INDIANA CENTER FOR NURSING INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
INDIANA CENTER FOR NURSING INC (EIN 38-3697192)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-14
IRS object ID
201831349349300103
Schema version
2017v2.2
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)
Return2018-05-14T00:49:41-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 N MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383697192EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1INDIANA CENTER FOR NURSING INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlINDIBusinessNameControlTxt
Phone3175741325PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19302 NORTH MERIDIAN ST 365AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46260ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKIMBERLY HARPERPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3175741325PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMBER KOCHER CPAPreparerPersonNm
PTINP01286298PTIN
Phone3176334705PhoneNum
Preparation2018-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIMBERLY HARPERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line19302 NORTH MERIDIAN ST 365AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46260ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$595,264GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.IC4N.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTO PURSUE AND ALIGN STRATEGIES TO ADDRESS NURSING RESOURCE REQUIREMENTS FOR THE STATE OF INDIANA.ActivityOrMissionDesc
Voting Members Governing Body51VotingMembersGoverningBodyCnt
Voting Members Independent51VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers133TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$648,091PYContributionsGrantsAmt
CY Contributions Grants$590,866CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$979PYInvestmentIncomeAmt
CY Investment Income$2,371CYInvestmentIncomeAmt
PY Other Revenue-$2,819PYOtherRevenueAmt
CY Other Revenue-$21,812CYOtherRevenueAmt
PY Total Revenue$646,251PYTotalRevenueAmt
CY Total Revenue$571,425CYTotalRevenueAmt
PY Grants And Similar Paid$121,837PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$98,436CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$182,237PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$191,346CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$306,983PYOtherExpensesAmt
CY Other Expenses$332,589CYOtherExpensesAmt
PY Total Expenses$611,057PYTotalExpensesAmt
CY Total Expenses$622,371CYTotalExpensesAmt
PY Revenues Less Expenses$35,194PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$50,946CYRevenuesLessExpensesAmt
Total Assets BOY$572,700TotalAssetsBOYAmt
Total Assets EOY$499,014TotalAssetsEOYAmt
Total Liabilities BOY$124,759TotalLiabilitiesBOYAmt
Total Liabilities EOY$102,019TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$447,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$396,995NetAssetsOrFundBalancesEOYAmt
MissionTHE INDIANA CENTER FOR NURSING UNITES STATEWIDE NURSING EDUCATION AND PRACTICE LEADERS TO AFFECT CHANGE, THROUGH ONE VOICE, TO ENSURE A HIGHLY QUALIFIED NURSING WORKFORCE THAT MEETS THE NEEDS OF INDIANA'S HEALTHCARE CONSUMERS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$215,188ExpenseAmt
Grant$98,436GrantAmt
Revenue$0RevenueAmt
DescTO ASSURE THE FUTURE OF INDIANA'S NURSING WORKFORCE AND PROMOTE INDIANA AS A DESTINATION STATE FOR NURSING PRACTICE. EXPAND AND ENHANCE OUR CURRENT SERVICES AND SECURE THE FUTURE OF INDIANA'S LICENSED NURSING WORKFORCE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescCAREER INFORMATION REPOSITORY FOR INDIVIDUALS PURSUING OR ADVANCING NURSING CAREER.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescPHILANTHROPIC PROGRAM TO RAISE SCHOLARSHIPS FOR NURSING STUDENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$215,188TotalProgramServiceExpensesAmt
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members51GoverningBodyVotingMembersCnt
Independent Voting Member51IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIMBERLY HARPERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3175741325PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line19302 NORTH MERIDIAN ST 365AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46260ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANE KIRKPATRICK
PRESIDENT4.00Yes (X)Yes (X)$0$0$0
JEAN PUTNAM
VICE PRESIDENT3.00Yes (X)Yes (X)$0$0$0
CINDY ADAMS
SECRETARY3.00Yes (X)Yes (X)$0$0$0
SUSAN MCROBERTS
TREASURER3.00Yes (X)Yes (X)$0$0$0
LEE ANN BLUE
IMM. PAST PRESIDENT1.00Yes (X)$0$0$0
KAREN ALLEN
BOARD MEMBER1.00Yes (X)$0$0$0
CHRISTOPHER BELL
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE BISESI
BOARD MEMBER1.00Yes (X)$0$0$0
JUDY BOERGER
BOARD MEMBER1.00Yes (X)$0$0$0
MARY BOURKE
BOARD MEMBER1.00Yes (X)$0$0$0
MARY CARNEY
BOARD MEMBER1.00Yes (X)$0$0$0
HOLLY CHEEK
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN CLARK
BOARD MEMBER1.00Yes (X)$0$0$0
KIM COOPER
BOARD MEMBER1.00Yes (X)$0$0$0
LISA CRANE
BOARD MEMBER1.00Yes (X)$0$0$0
YVONNE CULPEPPER
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA DELUNAS
BOARD MEMBER1.00Yes (X)$0$0$0
JEWEL DILLER
BOARD MEMBER1.00Yes (X)$0$0$0
TERESA DOBRYZKOWSKI
BOARD MEMBER1.00Yes (X)$0$0$0
RUTH EBY
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER EMBREE
BOARD MEMBER1.00Yes (X)$0$0$0
KIRSTEN EMMONS
BOARD MEMBER1.00Yes (X)$0$0$0
CINDY FARRIS
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE GERRETY
BOARD MEMBER1.00Yes (X)$0$0$0
DEBORAH GILLUM
BOARD MEMBER1.00Yes (X)$0$0$0
DOROTHY GOMEZ
BOARD MEMBER1.00Yes (X)$0$0$0
KAREN HAAK
BOARD MEMBER1.00Yes (X)$0$0$0
CHERONA HAJEWSKI
BOARD MEMBER1.00Yes (X)$0$0$0
LEA HALL
BOARD MEMBER1.00Yes (X)$0$0$0
NORMA HALL
BOARD MEMBER1.00Yes (X)$0$0$0
REBECCA HANCOCK
BOARD MEMBER1.00Yes (X)$0$0$0
TONYA HEIM
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN HENDRICKS
BOARD MEMBER1.00Yes (X)$0$0$0
LISA HOPP
BOARD MEMBER1.00Yes (X)$0$0$0
JASON KING
BOARD MEMBER1.00Yes (X)$0$0$0
CYNTHIA KNIPE
BOARD MEMBER1.00Yes (X)$0$0$0
ANGIE KOLLER
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA LEWIS
BOARD MEMBER1.00Yes (X)$0$0$0
DEBORAH LYONS
BOARD MEMBER1.00Yes (X)$0$0$0
MARCIA MILLER
BOARD MEMBER1.00Yes (X)$0$0$0
ROBIN NEWHOUSE
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA PASKIEWICZ
BOARD MEMBER1.00Yes (X)$0$0$0
LYNN SCHMIDT
BOARD MEMBER1.00Yes (X)$0$0$0
SUSAN SEIBERT
BOARD MEMBER1.00Yes (X)$0$0$0
BETH SHARER
BOARD MEMBER1.00Yes (X)$0$0$0
DIANA SHENEFIELD
BOARD MEMBER1.00Yes (X)$0$0$0
LINDA SIKTBERG
BOARD MEMBER1.00Yes (X)$0$0$0
BRENDA SROF
BOARD MEMBER1.00Yes (X)$0$0$0
TRISH WEBER
BOARD MEMBER1.00Yes (X)$0$0$0
ANN WHITE
BOARD MEMBER1.00Yes (X)$0$0$0
MINDY YODER
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY HARPER
CEO/COO40.00Yes (X)$192,124$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$192,124TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Membership Dues$429,898MembershipDuesAmt
Fundraising$70,191FundraisingAmt
All Other Contributions$90,777AllOtherContributionsAmt
Total Contributions$590,866TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,371TotalRevenueColumnAmt
Exclusion$2,371ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$70,191ContriRptFundraisingEventAmt
Fundraising Direct Expenses$23,839FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,839TotalRevenueColumnAmt
Exclusion-$23,839ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Total Revenue Column$2,027TotalRevenueColumnAmt
Exclusion$2,027ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,027OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$571,425TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$19,441ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$98,436TotalAmt
Program Services$98,436ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$191,346TotalAmt
Management And General$191,346ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,750TotalAmt
Management And General$2,750ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$138,065TotalAmt
Management And General$138,065ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,271TotalAmt
Program Services$121ProgramServicesAmt
Management And General$4,150ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,701TotalAmt
Management And General$2,701ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$51,556TotalAmt
Management And General$51,556ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$19,939TotalAmt
Program Services$19,939ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,513TotalAmt
Program Services$35,699ProgramServicesAmt
Management And General$7,814ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,587TotalAmt
Management And General$2,587ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescSTRATEGIC PLANDesc
Total$60,993TotalAmt
Program Services$60,993ProgramServicesAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,214TotalAmt
Management And General$6,214ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$622,371TotalAmt
Program Services$215,188ProgramServicesAmt
Management And General$407,183ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$508,059BOYAmt
EOY$433,899EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$60,536BOYAmt
EOY$60,549EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$112,660LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$108,094LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,105BOYAmt
EOY$4,566EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$572,700BOYAmt
EOY$499,014EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$270BOYAmt
EOY$931EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$124,489BOYAmt
EOY$101,088EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,759BOYAmt
EOY$102,019EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$447,941BOYAmt
EOY$396,995EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$447,941BOYAmt
EOY$396,995EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$572,700BOYAmt
EOY$499,014EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$50,946ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
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$544,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$509,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$565,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$648,092CurrentTaxYearMinus1YearAmt
Current Tax Year$590,866CurrentTaxYearAmt
Total$2,857,955TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$544,233CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$509,414CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$565,350CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$648,092CurrentTaxYearMinus1YearAmt
Current Tax Year$590,866CurrentTaxYearAmt
Total$2,857,955TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$177,211SubstantialContributorsTotAmt
Public Support Total170$2,680,744PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$678CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$606CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$929CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$979CurrentTaxYearMinus1YearAmt
Current Tax Year$2,371CurrentTaxYearAmt
Total$5,563TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,202CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,652CurrentTaxYearMinus1YearAmt
Current Tax Year$2,027CurrentTaxYearAmt
Total$25,929TotalAmt
FieldValueIRS element (for citing)
Total Support$2,889,447TotalSupportAmt
Public Support CY1700.92780PublicSupportCY170Pct
Public Support PY1700.94770PublicSupportPY170Pct
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$112,660OtherCostOrOtherBasisAmt
Depreciation$108,094DepreciationAmt
Book Value$4,566BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,566TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ICN SCHOLARSHIP GALA AT USIEvent1Nm
Gross Receipts Event1$16,972GrossReceiptsEvent1Amt
Charitable Contri Event1$16,972CharitableContriEvent1Amt
Food And Beverage Event1$2,500FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$50OtherDirectExpensesEvent1Amt
Event2ICN SCHOLARSHIP GALA AT CRANE BAYEvent2Nm
Gross Receipts Event2$53,219GrossReceiptsEvent2Amt
Charitable Contri Event2$53,219CharitableContriEvent2Amt
Non Cash Prizes Event2$498NonCashPrizesEvent2Amt
Rent Facility Costs Event2$1,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$16,710FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$3,081OtherDirectExpensesEvent2Amt
Gross Receipts Total$70,191GrossReceiptsTotalAmt
Charitable Contributions Tot$70,191CharitableContributionsTotAmt
Non Cash Prizes Total Events$498NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,000RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$19,210FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,131OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$23,839DirectExpenseSummaryEventsAmt
Net Income Summary-$23,839NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNURSING SCHOLARSHIPGrantTypeTxt
Recipient27RecipientCnt
Cash Grant$98,436CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART III, COLUMN (A), NURSING SCHOLARSHIPS:FormAndLineReferenceDesc
ExplanationTWENTY-FIVE $3,786 SCHOLARSHIPS AND TWO $1,893 SCHOLARSHIPS WERE GIVEN OUT TO NURSING SCHOOLS IN THE STATE OF INDIANA THAT ARE MEMBERS OF THE ICN.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonKIMBERLY HARPERPersonNm
TitleCEO/COOTitleTxt
Base Compensation Filing Org$192,124BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$192,124TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS FOUR CLASSES OF MEMBERSHIPS: TIER 1, TIER 2, TIER 3, AND TIER 4. TIER 1 MEMBERS EACH HAVE ONE VOTE AND PAY MEMBERSHIP FEES. TIER 2 MEMBERS HAVE A MAX OF EIGHT VOTES AND PAY MEMBERSHIP FEES. TIER 3 MEMBERS HAVE ONE REPRESENTATIVE PER GEOGRAPHIC REGION WITH ONE VOTE AND PAY MEMBERSHIP FEES. TIER 4 MEMBERS WILL NOT PAY MEMBERSHIP FEES AND WILL NOT HAVE ANY VOTING RIGHTS.
FORM 990, PART VI, SECTION A, LINE 7ATIER 1 MEMBERS WILL EACH APPOINT ONE DIRECTOR TO THE BOARD. TIER 2 MEMBERS WILL EACH APPOINT ONE DIRECTOR TO THE BOARD UP TO A MAXIMUM OF EIGHT DIRECTORS. TIER 3 MEMBERS WILL APPOINT ONE DIRECTOR PER REGION.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE A COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11BTHE PROCESS OF REVIEWING THE FORM 990 INCLUDES A DETAILED REVIEW OF THE FORM BY THE ORGANIZATION'S ACCOUNTING PERSONNEL. THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE ASKED ANNUALLY TO SUBMIT A NEW CONFLICT OF INTEREST QUESTIONNAIRE FORM. FORM IS REVIEWED BY THE CHIEF EXECUTIVE OFFICER. SHOULD QUESTIONS ARISE, THEY WOULD BE TAKEN TO THE OFFICERS OF THE BOARD FOR DECISION-MAKING PURPOSES.
FORM 990, PART VI, SECTION B, LINE 15OFFICERS OF THE BOARD OF DIRECTORS REVIEW THE CHIEF EXECUTIVE OFFICER'S SALARY ON AN ANNUAL BASIS.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 138,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,065.

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