DAVIS NURSING ASSOCIATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: DAVIS NURSING ASSOCIATION (EIN 71-0859485)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-15
IRS object ID: 201421359349309832
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-15T19:51:15-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	463521651	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOWARD CPA PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2200 ANDOVER CT UNIT 1302	AddressLine1
City	Little Rock	City
State	AR	State
ZIP Code	72227	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	710859485	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	DAVIS NURSING ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DAVI	NameControl

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6810 HAZEL STREET	AddressLine1
City	Pine Bluff	City
State	AR	State
ZIP Code	71603	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	BRIAN MILLER	Name
Title	EXECUTIVE DIREC	Title
Phone	8705410342	Phone
Date Signed	2014-05-01	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN B HOWARD	Name
PTIN	P01689539	PTIN
Phone	5015906676	Phone
Date Prepared	2014-05-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JOE RATLIFF	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1200 W 41ST	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	9539099	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	DAVISLIFECARE.ORG	WebSite
Type Of Organization Association	X	TypeOfOrganizationAssociation
Year Formation	2001	YearFormation
State Legal Domicile	AR	StateLegalDomicile
Activity Or Mission Description	OPERATION OF A NURSING FACILITY FOR THE BENEFIT OF RESIDENTS, MOST OF WHICH ARE ELDERLY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	6	NbrIndependentVotingMembers
Total Nbr Employees	337	TotalNbrEmployees
Total Nbr Volunteers	10	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	8921573	ProgramServiceRevenuePriorYear
Program Service Revenue CY	8169493	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4710	OtherRevenuePriorYear
Other Revenue Current Year	1369606	OtherRevenueCurrentYear
Total Revenue Prior Year	8926283	TotalRevenuePriorYear
Total Revenue Current Year	9539099	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	5448219	SalariesEtcPriorYear
Salaries Etc Current Year	6440482	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	416093	OtherExpensePriorYear
Other Expenses Current Year	3360471	OtherExpensesCurrentYear
Total Expenses Prior Year	5864312	TotalExpensesPriorYear
Total Expenses Current Year	9800953	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3061971	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-261854	RevenuesLessExpensesCY
Total Assets BOY	10144876	TotalAssetsBOY
Total Assets EOY	10372607	TotalAssetsEOY
Total Liabilities BOY	7777464	TotalLiabilitiesBOY
Total Liabilities EOY	8267049	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2367412	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2105558	NetAssetsOrFundBalancesEOY
Mission Description	OPERATION OF A NURSING FACILITY FOR THE BENEFIT OF RESIDENTS, MOST OF WHICH ARE ELDERLY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	7642371	Expense
Revenue	81699838	Revenue
Description	OPERATION OF A NURSING FACILITY FOR THE BENEFIT OF RESIDENTS, MOST OF WHICH ARE ELDERLY.	Description
Total Program Service Expense	7642371	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	337	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	6	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	AR	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOE RATLIFF	NamePerson
Telephone Number	8705410342	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1200 W 41ST	AddressLine1
City	PINE BLUFF	City
State	AR	State
ZIP Code	71603	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ARCHIE SANDERS
DIRECTOR	2.00	X	0	0	0
Chris Hart
Director	4.00	X	0	0	0
JAMES A LINDSEY MD
DIRECTOR	2.00	X	0	0	0
JOANN KONGENSKE
VICE-CHAIR	4.00	X	0	0	0	X
JOE RATLIFF
Executive Director	40.00	X	149150	0	0	X	X	X
KENNY BONDS
CHAIRMAN	4.00	X	0	0	0	X
Lloyd Franklin
Director	4.00	X	0	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	149150	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Alternative Care Pharmacy
10620 Colonel Glenn Rd	Little Rock	AR	72204	Pharmacy Services	6389155
Healthcare Services Group
3220 Tillman Dr Ste 300	Bensalem	PA	19020	Dietary Services	939422

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	Resident Serv Rev	Description
Business Code	623000	BusinessCode
Total Revenue Column	8169493	TotalRevenueColumn
Related Or Exempt Function Income	8169493	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	8169493	TotalProgramServiceRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MGMT FEE REV	623000	192000	192000
WHISP KNOLL RES SERV	623000	19733	19733
Other	623000	1157873	1157873

Field	Value	IRS element (for citing)
Total Other Revenue	1369606	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	9539099	TotalRevenueColumn
Related Or Exempt Function Income	9539099	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	149150	Total
Management And General	149150	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	5871410	Total
Program Services	5274204	ProgramServices
Management And General	597206	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	23323	Total
Management And General	23323	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	396599	Total
Program Services	351464	ProgramServices
Management And General	45135	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	52863	Total
Management And General	52863	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	48000	Total
Management And General	48000	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	5230	Total
Management And General	5230	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	96994	Total
Management And General	96994	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	426654	Total
Program Services	383988	ProgramServices
Management And General	42666	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	3878	Total
Program Services	2695	ProgramServices
Management And General	1183	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	500	Total
Management And General	500	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	373043	Total
Management And General	373043	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	301080	Total
Management And General	301080	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	188803	Total
Management And General	188803	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PURCHASED SERVICES	220605	204927	15678
TAXES & LICENSE	570953	566810	4143
Supplies	816916	782979	33937
BAD DEBT EXPENSE	179648		179648

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	75304	Total
Program Services	75304	ProgramServices

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	9800953	Total
Program Services	7642371	ProgramServices
Management And General	2158582	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3232	BOY
EOY	144211	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	539091	BOY
EOY	843281	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	2938407	BOY
EOY	2746836	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	33402	BOY
EOY	33402	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	65867	BOY
EOY	40000	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	8441981	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2288354	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	6153627	BOY
EOY	6153627	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	375000	BOY
EOY	375000	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	36250	BOY
EOY	36250	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	10144876	BOY
EOY	10372607	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2184854	BOY
EOY	2415814	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	5592610	BOY
EOY	5851235	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7777464	BOY
EOY	8267049	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2367412	BOY
EOY	2105558	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2367412	BOY
EOY	2105558	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	10144876	BOY
EOY	10372607	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-261854	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1245	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25	CurrentTaxYearMinus3Years
Total	1270	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9917992	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10026492	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9389276	CurrentTaxYearMinus2Years
Total	29333760	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9919237	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10026517	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9389276	CurrentTaxYearMinus2Years
Total	29335030	Total

Field	Value	IRS element (for citing)
Public Support Total509	29335030	PublicSupportTotal509

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	9919237	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	10026517	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	9389276	CurrentTaxYearMinus2Years
Total	29335030	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	1.00000	PublicSupportPercentage509
Prior Year Support Percentage	1.00000	PriorYearSupportPercentage
Investment Income Percentage	0.00000	InvestmentIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	586376	InvestmentCostOrOtherBasis
Book Value	586376	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	5542776	InvestmentCostOrOtherBasis
Depreciation	713709	Depreciation
Book Value	4829067	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	2312829	InvestmentCostOrOtherBasis
Depreciation	1574645	Depreciation
Book Value	738184	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	6153627	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT - WHISPERING KNO	300000	C
Investment - The Gardens	75000	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	375000	TotalOfBookValueSecurities

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	REFUNDABLE DEPOSITS	Description
Book Value	36250	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	36250	TotalBookValueOtherAssets

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
O01	Form 990 governing body review Part VI line 11	The Board of Directors reviewed a copy of Form 990 prior to filing.
O02	Conflict of interest policy compliance Part VI line 12c	The Board members acknowledge the conflict of interest policy and are to disclose any conflict of interest.
O03	CEO executive director top management comp Part VI line 15a	The Board of Directors determines and approves the compensation of the Executive Director.
O04	Other officer or key employee compensation Part VI line 15b	The Board of Directors determines and approves the compensation of key employees.
O05	Form 990 availability to public Part VI line 18	The Organization does not make Form 990 available to the public.
O06	Governing documents etc available to public Part VI line 19	The Organization does not make the audited financial statements or Form 990 available to the public.