RHODE ISLAND PUBLIC HEALTH FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
RHODE ISLAND PUBLIC HEALTH FOUNDATION INC (EIN 05-0474726)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-06-01
IRS object ID
201721529349300317
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)
Return2017-06-01T11:57:49-04:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043588201PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1A Paolino and Co IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 BroadwayAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02909ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050474726EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rhode Island Public Health FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRHODBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 South Main St Box G S121 8AddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02912ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAmy NunnPersonNm
Person TitlePresidentPersonTitleTxt
Signature2017-06-01SignatureDt
Discuss With Paid PreparerfalseDiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnthony J Paolino EA MBAPreparerPersonNm
PTINP01081579PTIN
Phone4012727217PhoneNum
Preparation2017-06-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address68.9.50.173IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-06-01IPDt
IP Tm11:58:18IPTm
Federal Original Submission Id0502812017152xlljrcfFederalOriginalSubmissionId
Federal Original Submission Id2017-06-01FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE7140ABCE6BE8AF601746BEB9BF8446B8D0B7B36AtSubmissionCreationDeviceId
At Submission Filing Device IdE7140ABCE6BE8AF601746BEB9BF8446B8D0B7B36AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1RI Public Health InstituteBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerJames M HagertyPrincipalOfficerNm
Gross Receipts$488,273GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressriphi.orgWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscNon ProfitOtherOrganizationDsc
Formation1993FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTo reduce health disparities in Rhode Island and beyond.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$452,921PYContributionsGrantsAmt
CY Contributions Grants$381,939CYContributionsGrantsAmt
PY Program Service Revenue$32,885PYProgramServiceRevenueAmt
CY Program Service Revenue$106,123CYProgramServiceRevenueAmt
PY Investment Income$15PYInvestmentIncomeAmt
CY Investment Income$211CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$485,821PYTotalRevenueAmt
CY Total Revenue$488,273CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$33,198PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$269,033CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$174,001PYOtherExpensesAmt
CY Other Expenses$218,818CYOtherExpensesAmt
PY Total Expenses$207,199PYTotalExpensesAmt
CY Total Expenses$487,851CYTotalExpensesAmt
PY Revenues Less Expenses$278,622PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$422CYRevenuesLessExpensesAmt
Total Assets BOY$366,602TotalAssetsBOYAmt
Total Assets EOY$339,532TotalAssetsEOYAmt
Total Liabilities BOY$32,379TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,887TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$334,223NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$334,645NetAssetsOrFundBalancesEOYAmt
MissionTo reduce health disparities in Rhode Island and beyond.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$426,879ExpenseAmt
DescThe Rhode Island Public Health Institutes mission is to reduce health disparities in Rhode Island and beyond. RIPHI works collaboratively with many institutions, including the Rhode Island Department of Health, to advance this mission. RIPHI oversaw and administered a number of grant-funded programs related to reducing health disparities for both chronic and infectious diseases. Those include, but are not limited to: a large HIV and HCV screening, treatment and cure program, as well as Faith in Action. Faith in Action is a coalition of faith and community leaders who work collaboratively to reduce racial disparities in HIV and HCV infection among African Americans; this program screens and treats people for HIV and engages in related health promotion campaigns. RIPHI also oversees the Rhode Island hepatitis C action Coalition, a coalition of health care providers, researchers and others who work collectively to reduce the prevalence of HCV in Rhode Island. RIPHI also oversaw the POWER UP PE program which is a program focused on enhancing physical- education training for PE teachers in teachers in Rhode Island public schools.In addition, RIPHI is also involved in a number of geographicalIy- focused health promotion programs in Rhode Island, commonly known as Health Equity Zones. RIPHI also is home to the Food on the Move program, a produce market designed to alleviate food insecurity that serves food deserts, food swamps and work sites across the entire state of Rhode Island. RIPHI also works to train the Rhode Island public health workforce and to assist with training researchers, public health practitioners and public servants to reduce health disparities nationwide.Desc
Total Program Service Expenses$426,879TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
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 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee10EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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 EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonAmy Stewart NunnPersonNm
Phone4018636568PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1121 South Main StAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02903ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Channavy Chhay
Board Member1.000.00Yes (X)$0$0$0
Carrie Bridges Feliz
Board Member1.000.00Yes (X)$0$0$0
Andrew Erickson
Board Member1.000.00Yes (X)$0$0$0
Leonard Green
Board Member1.000.00Yes (X)$0$0$0
Patricia Nolan
Board Member1.000.00Yes (X)$0$0$0
Kenneth Payne
Board Member1.000.00Yes (X)$0$0$0
Terrie Wetle
Board Member1.000.00Yes (X)$0$0$0
Jean Tapley
Board Member1.000.00Yes (X)$0$0$0
James M Hagerty
President1.500.00$0$0$0Yes (X)
Barbara Harris
Vice President & Secretary1.500.00$0$0$0Yes (X)
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 ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Fundraising$2,749FundraisingAmt
Related Organizations$34,485RelatedOrganizationsAmt
All Other Contributions$344,705AllOtherContributionsAmt
Total Contributions$381,939TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOTM611710$101,623$101,623
RIPHI Services561499$4,500$4,500
FieldValueIRS element (for citing)
Total Program Service Revenue$106,123TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$211TotalRevenueColumnAmt
Related Or Exempt Func Income$211RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$2,749ContriRptFundraisingEventAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$488,273TotalRevenueColumnAmt
Related Or Exempt Func Income$106,334RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$256,834TotalAmt
Program Services$227,411ProgramServicesAmt
Management And General$29,423ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,199TotalAmt
Program Services$10,979ProgramServicesAmt
Management And General$1,220ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,260TotalAmt
Management And General$9,260ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$78,916TotalAmt
Program Services$68,534ProgramServicesAmt
Management And General$10,382ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,379TotalAmt
Management And General$2,379ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,200TotalAmt
Program Services$1,095ProgramServicesAmt
Management And General$1,105ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,912TotalAmt
Program Services$549ProgramServicesAmt
Management And General$2,363ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,081TotalAmt
Program Services$2,760ProgramServicesAmt
Management And General$321ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,676TotalAmt
Program Services$2,774ProgramServicesAmt
Management And General$1,902ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,641TotalAmt
Program Services$4,641ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$16,948TotalAmt
Program Services$15,330ProgramServicesAmt
Management And General$1,618ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchases Of Produce$80,930$79,931$999
Consultants$12,875$12,875

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$487,851TotalAmt
Program Services$426,879ProgramServicesAmt
Management And General$60,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$298,504BOYAmt
EOY$265,965EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$68,098BOYAmt
EOY$31,798EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$46,410LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,641LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$41,769EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$366,602BOYAmt
EOY$339,532EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$24,853BOYAmt
EOY$4,887EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$7,526BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,379BOYAmt
EOY$4,887EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$334,223BOYAmt
EOY$334,645EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$334,223BOYAmt
EOY$334,645EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$366,602BOYAmt
EOY$339,532EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$422ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
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$54,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$250,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$452,921CurrentTaxYearMinus1YearAmt
Current Tax Year$488,273CurrentTaxYearAmt
Total$1,278,677TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$54,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,172CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$250,766CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$452,921CurrentTaxYearMinus1YearAmt
Current Tax Year$488,273CurrentTaxYearAmt
Total$1,278,677TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,278,677PublicSupportTotal170Amt
Total Support$1,278,677TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$46,410InvestmentCostOrOtherBasisAmt
Depreciation$4,641DepreciationAmt
Book Value$41,769BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$41,769TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11Form 990,Item K, Other form of organization: Non ProfitForm 990, Part I, Line 1, Description Of Organization Mission: Projects and Programs promoting Community HealthForm 990, PartIV, Section B, Line 11: The return is presented to the Board President for review and signature prior to filing. Board Members receive copies for review upon request.
Governing documents etc available to public Part VI line 19Form 990, Part VI, Section C, Line 19: The organization makes its governing documents, conflicts of interest policy and financial statements available to the public at its office upon request. A written request is required for access to financial statements priorto 2007. To obtain copies, A written request must be approved by the registered agent or the executive director. There is a charge for copies
List of other fees for services expenses Part IX line 11gLicenses 835.00Supplies 2261.00Fuel 1873.00Truck Exp 11,905.00Finance & Budget 60,997.00Mileage 864.00Board Expense 181.00 _________Total 78,916.00

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