AVALON HEALING CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
AVALON HEALING CENTER (EIN 20-0631006)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-15
IRS object ID
201623209349305517
Schema version
2015v2.1
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)
Return2016-11-15T10:47:38-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN382050733PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MELLEN SMITH & PIVOZ PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130600 TELEGRAPH ROAD SUITE 1131AddressLine1Txt
CityBINGHAM FARMSCityNm
State AbbreviationMIStateAbbreviationCd
ZIP480254531ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN200631006EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WAYNE COUNTY SAFE PROGRAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAYNBusinessNameControlTxt
Phone3139649701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVENUE NO 300AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL A PIVOZPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2486422803PhoneNum
Signature2016-09-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK L SMITHPreparerPersonNm
PTINP00059974PTIN
Phone2486422803PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIMBERLY HURSTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVE STE 300AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,152,142GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateMILegalDomicileStateCd
Activity Or MissionTO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTSActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee17TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$145,985PYContributionsGrantsAmt
CY Contributions Grants$164,068CYContributionsGrantsAmt
PY Program Service Revenue$805,195PYProgramServiceRevenueAmt
CY Program Service Revenue$988,066CYProgramServiceRevenueAmt
PY Investment Income$5PYInvestmentIncomeAmt
CY Investment Income$8CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$951,185PYTotalRevenueAmt
CY Total Revenue$1,152,142CYTotalRevenueAmt
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$621,908PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$719,121CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$71,403CYTotalFundraisingExpenseAmt
PY Other Expenses$364,371PYOtherExpensesAmt
CY Other Expenses$434,198CYOtherExpensesAmt
PY Total Expenses$986,279PYTotalExpensesAmt
CY Total Expenses$1,153,319CYTotalExpensesAmt
PY Revenues Less Expenses-$35,094PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,177CYRevenuesLessExpensesAmt
Total Assets BOY$212,392TotalAssetsBOYAmt
Total Assets EOY$202,156TotalAssetsEOYAmt
Total Liabilities BOY$36,839TotalLiabilitiesBOYAmt
Total Liabilities EOY$27,780TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$175,553NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$174,376NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,038,344ExpenseAmt
Revenue$988,066RevenueAmt
DescTO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTSDesc
Total Program Service Expenses$1,038,344TotalProgramServiceExpensesAmt
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 Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document23IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee17EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
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 PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIMBERLY HURSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3139649701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVENUE STE 300AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
KIMBERLY HURST
CEO/EXECUTIVE DIRECTOR40.00Yes (X)$107,563$0$0
MICHAEL PIVOZ
TREASURER/DIRECTOR2.00Yes (X)$0$0$0Yes (X)
SHOMA PAL
VICE PRES/DIRECTOR2.00Yes (X)$0$0$0Yes (X)
GLEN HALL
PRESIDENT/DIRECTOR2.00Yes (X)$0$0$0Yes (X)
PATRICIA NOUHAN
DIRECTOR2.00Yes (X)$0$0$0
TRINA TURNER
DIRECTOR2.00Yes (X)$0$0$0Yes (X)
KRISTIN FINTON
SECRETARY/DIRECTOR2.00Yes (X)$0$0$0
LORI KITCHEN
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$107,563TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$164,068GovernmentGrantsAmt
Total Contributions$164,068TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL & FORENSIC EXADesc
Business624100BusinessCd
Total Revenue Column$988,066TotalRevenueColumnAmt
Related Or Exempt Func Income$988,066RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$988,066TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8TotalRevenueColumnAmt
Exclusion$8ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,152,142TotalRevenueColumnAmt
Related Or Exempt Func Income$988,066RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$8ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$623,746TotalAmt
Program Services$546,151ProgramServicesAmt
Management And General$32,935ManagementAndGeneralAmt
Fundraising$44,660FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$95,375TotalAmt
Program Services$81,774ProgramServicesAmt
Management And General$5,773ManagementAndGeneralAmt
Fundraising$7,828FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$35,822TotalAmt
Program Services$31,882ProgramServicesAmt
Management And General$1,791ManagementAndGeneralAmt
Fundraising$2,149FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$494TotalAmt
Program Services$439ProgramServicesAmt
Management And General$25ManagementAndGeneralAmt
Fundraising$30FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$40,949TotalAmt
Program Services$40,829ProgramServicesAmt
Fundraising$120FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$62,715TotalAmt
Program Services$62,715ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,117TotalAmt
Program Services$8,114ProgramServicesAmt
Management And General$456ManagementAndGeneralAmt
Fundraising$547FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,159TotalAmt
Program Services$13,492ProgramServicesAmt
Management And General$757ManagementAndGeneralAmt
Fundraising$910FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$3,204ProgramServicesAmt
Management And General$180ManagementAndGeneralAmt
Fundraising$216FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$21,062TotalAmt
Program Services$18,745ProgramServicesAmt
Management And General$1,053ManagementAndGeneralAmt
Fundraising$1,264FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT LABOR$144,734$144,239$225$270
VOLUNTEER EXPENSES$41,454$39,852$1,602
TELEPHONE$24,860$24,391$214$255
TRANSPORTATION-SPECIFIC$19,606$19,606

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,626TotalAmt
Program Services$2,911ProgramServicesAmt
Management And General$163ManagementAndGeneralAmt
Fundraising$11,552FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,153,319TotalAmt
Program Services$1,038,344ProgramServicesAmt
Management And General$43,572ManagementAndGeneralAmt
Fundraising$71,403FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$72,887BOYAmt
EOY$48,002EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$75,674BOYAmt
EOY$86,996EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$28,982BOYAmt
EOY$34,668EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,779BOYAmt
EOY$25,020EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,663LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,193LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$11,070BOYAmt
EOY$7,470EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$212,392BOYAmt
EOY$202,156EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,839BOYAmt
EOY$27,780EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,839BOYAmt
EOY$27,780EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,053BOYAmt
EOY$106,876EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$67,500BOYAmt
EOY$67,500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$175,553BOYAmt
EOY$174,376EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$212,392BOYAmt
EOY$202,156EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$1,177ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$698,716CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$877,433CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$900,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$951,185CurrentTaxYearMinus1YearAmt
Current Tax Year$1,152,142CurrentTaxYearAmt
Total$4,579,758TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$698,716CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$877,433CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$900,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$951,185CurrentTaxYearMinus1YearAmt
Current Tax Year$1,152,142CurrentTaxYearAmt
Total$4,579,758TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,579,758PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$698,716CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$877,433CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$900,282CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$951,185CurrentTaxYearMinus1YearAmt
Current Tax Year$1,152,142CurrentTaxYearAmt
Total$4,579,758TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,663OtherCostOrOtherBasisAmt
Depreciation$25,193DepreciationAmt
Book Value$7,470BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,470TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,152,142TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$1,152,142RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,152,142TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,153,319TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,153,319ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,153,319TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11RETURN IS REVIEWED AND SIGNED BY BOARD BEFORE FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED AND UPDATED AS NECESSARY. WRITTEN PROCEDURES ARE OBSERVED IN IDENTIFYING AND RESOLVING CONFLICTS OF INTEREST PRIOR TO ACTION ON CONTRACTS OR TRANSACTIONS THAT INVOLVE A CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE GOVERNANCE COMMITTEE REVIEWS AND APPROVES COMPENSATION FOR ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE ENTITY ADDRESS.
FORM 990, PART XII, LINE 2C:FINANCIAL COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF INDEPENDENT AUDITOR.

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