THE FACIAL PAIN ASSOCIATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
THE FACIAL PAIN ASSOCIATION INC (EIN 22-3071645)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-04
IRS object ID
201423089349301317
Schema version
2013v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-04T11:38:09-06:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010822046PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KATTELL & COMPANY PLBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1808B NW 16TH AVEAddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code32601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223071645EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE FACIAL PAIN ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlFACIBusinessNameControlTxt
Phone3523843600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1408 W UNIVERSITY AVENUEAddressLine1
Address Line2ROOM/SUITE 602AddressLine2
CityGAINESVILLECity
StateFLState
ZIP Code32601ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN KOFFPersonNm
Person TitleCEOPersonTitleTxt
Phone3523843600PhoneNum
Signature2014-11-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHEN H KATTELL CPAPreparerPersonNm
PTINP01278226PTIN
Phone3523956565PhoneNum
Preparation2014-11-04PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN KOFFPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1408 W UNIVERSITY AVENUE STE 602AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code32601ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,398,222GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TNA-SUPPORT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateNJLegalDomicileStateCd
Activity Or MissionTHE FACIAL PAIN ASSOCIATION SERVES AS AN ADVOCATE FOR PATIENTS LIVING WITH TRIGEMINAL NEURALGIA AND RELATED FACIAL PAIN CONDITIONS BY PROVIDING INFORMATION, FUNDING RESEARCH AND OFFERING SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee4TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$615,032PYContributionsGrantsAmt
CY Contributions Grants$1,161,666CYContributionsGrantsAmt
PY Program Service Revenue$65,903PYProgramServiceRevenueAmt
CY Program Service Revenue$217,635CYProgramServiceRevenueAmt
PY Investment Income$807PYInvestmentIncomeAmt
CY Investment Income$1,393CYInvestmentIncomeAmt
PY Other Revenue$13,363PYOtherRevenueAmt
CY Other Revenue$3,924CYOtherRevenueAmt
PY Total Revenue$695,105PYTotalRevenueAmt
CY Total Revenue$1,384,618CYTotalRevenueAmt
PY Grants And Similar Paid$97,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,630CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$214,578PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$220,699CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$41,565CYTotalFundraisingExpenseAmt
PY Other Expenses$292,337PYOtherExpensesAmt
CY Other Expenses$359,265CYOtherExpensesAmt
PY Total Expenses$603,915PYTotalExpensesAmt
CY Total Expenses$622,594CYTotalExpensesAmt
PY Revenues Less Expenses$91,190PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$762,024CYRevenuesLessExpensesAmt
Total Assets BOY$372,069TotalAssetsBOYAmt
Total Assets EOY$1,040,368TotalAssetsEOYAmt
Total Liabilities BOY$91,474TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,957TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$280,595NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,015,411NetAssetsOrFundBalancesEOYAmt
MissionTHE FACIAL PAIN ASSOCIATION SERVES AS AN ADVOCATE FOR PATIENTS LIVING WITH TRIGEMINAL NEURALGIA AND RELATED FACIAL PAIN CONDITIONS BY PROVIDING INFORMATION, FUNDING RESEARCH AND OFFERING SUPPORT.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$444,744ExpenseAmt
Revenue$217,635RevenueAmt
DescSUPPORT AND EDUCATION - THE FACIAL PAIN ASSOCIATION OFFERS MEMBERSHIP PROGRAMS TO FAMILIES, INDIVIDUALS AND MEDICAL PROFESSIONALS. PATIENTS AND MEDICAL PROFESSIONALS ARE PROVIDED ACCESS TO THE ASSOCIATION'S WEBSITE AND VARIOUS EDUCATIONAL MATERIALS. THIS SERVICE ALLOWS PATIENTS TO BECOME EDUCATED ABOUT THEIR CONDITION, AND TO BE INFORMED ABOUT TREATMENT AND RESEARCH EFFORTS. THE ASSOCIATION ALSO CONNECTS PATIENTS WITH MEDICAL PROFESSIONALS THAT HAVE EXPERIENCE IN DIAGNOSING AND TREATING FACIAL PAIN DISORDERS AND VARIOUS SUPPORT GROUPS. MEDICAL PROFESSIONALS, PATIENTS AND FAMILIES OF PATIENTS ARE ALSO GIVEN ACCESS TO RESEARCH STUDIES, EDUCATIONAL MATERIALS AND TREATMENT OPTIONS THROUGH THE CONFERENCES HELD. THE FACIAL PAIN ASSOCIATION ALSO SELLS BOOKS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$76,302ExpenseAmt
Grant$42,630GrantAmt
DescRESEARCH - THE FACIAL PAIN ASSOCIATION, THROUGH ITS FACIAL PAIN RESEARCH FOUNDATION, INITIATES RESEARCH STUDIES IN RELATION TO THE CAUSE OF FACIAL PAIN AND HOW TO HALT OR MINIMIZE THE RESULTING PAIN. THE ASSOCIATION ADVOCATES FOR CONTINUED FUNDING, IN ORDER TO PROMOTE AND CARRY OUT ITS MISSION.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$521,046TotalProgramServiceExpensesAmt
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 EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee4EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
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 PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonNANCY OSCARSONPersonNm
Phone3523843600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1408 W UNIVERSITY AVENUE STE 602AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code32601ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JEFFREY BODINGTON
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
EMMIT R MCHAFFIE
TREASURER1.00Yes (X)Yes (X)$0$0$0
CLAUDE M ALDRIDGE
SECRETARY1.00Yes (X)Yes (X)$0$0$0
RAMESH P BABU MD
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD BARON ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
MIKE BUKATY
BOARD MEMBER1.00Yes (X)$0$0$0
HENRY A GREMILLION DDS
BOARD MEMBER1.00Yes (X)$0$0$0
PETER J JANNETTA MD
BOARD MEMBER1.00Yes (X)$0$0$0
ROGER L LEVY ESQ
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD G MARSCHNER
BOARD MEMBER1.00Yes (X)$0$0$0
JEAN RAYMOND
BOARD MEMBER1.00Yes (X)$0$0$0
GARY REDWINE
BOARD MEMBER1.00Yes (X)$0$0$0
TOM WASDIN
BOARD MEMBER1.00Yes (X)$0$0$0
ANNE CLEMNECKI
BOARD MEMBER1.00Yes (X)$0$0$0
RAY RIVERA
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN KOFF
CEO40.00Yes (X)$90,123$0$3,085
FieldValueIRS element (for citing)
Total Reportable Comp From Org$90,123TotalReportableCompFromOrgAmt
Total Other Compensation$3,085TotalOtherCompensationAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Federated Campaigns$7,164FederatedCampaignsAmt
Fundraising$19,470FundraisingAmt
All Other Contributions$1,135,032AllOtherContributionsAmt
Total Contributions$1,161,666TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CONFERENCE FEES$144,533$144,533
ADVERTISING INCOME$73,102$73,102
FieldValueIRS element (for citing)
Total Program Service Revenue$217,635TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,393TotalRevenueColumnAmt
Exclusion$1,393ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,528FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$19,470ContriRptFundraisingEventAmt
Fundraising Direct Expenses$13,604FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,924TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,384,618TotalRevenueColumnAmt
Related Or Exempt Func Income$144,533RelatedOrExemptFuncIncomeAmt
Exclusion$74,495ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,630TotalAmt
Program Services$42,630ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$91,002TotalAmt
Program Services$72,802ProgramServicesAmt
Management And General$4,550ManagementAndGeneralAmt
Fundraising$13,650FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$110,891TotalAmt
Program Services$80,359ProgramServicesAmt
Management And General$30,509ManagementAndGeneralAmt
Fundraising$23FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$18,806TotalAmt
Program Services$14,293ProgramServicesAmt
Management And General$3,197ManagementAndGeneralAmt
Fundraising$1,316FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,900TotalAmt
Program Services$3,000ProgramServicesAmt
Management And General$5,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$52,382TotalAmt
Program Services$46,166ProgramServicesAmt
Fundraising$6,216FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$56,601TotalAmt
Program Services$46,205ProgramServicesAmt
Management And General$1,054ManagementAndGeneralAmt
Fundraising$9,342FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,660TotalAmt
Program Services$24,607ProgramServicesAmt
Management And General$53ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,205TotalAmt
Program Services$21,005ProgramServicesAmt
Management And General$7,000ManagementAndGeneralAmt
Fundraising$4,200FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,048TotalAmt
Program Services$14,205ProgramServicesAmt
Management And General$1,814ManagementAndGeneralAmt
Fundraising$2,029FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$112,480TotalAmt
Program Services$112,480ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$171TotalAmt
Program Services$171ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,932TotalAmt
Program Services$2,964ProgramServicesAmt
Management And General$603ManagementAndGeneralAmt
Fundraising$365FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$15,679$11,616$1,725$2,338
TELEPHONE$9,023$7,095$1,142$786
EQUIPMENT EXPENSE$8,914$8,914
BANK SERVICE CHARGES$6,146$5,605$541

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$10,124TotalAmt
Program Services$6,929ProgramServicesAmt
Management And General$1,895ManagementAndGeneralAmt
Fundraising$1,300FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$622,594TotalAmt
Program Services$521,046ProgramServicesAmt
Management And General$59,983ManagementAndGeneralAmt
Fundraising$41,565FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$131,744BOYAmt
EOY$492,112EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$218,934BOYAmt
EOY$216,085EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$75BOYAmt
EOY$285,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,955BOYAmt
EOY$28,604EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$15,189BOYAmt
EOY$15,567EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,400BOYAmt
EOY$2,400EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,987LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,387LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$772BOYAmt
EOY$600EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$372,069BOYAmt
EOY$1,040,368EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,712BOYAmt
EOY$14,207EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$30,500BOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$37,262BOYAmt
EOY$10,750EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,474BOYAmt
EOY$24,957EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$178,792BOYAmt
EOY$398,128EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,531BOYAmt
EOY$522,011EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$95,272BOYAmt
EOY$95,272EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$280,595BOYAmt
EOY$1,015,411EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$372,069BOYAmt
EOY$1,040,368EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$762,024ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$27,208OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$403,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$480,111CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$615,032CurrentTaxYearMinus1YearAmt
Current Tax Year$1,161,666CurrentTaxYearAmt
Total$3,069,582TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$403,134CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$480,111CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$409,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$615,032CurrentTaxYearMinus1YearAmt
Current Tax Year$1,161,666CurrentTaxYearAmt
Total$3,069,582TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$894,150SubstantialContributorsTotAmt
Public Support Total170$2,175,432PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$319CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$378CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$510CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$807CurrentTaxYearMinus1YearAmt
Current Tax Year$1,393CurrentTaxYearAmt
Total$3,407TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$73,102CurrentTaxYearAmt
Total$73,102TotalAmt
FieldValueIRS element (for citing)
Total Support$3,146,091TotalSupportAmt
Gross Receipts Rltd Activities$998,093GrossReceiptsRltdActivitiesAmt
Public Support CY1700.69150PublicSupportCY170Pct
Public Support PY1700.75710PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$95,804BeginningYearBalanceAmt
Investment Earnings Or Losses$286InvestmentEarningsOrLossesAmt
Other Expenditures$5,070OtherExpendituresAmt
End Year Balance$91,020EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$88,715BeginningYearBalanceAmt
Contributions$6,856ContributionsAmt
Investment Earnings Or Losses$233InvestmentEarningsOrLossesAmt
End Year Balance$95,804EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$60,100BeginningYearBalanceAmt
Contributions$28,399ContributionsAmt
Investment Earnings Or Losses$216InvestmentEarningsOrLossesAmt
End Year Balance$88,715EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$60,017ContributionsAmt
Investment Earnings Or Losses$83InvestmentEarningsOrLossesAmt
End Year Balance$60,100EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,987OtherCostOrOtherBasisAmt
Depreciation$15,387DepreciationAmt
Book Value$600BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$600TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,371,014TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,371,014RevenueSubtotalAmt
Other Revenues Not Included$13,604OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,604RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,384,618TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$636,198TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$13,604OtherExpensesIncludedAmt
Expenses Not Reported$13,604ExpensesNotReportedAmt
Expenses Subtotal$622,594ExpensesSubtotalAmt
Total Expenses Per Form990$622,594TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PAGE 3, PART XTHE ORGANIZATION HOLDS NO UNCERTAIN TAX POSITIONS AND, THEREFORE, HAS NO POLICY FOR EVALUATING THEM.
SCHEDULE D, PAGE 4, PART XI, LINE 4B13,604
SCHEDULE D, PAGE 4, PART XII, LINE 2D13,604

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1ILLUMINATE THENameOfEvent1Amt
Gross Receipts Event1$21,855GrossReceiptsEvent1Amt
Charitable Contri Event1$10,767CharitableContriEvent1Amt
Gross Revenue Event1$11,088GrossRevenueEvent1Amt
Food And Beverage Event1$7,879FoodAndBeverageEvent1Amt
Entertainment Event1$1,800EntertainmentEvent1Amt
Name Of Event2REVEALING RESEANameOfEvent2Amt
Gross Receipts Event2$15,143GrossReceiptsEvent2Amt
Charitable Contri Event2$8,703CharitableContriEvent2Amt
Gross Revenue Event2$6,440GrossRevenueEvent2Amt
Food And Beverage Event2$2,225FoodAndBeverageEvent2Amt
Entertainment Event2$1,700EntertainmentEvent2Amt
Gross Receipts Total$36,998GrossReceiptsTotalAmt
Charitable Contributions Tot$19,470CharitableContributionsTotAmt
Gross Revenue Total Events$17,528GrossRevenueTotalEventsAmt
Food And Beverage Total Events$10,104FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,500EntertainmentTotalEventsAmt
Direct Expense Summary Events$13,604DirectExpenseSummaryEventsAmt
Net Income Summary$3,924NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1OREGAN HEALTH SCIENCE UNIVERSITYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13181 SW SAM JACKSON PARK ROADAddressLine1
CityPORTLANDCity
StateORState
ZIP Code97239ZIPCode
FieldValueIRS element (for citing)
Recipient EIN931176109RecipientEIN
IRC SectionGOVIRCSectionDesc
Cash Grant$42,630CashGrantAmt
Purpose Of GrantRESEARCHPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PAGE 1, PART I, LINE 2FormAndLineReferenceDesc
ExplanationTHE GRANTEES ARE REQUIRED TO MAINTAIN VERBAL CONTACT WITH THE ORGANIZATION AND FILE A WRITTEN REPORT ON AN ANNUAL BASIS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BA COPY OF THE FORM 990 IS PROVIDED TO BOARD MEMBERS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS ARE REQUIRED TO DISCLOSE CONFLICTS OF INTEREST AS THEY ARISE.
FORM 990, PAGE 6, PART VI, LINE 19THESE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9-13,604 -13,604

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