JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
JUSTICE ACCESS SUPPORT AND SOLUTIONS FOR HEALTH (EIN 42-1753563)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-11
IRS object ID
201433159349301978
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)
Return2014-11-11T12:36:56-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN850420037PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VALERIE J BORREGO CPA PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11522 GRIEGOS RD NWAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87107ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421753563EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JUSTICE ACCESS SUPPORT ANDBusinessNameLine1
Business Name Line2SOLUTIONS FOR HEALTHBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlJUSTBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11608 ISLETA BLVD SWAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87105ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBIN BARTEEPersonNm
Person TitleVICE PRESIDENTPersonTitleTxt
Signature2014-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVALERIE J BORREGOPreparerPersonNm
PTINP00426332PTIN
Phone5052426081PhoneNum
Preparation2014-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerROBIN BARTEE VICE PRESIDENTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11608 ISLETA BLVD SWAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$1,032,711GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CASADESALUDNM.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateNMLegalDomicileStateCd
Activity Or MissionTO PROMOTE THE DEVELOPMENT AND SUSTENANCE OF INDIVIDUALS AND ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, HEALTH LITERACY, COMMUNITY HEALTH PROMOTION, HEALTH LEADERSHIP DEVELOPMENT, HEALTH ADVOCACY AND HEALTH SYSTEM CHANGE.ActivityOrMissionDesc
Voting Members Governing Body4VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers65TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$577,257PYContributionsGrantsAmt
CY Contributions Grants$275,432CYContributionsGrantsAmt
PY Program Service Revenue$394,981PYProgramServiceRevenueAmt
CY Program Service Revenue$754,758CYProgramServiceRevenueAmt
PY Investment Income$303PYInvestmentIncomeAmt
CY Investment Income$521CYInvestmentIncomeAmt
PY Other Revenue$4,763PYOtherRevenueAmt
CY Other Revenue$2,000CYOtherRevenueAmt
PY Total Revenue$977,304PYTotalRevenueAmt
CY Total Revenue$1,032,711CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$171,989CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,326CYTotalFundraisingExpenseAmt
PY Other Expenses$905,163PYOtherExpensesAmt
CY Other Expenses$816,661CYOtherExpensesAmt
PY Total Expenses$905,163PYTotalExpensesAmt
CY Total Expenses$988,650CYTotalExpensesAmt
PY Revenues Less Expenses$72,141PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$44,061CYRevenuesLessExpensesAmt
Total Assets BOY$362,926TotalAssetsBOYAmt
Total Assets EOY$396,253TotalAssetsEOYAmt
Total Liabilities BOY$57,792TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,806TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$305,134NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$366,447NetAssetsOrFundBalancesEOYAmt
MissionTO PROMOTE THE DEVELOPMENT AND SUSTENANCE OF INDIVIDUALS AND ORGANIZATIONS THAT PROVIDE HEALTH SERVICES, HEALTH LITERACY, COMMUNITY HEALTH PROMOTION, HEALTH LEADERSHIP DEVELOPMENT, HEALTH ADVOCACY AND HEALTH SYSTEM CHANGE.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$861,908ExpenseAmt
Revenue$424,378RevenueAmt
DescTHE ORGANIZATION SUPPORTS THE WORK OF CASA DE SALUD (CLINICAL SERVICES), VIDA (ADVOCACY WORK), PATHWAYS (DIRECT SOCIAL SUPPORT SERVICE FOR CLIENTS IN NEED, AND AMANECER (BEHAVIORAL HEALTH).Desc
Total Program Service Expenses$861,908TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl 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 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 Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee6EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members4GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
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 BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonELIZABETH BOYCEPersonNm
Phone5054172362PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15813 TUNNELL ST SWAddressLine1
CityALBUQUERQUECity
StateNMState
ZIP Code87105ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (4 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARION COOK
TREASURER/AL1.00Yes (X)Yes (X)$0$0$0
TRISTEN ADAMS
SECRETARY/VI1.00Yes (X)Yes (X)$0$0$0
ROBIN BARTEE
VICE PRES/AM1.00Yes (X)Yes (X)$0$0$0
CATHERINE O'DONNELL
PATHWAYS REP1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$9,515GovernmentGrantsAmt
All Other Contributions$265,917AllOtherContributionsAmt
Total Contributions$275,432TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES621400$424,378$424,378
CONTRACTS$330,380$330,380
FieldValueIRS element (for citing)
Total Program Service Revenue$754,758TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$521TotalRevenueColumnAmt
Related Or Exempt Func Income$521RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescRENT INCOMEDesc
Business900002BusinessCd
Total Revenue Column$2,000TotalRevenueColumnAmt
Exclusion$2,000ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,000OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,032,711TotalRevenueColumnAmt
Related Or Exempt Func Income$755,279RelatedOrExemptFuncIncomeAmt
Exclusion$2,000ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$151,292TotalAmt
Program Services$106,750ProgramServicesAmt
Management And General$44,065ManagementAndGeneralAmt
Fundraising$477FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,524TotalAmt
Program Services$7,524ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,173TotalAmt
Program Services$9,295ProgramServicesAmt
Management And General$3,837ManagementAndGeneralAmt
Fundraising$41FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$547,232TotalAmt
Program Services$480,924ProgramServicesAmt
Management And General$61,678ManagementAndGeneralAmt
Fundraising$4,630FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$29,056TotalAmt
Program Services$25,185ProgramServicesAmt
Management And General$3,538ManagementAndGeneralAmt
Fundraising$333FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,015TotalAmt
Program Services$3,761ProgramServicesAmt
Management And General$230ManagementAndGeneralAmt
Fundraising$24FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$40,618TotalAmt
Program Services$35,701ProgramServicesAmt
Management And General$4,450ManagementAndGeneralAmt
Fundraising$467FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,182TotalAmt
Program Services$1,103ProgramServicesAmt
Management And General$71ManagementAndGeneralAmt
Fundraising$8FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,932TotalAmt
Program Services$1,932ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$23,976TotalAmt
Program Services$23,235ProgramServicesAmt
Management And General$646ManagementAndGeneralAmt
Fundraising$95FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,896TotalAmt
Program Services$44,997ProgramServicesAmt
Management And General$768ManagementAndGeneralAmt
Fundraising$131FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & EQUIP$57,385$57,385
LAB FEES$57,042$57,042
TELEPHONE AND INTERNET$8,327$7,074$1,133$120

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$988,650TotalAmt
Program Services$861,908ProgramServicesAmt
Management And General$120,416ManagementAndGeneralAmt
Fundraising$6,326FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$180,998BOYAmt
EOY$86,617EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$62,500BOYAmt
EOY$165,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$89,876BOYAmt
EOY$78,464EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,994BOYAmt
EOY$15,275EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$65,816LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,919LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$16,558BOYAmt
EOY$50,897EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$362,926BOYAmt
EOY$396,253EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$32,792BOYAmt
EOY$29,806EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$25,000BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,792BOYAmt
EOY$29,806EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$142,343BOYAmt
EOY$174,280EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$162,791BOYAmt
EOY$192,167EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$305,134BOYAmt
EOY$366,447EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$362,926BOYAmt
EOY$396,253EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$44,061ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$17,252OtherChangesInNetAssetsAmt
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$38,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,756CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$727,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$577,257CurrentTaxYearMinus1YearAmt
Current Tax Year$261,515CurrentTaxYearAmt
Total$1,748,173TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$38,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$143,756CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$727,518CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$577,257CurrentTaxYearMinus1YearAmt
Current Tax Year$261,515CurrentTaxYearAmt
Total$1,748,173TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$463,770SubstantialContributorsTotAmt
Public Support Total170$1,284,403PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,432CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,705CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,066CurrentTaxYearMinus1YearAmt
Current Tax Year$521CurrentTaxYearAmt
Total$40,562TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$4,763CurrentTaxYearMinus1YearAmt
Current Tax Year$2,000CurrentTaxYearAmt
Total$6,763TotalAmt
FieldValueIRS element (for citing)
Total Support$1,795,498TotalSupportAmt
Gross Receipts Rltd Activities$755,279GrossReceiptsRltdActivitiesAmt
Public Support CY1700.71530PublicSupportCY170Pct
Public Support PY1700.79000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 4,763ExplanationTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,885OtherCostOrOtherBasisAmt
Depreciation$5,287DepreciationAmt
Book Value$34,598BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,931OtherCostOrOtherBasisAmt
Depreciation$9,632DepreciationAmt
Book Value$16,299BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$50,897TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,032,711TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$1,032,711RevenueSubtotalAmt
Total Revenue Per Form990$1,032,711TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$988,650TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$988,650ExpensesSubtotalAmt
Total Expenses Per Form990$988,650TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 4, PART XII, LINE 4BFormAndLineReferenceDesc
ExplanationDIFFERENCE IN BOOK/TAX DEPRECIATION 0ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BRETURN WILL BE REVIEWED BY THE BOARD PRESIDENT AND OTHERS PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS ARE AVAILABLE TO BE REVIEWED BY THE PUBLIC, BY REQUEST, AT THE ORGANIZATION'S OFFICE,INCLUDING A COPY OF THE 990.
FORM 990, PART IX, LINE 11G480,924 61,678 4,630
FORM 990, PART XI, LINE 9DIFFERENCE IN BOOK/TAX DEPRECIATION 0
FORM 990, PART XI, LINE 9ADDITIONAL TAX DEPRECIATION 17,252

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