INTERVOL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
INTERVOL INC (EIN 16-1347201)
Tax period
2013-03-01 to 2014-02-28
Filed
2015-01-24
IRS object ID
201540249349300609
Schema version
2013v4.0
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)
Return2015-01-24T10:27:07-06:00ReturnTs
Tax Period End2014-02-28TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN271895149PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Heveron & Company CPAsBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1260 Plymouth Avenue SouthAddressLine1
CityRochesterCity
StateNYState
ZIP Code14608ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-03-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161347201EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1InterVol IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlINTEBusinessNameControlTxt
Phone5859225810PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Kings Highway SouthAddressLine1
CityRochesterCity
StateNYState
ZIP Code14617ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDr Ralph Pennino MDPersonNm
Person TitleBoard ChairPersonTitleTxt
Phone5859225810PhoneNum
Signature2015-01-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJohn F Heveron JrPreparerPersonNm
PTINP00023043PTIN
Phone5852322956PhoneNum
Preparation2015-01-24PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDr Ralph Pennino MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Kings Highway SouthAddressLine1
CityRochesterCity
StateNYState
ZIP Code14617ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$626,533GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.intervol.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionInterVol as an organization envisions a better, more connected world.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers365TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$230,530PYContributionsGrantsAmt
CY Contributions Grants$308,830CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$26,641CYProgramServiceRevenueAmt
PY Investment Income$11,610PYInvestmentIncomeAmt
CY Investment Income$24,576CYInvestmentIncomeAmt
PY Other Revenue$7,659PYOtherRevenueAmt
CY Other Revenue-$13,551CYOtherRevenueAmt
PY Total Revenue$249,799PYTotalRevenueAmt
CY Total Revenue$346,496CYTotalRevenueAmt
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$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$181,571CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$30,714CYTotalFundraisingExpenseAmt
PY Other Expenses$174,807PYOtherExpensesAmt
CY Other Expenses$148,389CYOtherExpensesAmt
PY Total Expenses$174,807PYTotalExpensesAmt
CY Total Expenses$329,960CYTotalExpensesAmt
PY Revenues Less Expenses$74,992PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,536CYRevenuesLessExpensesAmt
Total Assets BOY$454,191TotalAssetsBOYAmt
Total Assets EOY$468,038TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$454,191NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$468,038NetAssetsOrFundBalancesEOYAmt
MissionInterVol as an organization envisions a better, more connected world, where people, materials, opportunities, and needs are brought together for mutual benefit.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$231,698ExpenseAmt
Revenue$34,411RevenueAmt
DescInterVol recovered and donated unused medical supplies to approximately 50 organizations, benefiting people abroad and in the Rochester area. Teams of health care professionals traveled to Belize and Haiti, areas with acute medical personnel shortages, serving approximately 10,000 patients. InterVol also provided opportunities for civic engagement and service-learning through ongoing volunteer activities.Desc
Total Program Service Expenses$231,698TotalProgramServiceExpensesAmt
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 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
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 Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
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 Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The OrganizationBusinessNameLine1
FieldValueIRS element (for citing)
Phone5859225810PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Kings Highway SouthAddressLine1
CityRochesterCity
StateNYState
ZIP Code14617ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Dr Ralph Pennino MD
Board Chair1.00Yes (X)Yes (X)$0$0$0
Dr Timothy O'Connor MD
Treasurer & Vice President1.00Yes (X)Yes (X)$0$0$0
Cynthia Gordon RN
Member1.00Yes (X)$0$0$0
Ginny Clark
Member1.00Yes (X)$0$0$0
Hugh Thomas Esq
Member1.00Yes (X)$0$0$0
Cheryl Sheridan RN
Member1.00Yes (X)$0$0$0
Peter Parts
Member1.00Yes (X)$0$0$0
Jack O'Leary
Member1.00Yes (X)$0$0$0
Amanda DeFisher Executive
Director (07/2013 - 02/2014)40.00Yes (X)$58,000$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$58,000TotalReportableCompFromOrgAmt
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
Federated Campaigns$2,787FederatedCampaignsAmt
Fundraising$188,367FundraisingAmt
All Other Contributions$117,676AllOtherContributionsAmt
Total Contributions$308,830TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMedical Supply ShippinDesc
Business446199BusinessCd
Total Revenue Column$26,641TotalRevenueColumnAmt
Related Or Exempt Func Income$26,641RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$26,641TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,427TotalRevenueColumnAmt
Exclusion$9,427ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$251,135SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$235,986SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$15,149SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,149TotalRevenueColumnAmt
Exclusion$15,149ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,730FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$188,367ContriRptFundraisingEventAmt
Fundraising Direct Expenses$44,051FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,321TotalRevenueColumnAmt
Exclusion-$21,321ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther Program RevenueDesc
Business900099BusinessCd
Total Revenue Column$7,770TotalRevenueColumnAmt
Related Or Exempt Func Income$7,770RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$7,770OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$346,496TotalRevenueColumnAmt
Related Or Exempt Func Income$34,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,255ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$58,000TotalAmt
Program Services$14,500ProgramServicesAmt
Management And General$43,500ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$123,571TotalAmt
Program Services$123,571ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,750TotalAmt
Management And General$2,750ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,758TotalAmt
Management And General$5,758ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$35,378TotalAmt
Management And General$4,664ManagementAndGeneralAmt
Fundraising$30,714FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$950TotalAmt
Management And General$950ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,035TotalAmt
Program Services$10,901ProgramServicesAmt
Management And General$2,134ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,057TotalAmt
Management And General$2,057ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,400TotalAmt
Program Services$13,400ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,973TotalAmt
Program Services$20,973ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$992TotalAmt
Program Services$992ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,924TotalAmt
Management And General$4,924ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Orphanage Construction$45,000$45,000
Food$2,361$2,361

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$811TotalAmt
Management And General$811ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$329,960TotalAmt
Program Services$231,698ProgramServicesAmt
Management And General$67,548ManagementAndGeneralAmt
Fundraising$30,714FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$184,201BOYAmt
EOY$182,796EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,061LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,095LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,958BOYAmt
EOY$3,966EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$265,032BOYAmt
EOY$281,276EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$454,191BOYAmt
EOY$468,038EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$417,730BOYAmt
EOY$414,577EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$36,461BOYAmt
EOY$53,461EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$454,191BOYAmt
EOY$468,038EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$454,191BOYAmt
EOY$468,038EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,536ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,689NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
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$133,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$342,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$106,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$230,530CurrentTaxYearMinus1YearAmt
Current Tax Year$308,830CurrentTaxYearAmt
Total$1,122,606TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$26,641CurrentTaxYearAmt
Total$26,641TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$113,442CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$46,532CurrentTaxYearMinus1YearAmt
Current Tax Year$22,730CurrentTaxYearAmt
Total$182,704TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133,615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$342,846CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$220,227CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$277,062CurrentTaxYearMinus1YearAmt
Current Tax Year$358,201CurrentTaxYearAmt
Total$1,331,951TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$135,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,750CurrentTaxYearMinus2YearsAmt
Current Tax Year$41,500CurrentTaxYearAmt
Total$189,250TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$2,675CurrentTaxYearAmt
Total$2,675TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$135,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,750CurrentTaxYearMinus2YearsAmt
Current Tax Year$44,175CurrentTaxYearAmt
Total$191,925TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$1,140,026PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,386CurrentTaxYearMinus1YearAmt
Current Tax Year$9,427CurrentTaxYearAmt
Total$25,681TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,036CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,699CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,386CurrentTaxYearMinus1YearAmt
Current Tax Year$9,427CurrentTaxYearAmt
Total$25,681TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,054CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,528CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,659CurrentTaxYearMinus1YearAmt
Current Tax Year$7,770CurrentTaxYearAmt
Total$60,138TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$134,778CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$377,599CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$235,888CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$294,107CurrentTaxYearMinus1YearAmt
Current Tax Year$375,398CurrentTaxYearAmt
Total$1,417,770TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.80410PublicSupportCY509Pct
Public Support PY5090.81940PublicSupportPY509Pct
Investment Income CY0.01810InvestmentIncomeCYPct
Investment Income PY0.01560InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part III, Line 12, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationOther Program Revenue Administrative Fee Income Recycling IncomeExplanationTxt

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$10,061OtherCostOrOtherBasisAmt
Depreciation$6,095DepreciationAmt
Book Value$3,966BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,966TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationAccounting standards require entities to disclose in their financial statements the nature of any uncertain tax positions. Tax years including the year ended February 28, 2010 and later are subject to examination by tax authorities. Areas that IRS and state tax authorities consider when examining tax returns of a charity include, but may not be limited to, tax-exempt status and the existence and amount of unrelated business income. The Organization does not believe that it has any uncertain tax positions with respect to these or other matters, and has not recorded any unrecognized tax benefits or liability for penalties or interest. The Organization is not aware of any circumstances or events that make it reasonably possible that tax benefits may increase or decrease within 12 months of the date of these financial statements.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1Off the VineNameOfEvent1Amt
Gross Receipts Event1$196,785GrossReceiptsEvent1Amt
Charitable Contri Event1$179,515CharitableContriEvent1Amt
Gross Revenue Event1$17,270GrossRevenueEvent1Amt
Cash Prizes Event1$2,249CashPrizesEvent1Amt
Non Cash Prizes Event1$3,389NonCashPrizesEvent1Amt
Rent Facility Costs Event1$5,428RentFacilityCostsEvent1Amt
Food And Beverage Event1$25,000FoodAndBeverageEvent1Amt
Entertainment Event1$1,500EntertainmentEvent1Amt
Other Direct Expenses Event1$1,025OtherDirectExpensesEvent1Amt
Name Of Event2Cooking ClassNameOfEvent2Amt
Gross Receipts Event2$14,312GrossReceiptsEvent2Amt
Charitable Contri Event2$8,852CharitableContriEvent2Amt
Gross Revenue Event2$5,460GrossRevenueEvent2Amt
Rent Facility Costs Event2$5,460RentFacilityCostsEvent2Amt
Gross Receipts Total$211,097GrossReceiptsTotalAmt
Charitable Contributions Tot$188,367CharitableContributionsTotAmt
Gross Revenue Total Events$22,730GrossRevenueTotalEventsAmt
Cash Prizes Total Events$2,249CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$3,389NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$10,888RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$25,000FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$1,025OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$44,051DirectExpenseSummaryEventsAmt
Net Income Summary-$21,321NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 8bThere are no other committees with authority to act on behalf of the governing body.
Form 990, Part VI, Section B, line 11The President and Treasurer will review the Form 990 before filing.
Form 990, Part VI, Section B, line 12cThe organization provides each officer and director with the conflict of interest policy when they are elected or appointed. The policy is also reviewed annually. If a potential conflict with any officer or director arises, the organization follows the conflict of interest policy and documents that in meeting minutes.
Form 990, Part VI, Section B, line 15All employees are paid through Rochester General Hospital (RGH) and reimbursed by the Organization. The RGH Human Resources department sought out and vetted candidates and also determined compensation.
Form 990, Part VI, Section C, line 19Governing documents are made available to the public upon request.
Form 990, Part IX, line 11gOther Professional Fees: Program service expenses 0. Management and general expenses 4,664. Fundraising expenses 30,714. Total expenses 35,378.

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