NEBRASKA COALITION PATIENT SAFETY: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- NEBRASKA COALITION PATIENT SAFETY (EIN 20-5408605)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2025-12-03
- IRS object ID
- 202533379349300723
- Schema version
- 2024v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-12-03T12:13:26-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 470585450 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOHMAN AKERLUND & EDDY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470 | AddressLine1Txt |
| City | AURORA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 688180470 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 205408605 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEBRASKA COALITION FOR | BusinessNameLine1Txt |
| Business Name Line2 | PATIENT SAFETY | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEBR | BusinessNameControlTxt |
| Phone | 4025598421 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 986055 NEBRASKA MEDICAL CENTER | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 681986055 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAMELA DICKEY MPAS PA-C | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4025598421 | PhoneNum |
| Signature | 2025-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY J COUFAL CPA | PreparerPersonNm |
| PTIN | P00964304 | PTIN |
| Phone | 4026946404 | PhoneNum |
| Preparation | 2025-10-31 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAMELA DICKEY MPAS PA-C | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SAME AS C ABOVE | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 681986055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $658,846 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NEPATIENTSAFETY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | NE | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE HEALTHCARE BY COLLECTING, ANALYZING, AND SHARING INFORMATION ABOUT PATIENT SAFETY; AND TO ENSURE COMPLIANCE WITH THE PATIENT SAFETY IMPROVEMENT ACT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $358,500 | PYContributionsGrantsAmt |
| CY Contributions Grants | $490,942 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $124,642 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $120,815 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,545 | PYInvestmentIncomeAmt |
| CY Investment Income | $47,089 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $520,687 | PYTotalRevenueAmt |
| CY Total Revenue | $658,846 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $435,248 | PYOtherExpensesAmt |
| CY Other Expenses | $468,857 | CYOtherExpensesAmt |
| PY Total Expenses | $435,248 | PYTotalExpensesAmt |
| CY Total Expenses | $468,857 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $85,439 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $189,989 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,013,391 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,196,502 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $82,636 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $75,758 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $930,755 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,120,744 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE HEALTHCARE BY COLLECTING, ANALYZING, AND SHARING INFORMATION ABOUT PATIENT SAFETY; AND TO ENSURE COMPLIANCE WITH THE PATIENT SAFETY IMPROVEMENT ACT. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $427,938 | ExpenseAmt |
| Revenue | $117,540 | RevenueAmt |
| Desc | COLLECTING, ANALYZING, AND SHARING INFORMATION ABOUT PATIENT SAFETY PRODUCTS, PROCEDURES, AND BEST PRACTICES. SHARING OF INFORMATION INCLUDES COMMUNICATING AND PROMOTING EVIDENCE-BASED BEST PRACTICES AND ESTABLISHING BENCHMARK GOALS FOR STATEWIDE QUALITY INITIATIVES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,545 | ExpenseAmt |
| Revenue | $3,275 | RevenueAmt |
| Desc | JUST CULTURE COLLABORATIVE - ASSIST PARTICIPANTS TO: IMPROVE THE SAFETY OF PATIENTS AND STAFF BY CREATING A CULTURE THAT VALUES REPORTING OF ADVERSE EVENTS, APPLY PRINCIPLES OF JUST CULTURE TO CONSISENTLY MANAGE RESPONSES TO ADVERSE EVENTS, FAIRLY EVALUATE STAFF INTERACTIONS WITH ORGANIZATIONAL SYSTEMS, AND RENEW FOCUS ON THE RELIABILITY OF SYSTEMS AND PROCESSES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $430,483 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA SNYDER | PersonNm |
| Phone | 4025598421 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 986055 NEBRASKA MEDICAL CENTER | AddressLine1Txt |
| City | OMAHA | CityNm |
| State Abbreviation | NE | StateAbbreviationCd |
| ZIP | 681986055 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| PAMELA DICKEY MPAS PA-C | |||||||
| PRESIDENT | 0.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DOUGLAS ELTING AIA ACHA EDAC | |||||||
| TREASURER | 0.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| NICOLE BLASER MSN RN | |||||||
| SECRETARY | 0.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JASON KRUGER MD | |||||||
| PAST PRESIDE | 0.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JENNIFER CORNETT RN MSN | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL GERMAN PHARMD BCPS | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| SHAUN HORAK MPAS PA-C | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KENNETH KESTER PHARMD JD | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JULIE REZAC RN BSN MED | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MELISSA FLORELL PHD RN | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN TRAPP MD | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STACI KOLM MSM RN | |||||||
| MEMBER | 0.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CARLA SNYDER | |||||||
| EXECUTIVE DI | 40.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $458,442 | GovernmentGrantsAmt |
| All Other Contributions | $32,500 | AllOtherContributionsAmt |
| Total Contributions | $490,942 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEMBERSHIP DUES | 519100 | $104,467 | $104,467 |
| EDUCATION/TRAINING PROGRAMS | 611710 | $16,348 | $16,348 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $120,815 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $47,089 | TotalRevenueColumnAmt |
| Exclusion | $47,089 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $658,846 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $120,815 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $47,089 | ExclusionAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,697 | TotalAmt |
| Program Services | $321,434 | ProgramServicesAmt |
| Management And General | $32,263 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,880 | TotalAmt |
| Management And General | $4,880 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,888 | TotalAmt |
| Program Services | $8,888 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,231 | TotalAmt |
| Management And General | $1,231 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,760 | TotalAmt |
| Program Services | $2,760 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,654 | TotalAmt |
| Program Services | $78,654 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MISCELLANEOUS & EDUCATION | $11,166 | $11,166 |
| DUES & SUBS | $6,716 | $6,716 |
| OPERATING EXPENSE | $865 | $865 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $468,857 | TotalAmt |
| Program Services | $430,483 | ProgramServicesAmt |
| Management And General | $38,374 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,762 | BOYAmt |
| EOY | $16,196 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $943,953 | BOYAmt |
| EOY | $1,125,041 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,840 | BOYAmt |
| EOY | $25,400 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,836 | BOYAmt |
| EOY | $29,865 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,013,391 | BOYAmt |
| EOY | $1,196,502 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,636 | BOYAmt |
| EOY | $75,758 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,636 | BOYAmt |
| EOY | $75,758 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $930,755 | BOYAmt |
| EOY | $1,120,744 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $930,755 | BOYAmt |
| EOY | $1,120,744 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,013,391 | BOYAmt |
| EOY | $1,196,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $189,989 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,149 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $451,965 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $332,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $358,500 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $490,942 | CurrentTaxYearAmt |
| Total | $1,728,056 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $199,087 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $198,241 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $216,149 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $124,642 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,815 | CurrentTaxYearAmt |
| Total | $858,934 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $293,236 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $650,206 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $548,649 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $483,142 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $611,757 | CurrentTaxYearAmt |
| Total | $2,586,990 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,586,990 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,223 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,545 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,089 | CurrentTaxYearAmt |
| Total | $114,387 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,223 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,314 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,545 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $47,089 | CurrentTaxYearAmt |
| Total | $114,387 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $296,459 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $652,422 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $572,963 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $520,687 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $658,846 | CurrentTaxYearAmt |
| Total | $2,701,377 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.95770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96830 | PublicSupportPY509Pct |
| Investment Income CY | 0.04000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM WILL BE REVIEWED BY EXECUTIVE DIRECTOR AND TREASURER PRIOR TO SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE POLICY IS ENFORCED THROUGH YEARLY SIGINING OF THE CONFLICT OF INTEREST STATEMENT AND REVIEW ON AN AS-NEEDED BASIS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
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