CAMDEN AREA DISTRICT NURSING ASSOCIATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: CAMDEN AREA DISTRICT NURSING ASSOCIATION (EIN 01-0212434)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-01-26
IRS object ID: 201840269349300239
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-01-26T12:26:05-08:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Camden Tax & Financial	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1083	AddressLine1Txt
City	Camden	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	048431083	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010212434	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Camden Area District Nursing Association	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CAMD	BusinessNameControlTxt
Phone	2079216272	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 547	AddressLine1Txt
City	Camden	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04843	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTOPHER MCINTOSH	PersonNm
Person Title	Treasurer	PersonTitleTxt
Signature	2018-01-24	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Martin E Lloyd EA	PreparerPersonNm
PTIN	P01023004	PTIN
Phone	2072369687	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	$162,545	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Activity Or Mission	Provide health services to the Camden Area community.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	0	VotingMembersIndependentCnt
Total Employee	11	TotalEmployeeCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$102,776	PYContributionsGrantsAmt
CY Contributions Grants	$112,450	CYContributionsGrantsAmt
PY Program Service Revenue	$43,810	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,540	CYProgramServiceRevenueAmt
PY Investment Income	$10,924	PYInvestmentIncomeAmt
CY Investment Income	$7,555	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$157,510	PYTotalRevenueAmt
CY Total Revenue	$162,545	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$126,092	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$134,164	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$2,867	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$2,818	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$9,919	CYTotalFundraisingExpenseAmt
PY Other Expenses	$26,037	PYOtherExpensesAmt
CY Other Expenses	$25,209	CYOtherExpensesAmt
PY Total Expenses	$154,996	PYTotalExpensesAmt
CY Total Expenses	$162,191	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,514	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$354	CYRevenuesLessExpensesAmt
Total Assets BOY	$416,983	TotalAssetsBOYAmt
Total Assets EOY	$410,078	TotalAssetsEOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$416,983	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$410,078	NetAssetsOrFundBalancesEOYAmt
Mission	Provide health services to the Camden Area community.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$134,352	ExpenseAmt
Desc	The District Nurses provide visits to patients and conducts numerous health related clinics in the Camden, Maine area.	Desc
Total Program Service Expenses	$134,352	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	false	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	false	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	false	BackupWthldComplianceInd
Employee	11	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Form990 T Filed	false	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	0	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	false	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	false	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	false	RegularMonitoringEnfrcInd
Whistleblower Policy	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	CHRISTOPHER MCINTOSH	PersonNm
Phone	2079216272	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 547	AddressLine1Txt
City	CAMDEN	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04843	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Julia Libby
Vice President	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Julie Clement
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Christopher McIntosh
Treasurer	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
John Long
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
JUDY CLOSSEY
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Elaine Davis
President	5.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JESSE BIFULCO
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Linda Annis
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
DEBBIE GREEN
Secretary	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Brenda Richardson
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
DR DEBORAH PEABODY
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
DEBRA SEIBEL-OROSZ
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Rosemary Winslow
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Sheila McFarland
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
JUDITH LYDON
EXEC. DIRECTOR	40.00	0.00			$56,026	$0	$0	Yes (X)
BRENDA SQUIBB
	30.00	0.00			$8,518	$0	$0	Yes (X)
FRANCES A SIMS
	30.00	0.00			$10,004	$0	$0	Yes (X)
LISA PAYSON
ADMINISTRATOR	20.00	0.00			$7,935	$0	$0	Yes (X)
SARA ADAMS
	32.00	0.00			$16,483	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$98,966	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$112,450	AllOtherContributionsAmt
Total Contributions	$112,450	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	Patient Care Revenue	Desc
Total Revenue Column	$42,540	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,540	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,540	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,535	TotalRevenueColumnAmt
Exclusion	$3,535	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,020	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$4,020	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,020	TotalRevenueColumnAmt
Exclusion	$4,020	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$162,545	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,540	RelatedOrExemptFuncIncomeAmt
Exclusion	$7,555	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$56,026	TotalAmt
Program Services	$47,622	ProgramServicesAmt
Management And General	$5,603	ManagementAndGeneralAmt
Fundraising	$2,801	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$67,948	TotalAmt
Program Services	$57,756	ProgramServicesAmt
Management And General	$6,795	ManagementAndGeneralAmt
Fundraising	$3,397	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$707	TotalAmt
Program Services	$601	ProgramServicesAmt
Management And General	$71	ManagementAndGeneralAmt
Fundraising	$35	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,483	TotalAmt
Program Services	$8,061	ProgramServicesAmt
Management And General	$948	ManagementAndGeneralAmt
Fundraising	$474	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,733	TotalAmt
Program Services	$4,733	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$2,818	TotalAmt
Fundraising	$2,818	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$3,565	TotalAmt
Management And General	$3,565	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$503	TotalAmt
Program Services	$302	ProgramServicesAmt
Management And General	$50	ManagementAndGeneralAmt
Fundraising	$151	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$5,414	TotalAmt
Program Services	$5,414	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$358	TotalAmt
Management And General	$358	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,862	TotalAmt
Program Services	$5,305	ProgramServicesAmt
Management And General	$371	ManagementAndGeneralAmt
Fundraising	$186	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical supplies	$3,193	$3,193
Miscellaneous	$746	$671	$75
TELEPHONE	$451	$383	$45	$23
Dues Licenses & Publications	$259	$233	$26

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$125	TotalAmt
Program Services	$78	ProgramServicesAmt
Management And General	$13	ManagementAndGeneralAmt
Fundraising	$34	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$162,191	TotalAmt
Program Services	$134,352	ProgramServicesAmt
Management And General	$17,920	ManagementAndGeneralAmt
Fundraising	$9,919	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$78,979	BOYAmt
EOY	$82,451	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$6,418	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,793	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$983	BOYAmt
EOY	$625	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$337,021	BOYAmt
EOY	$327,002	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$416,983	BOYAmt
EOY	$410,078	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$416,983	BOYAmt
EOY	$410,078	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,983	BOYAmt
EOY	$410,078	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$416,983	BOYAmt
EOY	$410,078	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$354	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$7,259	PriorPeriodAdjustmentsAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$118,554	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$223,092	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$109,720	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$102,776	CurrentTaxYearMinus1YearAmt
Current Tax Year	$112,450	CurrentTaxYearAmt
Total	$666,592	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$40,214	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$44,231	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$48,334	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$43,810	CurrentTaxYearMinus1YearAmt
Current Tax Year	$42,540	CurrentTaxYearAmt
Total	$219,129	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$158,768	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$267,323	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$158,054	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$146,586	CurrentTaxYearMinus1YearAmt
Current Tax Year	$154,990	CurrentTaxYearAmt
Total	$885,721	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$62,784	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,555	CurrentTaxYearAmt
Total	$128,339	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$62,784	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,555	CurrentTaxYearAmt
Total	$128,339	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$757,382	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,046	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,679	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,222	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,926	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,555	CurrentTaxYearAmt
Total	$25,428	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,046	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,679	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,222	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$10,926	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,555	CurrentTaxYearAmt
Total	$25,428	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$160,814	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$270,002	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$160,276	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$157,512	CurrentTaxYearMinus1YearAmt
Current Tax Year	$162,545	CurrentTaxYearAmt
Total	$911,149	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.83120	PublicSupportCY509Pct
Public Support PY509	0.91140	PublicSupportPY509Pct
Investment Income CY	0.02790	InvestmentIncomeCYPct
Investment Income PY	0.02110	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$337,021	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,456	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,910	GrantsOrScholarshipsAmt
Administrative Expenses	$3,565	AdministrativeExpensesAmt
End Year Balance	$327,002	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$342,850	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,832	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$11,250	GrantsOrScholarshipsAmt
Administrative Expenses	$5,411	AdministrativeExpensesAmt
End Year Balance	$337,021	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$302,496	BeginningYearBalanceAmt
Contributions	$50,000	ContributionsAmt
Investment Earnings Or Losses	$2,107	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$8,460	GrantsOrScholarshipsAmt
Administrative Expenses	$3,293	AdministrativeExpensesAmt
End Year Balance	$342,850	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$197,684	BeginningYearBalanceAmt
Contributions	$110,922	ContributionsAmt
Investment Earnings Or Losses	$2,542	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,530	GrantsOrScholarshipsAmt
Administrative Expenses	$2,122	AdministrativeExpensesAmt
End Year Balance	$302,496	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$176,968	BeginningYearBalanceAmt
Contributions	$25,000	ContributionsAmt
Investment Earnings Or Losses	$1,934	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,430	GrantsOrScholarshipsAmt
Administrative Expenses	$1,788	AdministrativeExpensesAmt
End Year Balance	$197,684	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,395	OtherCostOrOtherBasisAmt
Depreciation	$4,770	DepreciationAmt
Book Value	$625	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,023	OtherCostOrOtherBasisAmt
Depreciation	$1,023	DepreciationAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$625	TotalBookValueLandBuildingsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part V, Line 4: Intended uses of the endowment fund.	FormAndLineReferenceDesc
Explanation	PROCEEDS TO BE USED TO HELP PAY FOR ROUTINE OPERATING AND ADMINISTRATIVE EXPENSES OF THE ORGANIZATION EACH YEAR.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	FORM 990 AND ATTACHMENTS REVIEWED BY TREASURER PRIOR TO SUBMISSION.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	BOARD OF DIRECTORS APPROVAL OF COMPENSATION REQUIRED BY MAJORITY VOTE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	No documents available to the public.