AFRICAN FAMILY HEALTH ORGANIZATION AFAHO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
AFRICAN FAMILY HEALTH ORGANIZATION AFAHO (EIN 73-1670436)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-01
IRS object ID
201743059349301594
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-01T13:29:24-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Renzi Bernardi Suarez & CoBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1587 Haddon AvenueAddressLine1Txt
CityCollingswoodCityNm
State AbbreviationNJStateAbbreviationCd
ZIP08108ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN731670436EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AFRICAN FAMILY HEALTH ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlAFRIBusinessNameControlTxt
Phone2155461232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14415 CHESTNUT STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP191042913ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2155461232PhoneNum
Signature2017-10-05SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonEDWARD A SUAREZ CPA MBAPreparerPersonNm
Phone8568587887PhoneNum
Preparation2017-11-01PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.110.76.76IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-01IPDt
IP Tm13:29:09IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id580C7ECA6897D6CBD1ECCD96C20128E0E98FF94FAtSubmissionCreationDeviceId
At Submission Filing Device Id580C7ECA6897D6CBD1ECCD96C20128E0E98FF94FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerONI RICHARDSPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14415 CHESTNUT STREET SUITE 202AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19104ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$753,995GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.afaho.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionAFAHO PROVIDES HEALTH AND HUMAN SERVICES TO AFRICAN AND CARIBBEAN IMMIGRANTS AND REFUGEES IN THE GREATER PHILADELPHIA AREA.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$295,395PYContributionsGrantsAmt
CY Contributions Grants$237,620CYContributionsGrantsAmt
CY Program Service Revenue$516,375CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$295,395PYTotalRevenueAmt
CY Total Revenue$753,995CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$177,082PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$313,124CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$23,611CYTotalFundraisingExpenseAmt
PY Other Expenses$35,605PYOtherExpensesAmt
CY Other Expenses$223,459CYOtherExpensesAmt
PY Total Expenses$212,687PYTotalExpensesAmt
CY Total Expenses$536,583CYTotalExpensesAmt
PY Revenues Less Expenses$82,708PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$217,412CYRevenuesLessExpensesAmt
Total Assets BOY$107,693TotalAssetsBOYAmt
Total Assets EOY$331,699TotalAssetsEOYAmt
Total Liabilities BOY$6,193TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,787TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$101,500NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$318,912NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAFAHO PROVIDES HEALTH AND HUMAN SERVICESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$237,813ExpenseAmt
Revenue$516,079RevenueAmt
Desc340B PROGRAM:THE AFRICAN FAMILY HEALTH ORGANIZATION (AFAHO) IS A "COVERED ENTITY" AS DEFINED IN SECTION 340B OF THE PUBLIC HEALTH SERVICE ACT AND IS ELIGIBLE TO PURCHASE CERTAIN OUTPATIENT DRUGS AT REDUCED PRICES FOR USE BY ELIGIBLE PATIENTS FROM DRUG MANUFACTURERS WHO HAVE SIGNED A DRUG PURCHASING AGREEMENT WITH THE UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES AND/OR THE MANUFACTURERS' WHOLESALERS. AFAHO PROVIDES HEALTH CARE AND OTHER CASE MANAGEMENT AND SUPPORTIVE SERVICES TO ELIGIBLE PATIENTS. AFAHO HAS PARTNERED WITH SOLVENCY PHARMACY WHO DISPENSES COVERED DRUGS TO ELIGIBLE PATIENTS IN ACCORDANCE WITH ALL APPLICABLE STATE AND FEDERAL STATUTES AND REGULATIONS AND THE PROFESSIONAL JUDGMENT OF THE DISPENSING PHARMACIST.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$156,569ExpenseAmt
DescREFUGEE POST-RESETTLEMENT CASE MANAGEMENT PROGRAM: THIS PROGRAM PROVIDES POST-RESETTLEMENT CASE MANAGEMENT SERVICES TO NEW REFUGEES LIVING IN THE GREATER PHILADELPHIA AREA ASSISTING CLIENTS WITH FAMILY-BASED COUNSELING TO DETERMINE THEIR NEEDS AND PROVIDING THE RESOURCES, SUPPORT AND LANGUAGE ASSISTANCE NEEDED TO HELP PEOPLE BECOME INDEPENDENT, WELL-ADJUSTED AND SELF SUFFICIENT.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$43,660ExpenseAmt
DescFAMILY PLANNING PROGRAM: BASED FAMILY PLANNING PROGRAM FOR AFRICAN AND CARIBBEAN IMMIGRANTS AND REFUGEES PROVIDES COMMUNITY EDUCATION, FAMILY PLANNING COUNSELING, PREGNANCY AND STD TESTING AND LINKAGE INTO CLINICAL FAMILY PLANNING SERVICES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$33,289ExpenseAmt
DescMULTIPLE OTHER PROGRAMS WHICH INCLUDE YOUTH IN ACTION, HEALTHY BEGINNINGS, HIV/AIDS OUTREACH.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$33,289TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$471,331TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl 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 OutstandingYes (true)LoanOutstandingInd
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
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee13EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Phone2155461232PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14415 CHESTNUT STREET SUITE 202AddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19104ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
RACHELLE MARTINEZ
BOARD MEMBER1.00Yes (X)$0$0$0
DR CHYKE DOUBENI
BOARD MEMBER1.00Yes (X)$0$0$0
DR SHANNON MARQUEZ
BOARD MEMBER1.00Yes (X)$0$0$0
DR MARY OSIRIM
BOARD MEMBER1.00Yes (X)$0$0$0
DR EMMANUEL KOKU
BOARD CHAIR1.00Yes (X)$0$0$0Yes (X)
DR CAMILLE RAGIN
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
ONI RICHARDS-WARITAY
EXECUTIVE DIRECTOR40.00$84,620$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$84,620TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$110,000GovernmentGrantsAmt
All Other Contributions$127,620AllOtherContributionsAmt
Total Contributions$237,620TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM SERVICE FEESDesc
Business624100BusinessCd
Total Revenue Column$516,375TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$516,375TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$753,995TotalRevenueColumnAmt
Related Or Exempt Func Income$516,375RelatedOrExemptFuncIncomeAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$84,620TotalAmt
Program Services$74,466ProgramServicesAmt
Management And General$5,077ManagementAndGeneralAmt
Fundraising$5,077FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$189,669TotalAmt
Program Services$166,909ProgramServicesAmt
Management And General$11,380ManagementAndGeneralAmt
Fundraising$11,380FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,873TotalAmt
Program Services$7,809ProgramServicesAmt
Management And General$532ManagementAndGeneralAmt
Fundraising$532FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,962TotalAmt
Program Services$26,367ProgramServicesAmt
Management And General$1,798ManagementAndGeneralAmt
Fundraising$1,797FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,805TotalAmt
Program Services$0ProgramServicesAmt
Management And General$8,805ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$41,765TotalAmt
Program Services$35,586ProgramServicesAmt
Management And General$6,179ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,731TotalAmt
Program Services$9,244ProgramServicesAmt
Management And General$487ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,099TotalAmt
Program Services$12,059ProgramServicesAmt
Management And General$4,020ManagementAndGeneralAmt
Fundraising$4,020FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,822TotalAmt
Program Services$7,378ProgramServicesAmt
Management And General$1,444ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,477TotalAmt
Program Services$2,477ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,847TotalAmt
Program Services$1,747ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$100FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CLIENT ASSISTANCE$47,652$47,652$0$0
PROGRAM SUPPLIES$58,752$58,752$0$0
VEHICLE LEASE EXPENSE$5,079$5,079$0$0
TRAVEL$8,635$8,385$250$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,795TotalAmt
Program Services$7,421ProgramServicesAmt
Management And General$1,669ManagementAndGeneralAmt
Fundraising$705FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$536,583TotalAmt
Program Services$471,331ProgramServicesAmt
Management And General$41,641ManagementAndGeneralAmt
Fundraising$23,611FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$106,643BOYAmt
EOY$195,792EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$55,504EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$54,045EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$4,285EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,500LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,477LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$16,023EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,050BOYAmt
EOY$6,050EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,693BOYAmt
EOY$331,699EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,193BOYAmt
EOY$11,790EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
EOY$997EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,193BOYAmt
EOY$12,787EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$4,215BOYAmt
EOY$269,513EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$105,715BOYAmt
EOY$49,399EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$101,500BOYAmt
EOY$318,912EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,693BOYAmt
EOY$331,699EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$217,412ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$118,828CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$106,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$295,395CurrentTaxYearMinus1YearAmt
Current Tax Year$237,620CurrentTaxYearAmt
Total$890,709TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$118,828CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,077CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$106,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$295,395CurrentTaxYearMinus1YearAmt
Current Tax Year$237,620CurrentTaxYearAmt
Total$890,709TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$90,709SubstantialContributorsTotAmt
Public Support Total170$800,000PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$890,709TotalSupportAmt
Gross Receipts Rltd Activities$519,080GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89820PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Public Support Total509$0PublicSupportTotal509Amt
Public Support CY5090PublicSupportCY509Pct
Investment Income CY0InvestmentIncomeCYPct

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$18,500OtherCostOrOtherBasisAmt
Depreciation$2,477DepreciationAmt
Book Value$16,023BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,023TotalBookValueLandBuildingsAmt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonONI RICHARDSPersonNm
Relationship With OrgEXEC DIRECTORRelationshipWithOrgTxt
Loan PurposeGEN OPSLoanPurposeTxt
Loan To OrganizationYes (X)LoanToOrganizationInd
Original Principal$997OriginalPrincipalAmt
Balance Due$997BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalfalseBoardOrCommitteeApprovalInd
Written AgreementfalseWrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$997TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 11bA DRAFT COPY OF THE 990 IS REVIEWED BY THE BOARD PRIOR TO FILING
Pt VI, Line 12cWHEN VOLUNTEERS START WITH THE ORGANIZATION, THEY ARE GIVEN THIS POLICY TO REVIEW AND SIGN.
Pt VI, Line 15aTHE BOARD REVIEWS COMPARABLE COMPENSATION AT OTHER NON-PROFIT ORGANIZATIONS OF A SIMILAR SIZE AND STRUCTURE AS WELL AS THE EXECUTIVE DIRECTOR'S ROLES AND RESPONSIBILITIES TO DETERMINE AND VOTE ON THE EXECUTIVE DIRECTOR'S COMPENSATION.
Pt VI, Line 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part III, Line 4dMULTIPLE OTHER PROGRAMS WHICH INCLUDE YOUTH IN ACTION, HEALTHY 33289. 0. 0.
Form 990, Part IX, Line 24eMISCELLANEOUS 653. 29. 624. 0.
Form 990, Part IX, Line 24eTELEPHONE 3543. 2128. 710. 705.
Form 990, Part IX, Line 24eSTAFF DEVELOPMENT 865. 625. 240. 0.
Form 990, Part IX, Line 24ePOSTAGE 4321. 4226. 95. 0.
Form 990, Part IX, Line 24ePRINTING 413. 413. 0. 0.

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