NATIONAL INDIAN HEALTH BOARD: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- NATIONAL INDIAN HEALTH BOARD (EIN 23-7226316)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201823189349306527
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-14T13:44:48-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 260004395 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HALT BUZAS & POWELL LTD | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1199 N FAIRFAX ST 10TH FLOOR | AddressLine1Txt |
| City | ALEXANDRIA | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22314 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237226316 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL INDIAN HEALTH BOARD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NATI | BusinessNameControlTxt |
| Phone | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VINTON HAWLEY | PersonNm |
| Person Title | OFFICER OF THE ORGANIZATION | PersonTitleTxt |
| Phone | 2025074070 | PhoneNum |
| Signature | 2018-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SVETLANA CHEBAKINA | PreparerPersonNm |
| PTIN | P01399152 | PTIN |
| Phone | 7038361350 | PhoneNum |
| Preparation | 2018-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.190.224.66 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-14 | IPDt |
| IP Tm | 11:31:46 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FF8F539FF3C310679C46E7A42E1AA02D4DB41848 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9325DCD3CF008B47C7317A2000B863574AFB8E26 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STACY BOHLEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,266,924 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NIHB.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | ESTABLISHED BY THE TRIBES TO ADVOCATE AS THE UNITED VOICE OF FEDERALLY RECOGNIZED AMERICAN INDIAN AND ALASKA NATIVE TRIBES, NIHB SEEKS TO REINFORCE TRIBAL SOVEREIGNTY, STRENGTHEN TRIBAL HEALTH SYSTEMS, SECURE RESOURCES, AND BUILD CAPACITY TO ACHIEVE THE HIGHEST LEVEL OF HEALTH AND WELL-BEING FOR OUR PEOPLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 29 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,501,408 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,505,995 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $617,570 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $747,633 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,380 | PYOtherRevenueAmt |
| CY Other Revenue | $13,296 | CYOtherRevenueAmt |
| PY Total Revenue | $4,121,358 | PYTotalRevenueAmt |
| CY Total Revenue | $5,266,924 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $467,329 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $899,507 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,525,447 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,995,653 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,838,298 | PYOtherExpensesAmt |
| CY Other Expenses | $1,847,270 | CYOtherExpensesAmt |
| PY Total Expenses | $3,831,074 | PYTotalExpensesAmt |
| CY Total Expenses | $4,742,430 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $290,284 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $524,494 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $949,325 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,652,485 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $122,706 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $455,444 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $826,619 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,197,041 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NIHB WORKS IN CLOSE COOPERATION WITH INDIAN TRIBES, HEALTH BOARDS, TRIBAL ORGANIZATIONS, THE INDIAN HEALTH SERVICE, AND THE U.S. CONGRESS FOR THE PURPOSE OF RAISING THE HEALTH STATUS OF AMERICAN INDIANS AND ALASKA NATIVES TO THE HIGHEST POSSIBLE LEVEL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $654,082 | ExpenseAmt |
| Grant | $162,857 | GrantAmt |
| Desc | CMS PROGRAM: THE NATIONAL INDIAN HEALTH BOARD (NIHB) COMPLETED YEAR FIVE OF A FIVE-YEAR SINGLE SOURCE COOPERATIVE AGREEMENT WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS). THE PURPOSE OF THIS AGREEMENT IS TO INCREASE THE UNDERSTANDING OF, ACCESS TO, AND THE IMPACT OF CMS PROGRAMS ON AMERICAN INDIAN/ALASKA NATIVE (AI/AN) BENEFICIARIES AND THE INDIAN HEALTH CARE SYSTEM SERVING THOSE BENEFICIARIES. NIHB'S ROLE IN THIS PROJECT IS TO CONDUCT ANALYSIS, RESEARCH AND STUDIES UNDER FIVE DISTINCT AREAS OF WORK, WITH A SIXTH AREA ADDED IN YEAR FOUR QUARTER ONE TO ANALYZE THE OUTREACH AND EDUCATION AVAILABILITY OF MEDICAID AND THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) TO TRIBAL MEMBERS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,279,871 | ExpenseAmt |
| Grant | $736,650 | GrantAmt |
| Desc | IHS COOP AGREEMENT: TO ELEVATE THE HEALTH STATUS OF ALL FEDERALLY RECOGNIZED AMERICAN INDIANS AND ALASKA NATIVES TO A LEVEL COMPARABLE TO THE REST OF THE U.S. THROUGH STRONG COLLABORATION WITH THE FEDERAL GOVERNMENT, AI/AN TRIBAL GOVERNMENTS, URBAN INDIAN HEALTH CENTERS, AND OTHERS. THE NIHB SEEKS TO REDUCE HEALTH DISPARITIES AMONG AMERICAN INDIAN AND ALASKA NATIVE PEOPLE AND EXTEND THE FUNDING, PROGRAMS, POLICY, AND OUTREACH AVAILABLE TO TRIBAL GOVERNMENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,694,918 | ExpenseAmt |
| Desc | CDC COOP AGREEMENT - THE OVERARCHING PURPOSE OF THE COOPERATIVE AGREEMENT BETWEEN NIHB AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) IS TO IMPROVE THE HEALTH OF THE UNDERSERVED AMERICAN INDIANS AND ALASKA NATIVES (AI/AN) BY STRENGTHENING THE NIHB EFFORTS TO BUILD PUBLIC HEALTH CAPACITY THROUGHOUT INDIAN COUNTRY AND FOSTER CULTURALLY APPROPRIATE PUBLIC HEALTH CARE SERVICES THAT FOCUS ON PARTNERSHIP BUILDING, HEALTH ADVOCACY, PROMOTION, EDUCATION, AND PREVENTION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $943,350 | ExpenseAmt |
| Revenue | $747,633 | RevenueAmt |
| Desc | ANNUAL CONSUMER CONFERENCE: TO PROVIDE THE TOOLS TO EMPOWER INDIAN HEALTH ADVOCATES TO UNITE AND ENSURE A HEALTHY FUTURE FOR ALL AMERICAN INDIANS AND ALASKA NATIVES.OTHER PROGRAM SERVICES: W.G. KELLOGG FOUNDATION, HEALTH RESOURCES & SERVICES ADMINISTRATION, PUBLIC HEALTH SUMMIT, AND OTHER PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $943,350 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $747,633 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $4,572,221 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 29 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | DC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2025074070 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 PENNSYLVANIA AVENUE SE | AddressLine1Txt |
| City | WASHINGTON | CityNm |
| State Abbreviation | DC | StateAbbreviationCd |
| ZIP | 20003 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| VINTON HAWLEY | |||||||
| CHAIRMAN | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LISA ELGIN | |||||||
| SECRETARY | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RUSSELL BEGAYE | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| VICTORIA KITCHEYAN | |||||||
| VICE CHAIRMAN | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SANDRA ORTEGA | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| BEVERLY COOK | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| SAM MOOSE | |||||||
| TREASURER | 2.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARTY WAFFORD | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| KACI WALLETTE | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| ANDREW JOSEPH JR | |||||||
| MEMBER-AT-LARGE | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| DONNIE GARCIA | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| LINCOLN BEAN | |||||||
| DIRECTOR | 2.50 | Yes (X) | $0 | $0 | $0 | ||
| STACY BOHLEN | |||||||
| EXECUTIVE DIRECTOR | 45.00 | Yes (X) | $178,829 | $0 | $20,371 | ||
| ROBERT FOLEY | |||||||
| CHIEF PROGRAM OFFICER | 45.00 | $130,240 | $0 | $12,414 | Yes (X) | ||
| CAROLYN ANGUS-HORNBUCKLE | |||||||
| DEPUTY DIRECTOR | 45.00 | $130,023 | $0 | $9,146 | Yes (X) | ||
| SHERI PATTERSON | |||||||
| DIRECTOR OF FINANCE | 45.00 | $123,469 | $0 | $12,275 | Yes (X) | ||
| CAITRIN SHUY | |||||||
| DIRECTOR OF CONGRESSIONAL RELATIONS | 45.00 | $118,448 | $0 | $11,985 | Yes (X) | ||
| DEVIN DELROW | |||||||
| POLICY DIRECTOR | 45.00 | $110,923 | $0 | $6,327 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $791,932 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $72,518 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,640,392 | GovernmentGrantsAmt |
| All Other Contributions | $865,603 | AllOtherContributionsAmt |
| Total Contributions | $4,505,995 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONFERENCE INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $747,633 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $747,633 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $747,633 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $13,296 | TotalRevenueColumnAmt |
| Exclusion | $13,296 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $13,296 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,266,924 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $747,633 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,296 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $899,507 | TotalAmt |
| Program Services | $899,507 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,201 | TotalAmt |
| Program Services | $186,816 | ProgramServicesAmt |
| Management And General | $12,385 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,497,780 | TotalAmt |
| Program Services | $1,404,665 | ProgramServicesAmt |
| Management And General | $93,115 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,830 | TotalAmt |
| Program Services | $12,829 | ProgramServicesAmt |
| Management And General | $1,001 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,507 | TotalAmt |
| Program Services | $141,058 | ProgramServicesAmt |
| Management And General | $10,449 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,335 | TotalAmt |
| Program Services | $124,205 | ProgramServicesAmt |
| Management And General | $9,130 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,244 | TotalAmt |
| Program Services | $50,840 | ProgramServicesAmt |
| Management And General | $1,404 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,799 | TotalAmt |
| Program Services | $19,267 | ProgramServicesAmt |
| Management And General | $532 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,181 | TotalAmt |
| Program Services | $206,682 | ProgramServicesAmt |
| Management And General | $4,499 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,985 | TotalAmt |
| Program Services | $324,000 | ProgramServicesAmt |
| Management And General | $10,985 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,597 | TotalAmt |
| Program Services | $100,813 | ProgramServicesAmt |
| Management And General | $2,784 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,058 | TotalAmt |
| Program Services | $161,594 | ProgramServicesAmt |
| Management And General | $8,464 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $551,983 | TotalAmt |
| Program Services | $545,216 | ProgramServicesAmt |
| Management And General | $6,767 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,490 | TotalAmt |
| Program Services | $384,490 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,969 | TotalAmt |
| Program Services | $6,921 | ProgramServicesAmt |
| Management And General | $48 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| MISCELLANEOUS | $5,805 | $5,805 | |
| GIFTS AND AWARDS | $4,176 | $858 | $3,318 |
| BAD DEBT EXPENSE | $1,983 | $1,983 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,742,430 | TotalAmt |
| Program Services | $4,572,221 | ProgramServicesAmt |
| Management And General | $170,209 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,146 | BOYAmt |
| EOY | $258,674 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $850,341 | BOYAmt |
| EOY | $1,345,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,838 | BOYAmt |
| EOY | $612 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,000 | BOYAmt |
| EOY | $24,074 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $155,129 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $140,504 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $14,625 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,000 | BOYAmt |
| EOY | $9,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $949,325 | BOYAmt |
| EOY | $1,652,485 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,706 | BOYAmt |
| EOY | $279,142 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $176,302 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,706 | BOYAmt |
| EOY | $455,444 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $509,509 | BOYAmt |
| EOY | $1,040,148 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,110 | BOYAmt |
| EOY | $156,893 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $826,619 | BOYAmt |
| EOY | $1,197,041 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $949,325 | BOYAmt |
| EOY | $1,652,485 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $524,494 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$154,072 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,238,055 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,179,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,411,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,347,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,505,995 | CurrentTaxYearAmt |
| Total | $21,683,258 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,238,055 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,179,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,411,962 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,347,336 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,505,995 | CurrentTaxYearAmt |
| Total | $21,683,258 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $21,683,258 | PublicSupportTotal170Amt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,242 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,111 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,380 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,296 | CurrentTaxYearAmt |
| Total | $33,754 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21,717,012 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $2,372,363 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $144,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,344 | DepreciationAmt |
| Book Value | $14,625 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,160 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,160 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,625 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $5,266,924 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $5,266,924 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $5,266,924 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,742,430 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,742,430 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,742,430 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM FEDERAL AND LOCAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE ON INCOME DERIVED FROM ACTIVITIES RELATED TO ITS EXEMPT PURPOSE. THIS CODE SECTION ENABLES THE ORGANIZATION TO ACCEPT DONATIONS THAT QUALIFY AS CHARITABLE CONTRIBUTIONS TO THE DONOR. THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON TAXABLE INCOME FROM UNRELATED BUSINESS ACTIVITIES. FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016, THE ORGANIZATION DID NOT RECOGNIZE INCOME TAX EXPENSE IN THE ACCOMPANYING FINANCIAL STATEMENTS AS THERE WAS NO UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THEIR TAX EXEMPT STATUS THAT WOULD REQUIRE RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS ARE SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR UP TO THREE YEARS FROM THE DATE A COMPLETED RETURN IS FILED. IF THERE ARE MATERIAL OMISSIONS OF INCOME, TAX RETURNS MAY BE SUBJECT TO EXAMINATION FOR UP TO SIX YEARS. IT IS THE ORGANIZATION'S POLICY TO RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, IN THE ACCOMPANYING FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2017 AND 2016, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS WHICH SHOULD BE RECOGNIZED AS A LIABILITY. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (21 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| CALIFORNIA RURAL INDIAN HEALTH | |||||||
| 4400 AUBURN BOULEVARD 2ND FLOOR | SACRAMENTO | CA | 95841 | 237052541 | 501(C)(3) | $162,857 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| YELLOWHAWK TRIBAL HEALTH CENTER | |||||||
| PO BOX 160 | PENDLETON | OR | 97801 | 931207672 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| HO-CHUNK NATION | |||||||
| N6520 LUMBER JACK GUY ROAD | BLACK RIVER FALLS | WI | 54615 | 391140880 | TRIBAL GOVERNMENT | $15,750 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| NOTTAWASEPPI HURON BAND OF POTWATOMI | |||||||
| 1485 MNO-BMADZEWEN WAY | FULTON | MI | 49052 | 391225059 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| PASCUA YAQUI TRIBE | |||||||
| 7490 S CAMINO DE OESTE | TUCSON | AZ | 85757 | 860203228 | TRIBAL GOVERNMENT | $10,500 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| CHICKASAW DEPT OF HEALTH | |||||||
| 1921 STONECIPHER BOULEVARD | ADA | OK | 74820 | 731553050 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| WAHZHAZHI HEALTH CENTER | |||||||
| 715 GRANDVIEW AVENUE | PAWHUSKA | OK | 74056 | 113756317 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| ALASKA NATIVE VILLAGE OF WAINWRIGHT | |||||||
| PO BOX 143 | WAINWRIGHT | AK | 99782 | 920125841 | TRIBAL GOVERNMENT | $88,996 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| AMERICAN INDIAN CANCER FOUND | |||||||
| 3001 BROADWAY STREET NE SUITE 185 | MINNEAPOLIS | MN | 55413 | 270300026 | 501(C)(3) | $130,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| BISHOP PAIUTE TRIBE | |||||||
| 50 SU TU LANE | BISHOP | CA | 93514 | 931905064 | TRIBAL GOVERNMENT | $5,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| BLACKFEET NATION | |||||||
| PO BOX 2029 62 HOSPITAL ROAD | BROWNING | MT | 59417 | 810212955 | TRIBAL GOVERNMENT | $88,520 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| INDIAN HEALTH COUNCIL | |||||||
| 50100 GOLSH ROAD | VALLEY CENTER | CA | 92082 | 952506788 | 501(C)(3) | $5,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| INTER TRIBAL COUNCIL OF AZINC | |||||||
| 2214 N CENTRAL AVENUE SUITE 100 | PHOENIX | AZ | 85004 | 860343181 | 501(C)(3) | $102,800 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| KAW NATION OF OKLAHOMA | |||||||
| PO BOX 50 | KAW CITY | OK | 74641 | 731184157 | TRIBAL GOVERNMENT | $5,000 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| KEWEENAW BAY INDIAN COMMUNITY | |||||||
| 102 SUPERIOR AVENUE | BARAGA | MI | 49908 | 381743340 | TRIBAL GOVERNMENT | $10,500 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| MISSISSIPPI BAND OF CHOCTAW | |||||||
| 210 HOSPITAL CIRCLE | CHOCTAW | MS | 39350 | 245681354 | TRIBAL GOVERNMENT | $15,750 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| OSAGE NATION | |||||||
| 715 GRANDVIEW AVENUE | PAWHUSKA | OK | 74056 | 731509406 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| SWINOMISH TRIBAL INDIAN COMMUNITY | |||||||
| 17337 RESERVATION ROAD | LA CONNER | WA | 98257 | 910434170 | TRIBAL GOVERNMENT | $66,709 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| THE CONFEDERATED TRIBES OF WARM SPRINGS | |||||||
| 1233 VETERANS STREET PO BOX C | WARM SPRINGS | OR | 97761 | 930383362 | TRIBAL GOVERNMENT | $15,750 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| THE EASTERN BAND OF THE CHEROKEE NATION | |||||||
| PO BOX 666 | CHEROKEE | NC | 28719 | 560572090 | TRIBAL GOVERNMENT | $5,250 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| UNITED SOUTH AND EASTERN TRIBES INC | |||||||
| 711 STEWARTS FERRY PIKE SUITE 100 | NSHVILLE | TN | 37214 | 591315904 | 501(C)(3) | $102,800 | TO FORWARD THE MISSION OF PROMOTING RELIABLE AND AFFORDABLE INSURANCE FOR NATIVE AMERICANS AND ALASKAN NATIVES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 21 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | NIHB GRANTS FUNDS BASED ON A CONTRACTUAL AGREEMENT WITH THE GRANTEES WHICH ENUNCIATES THE DELIVERABLES AND OBJECTIVES FOR THE GRANT. THE GRANTOR IS REQUIRED TO SUBMIT PERIODICAL REPORTS ON THE PROGRESS MADE TO ACHIEVE THE DELIVERABLES OF THE GRANT. GRANTEES ARE ALSO REQUIRED TO SUBMIT THEIR FINAL REPORT WITHIN THE SPECIFIED TIME IN THE GRANT AGREEMENT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STACY BOHLEN | PersonNm |
| Title | EXECUTIVE DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $178,829 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $8,539 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $11,832 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $199,200 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS WILL RECEIVE AN ELECTRONIC COPY OF THE 990. THE RESPONSIBILITY OF THE BOARD TREASURER IS TO REVIEW AND AUTHORIZE THE FILING OF THE 990. |
| FORM 990, PART VI, SECTION B, LINE 15 | EXECUTIVE COMMITTEE RECOMMENDS CONTRACT APPROVAL AND COMPENSATION LEVEL TO THE FULL BOARD OF DIRECTORS. CONTEMPORANEOUS DISCUSSION OCCURS AND IT IS FORMALIZED IN A WRITTEN CONTRACT. THE EXECUTIVE DIRECTOR IS RESPONSIBLE FOR COMPENSATION TO ALL EMPLOYEES. COMPARABILITY DATA AND SUBSTANTIATION DATA IS MAINTAINED BY THE EXECUTIVE DIRECTOR IN SUPPORT OF COMPENSATION DECISIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |