KIDS IN NEED OF DENTISTRY: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
KIDS IN NEED OF DENTISTRY (EIN 84-6038681)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-06-13
IRS object ID
201611659349301201
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)
Return2016-06-13T15:37:09-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TAYLOR ROTH AND COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1800 GRANT ST STE 205AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP802032944ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN846038681EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KIDS IN NEED OF DENTISTRYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKIDSBusinessNameControlTxt
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING ST STE 207AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJULIE COLLETTPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone3037333710PhoneNum
Signature2016-06-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEN ROTHPreparerPersonNm
PTINP01389203PTIN
Phone3038308109PhoneNum
Preparation2016-06-13PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJULIE COLLETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 SOUTH DOWNING ST SUITE 207AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,144,237GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KINDSMILES.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1912FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee25TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$490,685PYContributionsGrantsAmt
CY Contributions Grants$454,797CYContributionsGrantsAmt
PY Program Service Revenue$464,468PYProgramServiceRevenueAmt
CY Program Service Revenue$562,205CYProgramServiceRevenueAmt
PY Investment Income$833PYInvestmentIncomeAmt
CY Investment Income$252CYInvestmentIncomeAmt
PY Other Revenue$77,873PYOtherRevenueAmt
CY Other Revenue$81,010CYOtherRevenueAmt
PY Total Revenue$1,033,859PYTotalRevenueAmt
CY Total Revenue$1,098,264CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$652,556PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$682,099CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$62,339CYTotalFundraisingExpenseAmt
PY Other Expenses$326,463PYOtherExpensesAmt
CY Other Expenses$320,059CYOtherExpensesAmt
PY Total Expenses$979,019PYTotalExpensesAmt
CY Total Expenses$1,002,158CYTotalExpensesAmt
PY Revenues Less Expenses$54,840PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$96,106CYRevenuesLessExpensesAmt
Total Assets BOY$625,076TotalAssetsBOYAmt
Total Assets EOY$721,486TotalAssetsEOYAmt
Total Liabilities BOY$51,510TotalLiabilitiesBOYAmt
Total Liabilities EOY$51,814TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$573,566NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$669,672NetAssetsOrFundBalancesEOYAmt
MissionPROVIDING PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIESMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$756,964ExpenseAmt
Revenue$562,205RevenueAmt
DescKIND PROVIDES PROFESSIONAL DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES. DONATED DENTAL SERVICES, SUPPLIES AND FACILITIES USED IN THE PROGRAM IN 2015 TOTALED 187,200.Desc
Total Program Service Expenses$756,964TotalProgramServiceExpensesAmt
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
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 ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee25EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE COLLETTPersonNm
Phone3037333710PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12465 S DOWNING STREET SUITE 210AddressLine1Txt
CityDENVERCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CAITLYN FAGAN
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KERRI BUNCE
PRESIDENT-EL2.00Yes (X)Yes (X)$0$0$0
RUDY WOLF
VICE PRESIDE2.00Yes (X)Yes (X)$0$0$0
ERICK SWICK
TREASURER2.00Yes (X)Yes (X)$0$0$0
GINA OLBERDING
SECRETARY2.00Yes (X)Yes (X)$0$0$0
JORDON AVILLAR
MEMBER1.00Yes (X)$0$0$0
DR JIM BIENEMAN
MEMBER1.00Yes (X)$0$0$0
ELLIE BURBEE
MEMBER1.00Yes (X)$0$0$0
LARRY CHATTERLEY
MEMBER1.00Yes (X)$0$0$0
DR ANIL IDICULLA
MEMBER1.00Yes (X)$0$0$0
PAUL LUCHAU
MEMBER1.00Yes (X)$0$0$0
HEATHER MAGIC
MEMBER1.00Yes (X)$0$0$0
JOE ROMBERG
MEMBER1.00Yes (X)$0$0$0
DR JENNIFER THOMPSON
MEMBER1.00Yes (X)$0$0$0
CECIL VELAZQUEZ
MEMBER1.00Yes (X)$0$0$0
JULIE COLLETT
EXECUTIVE DI40.00Yes (X)$108,116$0$8,798
FieldValueIRS element (for citing)
Total Reportable Comp From Org$108,116TotalReportableCompFromOrgAmt
Total Other Compensation$8,798TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$2,554FederatedCampaignsAmt
Government Grants$27,355GovernmentGrantsAmt
All Other Contributions$424,888AllOtherContributionsAmt
Noncash Contributions$28,243NoncashContributionsAmt
Total Contributions$454,797TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPROGRAM FEESDesc
Business621300BusinessCd
Total Revenue Column$562,205TotalRevenueColumnAmt
Related Or Exempt Func Income$562,205RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$562,205TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$252TotalRevenueColumnAmt
Exclusion$252ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$122,480FundraisingGrossIncomeAmt
Fundraising Direct Expenses$45,973FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$76,507TotalRevenueColumnAmt
Exclusion$76,507ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$4,503TotalRevenueColumnAmt
Related Or Exempt Func Income$4,503RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,503OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,098,264TotalRevenueColumnAmt
Related Or Exempt Func Income$566,708RelatedOrExemptFuncIncomeAmt
Exclusion$76,759ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$108,116TotalAmt
Program Services$84,547ProgramServicesAmt
Management And General$18,163ManagementAndGeneralAmt
Fundraising$5,406FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$483,675TotalAmt
Program Services$377,399ProgramServicesAmt
Management And General$81,503ManagementAndGeneralAmt
Fundraising$24,773FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$45,125TotalAmt
Program Services$34,381ProgramServicesAmt
Management And General$7,762ManagementAndGeneralAmt
Fundraising$2,982FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$45,183TotalAmt
Program Services$35,368ProgramServicesAmt
Management And General$7,537ManagementAndGeneralAmt
Fundraising$2,278FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$41,961TotalAmt
Program Services$25,760ProgramServicesAmt
Management And General$14,112ManagementAndGeneralAmt
Fundraising$2,089FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$37,833TotalAmt
Program Services$15,771ProgramServicesAmt
Management And General$830ManagementAndGeneralAmt
Fundraising$21,232FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,893TotalAmt
Program Services$697ProgramServicesAmt
Management And General$7,196ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,172TotalAmt
Program Services$14,429ProgramServicesAmt
Management And General$3,762ManagementAndGeneralAmt
Fundraising$981FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,759TotalAmt
Program Services$4,242ProgramServicesAmt
Management And General$5,517ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$57,911TotalAmt
Program Services$55,005ProgramServicesAmt
Management And General$2,906ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,856TotalAmt
Program Services$6,642ProgramServicesAmt
Management And General$3,214ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,807TotalAmt
Program Services$1,174ProgramServicesAmt
Management And General$1,633ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,194TotalAmt
Program Services$5ProgramServicesAmt
Management And General$1,189ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,806TotalAmt
Program Services$9,298ProgramServicesAmt
Management And General$8,508ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,642TotalAmt
Program Services$11,171ProgramServicesAmt
Management And General$3,757ManagementAndGeneralAmt
Fundraising$714FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM & OFFICE SUPPLIES$67,184$64,173$2,641$370
STAFF DEVELOPMENT$14,598$3,709$9,750$1,139
BAD DEBTS$6,291$6,291
BANK FEES$3,517$2,337$856$324

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,635TotalAmt
Program Services$4,565ProgramServicesAmt
Management And General$2,019ManagementAndGeneralAmt
Fundraising$51FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,002,158TotalAmt
Program Services$756,964ProgramServicesAmt
Management And General$182,855ManagementAndGeneralAmt
Fundraising$62,339FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$148,522BOYAmt
EOY$80,133EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$334,692BOYAmt
EOY$460,402EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$11,530EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$88,458BOYAmt
EOY$105,636EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$13,727BOYAmt
EOY$15,945EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$117,941LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,101LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$39,677BOYAmt
EOY$47,840EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$625,076BOYAmt
EOY$721,486EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,593BOYAmt
EOY$39,290EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$2,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,917BOYAmt
EOY$10,024EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,510BOYAmt
EOY$51,814EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$573,566BOYAmt
EOY$669,672EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$573,566BOYAmt
EOY$669,672EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$625,076BOYAmt
EOY$721,486EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$96,106ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
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$677,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$340,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$506,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$490,685CurrentTaxYearMinus1YearAmt
Current Tax Year$454,797CurrentTaxYearAmt
Total$2,470,523TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$677,662CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$340,948CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$506,431CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$490,685CurrentTaxYearMinus1YearAmt
Current Tax Year$454,797CurrentTaxYearAmt
Total$2,470,523TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$389,484SubstantialContributorsTotAmt
Public Support Total170$2,081,039PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,075CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$889CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$833CurrentTaxYearMinus1YearAmt
Current Tax Year$252CurrentTaxYearAmt
Total$5,845TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,882CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,094CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$55,638CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$63,825CurrentTaxYearMinus1YearAmt
Current Tax Year$75,507CurrentTaxYearAmt
Total$277,946TotalAmt
FieldValueIRS element (for citing)
Total Support$2,754,314TotalSupportAmt
Gross Receipts Rltd Activities$566,708GrossReceiptsRltdActivitiesAmt
Public Support CY1700.75560PublicSupportCY170Pct
Public Support PY1700.72820PublicSupportPY170Pct
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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,846OtherCostOrOtherBasisAmt
Depreciation$27,150DepreciationAmt
Book Value$27,696BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,882OtherCostOrOtherBasisAmt
Depreciation$24,052DepreciationAmt
Book Value$10,830BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,998OtherCostOrOtherBasisAmt
Depreciation$15,629DepreciationAmt
Book Value$369BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,895TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCAPITAL LEASE OBLIGATIONDesc
Amt$10,024Amt
FieldValueIRS element (for citing)
Total Liability$10,024TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,257,221TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$158,957DonatedServicesAndUseFcltsAmt
Revenue Not Reported$158,957RevenueNotReportedAmt
Revenue Subtotal$1,098,264RevenueSubtotalAmt
Total Revenue Per Form990$1,098,264TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,161,115TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$158,957DonatedServicesUseFcltsAmt
Expenses Not Reported$158,957ExpensesNotReportedAmt
Expenses Subtotal$1,002,158ExpensesSubtotalAmt
Total Expenses Per Form990$1,002,158TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GOLF TOURNAMENTEvent1Nm
Gross Receipts Event1$49,420GrossReceiptsEvent1Amt
Gross Revenue Event1$49,420GrossRevenueEvent1Amt
Other Direct Expenses Event1$27,341OtherDirectExpensesEvent1Amt
Event2EXPRESSIONS KINEvent2Nm
Gross Receipts Event2$45,400GrossReceiptsEvent2Amt
Gross Revenue Event2$45,400GrossRevenueEvent2Amt
Other Direct Expenses Event2$17,874OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$27,660GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$27,660GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$758OthDirectExpnssOtherEventsAmt
Gross Receipts Total$122,480GrossReceiptsTotalAmt
Gross Revenue Total Events$122,480GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$45,973OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$45,973DirectExpenseSummaryEventsAmt
Net Income Summary$76,507NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990Amt
Yes (X)1$20,564
Yes (X)1$7,679
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11B990 IS REVIEWED BY THE EXECUTIVE COMMITTEE.
FORM 990, PAGE 6, PART VI, LINE 12CDIRECTORS ARE GIVEN A COPY OF THE CONFLICT OF INTEREST POLICY, AND ARE ASKED ANNUALLY TO DISCLOSE ANY POTENTIAL CONFLICTS.
FORM 990, PAGE 6, PART VI, LINE 15AEXECUTIVE DIRECTOR'S SALARY IS DETERMINED BY THE BOARD.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.

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