BERGEN VOLUNTEER MEDICAL INITIATIVE INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BERGEN VOLUNTEER MEDICAL INITIATIVE INC (EIN 20-2633437)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-08-01
- IRS object ID
- 201812139349301356
- 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 | 2018-08-01T15:48:48-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 TICE BOULEVARD SUITE 315 | AddressLine1Txt |
| City | WOODCLIFF LAKE | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07677 | 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 | 202633437 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERGEN VOLUNTEER MEDICAL INITIATIVE | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERG | BusinessNameControlTxt |
| Phone | 2013422478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 ESSEX STREET NO 100 | AddressLine1Txt |
| City | HACKENSACK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREA COSTA EGAN | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 2013422478 | PhoneNum |
| Signature | 2018-07-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH N RUSSELL | PreparerPersonNm |
| PTIN | P00168046 | PTIN |
| Phone | 2017129800 | PhoneNum |
| Preparation | 2018-07-26 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANDREA COSTA EGAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 ESSEX STREET NO 100 | AddressLine1Txt |
| City | HACKENSACK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,353,225 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BVMI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2005 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. IS TO PROVIDE FREE PRIMARY MEDICAL CARE AND, WHERE POSSIBLE, REFERRALS TO FREE SPECIALTY CARE FOR WORKING, LOW-INCOME BERGEN COUNTY RESIDENTS WHO HAVE NO HEALTH INSURANCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 21 | TotalEmployeeCnt |
| Total Volunteers | 122 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,878,145 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,323,632 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,647 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,337 | CYInvestmentIncomeAmt |
| PY Other Revenue | $28,725 | PYOtherRevenueAmt |
| CY Other Revenue | -$25,725 | CYOtherRevenueAmt |
| PY Total Revenue | $1,908,517 | PYTotalRevenueAmt |
| CY Total Revenue | $1,301,244 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $752,857 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $779,043 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $27,348 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $35,324 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $176,070 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $312,500 | PYOtherExpensesAmt |
| CY Other Expenses | $535,790 | CYOtherExpensesAmt |
| PY Total Expenses | $1,092,705 | PYTotalExpensesAmt |
| CY Total Expenses | $1,350,157 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $815,812 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$48,913 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,802,983 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,371,590 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $237,334 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $101,272 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,565,649 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,270,318 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. IS TO PROVIDE FREE PRIMARY MEDICAL CARE AND, WHERE POSSIBLE, REFERRALS TO FREE SPECIALTY CARE FOR WORKING, LOW-INCOME BERGEN COUNTY RESIDENTS WHO HAVE NO HEALTH INSURANCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $820,367 | ExpenseAmt |
| Desc | PRIMARY CARE - AT OUR ONSITE MEDICAL CLINIC IN HACKENSACK, NJ, BVMI PROVIDES COMPREHENSIVE MEDICAL CARE, FREE OF CHARGE, TO RESIDENTS OF BERGEN COUNTY WHO WORK, BUT CANNOT AFFORD MEDICAL INSURANCE. THIS INCLUDES A PRIMARY CARE EXAMINATION, CONDUCTED BY OUR VOLUNTEER PRIMARY CARE PHYSICIANS, AND REFERRALS TO SPECIALISTS AT OTHER LOCATIONS WHEN NEEDED. THE SPECIALISTS IN OUR NETWORK ALSO PROVIDE THEIR SERVICES AT NO COST TO BVMI PATIENTS.OUR VOLUNTEER MEDICAL TEAM OF 55 CLINICIANS DETECTS AND SUCCESSFULLY TREATS PATIENTS WITH CHRONIC DISEASES SUCH AS DIABETES, HYPERTENSION, HIGH CHOLESTEROL AND OTHER CONDITIONS. ANOTHER 70 VOLUNTEERS PERFORM VITAL ADMINISTRATIVE TASKS. ALMOST 50% OF OUR VOLUNTEERS HAVE BEEN WITH US SINCE OUR INCEPTION. WE SERVE APPROXIMATELY 1,200 ADULTS ANNUALLY, AND FEMALES COMPRISE 65% OF OUR PATIENT ROSTER. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $198,032 | ExpenseAmt |
| Desc | DIABETES CARE AND EDUCATION - THE DIABETES CARE AND EDUCATION PROGRAM AT BVMI IS DESIGNED TO PROVIDE EARLY DETECTION, SUCCESSFUL TREATMENT, AND IMPROVED OUTCOMES FOR OUR PRE-DIABETIC AND DIABETIC PATIENTS. THESE TWO CATEGORIES REPRESENT NEARLY 1/3 OF BVMI'S PATIENTS. UNCONTROLLED DIABETES CAN LEAD TO INCREASED RISK OF STROKE, HEART DISEASE, CIRCULATORY PROBLEMS AND NEUROPATHY, VISUAL IMPAIRMENT, KIDNEY DISEASE - EVEN DEATH. THE INTAKE FOR ALL BVMI PATIENTS INCLUDES A COMPREHENSIVE PRIMARY CARE EXAMINATION. IF RESULTS INDICATE THAT THEY ARE DIABETIC OR PRE-DIABETIC, THEY ARE REFERRED TO OUR DIABETES TEAM FOR FURTHER CARE AND FOLLOW-UP. WE WORK WITH THIS GROUP OF PATIENTS TO BRING THEIR CONDITION UNDER CONTROL AND UNDER MAINTENANCE. THIS INCLUDES PATIENT EDUCATION IN HEALTHY LIFESTYLE CHOICES, TRAINING FOR PATIENTS AND THEIR FAMILIES OR CAREGIVERS IN HOW TO MONITOR AND MANAGE DIABETES, AND MEDICATION AND SUPPLIES WHERE APPROPRIATE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $92,043 | ExpenseAmt |
| Desc | WOMEN'S HEALTH INITIATIVE - THE WOMEN'S HEALTH INITIATIVE AT BVMI IS DESIGNED TO IMPROVE WOMEN'S HEALTH LITERACY AND HEALTHCARE OUTCOMES. WOMEN COMPRISE APPROXIMATELY 65% OF BVMI'S 1,200 PATIENTS. THROUGH OUR WOMEN'S HEALTH INITIATIVE, GYNECOLOGICAL CARE ALSO BECOMES PART OF OUR FOLLOW-UP CARE FOR FEMALE PATIENTS. CARE IS PROVIDED ONSITE BY VOLUNTEER GYNECOLOGISTS AS WELL AS ADVANCED PRACTICE NURSES WHO ARE WOMEN'S HEALTH SPECIALISTS. THIS INCLUDES A REFERRAL FOR A MAMMOGRAM FOR WOMEN OVER THE AGE OF 40 WHO HAVE NOT HAD THIS SCREENING TEST IN THE PAST 12 MONTHS - SO THAT WE CAN DETECT ANY BREAST HEALTH ISSUES BEFORE THEY REACH A SERIOUS STAGE.WE ALSO CONNECT OUR FEMALE PATIENTS WITH A MULTILINGUAL NURSE NAVIGATOR. WORKING IN PARTNERSHIP WITH THE WOMEN'S HEALTH SPECIALISTS, SHE HELPS THE PATIENT UNDERSTAND HER HEALTH CONDITIONS AND ENCOURAGES COMPLIANCE WITH RECOMMENDED TREATMENT. SUPPORT OF LANGUAGE INTERPRETERS IS AVAILABLE, AS IS GUIDANCE FROM DIETITIANS AND SOCIAL WORKERS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,110,442 | 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 | Yes (1) | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 | Yes (1) | 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 | 17 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 21 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMANDA MISSEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2013422478 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 ESSEX STREET ROOM 100 | AddressLine1Txt |
| City | HACKENSACK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| ANDREA COSTA EGAN - CHAIR | ||||||
| VICE CHAIR THRU 5/21/17 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NEIL ABITABILO - VICE CHAIR | ||||||
| CHAIR THRU 5/21/17 | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RONALD J SALDARINI - TREASURER | ||||||
| SECRETARY THRU 5/21/17 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CHRISTOPHER VANUGA - SECRETARY | ||||||
| TRUSTEE - THRU 5/21/17 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GENE MARSH | ||||||
| TRUSTEE - THRU 5/21/17 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| MARK MCKOY | ||||||
| TRUSTEE - THRU 9/15/17 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SHANNON K LAZARE | ||||||
| TRUSTEE | 3.00 | Yes (X) | $0 | $0 | $0 | |
| ANA K STANKOVIC MD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID B SUTTER MD | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNE AM AROH | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL W AZZARA | ||||||
| TRUSTEE | 4.00 | Yes (X) | $0 | $0 | $0 | |
| JANET FINK | ||||||
| TRUSTEE - THRU 5/21/17 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| WENDY F KLEIN ESQ | ||||||
| TRUSTEE - THRU 5/21/17 | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLOTTE SOKOL MD | ||||||
| TRUSTEE - THRU 5/21/17 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| BERNARD WEINSTEIN | ||||||
| TRUSTEE - THRU 5/21/17 | 4.00 | Yes (X) | $0 | $0 | $0 | |
| DIEGO L COIRA MD | ||||||
| TRUSTEE - EFFECTIVE 5/21/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL G FAUST MD | ||||||
| TRUSTEE - EFFECTIVE 5/21/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JONATHAN K MAYS MD | ||||||
| TRUSTEE - EFFECTIVE 5/21/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ZACHARY MELI | ||||||
| TRUSTEE - EFFECTIVE 5/21/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JILL ALTANA | ||||||
| TRUSTEE - EFFECTIVE 5/21/17 | 3.00 | Yes (X) | $0 | $0 | $0 | |
| JACK INSERRA | ||||||
| TRUSTEE - THRU 1/25/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LAUREN MENKES | ||||||
| TRUSTEE - EFFECTIVE 12/20/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD SCHWABACHER | ||||||
| TRUSTEE - EFFECTIVE 10/18/17 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| AMANDA MISSEY | ||||||
| PRESIDENT/CEO | 40.00 | Yes (X) | $110,000 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $110,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREATER BERGEN COMMUNITY ACTION | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 392 MAIN STREET | AddressLine1Txt |
| City | HACKENSACK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | CONSTRUCTION | ServicesDesc |
| Compensation | $161,806 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $274,735 | FundraisingAmt |
| All Other Contributions | $1,048,897 | AllOtherContributionsAmt |
| Noncash Contributions | $284,195 | NoncashContributionsAmt |
| Total Contributions | $1,323,632 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,337 | TotalRevenueColumnAmt |
| Exclusion | $3,337 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,200 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $274,735 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $51,981 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$26,781 | TotalRevenueColumnAmt |
| Exclusion | -$26,781 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,056 | TotalRevenueColumnAmt |
| Exclusion | $1,056 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,056 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,301,244 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$22,388 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,000 | TotalAmt |
| Program Services | $99,643 | ProgramServicesAmt |
| Management And General | $1,916 | ManagementAndGeneralAmt |
| Fundraising | $8,441 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585,207 | TotalAmt |
| Program Services | $530,110 | ProgramServicesAmt |
| Management And General | $10,194 | ManagementAndGeneralAmt |
| Fundraising | $44,903 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,828 | TotalAmt |
| Program Services | $18,594 | ProgramServicesAmt |
| Management And General | $86 | ManagementAndGeneralAmt |
| Fundraising | $148 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,008 | TotalAmt |
| Program Services | $32,970 | ProgramServicesAmt |
| Management And General | $3,412 | ManagementAndGeneralAmt |
| Fundraising | $28,626 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,395 | TotalAmt |
| Management And General | $3,395 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Management And General | $8,000 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,324 | TotalAmt |
| Fundraising | $35,324 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,231 | TotalAmt |
| Program Services | $9,861 | ProgramServicesAmt |
| Management And General | $9,370 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,421 | TotalAmt |
| Program Services | $11,116 | ProgramServicesAmt |
| Management And General | $140 | ManagementAndGeneralAmt |
| Fundraising | $165 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $60,960 | TotalAmt |
| Program Services | $29,702 | ProgramServicesAmt |
| Management And General | $5,345 | ManagementAndGeneralAmt |
| Fundraising | $25,913 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,028 | TotalAmt |
| Program Services | $16,915 | ProgramServicesAmt |
| Management And General | $1,163 | ManagementAndGeneralAmt |
| Fundraising | $8,950 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,674 | TotalAmt |
| Program Services | $82,567 | ProgramServicesAmt |
| Management And General | $9,715 | ManagementAndGeneralAmt |
| Fundraising | $8,392 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,736 | TotalAmt |
| Program Services | $1,924 | ProgramServicesAmt |
| Management And General | $262 | ManagementAndGeneralAmt |
| Fundraising | $550 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,013 | TotalAmt |
| Program Services | $28,141 | ProgramServicesAmt |
| Management And General | $1,147 | ManagementAndGeneralAmt |
| Fundraising | $4,725 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,028 | TotalAmt |
| Program Services | $4,742 | ProgramServicesAmt |
| Management And General | $6,286 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES | $229,067 | $227,019 | $75 | $1,973 |
| REPAIR AND MAINTENANCE | $12,396 | $9,053 | $664 | $2,679 |
| REGISTRATION, FEES AND | $8,488 | $8,085 | $303 | $100 |
| MISCELLANEOUS | $7,353 | $2,172 | $5,181 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,350,157 | TotalAmt |
| Program Services | $1,110,442 | ProgramServicesAmt |
| Management And General | $63,645 | ManagementAndGeneralAmt |
| Fundraising | $176,070 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,849 | BOYAmt |
| EOY | $3,891 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $451,351 | BOYAmt |
| EOY | $463,296 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,803 | BOYAmt |
| EOY | $497,495 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,280 | BOYAmt |
| EOY | $1,909 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,458 | BOYAmt |
| EOY | $17,411 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $421,274 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $47,364 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $614,564 | BOYAmt |
| EOY | $373,910 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,678 | BOYAmt |
| EOY | $13,678 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,983 | BOYAmt |
| EOY | $1,371,590 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $215,788 | BOYAmt |
| EOY | $48,754 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,546 | BOYAmt |
| EOY | $52,518 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,334 | BOYAmt |
| EOY | $101,272 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,328,604 | BOYAmt |
| EOY | $940,635 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $237,045 | BOYAmt |
| EOY | $329,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,565,649 | BOYAmt |
| EOY | $1,270,318 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,983 | BOYAmt |
| EOY | $1,371,590 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$48,913 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$246,418 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
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 | $886,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $963,822 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $977,796 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,878,145 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,323,632 | CurrentTaxYearAmt |
| Total | $6,029,456 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $886,061 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $963,822 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $977,796 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,878,145 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,323,632 | CurrentTaxYearAmt |
| Total | $6,029,456 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $406,491 | SubstantialContributorsTotAmt |
| Public Support Total170 | $5,622,965 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,240 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $728 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $439 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,647 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,337 | CurrentTaxYearAmt |
| Total | $7,391 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $11,873 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $11,873 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $16,852 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,056 | CurrentTaxYearAmt |
| Total | $17,908 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,066,628 | TotalSupportAmt |
| Public Support CY170 | 0.92690 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | FORGIVENESS OF DEBT - 2016 AMOUNT: $ 12,570. MISCELLANEOUS REVENUE - 2016 AMOUNT: $ 4,282. 2017 AMOUNT: $ 1,056. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $342,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,631 | DepreciationAmt |
| Book Value | $319,843 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,733 | DepreciationAmt |
| Book Value | $54,067 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $373,910 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT EXPENSE | Desc |
| Amt | $52,518 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,518 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $1,892,555 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $598,664 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $598,664 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,293,891 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,353 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,353 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,301,244 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,941,468 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $598,664 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $598,664 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,342,804 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $7,353 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $7,353 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,350,157 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATION BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2014. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | MISCELLANAOUS EXPENSES NETTED AGAINST REVENUE 7,353. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MISCELLANEOUS EXPENSES NETTED AGAINST REVENUE 7,353. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NAHSHON ASSOCIATES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 UNIVERSITY PLAZA DRIVE SUITE 412 | AddressLine1Txt |
| City | HACKENSACK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $0 | GrossReceiptsAmt |
| Retained By Contractor | $35,324 | RetainedByContractorAmt |
| Net To Organization | -$35,324 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $35,324 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$35,324 | TotalNetToOrganizationAmt |
| Licensed States | NJ | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNIVERSARY DINNER | Event1Nm |
| Gross Receipts Event1 | $299,935 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $274,735 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $25,200 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $1,798 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $26,366 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $23,817 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $299,935 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $274,735 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,200 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $1,798 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $26,366 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $23,817 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $51,981 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$26,781 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $49,743 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | AVERAGE FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 7 | ContributionCnt |
| Noncash Contributions Rpt F990 | $223,067 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | SIGNAGE | 1 | $7,768 | COST |
| Yes (X) | POSTAGE | 1 | $3,118 | COST |
| Yes (X) | MAGAZINE SUBSCRIPTION | 1 | $499 | COST |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS IN SCHEDULE M, PART I, COLUMN B | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | BERGEN VOLUNTEER MEDICAL INITIATIVE HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY MANAGEMENT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | BERGEN VOLUNTEER MEDICAL INITIATIVE, INC. HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL TRUSTEES, OFFICERS AND MEMBERS OF A COMMITTEE WITH BOARD DELEGATED POWERS ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE, AS SOON AS POSSIBLE, THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE TRUSTEES AND MEMBERS OF COMMITTEES CONSIDERING THE PROPOSED TRANSACATION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IN DISCUSSED AND VOTED UPON. THE REMAINING BOARD OF COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. AN INTERESTED PERSON MAY BE INVITED TO MAKE A PRESENTATAION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE MINUTES OF THE BOARD AND ALL COMMITTEES WITH BOARD DELEGATED POWERS SHALL CONTAIN: - THE NAMES OF THE PERSONS WHO DISCLOSED OR OTHERWISE WERE FOUND TO HAVE A FINANCIAL INTEREST IN CONNECTION WITH AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST; - THE NATURE OF THE FINANCIAL INTEREST; - ANY ACTION TAKEN TO DETERMINE WHETHER A CONFLICT OF INTEREST WAS PRESENT; - THE BOARD OR COMMITTEE'S DECISION AS TO WHETHER A CONFLICT OF INTEREST IN FACT EXISTED; - THE NAMES OF THE PERSONS WHO WERE PRESENT FOR DISCUSSIONS AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT; - THE CONTENT OF THE DISCUSSION, INCLUDING ANY ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARANGEMENT; AND - A RECORD OF ANY VOTES TAKEN IN CONNECTION WITH THE PROCEEDINGS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 AND FINANCIAL STATEMENTS ARE POSTED ON THE ORGANIZATION'S WEBSITE, GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDTION, THE CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILBALE UPON WRITTEN REQUEST AT 75 ESSEX STREET, ROOM 100, HACKENSACK, NJ 07601 OR BY CALLING THE ORGANIZATION DIRECTLY AT (201)342-2478. |
| FORM 990, PART XI, LINE 9: | LOSS ON DISPOSAL OF FIXED ASSET -246,418. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION HAS AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. |