VIP NEUROREHIBILITATION CENTER: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
VIP NEUROREHIBILITATION CENTER (EIN 45-3623205)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-03-13
IRS object ID
201700739349300000
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)
Return2017-03-13T22:39:06-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN814590836PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LING & BOUMAN CPA'S LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14669 MURPHY CANYON ROAD STE 130AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP921231833ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN453623205EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VIP NEUROREHABILITATION CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIPNBusinessNameControlTxt
Phone8586899643PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17340 TRADE ST No FAddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID CHARBONNETPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8586899643PhoneNum
Signature2017-03-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJASON C GUTZMERPreparerPersonNm
PTINP01204162PTIN
Phone8584674770PhoneNum
Preparation2017-03-06PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.68.13.137IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-03-06IPDt
IP Tm08:17:40IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3027F8690AB57BB27A541B88B7BA586B0B969765AtSubmissionCreationDeviceId
At Submission Filing Device Id3027F8690AB57BB27A541B88B7BA586B0B969765AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerDAVID CHARBONNETPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line17340 TRADE ST No FAddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$339,128GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VIPNEUROREHAB.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD AND BRAIN INJURIES, AND OTHER SERIOUS INJURIES;TO EDUCATE PATIENTS AND THEIR FAMILIES ABOUT THESE INJURIES AND CONDUCT AND PUBLISH RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$42,981PYContributionsGrantsAmt
CY Contributions Grants$19,378CYContributionsGrantsAmt
PY Program Service Revenue$301,626PYProgramServiceRevenueAmt
CY Program Service Revenue$313,365CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$5,244CYOtherRevenueAmt
PY Total Revenue$344,607PYTotalRevenueAmt
CY Total Revenue$337,987CYTotalRevenueAmt
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$191,906PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$195,349CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$146,857PYOtherExpensesAmt
CY Other Expenses$145,035CYOtherExpensesAmt
PY Total Expenses$338,763PYTotalExpensesAmt
CY Total Expenses$340,384CYTotalExpensesAmt
PY Revenues Less Expenses$5,844PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,397CYRevenuesLessExpensesAmt
Total Assets BOY$17,574TotalAssetsBOYAmt
Total Assets EOY$15,127TotalAssetsEOYAmt
Total Liabilities BOY$50TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,524NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,127NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD AND BRAIN INJURIES, AND OTHER SERIOUS INJURIES;TO EDUCATE PATIENTS AND THEIR FAMILIES ABOUT THESE INJURIES AND CONDUCT AND PUBLISH RESEARCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$306,345ExpenseAmt
Revenue$313,365RevenueAmt
DescPROVIDED REHABILITATION SERVICES TO PATIENTS WITH SPINAL CORD, BRAIN AND OTHER SERIOUS INJURIES.Desc
Total Program Service Expenses$306,345TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
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 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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID CHARBONNETBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8586899643PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17340 TRADE ST SUITE F-2AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID CHARBONNET
PRESIDNET & DIRECTOR30.00Yes (X)Yes (X)$0$0$0
STEVEN BURGHER
DIRECTOR1.00Yes (X)$0$0$0
CONRAD KRESS
DIRECTOR1.00Yes (X)$0$0$0
DANA MOORE
DIRECTOR1.00Yes (X)$0$0$0
BRADLEY MARCUS
DIRECTOR1.00Yes (X)$0$0$0
JANET CHARBONNET
SECRETARY25.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$7,075FundraisingAmt
All Other Contributions$12,303AllOtherContributionsAmt
Noncash Contributions$9,930NoncashContributionsAmt
Total Contributions$19,378TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescREHABILITATION SERVICEDesc
Business621400BusinessCd
Total Revenue Column$313,365TotalRevenueColumnAmt
Related Or Exempt Func Income$313,365RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$313,365TotalProgramServiceRevenueAmt
Fundraising Gross Income$6,385FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$7,075ContriRptFundraisingEventAmt
Fundraising Direct Expenses$1,141FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,244TotalRevenueColumnAmt
Exclusion$5,244ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$337,987TotalRevenueColumnAmt
Related Or Exempt Func Income$313,365RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,244ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$140,496TotalAmt
Program Services$126,446ProgramServicesAmt
Management And General$14,050ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,211TotalAmt
Program Services$2,890ProgramServicesAmt
Management And General$321ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$51,642TotalAmt
Program Services$46,478ProgramServicesAmt
Management And General$5,164ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,637TotalAmt
Program Services$1,473ProgramServicesAmt
Management And General$164ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,878TotalAmt
Program Services$2,590ProgramServicesAmt
Management And General$288ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$452TotalAmt
Program Services$407ProgramServicesAmt
Management And General$45ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,305TotalAmt
Program Services$36,274ProgramServicesAmt
Management And General$4,031ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,059TotalAmt
Program Services$8,153ProgramServicesAmt
Management And General$906ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,491TotalAmt
Program Services$2,242ProgramServicesAmt
Management And General$249ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT LEASE$49,635$44,671$4,964
IN-KIND DONATIONS$9,930$8,937$993
REPAIRS & MAINTENANCE$9,001$8,101$900
BANK AND CREDIT CARD FE$6,481$5,833$648

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,166TotalAmt
Program Services$11,850ProgramServicesAmt
Management And General$1,316ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$340,384TotalAmt
Program Services$306,345ProgramServicesAmt
Management And General$34,039ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$17,574BOYAmt
EOY$13,427EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$1,700EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,574BOYAmt
EOY$15,127EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,154BOYAmt
EOY$12,040EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,370BOYAmt
EOY$3,087EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,524BOYAmt
EOY$15,127EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,574BOYAmt
EOY$15,127EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$2,397ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$3,421CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$42,981CurrentTaxYearMinus1YearAmt
Current Tax Year$25,764CurrentTaxYearAmt
Total$72,166TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$87,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$333,007CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$301,626CurrentTaxYearMinus1YearAmt
Current Tax Year$313,365CurrentTaxYearAmt
Total$1,035,541TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$87,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$336,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$344,607CurrentTaxYearMinus1YearAmt
Current Tax Year$339,129CurrentTaxYearAmt
Total$1,107,707TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,107,707PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$87,543CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$336,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$344,607CurrentTaxYearMinus1YearAmt
Current Tax Year$339,129CurrentTaxYearAmt
Total$1,107,707TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,370BeginningYearBalanceAmt
Contributions$10,308ContributionsAmt
Grants Or Scholarships$17,591GrantsOrScholarshipsAmt
End Year Balance$3,087EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$13,720ContributionsAmt
Grants Or Scholarships$3,350GrantsOrScholarshipsAmt
End Year Balance$10,370EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2THE PRESIDENT AND SECRETARY OF THE ORGANIZATION ARE HUSBAND AND WIFE.
Form 990, Part VI, Section B, line 11bTHE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING OF THE FORM.
Form 990, Part VI, Section C, line 19ITEMS ARE AVAILABLE BY WRITTEN REQUEST TO THE ORGANIZATION

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