AVALON HEALING CENTER: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
AVALON HEALING CENTER (EIN 20-0631006)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-08-11
IRS object ID
201542239349301199
Schema version
2014v5.0
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)
Return2015-08-11T12:55:51-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

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 Begin2014-01-01TaxPeriodBeginDt

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
Phone2483020833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVENUE NO 120AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL A PIVOZPersonNm
Person TitleTREASURERPersonTitleTxt
Phone2486422803PhoneNum
Signature2015-08-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARK L SMITHPreparerPersonNm
PTINP00059974PTIN
Phone2486422803PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIMBERLY HURSTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVE STE 120AddressLine1Txt
CityDETROITCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$951,185GrossReceiptsAmt
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 Employee9TotalEmployeeCnt
Total Volunteers6TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$141,538PYContributionsGrantsAmt
CY Contributions Grants$145,985CYContributionsGrantsAmt
PY Program Service Revenue$758,744PYProgramServiceRevenueAmt
CY Program Service Revenue$805,195CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$5CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$900,282PYTotalRevenueAmt
CY Total Revenue$951,185CYTotalRevenueAmt
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$547,633PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$621,908CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$69,253CYTotalFundraisingExpenseAmt
PY Other Expenses$405,612PYOtherExpensesAmt
CY Other Expenses$364,371CYOtherExpensesAmt
PY Total Expenses$953,245PYTotalExpensesAmt
CY Total Expenses$986,279CYTotalExpensesAmt
PY Revenues Less Expenses-$52,963PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$35,094CYRevenuesLessExpensesAmt
Total Assets BOY$246,135TotalAssetsBOYAmt
Total Assets EOY$212,392TotalAssetsEOYAmt
Total Liabilities BOY$35,488TotalLiabilitiesBOYAmt
Total Liabilities EOY$36,839TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$210,647NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$175,553NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTSMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$851,947ExpenseAmt
Revenue$805,195RevenueAmt
DescTO PROVIDE COMPREHENSIVE MEDICAL AND FORENSIC EXAMINATIONS TO SEXUALLY ASSAULTED PATIENTSDesc
Total Program Service Expenses$851,947TotalProgramServiceExpensesAmt
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 Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee9EmployeeCnt
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)
Phone2483020833PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12727 2ND AVENUE STE 120AddressLine1Txt
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)$102,969$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
SECRETARY/DIRECTOR2.00Yes (X)$0$0$0Yes (X)
KRISTIN FINTON
DIRECTOR2.00Yes (X)$0$0$0
LORI KITCHEN
DIRECTOR2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$102,969TotalReportableCompFromOrgAmt
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$145,985GovernmentGrantsAmt
Total Contributions$145,985TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL & FORENSIC EXADesc
Business624100BusinessCd
Total Revenue Column$805,195TotalRevenueColumnAmt
Related Or Exempt Func Income$805,195RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$805,195TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5TotalRevenueColumnAmt
Exclusion$5ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$951,185TotalRevenueColumnAmt
Related Or Exempt Func Income$805,195RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$530,529TotalAmt
Program Services$447,402ProgramServicesAmt
Management And General$36,990ManagementAndGeneralAmt
Fundraising$46,137FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$91,379TotalAmt
Program Services$65,766ProgramServicesAmt
Management And General$11,397ManagementAndGeneralAmt
Fundraising$14,216FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,487TotalAmt
Program Services$30,528ProgramServicesAmt
Management And General$2,512ManagementAndGeneralAmt
Fundraising$4,447FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,590TotalAmt
Program Services$3,902ProgramServicesAmt
Management And General$321ManagementAndGeneralAmt
Fundraising$367FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,093TotalAmt
Program Services$26,818ProgramServicesAmt
Fundraising$275FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$79,036TotalAmt
Program Services$79,036ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,479TotalAmt
Program Services$2,957ProgramServicesAmt
Management And General$244ManagementAndGeneralAmt
Fundraising$278FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,772TotalAmt
Program Services$5,756ProgramServicesAmt
Management And General$474ManagementAndGeneralAmt
Fundraising$542FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,600TotalAmt
Program Services$3,060ProgramServicesAmt
Management And General$252ManagementAndGeneralAmt
Fundraising$288FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,724TotalAmt
Program Services$8,265ProgramServicesAmt
Management And General$681ManagementAndGeneralAmt
Fundraising$778FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT LABOR$118,675$118,675
TRANSPORTATION-SPECIFIC$23,163$23,163
TELEPHONE$18,553$18,395$74$84
VOLUNTEER EXPENSES$16,628$15,240$1,388

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,571TotalAmt
Program Services$2,984ProgramServicesAmt
Management And General$12,134ManagementAndGeneralAmt
Fundraising$453FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$986,279TotalAmt
Program Services$851,947ProgramServicesAmt
Management And General$65,079ManagementAndGeneralAmt
Fundraising$69,253FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$82,013BOYAmt
EOY$72,887EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,454BOYAmt
EOY$75,674EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$93,002BOYAmt
EOY$28,982EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$8,996BOYAmt
EOY$23,779EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,663LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$21,593LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$14,670BOYAmt
EOY$11,070EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$246,135BOYAmt
EOY$212,392EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$35,488BOYAmt
EOY$36,839EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$35,488BOYAmt
EOY$36,839EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$143,147BOYAmt
EOY$108,053EOYAmt

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$210,647BOYAmt
EOY$175,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$246,135BOYAmt
EOY$212,392EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$35,094ReconcilationRevenueExpnssAmt
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$649,498CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$877,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$900,282CurrentTaxYearMinus1YearAmt
Current Tax Year$951,185CurrentTaxYearAmt
Total$4,077,114TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$649,498CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$877,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$900,282CurrentTaxYearMinus1YearAmt
Current Tax Year$951,185CurrentTaxYearAmt
Total$4,077,114TotalAmt

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$4,077,114PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$649,498CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$698,716CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$877,433CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$900,282CurrentTaxYearMinus1YearAmt
Current Tax Year$951,185CurrentTaxYearAmt
Total$4,077,114TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5090.99910PublicSupportPY509Pct
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$21,593DepreciationAmt
Book Value$11,070BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,070TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$951,185TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$951,185RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$951,185TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$986,279TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$986,279ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$986,279TotalExpensesPerForm990Amt

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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