HEALTH HORIZONS INTERNATIONAL FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HEALTH HORIZONS INTERNATIONAL FOUNDATION INC (EIN 27-1060487)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-29
IRS object ID
201742419349300029
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)
Return2017-08-29T10:08:45-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042774062PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ABRAMS LITTLE-GILL LOBERFELD PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11330 BOYLSTON STREETAddressLine1Txt
CityCHESTNUT HILLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02467ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN271060487EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTH HORIZONS INTERNATIONALBusinessNameLine1Txt
Business Name Line2FOUNDATION INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone8602743344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 MAIN STREETAddressLine1Txt
CityOAKVILLECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06779ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCRAIG W CZARSTY MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8602743344PhoneNum
Signature2017-08-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWAYNE E NICHOLSPreparerPersonNm
PTINP00084325PTIN
Phone6177385200PhoneNum
Preparation2017-08-20PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address96.89.194.121IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-08-21IPDt
IP Tm09:17:33IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id42153B644009E2F6DFA685CC2BC59FBF21DFEE42AtSubmissionCreationDeviceId
At Submission Filing Device IdB47AFEFE53B49A69ED05052658EBD6E804FE721AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCRAIG W CZARSTY MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 MAIN STREETAddressLine1Txt
CityOAKVILLECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06779ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$431,294GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HHIDR.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionPROVIDE MEDICAL CARE TO INDIGENTS IN DOMINICAN REPUBLICActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$257,471PYContributionsGrantsAmt
CY Contributions Grants$429,881CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$131PYInvestmentIncomeAmt
CY Investment Income$243CYInvestmentIncomeAmt
PY Other Revenue-$1,342PYOtherRevenueAmt
CY Other Revenue$1,170CYOtherRevenueAmt
PY Total Revenue$256,260PYTotalRevenueAmt
CY Total Revenue$431,294CYTotalRevenueAmt
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$120,456PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$148,301CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$733CYTotalFundraisingExpenseAmt
PY Other Expenses$91,815PYOtherExpensesAmt
CY Other Expenses$135,868CYOtherExpensesAmt
PY Total Expenses$212,271PYTotalExpensesAmt
CY Total Expenses$284,169CYTotalExpensesAmt
PY Revenues Less Expenses$43,989PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$147,125CYRevenuesLessExpensesAmt
Total Assets BOY$251,221TotalAssetsBOYAmt
Total Assets EOY$399,686TotalAssetsEOYAmt
Total Liabilities BOY$1,445TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,785TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$249,776NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$396,901NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE MEDICAL CARE TO INDIGENTS IN DOMINICAN REPUBLICMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,058ExpenseAmt
DescPROVIDED 613 PRIMARY HEALTH CARE CONSULTANTS, INCLUDING MEDICATION AND FOLLOW-UP, AND ENGAGED 8 PHYSICIANS, 1 APRN, 1 PA, 2 MEDICAL STUDENTS, AND 7 STUDENTS AND OTHER VOLUNTEERS IN INTERNATIONAL SERVICE. THE MEDICAL SERVICE TRIPS FACILITATE CONTINUITY OF PRIMARY HEALTH CARE IN FOUR COMMUNITIES IN THE DOMINICAN REPUBLIC.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,738ExpenseAmt
Desc115 PATIENTS PROVIDED WITH REFERRALS AND DIRECT ACCOMPANIMENT TO SPECIALIST CONSULTS, PREVENTIVE CARE, SURGERY, DIAGNOSTIC TESTING AND IMAGING, AND OTHER CRITICAL FOLLOW-UPDesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,219ExpenseAmt
DescPROVIDED TRAINING AND CONTINUING EDUCATION TO A TOTAL OF 92 COMMUNITY HEALTH WORKERS FROM LOCAL DOMINICAN REPUBLIC COMMUNITIES ACROSS THE PUERTO PLATA PROVINCE. THE CHWS PROVIDED CASE MANAGEMENT SERVICES TO 140 PATIENTS ENROLLED IN HHI'S CHRONIC DISEASE MANAGEMENT PROGRAM; CONDUCTED DIABETES RISK FACTOR ASSESSMENTS FOR 3,048 INDIVIDUALS AND COMPLETED REFERRALS TO PRIMARY CARE CENTERS FOR 1,806 INDIVIDUALS; AND PROVIDED HEALTH EDUCATION SERVICES TO OVER 13,000 INDIVIDUALS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtDescDesc
$8,751ENROLLED 140 PATIENTS DIAGNOSED WITH HYPERTENSION OR DIABETES TO HHI'S CHRONIC DISEASE MANAGEMENT PROGRAM. PROVIDED PATIENTS WITH YEAR-ROUND ACCESS TO MEDICATION, MONTHLY HOME VISITS BY A COMMUNITY HEALTH WORKER, PERSONALIZED HEALTH EDUCATION COUNSELING, AND TRI-ANNUAL CONSULTATIONS WITH A PHYSICIANS.
$66,509CONDUCTED HEALTH SYSTEM STRENGTHENING PROJECT IN COLLABORATION WITH MINISTRY OF HEALTH TO PROVIDE TRAINING, TECHNICAL ASSISTANCE, AND MONITORING AND SUPERVISION TO IMPROVE DIABETES TREATMENT AND MANAGEMENT SERVICES AND HEALTH OUTCOMES IN 12 PRIMARY HEALTH CARE CENTERS AND 3 HOSPITALS IN PUERTO PLATA PROVINCE. TRAINED 24 NURSES, 54 PHYSICIANS, 60 COMMUNITY HEALTH WORKERS AND 5 LABORATORY TECHNICIANS. ORGANIZED WORLD DIABETES DAY CAMPAIGN THAT ENGAGED 300 INDIVIDUALS.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$75,260TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$114,275TotalProgramServiceExpensesAmt
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 Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee13EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryDRForeignCountryCd
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 Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRAIG W CZARSTY MDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8602743344PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1314 MAIN STREETAddressLine1Txt
CityOAKVILLECityNm
State AbbreviationCTStateAbbreviationCd
ZIP06779ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ANGELA KANG MD
SECRETARY1.00Yes (X)$0$0$0
AYAZ MADRASWALLA MD
DIRECTOR1.00Yes (X)$0$0$0
CHRIS MEELIA
DIRECTOR1.00Yes (X)$0$0$0
ROMIYA BARRY
DIRECTOR1.00Yes (X)$0$0$0
CYNTHIA MARGARET MCMURRY
DIRECTOR1.00Yes (X)$0$0$0
CRAIG W CZARSTY MD
PRESIDENT AND CHAIR OF BOD5.00$0$0$0Yes (X)
LAURA MCNULTY
TREASURER8.00$0$0$0Yes (X)
BRAD WILKINSON MD
VICE PRESIDENT1.00$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 Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$429,881AllOtherContributionsAmt
Noncash Contributions$2,061NoncashContributionsAmt
Total Contributions$429,881TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$243TotalRevenueColumnAmt
Exclusion$243ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescUNREALIZED GAIN/LOSSDesc
Business900099BusinessCd
Total Revenue Column$1,170TotalRevenueColumnAmt
Exclusion$1,170ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,170OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$431,294TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,413ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$46,000TotalAmt
Program Services$27,600ProgramServicesAmt
Management And General$18,400ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,400TotalAmt
Program Services$33,893ProgramServicesAmt
Management And General$49,507ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,901TotalAmt
Management And General$18,901ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99TotalAmt
Management And General$99ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$4,791TotalAmt
Management And General$4,791ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,896TotalAmt
Program Services$11,205ProgramServicesAmt
Management And General$18,958ManagementAndGeneralAmt
Fundraising$733FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,837TotalAmt
Program Services$28ProgramServicesAmt
Management And General$10,809ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$35,626TotalAmt
Program Services$20,778ProgramServicesAmt
Management And General$14,848ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$727TotalAmt
Program Services$727ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,687TotalAmt
Program Services$819ProgramServicesAmt
Management And General$9,868ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICATIONS AND SUPPLIE$12,563$11,882$681
TAXES$3,760$2,919$841
TELEPHONE$3,099$3,099
STAFF DEVELOPMENT$2,902$9$2,893

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,881TotalAmt
Program Services$4,415ProgramServicesAmt
Management And General$5,466ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$284,169TotalAmt
Program Services$114,275ProgramServicesAmt
Management And General$169,161ManagementAndGeneralAmt
Fundraising$733FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$228,838BOYAmt
EOY$208,822EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,383BOYAmt
EOY$129,780EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$40,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,811LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$727LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$21,084EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$251,221BOYAmt
EOY$399,686EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
EOY$309EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,445BOYAmt
EOY$2,476EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,445BOYAmt
EOY$2,785EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$249,776BOYAmt
EOY$396,901EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$249,776BOYAmt
EOY$396,901EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$251,221BOYAmt
EOY$399,686EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$147,125ReconcilationRevenueExpnssAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$184,335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$181,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$268,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,471CurrentTaxYearMinus1YearAmt
Current Tax Year$589,881CurrentTaxYearAmt
Total$1,481,522TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$184,335CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$181,407CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$268,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$257,471CurrentTaxYearMinus1YearAmt
Current Tax Year$589,881CurrentTaxYearAmt
Total$1,481,522TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,481,522PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$118CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$131CurrentTaxYearMinus1YearAmt
Current Tax Year$243CurrentTaxYearAmt
Total$1,421TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$616CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,342CurrentTaxYearMinus1YearAmt
Current Tax Year$1,170CurrentTaxYearAmt
Total$906TotalAmt
FieldValueIRS element (for citing)
Total Support$1,483,849TotalSupportAmt
Public Support CY1700.99840PublicSupportCY170Pct
Public Support PY1700.92470PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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$21,811OtherCostOrOtherBasisAmt
Depreciation$727DepreciationAmt
Book Value$21,084BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$21,084TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYROLL LIABILITIESDesc
Amt$2,476Amt
FieldValueIRS element (for citing)
Total Liability$2,476TotalLiabilityAmt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices1OfficesCnt
Employee13EmployeeCnt
Type Of Activities ConductedPROGRAM SERVICESTypeOfActivitiesConductedTxt
Specific Services ProvidedALL PROGRAM SERVICES OF THE ORGANIZATION ARE CONDUCTED IN THE DOMINICAN REPUBLICSpecificServicesProvidedTxt
Region Total Expenditures$196,975RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees13SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office1TotalOfficeCnt
Total Employee13TotalEmployeeCnt
Subtotal Spent$196,975SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$196,975TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationORGANIZATION PROGRAM IS BASED IN DOMINICAN REPUBLIC. ORGANIZATION HAS STAFF LOCATED IN THE DR TO MONITOR USE OF FUNDS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BGOVERNING BODY REVIEWED THE 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CANY POSSIBLE CONFLICT OF INTEREST ON THE PART OF ANY BOARD MEMBER, OFFICER OR EMPLOYEE IS DISCLOSED IN WRITING TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19INFORMATION AVAILABLE UPON REQUEST

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