CENTRE LIFELINK EMERGENCY MEDICAL SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CENTRE LIFELINK EMERGENCY MEDICAL SERVICES INC (EIN 23-7116953)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-11
- IRS object ID
- 201702549349300240
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-11T14:35:13-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 202000257 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Fiore Fedeli Snyder Carothers LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2013 Sandy Dr Ste 200 | AddressLine1Txt |
| City | State College | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237116953 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRE LIFELINK EMERGENCY MEDICAL | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 8142378163 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 272 | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 168040272 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT RAWSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8142378163 | PhoneNum |
| Signature | 2017-08-21 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOSEPH P FEDELI CPA | PreparerPersonNm |
| PTIN | P00538622 | PTIN |
| Phone | 8142378999 | PhoneNum |
| Preparation | 2017-08-21 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.163.69.173 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-21 | IPDt |
| IP Tm | 15:01:38 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 14E8863516B2D55708FDAB478DC83ED09A385D4F | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 14E8863516B2D55708FDAB478DC83ED09A385D4F | AtSubmissionFilingDeviceId |
| 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) |
|---|---|---|
| Principal Officer | SCOTT RAWSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 PUDDINTOWN ROAD | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,333,471 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CENTRELIFELINK.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | PA | LegalDomicileStateCd |
| Activity Or Mission | TO MEET OUR COMMUNITIES' NEEDS FOR QUALITY EMERGENCY MEDICAL SERVICES (EMS), INTERFACILITY AND MEDICALLY-RELATED CARE AND TRANSPORTATION, AND EMS TRAINING AND WELLNESS EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 61 | TotalEmployeeCnt |
| Total Volunteers | 57 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $323,131 | PYContributionsGrantsAmt |
| CY Contributions Grants | $349,717 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,497,148 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,722,589 | CYProgramServiceRevenueAmt |
| PY Investment Income | $80,807 | PYInvestmentIncomeAmt |
| CY Investment Income | $102,614 | CYInvestmentIncomeAmt |
| PY Other Revenue | $38,190 | PYOtherRevenueAmt |
| CY Other Revenue | $40,257 | CYOtherRevenueAmt |
| PY Total Revenue | $2,939,276 | PYTotalRevenueAmt |
| CY Total Revenue | $3,215,177 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,764,847 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,870,435 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $62,872 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,100,078 | PYOtherExpensesAmt |
| CY Other Expenses | $1,189,989 | CYOtherExpensesAmt |
| PY Total Expenses | $2,864,925 | PYTotalExpensesAmt |
| CY Total Expenses | $3,060,424 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $74,351 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $154,753 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $6,608,593 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,792,176 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,116,464 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,113,821 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,492,129 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,678,355 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO MEET OUR COMMUNITIES' NEEDS FOR QUALITY EMERGENCY MEDICAL SERVICES (EMS), INTERFACILITY AND MEDICALLY-RELATED CARE AND TRANSPORTATION, AND EMS TRAINING AND WELLNESS EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,012,406 | ExpenseAmt |
| Revenue | $2,646,098 | RevenueAmt |
| Desc | CENTRE LIFELINK PROVIDES EMERGENCY PRE-HOSPITAL CARE AND TRANSPORTATION 365 DAYS/YEAR 24 HOURS/DAY. THE ORGANIZATION RESPONDED TO APPROXIMATELY 6,514 CALLS AND PROVIDED APPROXIMATELY 2,322 VAN TRIPS FOR THOSE WHEELCHAIR BOUND. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $80,595 | ExpenseAmt |
| Revenue | $130,509 | RevenueAmt |
| Desc | CENTRE LIFELINK PROVIDES AN EDUCATION AND TRAINING PROGRAM TO BOTH HEALTHCARE PROFESSIONALS AS WELL AS THE GENERAL PUBLIC. TRAINING COURSES INCLUDE PHLEBOTOMY, CPR, FIRST AID, ADVANCED CARDIAC LIFE SUPPORT AND EMERGENCY VEHICLE OPERATIONS, AMONG OTHERS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,892 | ExpenseAmt |
| Revenue | $7,716 | RevenueAmt |
| Desc | CENTRE LIFELINK GENERATES REVENUE BY PROVIDING STAND-BY AMBULANCE SERVICE FOR LOCAL SPORTING AND CULTURAL EVENTS, AS WELL AS FROM NOMINAL CHARGES FOR PROVIDING MEDICAL RECORDS TO LAW FIRMS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,812 | ExpenseAmt |
| Revenue | $916 | RevenueAmt |
| Desc | THE CENTRAL REGION EMERGENCY STRIKE TEAM (CREST) IS THE WILDERNESS SEARCH AND RESCUE/SPECIALITY DISASTER SUPPORT DIVISION OF CENTRE LIFELINK EMS, INC. SERVING THE CITIZENS OF CENTRE COUNTY AS WELL AS THE SURROUNDING AREAS OF THE CENTRAL PENNSYLVANIA REGION. CREST PROVIDES SERVICE AND SUPPORT IN LOST PERSON INCIDENTS, SPECIALITY RESCUES AND SPECIAL MEDICAL SUPPORT AND DISASTER RESPONSES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,812 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $916 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $2,117,705 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 61 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | PA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCOTT RAWSON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8142378163 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 PUDDINTOWN ROAD | AddressLine1Txt |
| City | STATE COLLEGE | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 16801 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BRIAN CALDARELLI | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RODNEY BEARD | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID LIEB | ||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BETH JOHNSTON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JANET ZERBE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNA MECKLEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS SONGER III | ||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICHARD SHURGALLA | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN SPEARLY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT RAWSON | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $90,142 | $0 | $20,160 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $90,142 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $20,160 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GEISINGER HEALTH PLAN | |||||
| 3051 ENTERPRISE DRIVE | STATE COLLEGE | PA | 16801 | HEALTH INSURANCE | $319,708 |
| LYNN KOLAJA FIRE EQUIPMENT SALES INC | |||||
| 36820 LAKE ROAD | UNION CITY | PA | 16438 | FIRE EQUIPMENT | $106,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $285,090 | MembershipDuesAmt |
| All Other Contributions | $64,627 | AllOtherContributionsAmt |
| Total Contributions | $349,717 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| AMBULANCE & OTHER TRAN | 621910 | $2,591,164 | $2,591,164 |
| EDUCATION AND TRAINING | 611710 | $130,509 | $130,509 |
| CREST | 621910 | $916 | $916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,722,589 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,221 | TotalRevenueColumnAmt |
| Exclusion | $80,221 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $140,687 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $118,294 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,393 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,393 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,393 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621910 | BusinessCd |
| Total Revenue Column | $40,257 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,257 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $40,257 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,215,177 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,785,239 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $80,221 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,302 | TotalAmt |
| Program Services | $76,178 | ProgramServicesAmt |
| Management And General | $33,059 | ManagementAndGeneralAmt |
| Fundraising | $1,065 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,164,356 | TotalAmt |
| Program Services | $804,138 | ProgramServicesAmt |
| Management And General | $348,970 | ManagementAndGeneralAmt |
| Fundraising | $11,248 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,654 | TotalAmt |
| Program Services | $20,025 | ProgramServicesAmt |
| Management And General | $8,352 | ManagementAndGeneralAmt |
| Fundraising | $277 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $448,627 | TotalAmt |
| Program Services | $313,334 | ProgramServicesAmt |
| Management And General | $130,959 | ManagementAndGeneralAmt |
| Fundraising | $4,334 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,496 | TotalAmt |
| Program Services | $81,836 | ProgramServicesAmt |
| Management And General | $35,515 | ManagementAndGeneralAmt |
| Fundraising | $1,145 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,526 | TotalAmt |
| Management And General | $6,526 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,000 | TotalAmt |
| Management And General | $10,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,932 | TotalAmt |
| Management And General | $17,932 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,812 | TotalAmt |
| Management And General | $25,812 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,137 | TotalAmt |
| Program Services | $2,043 | ProgramServicesAmt |
| Management And General | $2,679 | ManagementAndGeneralAmt |
| Fundraising | $10,415 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,929 | TotalAmt |
| Program Services | $2,728 | ProgramServicesAmt |
| Management And General | $23,941 | ManagementAndGeneralAmt |
| Fundraising | $260 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,014 | TotalAmt |
| Program Services | $1,281 | ProgramServicesAmt |
| Management And General | $31,414 | ManagementAndGeneralAmt |
| Fundraising | $319 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,724 | TotalAmt |
| Program Services | $16,384 | ProgramServicesAmt |
| Management And General | $7,110 | ManagementAndGeneralAmt |
| Fundraising | $230 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,278 | TotalAmt |
| Program Services | $37,104 | ProgramServicesAmt |
| Management And General | $2,785 | ManagementAndGeneralAmt |
| Fundraising | $389 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,211 | TotalAmt |
| Program Services | $23,628 | ProgramServicesAmt |
| Management And General | $10,253 | ManagementAndGeneralAmt |
| Fundraising | $330 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $296,612 | TotalAmt |
| Program Services | $272,586 | ProgramServicesAmt |
| Management And General | $23,047 | ManagementAndGeneralAmt |
| Fundraising | $979 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,926 | TotalAmt |
| Program Services | $22,157 | ProgramServicesAmt |
| Management And General | $33,229 | ManagementAndGeneralAmt |
| Fundraising | $540 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| OTHER OPERATING | $101,090 | $37,137 | $62,977 | $976 |
| SUPPLIES - AMBULANCE | $97,730 | $97,730 | ||
| REPAIRS & MAINTENANCE | $90,590 | $62,564 | $27,151 | $875 |
| EDUCATION & TRAINING | $80,665 | $80,665 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,813 | TotalAmt |
| Program Services | $166,187 | ProgramServicesAmt |
| Management And General | $38,136 | ManagementAndGeneralAmt |
| Fundraising | $29,490 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,060,424 | TotalAmt |
| Program Services | $2,117,705 | ProgramServicesAmt |
| Management And General | $879,847 | ManagementAndGeneralAmt |
| Fundraising | $62,872 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,298 | BOYAmt |
| EOY | $3,671 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $379,474 | BOYAmt |
| EOY | $379,724 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,665 | BOYAmt |
| EOY | $277,246 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $817,891 | BOYAmt |
| EOY | $1,067,497 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,106 | BOYAmt |
| EOY | $89,359 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,157,433 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,571,559 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,667,255 | BOYAmt |
| EOY | $2,585,874 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,182,282 | BOYAmt |
| EOY | $2,200,617 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,122 | BOYAmt |
| EOY | $74,688 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,500 | BOYAmt |
| EOY | $113,500 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,608,593 | BOYAmt |
| EOY | $6,792,176 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,720 | BOYAmt |
| EOY | $175,946 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,548 | BOYAmt |
| EOY | $228,239 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $714,249 | BOYAmt |
| EOY | $671,299 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $60,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$23,053 | BOYAmt |
| EOY | -$21,663 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,116,464 | BOYAmt |
| EOY | $1,113,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,212,464 | BOYAmt |
| EOY | $5,401,109 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $279,665 | BOYAmt |
| EOY | $277,246 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,492,129 | BOYAmt |
| EOY | $5,678,355 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,608,593 | BOYAmt |
| EOY | $6,792,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $154,753 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,908 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $565 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $276,158 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $298,275 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $312,680 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $323,131 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $349,717 | CurrentTaxYearAmt |
| Total | $1,559,961 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,841,219 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,645,683 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,779,422 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,497,148 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,722,589 | CurrentTaxYearAmt |
| Total | $13,486,061 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,117,377 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,943,958 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,092,102 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,820,279 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,072,306 | CurrentTaxYearAmt |
| Total | $15,046,022 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,046,022 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,876 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,664 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,082 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$24,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $133,523 | CurrentTaxYearAmt |
| Total | $396,025 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $73,876 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,664 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,082 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | -$24,120 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $133,523 | CurrentTaxYearAmt |
| Total | $396,025 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $232,830 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $61,773 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $41,359 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $38,190 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,257 | CurrentTaxYearAmt |
| Total | $414,409 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,424,083 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,082,395 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,269,543 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,834,349 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,246,086 | CurrentTaxYearAmt |
| Total | $15,856,456 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94890 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93390 | PublicSupportPY509Pct |
| Investment Income CY | 0.02500 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02050 | 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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $156,826 | OtherCostOrOtherBasisAmt |
| Book Value | $156,826 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,881,187 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,214,805 | DepreciationAmt |
| Book Value | $1,666,382 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $683,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $524,493 | DepreciationAmt |
| Book Value | $158,745 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,436,182 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,832,261 | DepreciationAmt |
| Book Value | $603,921 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,585,874 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED CHARGES - DEBT ISSUANCE | Desc |
| Amt | -$21,663 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | -$21,663 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,458,287 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $30,908 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $211,637 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $565 | OtherRevenueAmt |
| Revenue Not Reported | $243,110 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,215,177 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,215,177 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,272,061 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $211,637 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $211,637 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,060,424 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,060,424 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2015. |
| Part XI, Line 2d - Other Adjustments: | UNREALIZED GAIN ON INVESTMENTS HELD BY CCCF |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE ORGANIZATION OFFERS MEMBERSHIPS THAT CARRY VOTING RIGHTS FOR CERTAIN ORGANIZATIONAL FUNCTIONS. |
| Form 990, Part VI, Section A, line 7a | AT THE ANNUAL MEETING, WHICH IS HELD WITHIN FOUR MONTHS OF THE FISCAL YEAR END, THE AGENDA INCLUDES THE ELECTION OF DIRECTORS (FROM THE NOMINEES), ANNUAL REPORTS, AND ANY MATTER WHICH REQUIRES THE VOTE OF THE MEMBERS OF THE ORGANIZATION. |
| Form 990, Part VI, Section A, line 7b | WHEN A NEW DIRECTOR IS APPOINTED BY THE BOARD TO FILL A VACANCY, THE NEW DIRECTOR SHALL SERVE THE UNEXPIRED TERM OF THE PREDECESSOR IN OFFICE. AT THE ORGANIZATION'S NEXT ANNUAL MEETING FOLLOWING THE APPOINTMENT OF THE NEW DIRECTOR, THE APPOINTMENT OF THE NEW DIRECTOR SHALL BE SUBJECT TO A VOTE OF RATIFICATION BY THE MEMBERS ELIGIBLE TO VOTE. IF THE APPOINTMENT OF THE NEW DIRECTOR IS NOT APPROVED BY A MAJORITY OF VOTING MEMBERS PRESENT, THE SEAT SHALL ONCE MORE BECOME VACANT UNTIL SUCH TIME AS THE BOARD APPOINTS A SUCCESSOR. |
| Form 990, Part VI, Section B, line 11b | THE FORM 990 IS REVIEWED AND APPROVED BY THE ADMINISTRATIVE AFFAIRS COMMITTEE OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. THE FINAL FORM 990, AS FILED WITH THE INTERNAL REVENUE SERVICE, IS PROVIDED TO THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Section B, line 12c | ALL MEMBERS OF THE BOARD OF DIRECTORS, ADMINISTRATIVE STAFF AND MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES SHALL ANNUALLY COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRE SHALL BE SUBMITTED TO THE EXECUTIVE DIRECTOR FOR REVIEW. A REPORT CONCERNING ANY POTENTIAL CONFLICTS OF INTEREST SHALL BE PREPARED FOR SUBMISSION TO THE BOARD NO LATER THAN THE MARCH BOARD MEETING. ANY NEW EMPLOYEES WITH ADMINISTRATIVE RESPONSIBILITIES SHALL SUBMIT A COMPLETED QUESTIONANIRE CONCURRENT WITH ASSUMPTION OF THEIR DUTIES. ANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER SHALL BE DISCLOSED TO THE OTHER MEMBERS OF THE BOARD AND MADE A MATTER OF RECORD, BOTH THROUGH THE ANNUAL REPORTING PROCEDURE AND WHEN THE INTEREST BECOMES A MATTER OF BOARD ACTION. ANY BOARD MEMBER HAVING A POTENTIAL CONFLICT OF INTEREST ON ANY MATTER SHALL NOT VOTE ON THE MATTER, AND HE/SHE SHALL NO BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE AND THE ABSTENTION FROM VOTING. THIS SHALL NOT PREVENT A BOARD MEMBER FROM EITHER BRIEFLY STATING HIS/HER POSITION ON THE MATTER OR FROM ANSWERING QUESTIONS OF OTHER BOARD MEMBERS SINCE HIS/HER KNOWLEDGE MAY BE OF ASSISTANCE. ANY PERSON SUBJECT TO CONFLICTS OF INTEREST DISCLOSURE WHOSE PERSONAL CIRCUMSTANCES CHANGE MATERIALLY, SUCH THAT A NEW POTENTIAL CONFLICT OF INTEREST ARISES, SHALL REPORT THE NEW POTENTIAL CONFLICT TO THE PRESIDENT AT THE EARLIEST OPPORTUNITY. ALL CONFLICTS OF INTEREST QUESTIONNAIRES SHALL BE RETAINED BY THE EXECUTIVE DIRECTOR UNTIL THEY ARE SUPERCEDED BY A MORE CURRENT VERSION. |
| Form 990, Part VI, Section C, line 18 | 990 IS AVAILABLE ON GUIDESTAR AND UPON REQUEST AT THE FRONT DESK OF THE MAIN OFFICE. |
| Form 990, Part VI, Section C, line 19 | WHEN A REQUEST IS RECEIVED FOR PUBLIC INSPECTION OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND/OR FINANCIAL STATEMENTS, MANAGEMENT WILL PRESENT THE FACTS AND CIRCUMSTANCES SPECIFIC TO THE INDIVIDUAL REQUEST TO THE BOARD OF DIRECTORS WHOM WILL DETERMINE IF THIS REQUEST WILL BE GRANTED. |
| Form 990, Part XI, line 9: | GAIN ON INVESTMENTS HELD BY CCCF 565. |
| FORM 990, PART XIII, LINE 2C | PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
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