UNLIMITED POTENTIAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
UNLIMITED POTENTIAL INC (EIN 31-1014369)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201923179349301012
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)
Return2019-11-13T07:33:35-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351747659PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1OWENS & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1714 E WINONA AVEAddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465804301ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311014369EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UNLIMITED POTENTIAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUNLIBusinessNameControlTxt
Phone5742677988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1355AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465811355ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICKEY WESTONPersonNm
Person TitleBOARD MEMBERPersonTitleTxt
Phone5742677988PhoneNum
Signature2019-11-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJENNY L O'HARAPreparerPersonNm
PTINP00116800PTIN
Phone5742696332PhoneNum
Preparation2019-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.38.98.93IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-13IPDt
IP Tm07:33:35IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id67230CC400BB23F1FE92A45E7CEEFAE9C7197272AtSubmissionCreationDeviceId
At Submission Filing Device Id6AD6A6733370559950607A25D45397E1F67C20FAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICKEY WESTONPrincipalOfficerNm
Gross Receipts$1,142,069GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.UPI.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionSHARE THE GOSPEL OF CHRIST THROUGH BASEBALL.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$911,829PYContributionsGrantsAmt
CY Contributions Grants$927,325CYContributionsGrantsAmt
PY Program Service Revenue$29,321PYProgramServiceRevenueAmt
CY Program Service Revenue$16,627CYProgramServiceRevenueAmt
PY Investment Income$55,367PYInvestmentIncomeAmt
CY Investment Income$57,717CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$996,517PYTotalRevenueAmt
CY Total Revenue$1,001,669CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$651,871PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$684,438CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,161CYTotalFundraisingExpenseAmt
PY Other Expenses$314,432PYOtherExpensesAmt
CY Other Expenses$321,519CYOtherExpensesAmt
PY Total Expenses$966,303PYTotalExpensesAmt
CY Total Expenses$1,005,957CYTotalExpensesAmt
PY Revenues Less Expenses$30,214PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,288CYRevenuesLessExpensesAmt
Total Assets BOY$1,805,439TotalAssetsBOYAmt
Total Assets EOY$1,651,756TotalAssetsEOYAmt
Total Liabilities BOY$108,959TotalLiabilitiesBOYAmt
Total Liabilities EOY$109,075TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,696,480NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,542,681NetAssetsOrFundBalancesEOYAmt
MissionSHARE THE GOSPEL OF CHRIST THROUGH BASEBALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$752,187ExpenseAmt
DescUNLIMITED POTENTIAL INC IS A RELIGIOUS ORGANIZATION THAT USES BASESBALL AS THE AVENUE TO SHARE THE GOOD NEWS ABOUT JESUS CHRIST. UNLIMITED POTENTIAL INC REACHES OUT TO BASEBALL PLAYERS, CHILDREN, MILITARY, AND PEOPLE IN OTHER COUNTRIES THROUGH BASEBALL CLINICS AND CAMPS. THE MESSAGE OF SALVATION IS INCLUDED AS PART OF THE CAMPS AND CLINICS.Desc
Total Program Service Expenses$752,187TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
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 RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee8EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members9GoverningBodyVotingMembersCnt
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANGELA HOWETTPersonNm
Phone5742677988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1355AddressLine1Txt
CityWARSAWCityNm
State AbbreviationINStateAbbreviationCd
ZIP465811355ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RANDY SWANSON
BOARD MEMBER5.00Yes (X)$0$0$0
KENT FISHEL
VICE CHAIRMA2.00Yes (X)$0$0$0Yes (X)
TOM ROY
BOARD MEMBER40.00Yes (X)$70,076$0$80,872
SCOTT SANDERSON
BOARD MEMBER2.00Yes (X)$0$0$0
PAT COMBS
CHAIRMAN2.00Yes (X)$0$0$0Yes (X)
FRANK TANANA
BOARD MEMBER2.00Yes (X)$0$0$0
THOMAS MENELEY
BOARD MEMBER2.00Yes (X)$0$0$0
FRED WILLIAMS
TREASURER2.00Yes (X)$0$0$0Yes (X)
MICKEY WESTON
BOARD MEMBER40.00Yes (X)$75,350$0$78,259
FieldValueIRS element (for citing)
Total Reportable Comp From Org$145,426TotalReportableCompFromOrgAmt
Total Other Compensation$159,131TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$927,325AllOtherContributionsAmt
Total Contributions$927,325TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
TRIP INCOME$7,258$7,258
MEN RETREAT-AZ$5,906$5,906
OTHER INCOME$2,088$2,088
SPEAKING INCOME$1,150$1,150
BOOK SALES$225$225
FieldValueIRS element (for citing)
Total Program Service Revenue$16,627TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,037TotalRevenueColumnAmt
Exclusion$42,037ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$138,135SecuritiesAmt
Other$17,945OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$140,400SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$2,265SecuritiesAmt
Other$17,945OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,680TotalRevenueColumnAmt
Related Or Exempt Func Income$15,680RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,001,669TotalRevenueColumnAmt
Related Or Exempt Func Income$32,307RelatedOrExemptFuncIncomeAmt
Exclusion$42,037ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$304,557TotalAmt
Program Services$228,418ProgramServicesAmt
Management And General$76,139ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$344,569TotalAmt
Program Services$313,317ProgramServicesAmt
Management And General$31,252ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$25,458TotalAmt
Program Services$21,247ProgramServicesAmt
Management And General$4,211ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$9,854TotalAmt
Program Services$8,224ProgramServicesAmt
Management And General$1,630ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,230TotalAmt
Management And General$4,230ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$14,020TotalAmt
Management And General$14,020ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,649TotalAmt
Program Services$3,591ProgramServicesAmt
Management And General$2,058ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,080TotalAmt
Management And General$22,080ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$98,492TotalAmt
Program Services$61,626ProgramServicesAmt
Management And General$36,866ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$14,762TotalAmt
Program Services$12,647ProgramServicesAmt
Management And General$2,115ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,759TotalAmt
Program Services$13,759ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,079TotalAmt
Management And General$12,079ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
GIFTS - OTHER$60,811$60,811
GIFTS & ENTERTAINMENT$15,296$15,296
DEVELOPMENT EXPENSE$13,161$13,161
DISCIPLE.-ENTERTAIN$8,295$8,295

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,885TotalAmt
Program Services$20,252ProgramServicesAmt
Management And General$18,633ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,005,957TotalAmt
Program Services$752,187ProgramServicesAmt
Management And General$240,609ManagementAndGeneralAmt
Fundraising$13,161FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$233,319BOYAmt
EOY$399,209EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$200,279BOYAmt
EOY$421EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$99,247LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$78,822LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,185BOYAmt
EOY$20,425EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,337,656BOYAmt
EOY$1,231,701EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,805,439BOYAmt
EOY$1,651,756EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,959BOYAmt
EOY$109,075EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$108,959BOYAmt
EOY$109,075EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,696,480BOYAmt
EOY$1,542,681EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,696,480BOYAmt
EOY$1,542,681EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,805,439BOYAmt
EOY$1,651,756EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,288ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$149,511OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

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$888,876CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,140,549CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$957,419CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$911,829CurrentTaxYearMinus1YearAmt
Current Tax Year$927,325CurrentTaxYearAmt
Total$4,825,998TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$888,876CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,140,549CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$957,419CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$911,829CurrentTaxYearMinus1YearAmt
Current Tax Year$927,325CurrentTaxYearAmt
Total$4,825,998TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,860,389SubstantialContributorsTotAmt
Public Support Total170$2,965,609PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,808CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,620CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35,430CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,059CurrentTaxYearMinus1YearAmt
Current Tax Year$42,037CurrentTaxYearAmt
Total$167,954TotalAmt
FieldValueIRS element (for citing)
Total Support$4,993,952TotalSupportAmt
Gross Receipts Rltd Activities$45,948GrossReceiptsRltdActivitiesAmt
Public Support CY1700.59380PublicSupportCY170Pct
Public Support PY1700.58090PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,047OtherCostOrOtherBasisAmt
Depreciation$13,636DepreciationAmt
Book Value$1,411BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$84,200OtherCostOrOtherBasisAmt
Depreciation$65,186DepreciationAmt
Book Value$19,014BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$20,425TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
MEDICAL FUND$107,314
STATE & COUNTY PAYABLE-IN$1,192
STATE & COUNTY PAYABLE-AZ$459
STATE & COUNTY PAYABLE-GA$82
FED & FICA PAYABLE$28
FieldValueIRS element (for citing)
Total Liability$109,075TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Payments For Use Of ResidenceYes (X)PaymentsForUseOfResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
TOM ROY
BOARD MEMBER$70,076$80,872$150,948
MICKEY WESTON
BOARD MEMBER$75,350$78,259$153,609

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 1, PART I, LINE 6VOLUNTEERS HELP WITH VARIOUS ASPECTS OF THE CLINICS.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED BY A BOARD MEMBER AND THE OFFICE MANAGER. GOVERNING POLICIES ARE DISCUSSED WITH OTHER BOARD MEMBERS.
FORM 990, PAGE 6, PART VI, LINE 15ACOMPENSATION INCLUDING HOUSING ALLOWANCE IS REVIEWED AND APPROVED BY INDEPENDENT MEMBER(S) OF THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION INCLUDING HOUSING ALLOWANCE, IS REVIEWED AND APPROVED BY INDEPENDENT MEMBER(S) OF THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9VALUATION ALLOWANCE -149,511

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