OPERATION RENEWED HOPE MEDICAL MISSIONS AGENCY: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
OPERATION RENEWED HOPE MEDICAL MISSIONS AGENCY (EIN 56-2010033)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-13
IRS object ID
201431339349303708
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)
Return2014-05-13T14:52:07-04:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561233954PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WALTER J PIKUL MBA CPA CFPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 41035AddressLine1
CityFayettevilleCity
StateNCState
ZIP Code283091035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562010033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OPERATION RENEWED HOPE MED MISSION AGENCYBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlOPERBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 41035AddressLine1
CityFAYETTEVILLECity
StateNCState
ZIP Code283091035ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAN MILTONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9104241981PhoneNum
Signature2014-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWALTER J PIKULPreparerPersonNm
PTINP00615703PTIN
Phone9104241981PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts$427,598GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OPERATIONRENEWEDHOPE.ORG/MISSIONSWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE RELIEF IN THE FORM OF FOOD, EQUIPMENT & REBUILDING ASSISTANCE TO VICTIMS OF NATURAL DISASTERS - FOREIGN AND DOMESTIC. TO PROVIDE DONATED MEDICAL, EDUCATIONAL AND HUMANITARIAN SUPPLIES. TO BUILD AND/OR OPERATE MEDICAL CLINICS.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers94TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$61,756PYContributionsGrantsAmt
CY Contributions Grants$434,708CYContributionsGrantsAmt
PY Program Service Revenue$321,524PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$5,528PYInvestmentIncomeAmt
CY Investment Income$14CYInvestmentIncomeAmt
PY Other Revenue$325PYOtherRevenueAmt
CY Other Revenue-$7,124CYOtherRevenueAmt
PY Total Revenue$389,133PYTotalRevenueAmt
CY Total Revenue$427,598CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,733CYTotalFundraisingExpenseAmt
PY Other Expenses$394,760PYOtherExpensesAmt
CY Other Expenses$415,236CYOtherExpensesAmt
PY Total Expenses$394,760PYTotalExpensesAmt
CY Total Expenses$415,236CYTotalExpensesAmt
PY Revenues Less Expenses-$5,627PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$12,362CYRevenuesLessExpensesAmt
Total Assets BOY$119,292TotalAssetsBOYAmt
Total Assets EOY$131,654TotalAssetsEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$119,292NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$131,654NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE RELIEF IN THE FORM OF FOOD, EQUIPMENT & REBUILDING ASSISTANCE TO VICTIMS OF NATURAL DISASTERS - FOREIGN AND DOMESTIC. TO PROVIDE DONATED MEDICAL, EDUCATIONAL AND HUMANITARIAN SUPPLIES. TO BUILD AND/OR OPERATE MEDICAL CLINICS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$43,086ExpenseAmt
Revenue$79,767RevenueAmt
DescPHILIPPINE TYPHOON RELIEF: PROVIDED FOOD, WATER, SANITATION, EQUIPMENT, MEDICAL SUPPLIES AND REBUILDING ASSISTANCE TO VICTIMS OF THE TYPHOON IN THE PHILIPPIANS. OPERATED SHORT-TERM MEDICAL CLINICS IN REMOTE LOCATIONS. ASSISTED IN REBUILDING HOMES AND OTHER BUILDINGS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$83,355ExpenseAmt
Revenue$92,392RevenueAmt
DescJORDAN MEDICAL MISSION: PROVIDED FOOD, WATER, SANITATION, EQUIPMENT, MEDICAL SUPPLIES AND REBUILDING ASSISTANCE TO THE PEOPLE OF JORDAN. OPERATED SHORT-TERM MEDICAL CLINICS IN REMOTE LOCATIONS. ASSISTED IN REBUILDING HOMES AND OTHER BUILDINGS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$75,629ExpenseAmt
Revenue$59,191RevenueAmt
DescPERU MEDICAL MISSION: PROVIDED FOOD, WATER, SANITATION, EQUIPMENT, MEDICAL SUPPLIES AND REBUILDING ASSISTANCE TO THE PEOPLE OF PERU. OPERATED SHORT-TERM MEDICAL CLINICS IN REMOTE LOCATIONS. ASSISTED IN REBUILDING HOMES AND OTHER BUILDINGS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$161,693ExpenseAmt
Revenue$122,091RevenueAmt
DescADDITIONAL MISSIONS: MALAWI FLOODS, HURRICANE SANDY, DOMINICAN REPUBLIC MISSION, CHILE MISSION, PANAMA MISSION TRIP, PAKISTAN HOPE RELIEF AND HAITI HOPE RELIEF.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$161,693TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$122,091TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$363,763TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
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 OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
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
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
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 ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
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)
PersonWALTER J PIKUL MBA CPA CFPPersonNm
Phone9104241981PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11000 HOPE MILLS RDAddressLine1
CityFAYETTEVILLECity
StateNCState
ZIP Code28304ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JAN MILTON
PRESIDENT40.000.00Yes (X)Yes (X)$0$0$0
GREG ODIORNE
TREASURER10.000.00Yes (X)Yes (X)$0$0$0
STEVE CREWS
BOARD MEMBER1.000.00Yes (X)$0$0$0
GUY ALTIZER
BOARD MEMBER1.000.00Yes (X)$0$0$0
CARL HERBSTER
BOARD MEMBER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$434,708AllOtherContributionsAmt
Total Contributions$434,708TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14TotalRevenueColumnAmt
Related Or Exempt Func Income$14RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescREFUNDSDesc
Total Revenue Column-$7,124TotalRevenueColumnAmt
Related Or Exempt Func Income-$7,124RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$7,124OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$427,598TotalRevenueColumnAmt
Related Or Exempt Func Income-$7,110RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,017TotalAmt
Fundraising$1,017FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,198TotalAmt
Program Services$475ProgramServicesAmt
Management And General$1,283ManagementAndGeneralAmt
Fundraising$440FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$205,526TotalAmt
Program Services$199,711ProgramServicesAmt
Management And General$3,860ManagementAndGeneralAmt
Fundraising$1,955FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,110TotalAmt
Management And General$3,110ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,595TotalAmt
Program Services$7,822ProgramServicesAmt
Management And General$9,773ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
OUTSIDE SERVICES$1,829$83$921$825
OPERATING SUPPLIES$144,579$143,303$1,276
POSTAGE$482$120$362
EQUIPMENT RENTAL$1,523$1,523

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$37,377TotalAmt
Program Services$12,249ProgramServicesAmt
Management And General$24,632ManagementAndGeneralAmt
Fundraising$496FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$415,236TotalAmt
Program Services$363,763ProgramServicesAmt
Management And General$46,740ManagementAndGeneralAmt
Fundraising$4,733FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$69,710BOYAmt
EOY$83,348EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$37,480BOYAmt
EOY$37,495EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$128,673LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$117,862LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,102BOYAmt
EOY$10,811EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$119,292BOYAmt
EOY$131,654EOYAmt

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$119,292BOYAmt
EOY$131,654EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,292BOYAmt
EOY$131,654EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$119,292BOYAmt
EOY$131,654EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$12,362ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedfalseFSAuditedInd
Audit CommitteefalseAuditCommitteeInd
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$259,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$566,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397,951CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$383,633CurrentTaxYearMinus1YearAmt
Current Tax Year$427,584CurrentTaxYearAmt
Total$2,035,496TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$259,609CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$566,719CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$397,951CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$383,633CurrentTaxYearMinus1YearAmt
Current Tax Year$427,584CurrentTaxYearAmt
Total$2,035,496TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$2,035,496PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$41CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$37CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$35CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28CurrentTaxYearMinus1YearAmt
Current Tax Year$14CurrentTaxYearAmt
Total$155TotalAmt
FieldValueIRS element (for citing)
Total Support$2,035,651TotalSupportAmt
Public Support CY1700.99990PublicSupportCY170Pct
Public Support PY1700.99980PublicSupportPY170Pct
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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$128,673InvestmentCostOrOtherBasisAmt
Depreciation$117,862DepreciationAmt
Book Value$10,811BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,811TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990 governing body review Part VI line 11REVIEWED AT MEETING BY BOARD OF DIRECTORS.
Conflict of interest policy compliance Part VI line 12cCONFLICT OF INTEREST AND COMPLIANCE THEREWITH IS REVIEWED AT EACH ANNUAL MEETING BY THE BOARD.
Governing documents etc available to public Part VI line 19DOCUMENT COPIES PROVIDED UPON WRITTEN REQUEST.

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