SHALOM FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SHALOM FOUNDATION (EIN 95-4894733)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201743149349303034
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)
Return2017-11-10T14:53:53-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450491842PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLANKENSHIP CPA GROUP PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1215 WARD CIRCLEAddressLine1Txt
CityBRENTWOODCityNm
State AbbreviationTNStateAbbreviationCd
ZIP370272304ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954894733EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SHALOM FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSHALBusinessNameControlTxt
Phone6155955811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1354AddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37065ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonERIC HOBSONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6155955811PhoneNum
Signature2017-09-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonABIGAIL L CAMPBELL CPAPreparerPersonNm
PTINP01296738PTIN
Phone6153733771PhoneNum
Preparation2017-11-10PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id1AF70EAC79558827D56C3F7D01BE8DF1111BB134AtSubmissionCreationDeviceId
At Submission Filing Device Id0D84B1D0E63BEE01F0A86DF33241417219EE29EEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEVE MOOREPrincipalOfficerNm
Gross Receipts$878,201GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTHESHALOMFOUNDATION.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateTNLegalDomicileStateCd
Activity Or MissionTHE PRIMARY PURPOSE OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING HUMANITARIAN ASSISTANCE TO CHILDREN AND THEIR FAMILIES LIVING IN EXTREME POVERTY THROUGH MEDICAL AND NUTRITION PROGRAMS.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers1400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$797,500PYContributionsGrantsAmt
CY Contributions Grants$789,085CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$8,579PYInvestmentIncomeAmt
CY Investment Income$366CYInvestmentIncomeAmt
PY Other Revenue$303PYOtherRevenueAmt
CY Other Revenue$67,980CYOtherRevenueAmt
PY Total Revenue$806,382PYTotalRevenueAmt
CY Total Revenue$857,431CYTotalRevenueAmt
PY Grants And Similar Paid$654,086PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$626,681CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$150,836PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$47,544CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$17,224CYTotalFundraisingExpenseAmt
PY Other Expenses$235,696PYOtherExpensesAmt
CY Other Expenses$156,087CYOtherExpensesAmt
PY Total Expenses$1,040,618PYTotalExpensesAmt
CY Total Expenses$830,312CYTotalExpensesAmt
PY Revenues Less Expenses-$234,236PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$27,119CYRevenuesLessExpensesAmt
Total Assets BOY$1,115,809TotalAssetsBOYAmt
Total Assets EOY$1,099,469TotalAssetsEOYAmt
Total Liabilities BOY$104,669TotalLiabilitiesBOYAmt
Total Liabilities EOY$115,412TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,011,140NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$984,057NetAssetsOrFundBalancesEOYAmt
MissionTHE PRIMARY PURPOSE OF THE ORGANIZATION IS TO ENCOURAGE CHRISTIAN VALUES BY PROVIDING HUMANITARIAN ASSISTANCE TO CHILDREN AND THEIR FAMILIES LIVING IN EXTREME POVERTY THROUGH MEDICAL AND NUTRITION PROGRAMS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$799,849ExpenseAmt
Grant$626,681GrantAmt
DescTHE MEDICAL PROGRAM ENGAGES VOLUNTEER UNITED STATES MEDICAL PROFESSIONALS ALONG WITH GUATEMALAN MEDICAL PROGESSIONALS THROUGH SHORT-TERM SURGERY AND CLINIC MISSION TEAMS IN ORDER TO HELP MEET THE NEEDS OF IMPOVERISHED CHILDREN IN GUATEMALA. IN 2015, SHALOM FOUNDATION VOLUNTEERS PROVIDED 941 CHILDREN WITH PEDIATRIC SURGICAL PROCEDURES AT THE MOORE PEDIATRIC SURGERY CENTER. 13 MEDICAL/SURGIAL TEAMS PROVIDED MEDICAL AND SURGICAL CARE DURING THE YEAR, INCLUDING US AND GUATEMALAN DOCTORS AND MEDICAL PROFESSIONALS.Desc
Total Program Service Expenses$799,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee2EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIC HOBSON TREASURERPersonNm
Phone6155955811PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1412 CUMMINS STREETAddressLine1Txt
CityFRANKLINCityNm
State AbbreviationTNStateAbbreviationCd
ZIP37064ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
STEVE MOORE
CHAIRMAN5.00Yes (X)Yes (X)$0$0$0
KEN MOORE
VICE CHAIRMA2.00Yes (X)Yes (X)$0$0$0
BEVERLY HERRO
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ERIC HOBSON
TREASURER1.00Yes (X)Yes (X)$0$0$0
AMY CASSERI
BOARD MEMBER1.00Yes (X)$0$0$0
MARK MEYER
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN MULLINS
BOARD MEMBER1.00Yes (X)$0$0$0
RONI NYLANDER
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$136,463FundraisingAmt
All Other Contributions$652,622AllOtherContributionsAmt
Total Contributions$789,085TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$366TotalRevenueColumnAmt
Exclusion$366ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,750RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,750RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,750TotalRevenueColumnAmt
Exclusion$6,750ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$82,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$136,463ContriRptFundraisingEventAmt
Fundraising Direct Expenses$20,770FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,230TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$857,431TotalRevenueColumnAmt
Exclusion$7,116ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$626,681TotalAmt
Program Services$626,681ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,770TotalAmt
Program Services$31,514ProgramServicesAmt
Management And General$7,879ManagementAndGeneralAmt
Fundraising$4,377FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,774TotalAmt
Program Services$2,718ProgramServicesAmt
Management And General$679ManagementAndGeneralAmt
Fundraising$377FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,755TotalAmt
Program Services$7,023ProgramServicesAmt
Management And General$1,756ManagementAndGeneralAmt
Fundraising$976FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,166TotalAmt
Program Services$3,592ProgramServicesAmt
Management And General$369ManagementAndGeneralAmt
Fundraising$205FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$289TotalAmt
Program Services$249ProgramServicesAmt
Fundraising$40FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,615TotalAmt
Program Services$19,112ProgramServicesAmt
Management And General$963ManagementAndGeneralAmt
Fundraising$2,540FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,598TotalAmt
Program Services$2,680ProgramServicesAmt
Management And General$590ManagementAndGeneralAmt
Fundraising$328FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,574TotalAmt
Program Services$4,014ProgramServicesAmt
Management And General$1,003ManagementAndGeneralAmt
Fundraising$557FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$52,762TotalAmt
Program Services$52,762ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,456TotalAmt
Program Services$1,454ProgramServicesAmt
Fundraising$2FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$55,310TotalAmt
Program Services$47,567ProgramServicesAmt
Fundraising$7,743FundraisingAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescOTHERDesc
Total$562TotalAmt
Program Services$483ProgramServicesAmt
Fundraising$79FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$830,312TotalAmt
Program Services$799,849ProgramServicesAmt
Management And General$13,239ManagementAndGeneralAmt
Fundraising$17,224FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$20,287BOYAmt
EOY$5,195EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$36,192BOYAmt
EOY$49,762EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$21,819BOYAmt
EOY$12,050EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,212BOYAmt
EOY$941EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,333,548LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$345,880LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,028,614BOYAmt
EOY$987,668EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,685BOYAmt
EOY$43,853EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,115,809BOYAmt
EOY$1,099,469EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$104,669BOYAmt
EOY$93,912EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$21,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$104,669BOYAmt
EOY$115,412EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$947,890BOYAmt
EOY$946,621EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,250BOYAmt
EOY$37,436EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,011,140BOYAmt
EOY$984,057EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,115,809BOYAmt
EOY$1,099,469EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$27,119ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,798NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$57,000PriorPeriodAdjustmentsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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$1,303,351CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,464,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$911,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$797,500CurrentTaxYearMinus1YearAmt
Current Tax Year$789,085CurrentTaxYearAmt
Total$5,265,070TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,303,351CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,464,044CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$911,090CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$797,500CurrentTaxYearMinus1YearAmt
Current Tax Year$789,085CurrentTaxYearAmt
Total$5,265,070TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$100,743SubstantialContributorsTotAmt
Public Support Total170$5,164,327PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,463CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,052CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,094CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,579CurrentTaxYearMinus1YearAmt
Current Tax Year$7,116CurrentTaxYearAmt
Total$23,304TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$219,060CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$36,550CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$144,885CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$31,990CurrentTaxYearMinus1YearAmt
Current Tax Year$82,000CurrentTaxYearAmt
Total$514,485TotalAmt
FieldValueIRS element (for citing)
Total Support$5,802,859TotalSupportAmt
Gross Receipts Rltd Activities$588,716GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89000PublicSupportCY170Pct
Public Support PY1700.99670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
Explanation514,485ExplanationTxt

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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,333,548OtherCostOrOtherBasisAmt
Depreciation$345,880DepreciationAmt
Book Value$987,668BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$987,668TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$896,999TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,798NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$16,000DonatedServicesAndUseFcltsAmt
Other Revenue$20,770OtherRevenueAmt
Revenue Not Reported$39,568RevenueNotReportedAmt
Revenue Subtotal$857,431RevenueSubtotalAmt
Total Revenue Per Form990$857,431TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$867,082TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$16,000DonatedServicesUseFcltsAmt
Other Expenses Included$20,770OtherExpensesIncludedAmt
Expenses Not Reported$36,770ExpensesNotReportedAmt
Expenses Subtotal$830,312ExpensesSubtotalAmt
Total Expenses Per Form990$830,312TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS OTHER THAN A PRIVATE FOUNDATION. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATIONS MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2016, NO UNCERTAIN POSITIONS ARE TAKEN OR ARE EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013.
SCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EVENT EXPENSES 20,770
SCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EVENT EXPENSES 20,770

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICARegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedASSISTANCETypeOfActivitiesConductedTxt
Specific Services ProvidedMEDICAL/EDUCATIONSpecificServicesProvidedTxt
Region Total Expenditures$626,681RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$626,681SubtotalSpentAmt
Total Spent$626,681TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (2 entries)

Purpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxt
MEDICAL SERVICES$358,841WIRE TRANSFER
MEDICAL SERVICES$267,840WIRE TRANSFER
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE F, PAGE 1, PART I, LINE 2THE ORGANIZATION IS PHYSICALLY PRESENT TO MONITOR THE USE OF FUNDS.
SCHEDULE F, PAGE 1, PART I, LINE 3CENTRAL AMERICA 626,681 0

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1HYMNS, HAMS, ANEvent1Nm
Gross Receipts Event1$218,463GrossReceiptsEvent1Amt
Charitable Contri Event1$136,463CharitableContriEvent1Amt
Gross Revenue Event1$82,000GrossRevenueEvent1Amt
Rent Facility Costs Event1$2,598RentFacilityCostsEvent1Amt
Food And Beverage Event1$4,754FoodAndBeverageEvent1Amt
Entertainment Event1$3,723EntertainmentEvent1Amt
Other Direct Expenses Event1$9,695OtherDirectExpensesEvent1Amt
Gross Receipts Total$218,463GrossReceiptsTotalAmt
Charitable Contributions Tot$136,463CharitableContributionsTotAmt
Gross Revenue Total Events$82,000GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$2,598RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$4,754FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,723EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$9,695OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$20,770DirectExpenseSummaryEventsAmt
Net Income Summary$61,230NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BTHE FORM 990 WAS DISTRIBUTED ELECTRONICALLY AND VIA PAPER FOR BOARD REVIEW.
FORM 990, PAGE 6, PART VI, LINE 12CUPDATES REQUESTED AT EACH BI-MONTHLY MEETING.
FORM 990, PAGE 6, PART VI, LINE 15AANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS BY KEY BOARD MEMBERS AND CONSULTANTS.
FORM 990, PAGE 6, PART VI, LINE 15BANNUAL REVIEWS AND COMPARISON TO LIKE ORGANIZATIONS.
FORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST MADE AT ORGANIZATION'S OFFICE.
FORM 990, PART XI, LINE 9FUNDRAISING EVENT EXPENSES 20,770 FUNDRAISING EVENT EXPENSES -20,770

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