENINGS, COMMUNITY EDUCATION LECTURES AND EMPLOYEE WELLNESS PRESENTATIONS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$124,305ExpenseAmt
Revenue$10,615RevenueAmt
DescHEALTH SCREENINGS -- THE ORGANIZATION PROVIDES BOTH GRANT-FUNDED AND CONTRACTED HEALTH SCREENING SERVICES AT EMPLOYEE HEALTH AFFAIRS, WELLNESS EVENTS, SCHOOLS AND COMMUNITY CENTERS. THE HEALTH SCREENING SERVICES, WHICH INCLUDE CHOLESTEROL, BLOOD GLUCOSE, BLOOD PRESSURE, BODY MASS INDEX, BONE DENSITY AND MEMORY SCREENS, ARE CONDUCTED BY REGISTERED NURSES.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$916,015TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HALL TAI & ASSOCIATESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4155645183PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11156 CLEMENT STREETAddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94118ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARILYN KUTZSCHER MD
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
CHARLES SELLMAN
TREASURER - SECRETARY2.00Yes (X)Yes (X)$0$0$0
ARI BARON MD
DIRECTOR2.00Yes (X)$0$0$0
PETER CALLANDER
DIRECTOR2.00Yes (X)$0$0$0
SHELLY GORDON MD
DIRECTOR - ADVISORY BOARD2.00Yes (X)$0$0$0
BARRY BARON MD
DIRECTOR2.00Yes (X)$0$0$0
JOAN DEHOVITZ BRAUN
DIRECTOR2.00Yes (X)$0$0$0
HOLLY HOLTER MD
DIRECTOR2.00Yes (X)$0$0$0
ANDREW KLOMPUS MD
DIRECTOR (PART YEAR)2.00Yes (X)$0$0$0
JEAN-LUC LAMIRANDE
DIRECTOR2.00Yes (X)$0$0$0
ELIZA MCCAW MD
DIRECTOR2.00Yes (X)$0$0$0
DAVID TONG MD
DIRECTOR2.00Yes (X)$0$0$0
RUSSELL WOO MD
DIRECTOR2.00Yes (X)$0$0$0
BROCK BERNSTEN MD
DIRECTOR - ADVISORY BOARD (PART YEAR)2.00Yes (X)$0$0$0
NENA MONTGOMERY
DIRECTOR - ADVISORY BOARD2.00Yes (X)$0$0$0
FRANK HUANG
DIRECTOR2.00Yes (X)$0$0$0
SCOTT PLYMALE LCSW
EXECUTIVE DIRECTOR40.00Yes (X)$151,692$0$13,148
FieldValueIRS element (for citing)
Total Reportable Comp From Org$151,692TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$13,148TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$365,307AllOtherContributionsAmt
Total Contributions$365,307TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAMDesc
Business900099BusinessCd
Total Revenue Column$322,718TotalRevenueColumnAmt
Related Or Exempt Func Income$322,718RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$322,718TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,094TotalRevenueColumnAmt
Exclusion$29,094ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$12,000RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$12,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,000TotalRevenueColumnAmt
Exclusion$12,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$317,008SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$305,263SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,745SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,745TotalRevenueColumnAmt
Exclusion$11,745ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$1,242TotalRevenueColumnAmt
Exclusion$1,242ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,242OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$742,106TotalRevenueColumnAmt
Related Or Exempt Func Income$322,718RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$54,081ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$164,840TotalAmt
Program Services$164,840ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$393,288TotalAmt
Program Services$327,805ProgramServicesAmt
Management And General$31,732ManagementAndGeneralAmt
Fundraising$33,751FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$116,687TotalAmt
Program Services$101,606ProgramServicesAmt
Management And General$7,309ManagementAndGeneralAmt
Fundraising$7,772FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$57,737TotalAmt
Management And General$57,737ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$146,360TotalAmt
Program Services$137,225ProgramServicesAmt
Management And General$8,987ManagementAndGeneralAmt
Fundraising$148FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,849TotalAmt
Program Services$24,381ProgramServicesAmt
Management And General$2,684ManagementAndGeneralAmt
Fundraising$784FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$146,776TotalAmt
Program Services$138,386ProgramServicesAmt
Management And General$4,109ManagementAndGeneralAmt
Fundraising$4,281FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,049TotalAmt
Program Services$8,530ProgramServicesAmt
Management And General$254ManagementAndGeneralAmt
Fundraising$265FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,632TotalAmt
Program Services$10,596ProgramServicesAmt
Management And General$3,708ManagementAndGeneralAmt
Fundraising$328FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Total$15,642TotalAmt
Program Services$2,646ProgramServicesAmt
Management And General$298ManagementAndGeneralAmt
Fundraising$12,698FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,092,860TotalAmt
Program Services$916,015ProgramServicesAmt
Management And General$116,818ManagementAndGeneralAmt
Fundraising$60,027FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$153,245BOYAmt
EOY$157,156EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,294,225BOYAmt
EOY$1,941,622EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,160BOYAmt
EOY$17,374EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,583BOYAmt
EOY$7,922EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$82,114LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$52,023LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,141BOYAmt
EOY$30,091EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,313,057BOYAmt
EOY$1,231,740EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,214BOYAmt
EOY$6,214EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,847,625BOYAmt
EOY$3,392,119EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,246BOYAmt
EOY$53,291EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$45,246BOYAmt
EOY$53,291EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,594,770BOYAmt
EOY$1,426,049EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,207,609BOYAmt
EOY$1,912,779EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,802,379BOYAmt
EOY$3,338,828EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,847,625BOYAmt
EOY$3,392,119EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$350,754ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$112,797NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$366,958CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$787,383CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$393,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$389,771CurrentTaxYearMinus1YearAmt
Current Tax Year$365,307CurrentTaxYearAmt
Total$2,302,560TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$366,958CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$787,383CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$393,141CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$389,771CurrentTaxYearMinus1YearAmt
Current Tax Year$365,307CurrentTaxYearAmt
Total$2,302,560TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$128,685SubstantialContributorsTotAmt
Public Support Total170$2,173,875PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$26,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$27,249CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$28,829CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,659CurrentTaxYearMinus1YearAmt
Current Tax Year$41,094CurrentTaxYearAmt
Total$147,713TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,188CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,515CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,543CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,989CurrentTaxYearMinus1YearAmt
Current Tax Year$1,242CurrentTaxYearAmt
Total$90,477TotalAmt
FieldValueIRS element (for citing)
Total Support$2,540,750TotalSupportAmt
Gross Receipts Rltd Activities$1,372,126GrossReceiptsRltdActivitiesAmt
Public Support CY1700.85560PublicSupportCY170Pct
Public Support PY1700.93600PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support PY5090.93600PublicSupportPY509Pct
Investment Income PY0.03270InvestmentIncomePYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2014 AMOUNT: $ 44,188. 2015 AMOUNT: $ 14,515. 2016 AMOUNT: $ 13,543. 2017 AMOUNT: $ 16,989. 2018 AMOUNT: $ 1,242.ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,207,609BeginningYearBalanceAmt
Contributions$284,670ContributionsAmt
Other Expenditures$579,500OtherExpendituresAmt
End Year Balance$1,912,779EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,440,683BeginningYearBalanceAmt
Contributions$328,926ContributionsAmt
Other Expenditures$562,000OtherExpendituresAmt
End Year Balance$2,207,609EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,656,802BeginningYearBalanceAmt
Contributions$357,781ContributionsAmt
Other Expenditures$573,900OtherExpendituresAmt
End Year Balance$2,440,683EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,656,802BeginningYearBalanceAmt
End Year Balance$2,656,802EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,016OtherCostOrOtherBasisAmt
Depreciation$34,100DepreciationAmt
Book Value$25,916BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,098OtherCostOrOtherBasisAmt
Depreciation$17,923DepreciationAmt
Book Value$4,175BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$30,091TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS - MARKETABLE SECURITIESDesc
Book Value$1,231,740BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$1,231,740TotalBookValueSecuritiesAmt
Total Rev Etc Audited Fincl Stmt$629,309TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$112,797NetUnrealizedGainsInvstAmt
Revenue Not Reported-$112,797RevenueNotReportedAmt
Revenue Subtotal$742,106RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$742,106TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,092,860TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,092,860ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,092,860TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTEMPORARILY RESTRICTED NET ASSET IS USED TO ACCOUNT FOR RESOURCES THAT ARE RESTRICTED BY THE DONOR FOR USE FOR PARTICULAR PURPOSE OR IN A PARTICULAR FUTURE PERIOD. WHEN A RESTRICTION EXPIRES, TEMPORARILY RESTRICED NET ASSETS ARE RECLASSIFIED TO UNRESTRICTED NET ASSETS AND REPORTED IN THE STATEMENT OF ACTIVITIES AS "NET ASSETS RELEASED FROM RESTRICTIONS."ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonSCOTT PLYMALE LCSWPersonNm
TitleEXECUTIVE DIRECTORTitleTxt
Base Compensation Filing Org$142,692BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$9,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$2,900DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$10,248NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$164,840TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BELECTRONIC COPY OF 990 IS DISTRIBUTED TO EACH BOARD MEMBER FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST IS REVIEWED BY EACH OFFICER, DIRECTOR, OR KEY EMPLOYEE AT THE BEGINNING OF EACH MEETING.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR'S COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GOTHER: PROGRAM SERVICE EXPENSES 137,225. MANAGEMENT AND GENERAL EXPENSES 8,987. FUNDRAISING EXPENSES 148. TOTAL EXPENSES 146,360.

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