SUBSTANCE MENTAL HEALTH LEADERSHIP COUNCIL OF RI: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SUBSTANCE MENTAL HEALTH LEADERSHIP COUNCIL OF RI (EIN 05-0422193)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201821359349309462
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)
Return2018-05-15T14:47:19-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050392605PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MULLEN SCORPIO & CERILLIBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line167 CEDAR STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050422193EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SUBSTANCE USE AND MENTAL HEALTHBusinessNameLine1Txt
Business Name Line2LEADERSHIP COUNCIL OF RIBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSUBSBusinessNameControlTxt
Phone4015215759PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 METRO BLVD NO 10AddressLine1Txt
CityWARWICKCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02886ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT CROSSLEYPersonNm
Person TitleCHAIRPersonTitleTxt
Phone4015275759PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY W SCORPIOPreparerPersonNm
PTINP01360145PTIN
Phone4017513860PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBERT CROSSLEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 METRO BLVD NO 10AddressLine1Txt
CityWARWICKCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02886ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$951,442GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SUMHLC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTHE MISSION OF THE SUBSTANCE USE AND MENTAL HEALTH LEADERSHIP COUNCIL OF RI IS TO PROMOTE A COLLABORATIVE, COORDINATED SYSTEM OF HIGH QUALITY, COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION AND TREATMENT SERVICES.ActivityOrMissionDesc
Voting Members Governing Body29VotingMembersGoverningBodyCnt
Voting Members Independent28VotingMembersIndependentCnt
Total Employee8TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$808,460PYContributionsGrantsAmt
CY Contributions Grants$856,116CYContributionsGrantsAmt
PY Program Service Revenue$227,014PYProgramServiceRevenueAmt
CY Program Service Revenue$59,928CYProgramServiceRevenueAmt
PY Investment Income$4,800PYInvestmentIncomeAmt
CY Investment Income$10,691CYInvestmentIncomeAmt
PY Other Revenue$19,721PYOtherRevenueAmt
CY Other Revenue$6,666CYOtherRevenueAmt
PY Total Revenue$1,059,995PYTotalRevenueAmt
CY Total Revenue$933,401CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$467,185PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$541,249CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$305,924PYOtherExpensesAmt
CY Other Expenses$378,336CYOtherExpensesAmt
PY Total Expenses$773,109PYTotalExpensesAmt
CY Total Expenses$919,585CYTotalExpensesAmt
PY Revenues Less Expenses$286,886PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$13,816CYRevenuesLessExpensesAmt
Total Assets BOY$493,909TotalAssetsBOYAmt
Total Assets EOY$523,383TotalAssetsEOYAmt
Total Liabilities BOY$63,632TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,169TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$430,277NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$447,214NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE SUBSTANCE USE AND MENTAL HEALTH LEADERSHIP COUNCIL OF RI IS TO PROMOTE A COLLABORATIVE, COORDINATED SYSTEM OF HIGH QUALITY, COMPREHENSIVE COMMUNITY-BASED MENTAL HEALTH AND SUBSTANCE ABUSE PREVENTION AND TREATMENT SERVICES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$162,124ExpenseAmt
DescIN JULY 2013, THE DEPARTMENT OF BEHAVIORAL HEALTH, DEVELOPMENTAL DISABILITIES AND HOSPITALS (BHDDH) SUBMITTED A MEDICAID STATE PLAN AMENDMENT WHICH CREATED THE OPIOD TREATMENT PROGRAM HEALTH HOME. THIS PROGRAM ALLOWS FOR THE STATES FIVE (5) OPIOD TREATMENT PROVIDERS TO DELIVER HEALTH HOME SERVICES TO MEDICAID PATIENTS WHO OPT INTO THE PROGRAM. HEALTH HOMES ARE SERVICE DELIVERY SYSTEMS DESIGNED TO COORDINATE CARE TO PATIENTS. CASE MANAGERS ASSIST PATIENTS WITH ACCESSING PRIMARY HEALTHCARE AND OTHER SOCIAL SERVICES. HEALTH HOME TEAMS INCLUDE A PHYSICIAN, NURSE, CASE MANAGER AND ACCESS TO OTHER SUPPORT STAFF. THE STATE PLAN AMENDMENT EXPIRED ON JUNE 30, 2015. ANOTHER STATE PLAN AMENDMENT (SPA) WHICH INCLUDED THE OTP HEALTH HOME AND EXPANDED THE PROVISION OF SERVICES UNDER THE STRUCTURE OF A CENTER OF EXCELLENCE WAS SUMBITTED AND SUBSEQUENTLY APPROVED. THIS SPA IS CURRENTLY IN PLACE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$230,379ExpenseAmt
DescTRAINING FOR CERTIFICATION PROGRAMS - UNDER THIS PROGRAM, SUMHLC OF RI, DESIGNS, DEVELOPS AND IMPLEMENTS A CURRICULUM THAT PROVIDES PROFESSIONAL DEVELOPMENT TO BEHAVIORAL HEALTHCARE STAFF. THE PROGRAM ALSO ADDRESSES THE CERTIFICATION AND LICENSING REQUIREMENTS, AND RESPONDS TO NEW AND EMERGING ISSUES IN BEHAVIORAL HEALTHCARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$327,253ExpenseAmt
DescGENERAL MEMBERSHIP OF THE ORGANIZATION WORKS TO COORDINATE STATEWIDE AND REGIONAL INITIATIVES BETWEEN GOVERNMENT AND THE PROVIDER COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$719,756TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document27IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee8EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind0Form8899Filedind
Form1098 C Filed0Form1098CFiledInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members29GoverningBodyVotingMembersCnt
Independent Voting Member28IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSHARON LP KELLYPersonNm
Phone4015275759PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 METRO CENTER BLVD UNIT 10AddressLine1Txt
CityWARWICKCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02886ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID F SPENCER
PRESIDENT/CEO UNTIL 8/19/1740.00Yes (X)Yes (X)$99,880$0$12,310
SUSAN SHAW
DIRECTOR1.00Yes (X)$0$0$0
GREG MCWILLIAMS
DIRECTOR1.00Yes (X)$0$0$0
GINA MERCURE
DIRECTOR1.00Yes (X)$0$0$0
PETER LETENDRE
DIRECTOR1.00Yes (X)$0$0$0
CHRISTINE HARKINS
DIRECTOR1.00Yes (X)$0$0$0
JOY VAUDREUIL
DIRECTOR1.00Yes (X)$0$0$0
MARTY SINNOTT
DIRECTOR1.00Yes (X)$0$0$0
LINDA HURLEY
DIRECTOR1.00Yes (X)$0$0$0
AMY SKURKA
DIRECTOR1.00Yes (X)$0$0$0
WILLIAM HOCHSTRASSER-WALSH
DIRECTOR1.00Yes (X)$0$0$0
BRIAN FOSS
DIRECTOR1.00Yes (X)$0$0$0
DEBRA PAUL
DIRECTOR1.00Yes (X)$0$0$0
JAMES DINUNZIO
DIRECTOR1.00Yes (X)$0$0$0
LIONEL FERNANDEZ
DIRECTOR1.00Yes (X)$0$0$0
BRIAN SYLVESTRE
DIRECTOR1.00Yes (X)$0$0$0
DIANE DUFRESNE
DIRECTOR1.00Yes (X)$0$0$0
PETER MUMMA
DIRECTOR1.00Yes (X)$0$0$0
NANCY MURRAY
DIRECTOR1.00Yes (X)$0$0$0
SARAH DINKLAGE
DIRECTOR1.00Yes (X)$0$0$0
DIANE GOUVEIA
DIRECTOR1.00Yes (X)$0$0$0
KENNETH RICHARDSON
DIRECTOR1.00Yes (X)$0$0$0
DANIEL KUBAS-MEYER
DIRECTOR1.00Yes (X)$0$0$0
HOLLY FITTING
DIRECTOR1.00Yes (X)$0$0$0
JOSEPH DESANTIS
DIRECTOR1.00Yes (X)$0$0$0
ROBERT CROSSLEY
CHAIR2.00Yes (X)Yes (X)$0$0$0
LYNN COSTIGAN
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
WENDY LOOKER
TREASURER2.00Yes (X)Yes (X)$0$0$0
JAMIE LEHANE
SECRETARY2.00Yes (X)Yes (X)$0$0$0
SUSAN A STORTI
PRESIDENT/CEO AS OF 8/19/1740.00$125,386$0$8,720Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$225,266TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,030TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$226,960MembershipDuesAmt
Government Grants$629,156GovernmentGrantsAmt
Total Contributions$856,116TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescTRAINING FEESDesc
Business611430BusinessCd
Total Revenue Column$59,928TotalRevenueColumnAmt
Related Or Exempt Func Income$59,928RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$59,928TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,436TotalRevenueColumnAmt
Exclusion$6,436ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$22,296SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,041SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,255SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,255TotalRevenueColumnAmt
Related Or Exempt Func Income$4,255RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$6,666TotalRevenueColumnAmt
Related Or Exempt Func Income$6,666RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,666OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$933,401TotalRevenueColumnAmt
Related Or Exempt Func Income$70,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,436ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$110,190TotalAmt
Program Services$83,564ProgramServicesAmt
Management And General$26,626ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$335,499TotalAmt
Program Services$243,406ProgramServicesAmt
Management And General$92,093ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$61,468TotalAmt
Program Services$50,784ProgramServicesAmt
Management And General$10,684ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,092TotalAmt
Program Services$25,022ProgramServicesAmt
Management And General$9,070ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,900TotalAmt
Management And General$3,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$216,464TotalAmt
Program Services$216,464ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,146TotalAmt
Program Services$4,947ProgramServicesAmt
Management And General$8,199ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$45,655TotalAmt
Program Services$34,241ProgramServicesAmt
Management And General$11,414ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,077TotalAmt
Program Services$2,308ProgramServicesAmt
Management And General$769ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,499TotalAmt
Program Services$1,726ProgramServicesAmt
Management And General$8,773ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,740TotalAmt
Program Services$1,305ProgramServicesAmt
Management And General$435ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,404TotalAmt
Program Services$4,053ProgramServicesAmt
Management And General$1,351ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER EXPENSES$58,035$42,359$15,676
TELEPHONE$8,976$6,732$2,244
REPAIRS AND MAINTENANCE$3,793$2,845$948
BANK CHARGES$2,647$2,647

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$919,585TotalAmt
Program Services$719,756ProgramServicesAmt
Management And General$199,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$190,370BOYAmt
EOY$93,568EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$126,233BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$245,391EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,558BOYAmt
EOY$3,284EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$42,439LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,833LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,346BOYAmt
EOY$2,606EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$166,402BOYAmt
EOY$178,534EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$493,909BOYAmt
EOY$523,383EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$63,632BOYAmt
EOY$76,169EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$63,632BOYAmt
EOY$76,169EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$388,277BOYAmt
EOY$447,214EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$42,000BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$430,277BOYAmt
EOY$447,214EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$493,909BOYAmt
EOY$523,383EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$13,816ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,121NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$502,914CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$304,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,653CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$670,610CurrentTaxYearMinus1YearAmt
Current Tax Year$629,156CurrentTaxYearAmt
Total$2,424,828TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$502,914CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$304,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$317,653CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$670,610CurrentTaxYearMinus1YearAmt
Current Tax Year$629,156CurrentTaxYearAmt
Total$2,424,828TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,424,828PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,160CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,953CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,733CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,800CurrentTaxYearMinus1YearAmt
Current Tax Year$6,436CurrentTaxYearAmt
Total$20,082TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,620CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$949CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,000CurrentTaxYearMinus1YearAmt
Current Tax Year$6,667CurrentTaxYearAmt
Total$15,259TotalAmt
FieldValueIRS element (for citing)
Total Support$2,460,169TotalSupportAmt
Public Support CY1700.98560PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,439OtherCostOrOtherBasisAmt
Depreciation$39,833DepreciationAmt
Book Value$2,606BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,606TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescSECURITIESDesc
Book Value$178,534BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$178,534TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$929,147TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$929,147RevenueSubtotalAmt
Other Revenues Not Included$4,254OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,254RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$933,401TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$919,585TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$919,585ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$919,585TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION EVALUATES ITS UNCERTAIN TAX POSITIONS USING GUIDANCE FOR CONTINGENCIES AS CONTAINED IN U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION WAS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS THAT WERE NOT PROVIDED FOR.
PART XI, LINE 4B - OTHER ADJUSTMENTS:NET REALIZED GAINS (LOSSES) ON INVESTMENTS 4,254.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BA DRAFT COPY OF FORM 990 IS PROVIDED TO THE EXECUTIVE COMMITTEE FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION ROUTINELY INQUIRES OFFICERS AND DIRECTORS AS TO THE EXISTENCE OF ANY CONFLICTS OF INTEREST WITH BUSINESS ISSUES OF THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. ALSO, THE FORM 990 CAN BE VIEWED ON GUIDESTAR.
FORM 990, PART IX, LINE 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 216,464. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,464.
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

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