TEAM IMPACT: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
TEAM IMPACT (EIN 45-1837673)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-07-28
IRS object ID
201642109349300904
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)
Return2016-07-28T10:58:56-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042971374PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LMHS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line180 WASHINGTON ST BUILDING SAddressLine1Txt
CityNORWELLCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02061ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN451837673EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TEAM IMPACTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlTEAMBusinessNameControlTxt
Phone6178010230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK NO 5TH FLAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY J KELLYPersonNm
Person TitleTREASURERPersonTitleTxt
Phone6178010230PhoneNum
Signature2016-07-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY JO GAGNON CPAPreparerPersonNm
PTINP00583452PTIN
Phone7818789111PhoneNum
Preparation2016-07-07PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAN KRAFTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK NO 5TH FLAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,422,539GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressGOTEAMIMPACT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2011FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE QUALITY OF LIFE FOR CHILDREN FACING LIFE-THREATENING AND CHRONIC ILLNESSES THROUGH THE POWER OF TEAM. THIS IS DONE BY MATCHING THESE COURAGEOUS KIDS WITH LOCAL COLLEGE ATHLETIC TEAMS. TEAM IMPACT CHILDREN ARE DRAFTED ONTO THE TEAM AND BECOME AN OFFICIAL MEMBER OF THE TEAM FROM DRAFT DAY THROUGH TO GRADUATION.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers750TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$312,292PYContributionsGrantsAmt
CY Contributions Grants$1,422,502CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$267PYInvestmentIncomeAmt
CY Investment Income$37CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$312,559PYTotalRevenueAmt
CY Total Revenue$1,422,539CYTotalRevenueAmt
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$601,380PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$641,825CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$271,395CYTotalFundraisingExpenseAmt
PY Other Expenses$246,298PYOtherExpensesAmt
CY Other Expenses$554,500CYOtherExpensesAmt
PY Total Expenses$847,678PYTotalExpensesAmt
CY Total Expenses$1,196,325CYTotalExpensesAmt
PY Revenues Less Expenses-$535,119PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$226,214CYRevenuesLessExpensesAmt
Total Assets BOY$282,217TotalAssetsBOYAmt
Total Assets EOY$498,157TotalAssetsEOYAmt
Total Liabilities BOY$25,533TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,478TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$256,684NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$482,679NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE QUALITY OF LIFE FOR CHILDREN AND THEIR FAMILIES WHO ARE FIGHTING ADVERSE CHILDHOOD EVENTS (I.E. LIFE THREATENING DISEASES) BY CREATING UNPARALLELED TEAM-BASED SUPPORT SYSTEMS. TEAMS PROVIDE LOVE, SUPPORT, AND FRIENDSHIP TO THE CHILD FOR LIFE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$780,943ExpenseAmt
DescEXPENSES ABOVE RELATE TO THE IDENTIFICATION AND EDUCATION OF THE MEDICAL COMMUNITY AND THE COLLEGIC ATHLETIC COMMUNITY ABOUT THE BENEFIT OF THE PROGRAM TO THESE CHILDREN AS WELL AS THE CASE MANAGEMENT PROCESS TO INSURE THAT EACH CHILD GETS THE MOST OUT OF THE MATCH.Desc
Total Program Service Expenses$780,943TotalProgramServiceExpensesAmt
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 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 Document2IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee15EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY J KELLY TREASURERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6178010230PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13 BATTERYMARCH PARK 5TH FLOORAddressLine1Txt
CityQUINCYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02169ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SCOTT TULLY
CLERK/DIRECTOR2.00Yes (X)$0$0$0
KRIS HERMAN
DIRECTOR5.00Yes (X)$0$0$0
DAN WALSH
DIRECTOR5.00Yes (X)$0$0$0
JOHN CALNAN
PRESIDENT/DIRECTOR8.00Yes (X)$0$0$0
TIM KELLY
TREASURER/DIRECTOR4.00Yes (X)$0$0$0
DANIEL KRAFT
DIRECTOR4.00Yes (X)$0$0$0
MARK PLANSKY
DIRECTOR2.00Yes (X)$0$0$0
ROBERT TISHMAN
DIRECTOR2.00Yes (X)$0$0$0
JAY ARGUS
DIRECTOR2.00Yes (X)$0$0$0
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$1,422,502AllOtherContributionsAmt
Total Contributions$1,422,502TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$37TotalRevenueColumnAmt
Related Or Exempt Func Income$37RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,422,539TotalRevenueColumnAmt
Related Or Exempt Func Income$37RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$575,729TotalAmt
Program Services$506,381ProgramServicesAmt
Management And General$69,348ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,548TotalAmt
Program Services$11,909ProgramServicesAmt
Management And General$1,639ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$52,548TotalAmt
Program Services$46,218ProgramServicesAmt
Management And General$6,330ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$20,378TotalAmt
Management And General$20,378ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,896TotalAmt
Program Services$4,504ProgramServicesAmt
Management And General$6,574ManagementAndGeneralAmt
Fundraising$818FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$9,537TotalAmt
Program Services$7,630ProgramServicesAmt
Management And General$1,907ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,297TotalAmt
Program Services$21,546ProgramServicesAmt
Management And General$1,497ManagementAndGeneralAmt
Fundraising$2,254FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,497TotalAmt
Program Services$6,780ProgramServicesAmt
Management And General$4,717ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$91,965TotalAmt
Program Services$79,128ProgramServicesAmt
Management And General$12,837ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
DIRECT COSTS$283,809$21,031$262,778
CONSULTING$74,200$65,200$9,000
WEBSITE MAINTENANCE$8,219$4,266$156$3,797
TELEPHONE CHARGES$7,856$5,517$2,339

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,846TotalAmt
Program Services$833ProgramServicesAmt
Management And General$3,624ManagementAndGeneralAmt
Fundraising$5,389FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,196,325TotalAmt
Program Services$780,943ProgramServicesAmt
Management And General$143,987ManagementAndGeneralAmt
Fundraising$271,395FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$163,868BOYAmt
EOY$356,280EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$40,666BOYAmt
EOY$92,137EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,875BOYAmt
EOY$11,188EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$50,390LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,838LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$36,099BOYAmt
EOY$38,552EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,709BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$282,217BOYAmt
EOY$498,157EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,402BOYAmt
EOY$11,644EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,131BOYAmt
EOY$3,834EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,533BOYAmt
EOY$15,478EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$256,684BOYAmt
EOY$482,679EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$256,684BOYAmt
EOY$482,679EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$282,217BOYAmt
EOY$498,157EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$226,214ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$219NetUnrlzdGainsLossesInvstAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$209,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$726,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,160,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$312,292CurrentTaxYearMinus1YearAmt
Current Tax Year$1,422,502CurrentTaxYearAmt
Total$3,830,982TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$209,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$726,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,160,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$312,292CurrentTaxYearMinus1YearAmt
Current Tax Year$1,422,502CurrentTaxYearAmt
Total$3,830,982TotalAmt

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$3,830,982PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$209,272CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$726,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,160,217CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$312,292CurrentTaxYearMinus1YearAmt
Current Tax Year$1,422,502CurrentTaxYearAmt
Total$3,830,982TotalAmt
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$50,390OtherCostOrOtherBasisAmt
Depreciation$11,838DepreciationAmt
Book Value$38,552BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,552TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescACCRUED PAYROLLDesc
Amt$3,834Amt
FieldValueIRS element (for citing)
Total Liability$3,834TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$1,422,320TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$219NetUnrealizedGainsInvstAmt
Revenue Not Reported-$219RevenueNotReportedAmt
Revenue Subtotal$1,422,539RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,422,539TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,196,325TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,196,325ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,196,325TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11THE AUDIT AND FINANCE COMMITTEE WILL PROVIDE COPIES OF THE RETURN TO ALL BOARD MEMBERS FOR FINAL APPROVAL.
FORM 990, PART VI, SECTION C, LINE 19THE FORM 990 WILL BE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST TO THE AUDIT AND FINANCE COMMITTEE.

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