HEALTH BRIDGES INTERNATIONAL INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
HEALTH BRIDGES INTERNATIONAL INC (EIN 20-3681041)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-05
IRS object ID
201543099349301524
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)
Return2015-11-05T14:18:13-08:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Jacolyn C Wheatley CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12403 SE Monroe Suite EAddressLine1Txt
CityMilwaukieCityNm
State AbbreviationORStateAbbreviationCd
ZIP97222ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203681041EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Health Bridges International IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone5037204701PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8813AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDR WAYNE CENTRONEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5037204701PhoneNum
Signature2015-10-31SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJACOLYN C WHEATLEYPreparerPersonNm
Phone5034451576PhoneNum
Preparation2015-11-05PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR WAYNE CENTRONEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8813AddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$270,559GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hbint.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2006FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionHealth Bridges International (HBI) facilitates sustainable improvements in individual & community health through collaboration with existing resources. Programs include volunteer medical campaigns, health education, & ongoing training for health providers.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Volunteers100TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$150,936PYContributionsGrantsAmt
CY Contributions Grants$115,840CYContributionsGrantsAmt
CY Program Service Revenue$111,633CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$34,726PYOtherRevenueAmt
CY Other Revenue$34,925CYOtherRevenueAmt
PY Total Revenue$185,662PYTotalRevenueAmt
CY Total Revenue$262,398CYTotalRevenueAmt
PY Grants And Similar Paid$50,803PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$81,339CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$44,746PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$95,246CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,554CYTotalFundraisingExpenseAmt
PY Other Expenses$112,776PYOtherExpensesAmt
CY Other Expenses$74,916CYOtherExpensesAmt
PY Total Expenses$208,325PYTotalExpensesAmt
CY Total Expenses$251,501CYTotalExpensesAmt
PY Revenues Less Expenses-$22,663PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,897CYRevenuesLessExpensesAmt
Total Assets BOY$74,748TotalAssetsBOYAmt
Total Assets EOY$85,642TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,748NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$85,642NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHealth Bridges International (HBI)MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$38,227ExpenseAmt
Revenue$31,747RevenueAmt
Desc3-WEEK HEALTH EDUCATION, DENTAL, AND SOCIAL SERVICE MISSION TRIP WITH 50 VOLUNTEERS PROVIDING HEALTH EDUCATION & DIRECT CARE TO OVER 1000 INDIVIDUALS IN ICA, AREQUIPA, AND YUNGAY, PERU. THE FOCUS WAS TO SUPPORT IN COUNTRY PARTNER ORGANIZATIONS AND HEALTH CARE PROVIDERS WITH RESOURCES, LOGISTICS, AND VOLUNTEERS. TOGETHER WE PROVIDE MEDICAL ATTENTION TO PRIMARILY WOMEN & CHILDREN LIVING IN IMPROVERISHED COMMUNITIES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$18,107ExpenseAmt
Revenue$27,042RevenueAmt
DescUW OSHKOSH INTERNATIONAL NURSING ROTATION. HBI FACILITATED A NURSING CURRICULUM FOR 22 NURSING STUDENTS IN THEIR FINAL SEMESTER OF A FOUR YEAR NURSING PROGRAM. HBI PROVIDED BOTH CLASSROOM & REAL LIFE LEARNING EXPERIENCES WITHIN CLINIC SETTINGS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$41,846ExpenseAmt
Grant$35,291GrantAmt
Revenue$47,120RevenueAmt
DescALTO CAYMA EXPANSION OF HEALTHCARE ACTIVITIES IN ACCORDANCE WITH THE MISSIONARY SOCIETY OF ST. PAUL (MSSP). PROGRAMS INCLUDE DEVELOPING A MOBILE MEDICAL AND DENTAL PROGRAM, NUTRITION AND FEEDING PROGRAMS, AND WORKING TOWARD THE ESTABLISHMENT OF PERMANENT MEDICAL CLINICS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$137,567ExpenseAmt
Revenue$164,650RevenueAmt
DescOther Programs: RN Care Management, Street Youth Workshops, RN Care Management, Street Youth Workshops, RN Care Management, Street Youth Workshops, RN Care Management, Street Youth Workshops, RN Care Management, Street Youth Workshops,Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$137,567TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$164,650TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$235,747TotalProgramServiceExpensesAmt
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 LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (true)MoreThan5000KToIndividualsInd
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 ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclYes (true)NondeductibleContriDisclInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLEE CENTRONEPersonNm
Phone5038075185PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line10509 SW Texas StAddressLine1Txt
CityPortlandCityNm
State AbbreviationORStateAbbreviationCd
ZIP97219ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR WAYNE CENTRONE
President & Exec Dir.10.00Yes (X)Yes (X)$0$0$0
MICHAEL DOTTEN
Vice-Pres & Legal Counsel5.00Yes (X)Yes (X)$0$0$0
LEE CENTRONE
Treasurer3.00Yes (X)Yes (X)$0$0$0
DR NATASHA POLENSEK
Secretary2.00Yes (X)Yes (X)$0$0$0
MARGARET HENDRIX
Trustee3.00Yes (X)$0$0$0
STACY HALL
Trustee2.00Yes (X)$0$0$0
KENNETH KRAYBILL
Trustee2.00Yes (X)$0$0$0
STEPHEN MANNING
Trustee2.00Yes (X)$0$0$0
DR ROBERT GEHRINGER
Medical Director10.00Yes (X)$0$0$0
BEJAMIN GRASS
Director of Operations40.00$45,000$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$45,000TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$115,840AllOtherContributionsAmt
Total Contributions$115,840TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProgram IncomeDesc
Business999999BusinessCd
Total Revenue Column$111,633TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$111,633TotalProgramServiceRevenueAmt
Fundraising Gross Income$43,086FundraisingGrossIncomeAmt
Fundraising Direct Expenses$8,161FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,925TotalRevenueColumnAmt
Exclusion$34,925ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$262,398TotalRevenueColumnAmt
Related Or Exempt Func Income$111,633RelatedOrExemptFuncIncomeAmt
Exclusion$34,925ExclusionAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$81,339TotalAmt
Program Services$81,339ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$45,000TotalAmt
Program Services$33,431ProgramServicesAmt
Management And General$8,856ManagementAndGeneralAmt
Fundraising$2,713FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$42,500TotalAmt
Program Services$42,500ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,746TotalAmt
Program Services$6,722ProgramServicesAmt
Management And General$784ManagementAndGeneralAmt
Fundraising$240FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,122TotalAmt
Program Services$720ProgramServicesAmt
Management And General$1,402ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Program Services$250ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,735TotalAmt
Program Services$1,298ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$437FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$632TotalAmt
Program Services$341ProgramServicesAmt
Management And General$291ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,523TotalAmt
Program Services$5,523ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,311TotalAmt
Program Services$21,311ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,857TotalAmt
Program Services$1,843ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$14FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,058TotalAmt
Program Services$324ProgramServicesAmt
Management And General$734ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$40,428TotalAmt
Program Services$40,145ProgramServicesAmt
Management And General$133ManagementAndGeneralAmt
Fundraising$150FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$251,501TotalAmt
Program Services$235,747ProgramServicesAmt
Management And General$12,200ManagementAndGeneralAmt
Fundraising$3,554FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$72,912BOYAmt
EOY$82,593EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,204LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,155LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,836BOYAmt
EOY$3,049EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,748BOYAmt
EOY$85,642EOYAmt

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$74,748BOYAmt
EOY$85,642EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,748BOYAmt
EOY$85,642EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,748BOYAmt
EOY$85,642EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$10,897ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support CY1700PublicSupportCY170Pct

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$134,284CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$189,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$255,117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$193,439CurrentTaxYearMinus1YearAmt
Current Tax Year$115,840CurrentTaxYearAmt
Total$888,155TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$111,633CurrentTaxYearAmt
Total$111,633TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$134,284CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$189,475CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$255,117CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$193,439CurrentTaxYearMinus1YearAmt
Current Tax Year$227,473CurrentTaxYearAmt
Total$999,788TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$35,100CurrentTaxYearMinus1YearAmt
Current Tax Year$36,275CurrentTaxYearAmt
Total$71,375TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$35,100CurrentTaxYearMinus1YearAmt
Current Tax Year$36,275CurrentTaxYearAmt
Total$71,375TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$928,413PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Total$999,788TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.92860PublicSupportCY509Pct
Public Support PY5090.96130PublicSupportPY509Pct
Investment Income CY0InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
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$4,204OtherCostOrOtherBasisAmt
Depreciation$1,155DepreciationAmt
Book Value$3,049BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,049TotalBookValueLandBuildingsAmt

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionSouth AmericaRegionTxt
Offices1OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConductedTxt
Specific Services ProvidedHealth Education & TrainingSpecificServicesProvidedTxt
Region Total Expenditures$139,856RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$139,856SubtotalSpentAmt
Total Spent$139,856TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (3 entries)

RegionRegionTxtPurpose Of GrantPurposeOfGrantTxtCash GrantCashGrantAmtManner Of Cash DisbursementMannerOfCashDisbursementTxt
South AmericaMedical mission$57,066wire/check
South AmericaMedical Mission$10,450wire/check
South AmericaMedical Mission$12,824wire/check
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

FieldValueIRS element (for citing)
Type Of AssistanceStipendTypeOfAssistanceTxt
RegionSouth AmericaRegionTxt
Recipient1RecipientCnt
Cash Grant$6,458CashGrantAmt
Manner Of Cash DisbursementWire TransferMannerOfCashDisbursementTxt
Description Of Non Cash Asst0DescriptionOfNonCashAsstTxt
Valuation Method Used0ValuationMethodUsedDesc
FieldValueIRS element (for citing)
Transfer To Foreign CorpfalseTransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipfalseForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePt I Line 2FormAndLineReferenceDesc
ExplanationRegular visits to Peru progams. Evaluation of program efficacy completed through surveys, round-table discussions, and data collection.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Andina DinnerEvent1Nm
Gross Receipts Event1$43,086GrossReceiptsEvent1Amt
Gross Revenue Event1$43,086GrossRevenueEvent1Amt
Food And Beverage Event1$6,311FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$1,850OtherDirectExpensesEvent1Amt
Gross Receipts Total$43,086GrossReceiptsTotalAmt
Gross Revenue Total Events$43,086GrossRevenueTotalEventsAmt
Food And Beverage Total Events$6,311FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$1,850OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$8,161DirectExpenseSummaryEventsAmt
Net Income Summary$34,925NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Pt VI, Line 2Board President and Board Treasurer are married.
Pt VI, Line 2Board Member at Large is the mother of Board Treasurer.
Pt VI, Line 11bBoard review and approval prior to filing.
Form 990, Part III, Line 4dOTHER PROGRAMS: 137567. 0. 164650.
Form 990, Part IX, Line 24fLICENSES & FEES 133. 0. 133. 0. MERCHANT FEES 823. 673. 0. 150. PROGRAM SUPPLIES 38785. 38785. 0. 0. WIRE FEES 687. 687. 0. 0.

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