HANDS UP FOR HAITI INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HANDS UP FOR HAITI INC (EIN 45-2107443)
Tax period
2016-09-01 to 2017-08-31
Filed
2018-07-12
IRS object ID
201811939349300121
Schema version
2016v3.0
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)
Return2018-07-12T07:55:13-07:00ReturnTs
Tax Period End2017-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RRC CPAS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 Dutch Hill Road Suite 210AddressLine1Txt
CityOrangeburgCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10962ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452107443EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HANDS UP FOR HAITI INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHANDBusinessNameControlTxt
Phone9147673313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 569 ROUTES 22 138AddressLine1Txt
CityGOLDENS BRIDGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10526ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARY ANN LOFRUMENTOPersonNm
Person TitlePRES/DIRECTORPersonTitleTxt
Signature2018-07-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoel E Rosenberg CPAPreparerPersonNm
PTINP00182078PTIN
Phone8456271040PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$737,450GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE CORPORATION EXPECTS TO ACHIEVE THIS MISSION BY ESTABLISHING OR SUPPORTING EXISTING HEALTH CARE CLINICS, IMMUNIZATION PROGRAMS, NUTRITION AND DEVELOPMENT PROGRAMS, AND HEALTH EDUCATION PROGRAMS IN UNDERSERVED COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$321,964PYContributionsGrantsAmt
CY Contributions Grants$373,621CYContributionsGrantsAmt
PY Program Service Revenue$33,299PYProgramServiceRevenueAmt
CY Program Service Revenue$218,815CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$126,264PYOtherRevenueAmt
CY Other Revenue$85,475CYOtherRevenueAmt
PY Total Revenue$481,527PYTotalRevenueAmt
CY Total Revenue$677,911CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$103,029PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$102,995CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$374,158PYOtherExpensesAmt
CY Other Expenses$586,943CYOtherExpensesAmt
PY Total Expenses$477,187PYTotalExpensesAmt
CY Total Expenses$689,938CYTotalExpensesAmt
PY Revenues Less Expenses$4,340PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$12,027CYRevenuesLessExpensesAmt
Total Assets BOY$73,373TotalAssetsBOYAmt
Total Assets EOY$66,789TotalAssetsEOYAmt
Total Liabilities EOY$5,443TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$73,373NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$61,346NetAssetsOrFundBalancesEOYAmt
MissionTO ALLEVIATE HUMAN SUFFERING AND DISTRESS BY ASSISTING MEDICAL PROFESSIONALS TO PROVIDE HEALTH CARE SERVICES TO THOSE LIVING IN IMPOVERISHED AREAS, INCLUDING BUT NOT LIMITED TO THE REPUBLIC OF HAITI.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$683,020ExpenseAmt
DescA HEALTHCARE CLINIC WAS ESTABLISHED.NUMEROUS MEDICAL MISSIONS TO PROVIDE HEALTHCARE IN PEDIATRICS, OBSTETRICS AND GYNECOLOGY, OPTHMOLOGY AND INTERNAL MEDICINE. EDUCATED EXPECTANT MOTHERS ON NUTRITION AND HELD BREASTFEEDING CLINICS FOR NEW MOTHERS.Desc
Total Program Service Expenses$683,020TotalProgramServiceExpensesAmt
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 StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryOCForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonACCOUNTANTPersonNm
Phone9147673313PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 569 ROUTES 22 138AddressLine1Txt
CityGOLDENS BRIDGECityNm
State AbbreviationNYStateAbbreviationCd
ZIP10526ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeInd
AMY PARKIN
Director3.000.00Yes (X)$0$0$0
JILL RATNER
Director5.000.00Yes (X)$0$0$0
JUDY MCAVOY
Director3.000.00Yes (X)$0$0$0
HOPE BECHARD
Director5.000.00Yes (X)$0$0$0
STEPHANIE KORN
Director5.000.00Yes (X)$0$0$0
EDWARD BIRKHAHN
Director5.000.00Yes (X)$0$0$0
MARY ANN LOFRUMENTO
PRES/DIRECTOR10.000.00$0$0$0Yes (X)
WENDY MARX
Secretary10.000.00$0$0$0Yes (X)
JOHN PARTENZA
Treasurer10.000.00$0$0$0Yes (X)
ALLISON PLATT
Vice President10.000.00$0$0$0Yes (X)
LAMAR PARKIN
CFO5.000.00$7,060$0$0Yes (X)
KAREN SCHECTER
EXECUTIVE DIRECTOR35.000.00$88,272$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$95,332TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$373,621AllOtherContributionsAmt
Noncash Contributions$140,958NoncashContributionsAmt
Total Contributions$373,621TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
GLOBAL HEALTH TRIP$87,723$87,723
TRIP FEES$131,092$131,092
FieldValueIRS element (for citing)
Total Program Service Revenue$218,815TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$145,014FundraisingGrossIncomeAmt
Fundraising Direct Expenses$59,539FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,475TotalRevenueColumnAmt
Exclusion$21,983ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$677,911TotalRevenueColumnAmt
Related Or Exempt Func Income$218,815RelatedOrExemptFuncIncomeAmt
Exclusion$21,983ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$95,332TotalAmt
Program Services$95,332ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,663TotalAmt
Program Services$7,663ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$165TotalAmt
Management And General$165ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,741TotalAmt
Management And General$2,741ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,656TotalAmt
Program Services$3,656ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,291TotalAmt
Program Services$3,770ProgramServicesAmt
Management And General$1,521ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,282TotalAmt
Program Services$1,282ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$281TotalAmt
Management And General$281ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,673TotalAmt
Program Services$4,673ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$873TotalAmt
Management And General$873ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
TRIP COSTS$195,850$195,850
MEDICAL SUPPLIES$151,449$151,449
PROGRAM COORDINATION COSTS$51,009$51,009
HVH CLINIC$42,670$42,670

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$127,003TotalAmt
Program Services$125,666ProgramServicesAmt
Management And General$1,337ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$689,938TotalAmt
Program Services$683,020ProgramServicesAmt
Management And General$6,918ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$52,698BOYAmt
EOY$49,287EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,364LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,862LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,675BOYAmt
EOY$17,502EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,373BOYAmt
EOY$66,789EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$5,443EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$5,443EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$73,373BOYAmt
EOY$61,346EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,373BOYAmt
EOY$61,346EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,373BOYAmt
EOY$66,789EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$12,027ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$708,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$754,183CurrentTaxYearMinus1YearAmt
Current Tax Year$737,450CurrentTaxYearAmt
Total$2,794,367TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$150,197CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$708,799CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$754,183CurrentTaxYearMinus1YearAmt
Current Tax Year$737,450CurrentTaxYearAmt
Total$2,794,367TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,794,367PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Total$3TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3CurrentTaxYearMinus2YearsAmt
Total$3TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$178,533CurrentTaxYearMinus4YearsAmt
Total$178,533TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$328,730CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$443,738CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$708,802CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$754,183CurrentTaxYearMinus1YearAmt
Current Tax Year$737,450CurrentTaxYearAmt
Total$2,972,903TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.93990PublicSupportCY509Pct
Public Support PY5090.89110PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,364OtherCostOrOtherBasisAmt
Depreciation$6,862DepreciationAmt
Book Value$17,502BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,502TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCREDIT CARDS PAYABLEDesc
Amt$5,443Amt
FieldValueIRS element (for citing)
Total Liability$5,443TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$677,911TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$677,911RevenueSubtotalAmt
Total Revenue Per Form990$677,911TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$689,938TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$689,938ExpensesSubtotalAmt
Total Expenses Per Form990$689,938TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPECIAL EVENTSEvent1Nm
Gross Receipts Event1$123,031GrossReceiptsEvent1Amt
Gross Revenue Event1$123,031GrossRevenueEvent1Amt
Other Direct Expenses Event1$59,539OtherDirectExpensesEvent1Amt
Event2HVHEvent2Nm
Gross Receipts Event2$21,983GrossReceiptsEvent2Amt
Gross Revenue Event2$21,983GrossRevenueEvent2Amt
Gross Receipts Total$145,014GrossReceiptsTotalAmt
Gross Revenue Total Events$145,014GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$59,539OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$59,539DirectExpenseSummaryEventsAmt
Net Income Summary$85,475NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$140,958NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessRETURN WILL BE REVIEWED BY TREASURER AND PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementCOMPENSATION IS BASED ON COMPARABILITY DATA
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesTHE BOARD APPROVED COMPENSATION FOR ALL HIRED PERSONNEL. IF A BOARD MEMBER RECEIVES COMPENSATION FOR ANY SERVICES THEY ARE PROHIBITED FROM VOTING ON THEIR COMPENSATION. COMPENSATION IS BASED ON INDEPENDENT COMPARABILITY DATA COLLECTED.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableALL DOCUMENTS ARE MADE AVAILABLE UPON REQUEST
Form 990, Part IX, Line 24e: Other ExpensesBANK AND CREDIT CARD FEES: Column (A) - Total = $6691; Column (B) - Program Services = $6691; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesCERVICAL CANCER PROGRAM: Column (A) - Total = $13055; Column (B) - Program Services = $13055; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesCLEAN WATER INITIATIVE: Column (A) - Total = $15680; Column (B) - Program Services = $15680; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesDONATIONS: Column (A) - Total = $4000; Column (B) - Program Services = $4000; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesEMERGENCY CARE: Column (A) - Total = $7443; Column (B) - Program Services = $7443; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesEYE CARE PROGRAM: Column (A) - Total = $2667; Column (B) - Program Services = $2667; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesHYPERTENSION PROGRAM: Column (A) - Total = $4675; Column (B) - Program Services = $4675; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesMALNUTRITION PROGRAM: Column (A) - Total = $42443; Column (B) - Program Services = $42443; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPostage and Shipping: Column (A) - Total = $500; Column (B) - Program Services = $0; Column (C) - Management & General = $500; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPRENATAL PROGRAM: Column (A) - Total = $1160; Column (B) - Program Services = $1160; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesPrinting and Publications: Column (A) - Total = $837; Column (B) - Program Services = $0; Column (C) - Management & General = $837; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesSHADA CLINIC SUPPORT: Column (A) - Total = $23398; Column (B) - Program Services = $23398; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e: Other ExpensesWEBSITE DEVELOPMENT AND MAINTE: Column (A) - Total = $4454; Column (B) - Program Services = $4454; Column (C) - Management & General = $0; Column (D) - Fundraising = $0

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