HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS (EIN 56-2117596)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-08-14
IRS object ID
201442269349300909
Schema version
2013v3.0
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

FieldValueIRS element (for citing)
Return2014-08-14T08:10:43-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561220683PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1POTTER & COMPANY PABusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1114 N CHURCH STREETAddressLine1
CityMONROECity
StateNCState
ZIP Code28112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562117596EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHQUEST OF UNION COUNTYBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone7042262050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1415 EAST FRANKLIN STREETAddressLine1
CityMONROECity
StateNCState
ZIP Code28112ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHEATHER HORNEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7042262050PhoneNum
Signature2014-08-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBAXTER W STARNES CPAPreparerPersonNm
PTINP00350775PTIN
Phone7042838189PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerHEATHER HORNEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1415 EAST FRANKLIN STREETAddressLine1
CityMONROECity
StateNCState
ZIP Code28112ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$498,470GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTHQUESTPHARMACY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$368,349PYContributionsGrantsAmt
CY Contributions Grants$305,374CYContributionsGrantsAmt
PY Program Service Revenue$180,719PYProgramServiceRevenueAmt
CY Program Service Revenue$192,686CYProgramServiceRevenueAmt
PY Investment Income$605PYInvestmentIncomeAmt
CY Investment Income$410CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$549,673PYTotalRevenueAmt
CY Total Revenue$498,470CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$362,950PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$376,049CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$49,207CYTotalFundraisingExpenseAmt
PY Other Expenses$212,680PYOtherExpensesAmt
CY Other Expenses$235,543CYOtherExpensesAmt
PY Total Expenses$575,630PYTotalExpensesAmt
CY Total Expenses$611,592CYTotalExpensesAmt
PY Revenues Less Expenses-$25,957PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$113,122CYRevenuesLessExpensesAmt
Total Assets BOY$877,872TotalAssetsBOYAmt
Total Assets EOY$770,564TotalAssetsEOYAmt
Total Liabilities BOY$39,481TotalLiabilitiesBOYAmt
Total Liabilities EOY$45,295TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$838,391NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$725,269NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHEALTHQUEST OF UNION COUNTY IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM OTHERWISE. THE ORGANIZATION PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE COVERAGE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$502,503ExpenseAmt
Revenue$192,686RevenueAmt
DescPROVIDED PHARMACEUTICALS AND PRESCRIPTION MEDICATIONS TO INDIVIDUALS THAT HAVE NO PRESCRIPTION INSURANCE AND CANNOT AFFORD THEIR MEDICATIONS OTHERWISE. THE INDIVDUALS SERVED RESIDE IN UNION, ANSON, AND STANLY COUNTIES, NC AND CHESTERFIELD AND LANCASTER COUNTIES, SC. THE ORGANIZATION ASSISTED 1,873 CLIENTS IN 2013 AND FILLED 57,120 PRESCRIPTIONS.Desc
Total Program Service Expenses$502,503TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JACKIE GASKINSBusinessNameLine1
FieldValueIRS element (for citing)
Phone7042262050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1415 E FRANKLIN STAddressLine1
CityMONROECity
StateNCState
ZIP Code28112ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
BILL ALSTON
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE ANDERSON
BOARD MEMBER1.00Yes (X)$0$0$0Yes (X)
SUSAN PARSONS
BOARD MEMBER1.00Yes (X)$0$0$0
BUDDY BREWER
BOARD MEMBER1.00Yes (X)$0$0$0
APRIL ROBINSON
BOARD MEMBER1.00Yes (X)$0$0$0
KATHY IPAPO
BOARD MEMBER1.00Yes (X)$0$0$0Yes (X)
GARY JEWELL
BOARD MEMBER1.00Yes (X)$0$0$0
RICHARD JONES
TREASURER1.00Yes (X)$0$0$0Yes (X)
HEATHER HORNE
EXECUTIVE DIRECTOR1.00Yes (X)$0$0$0
JACKIE GASKINS
RECORDING SECRETARY1.00Yes (X)$0$0$0
LYDIA LYON
SECRETARY1.00Yes (X)$0$0$0Yes (X)
JACKY OLIN
BOARD MEMBER1.00Yes (X)$0$0$0
PATTY PRESLAR
BOARD MEMBER1.00Yes (X)$0$0$0Yes (X)
LYNN RAYE
VICE CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
LISA STARNES
BOARD MEMBER1.00Yes (X)$0$0$0
DAVE VAN BLARCOM
BOARD MEMBER1.00Yes (X)$0$0$0
JAIME WISE
BOARD MEMBER1.00Yes (X)$0$0$0
SHIRLEY ALLEN
BOARD MEMBER1.00Yes (X)$0$0$0
JANE AUSTIN
BOARD MEMBER1.00Yes (X)$0$0$0
CHAD GRIFFIN
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
GENE HERRELL
BOARD MEMBER1.00Yes (X)$0$0$0
JEANETTE REED
BOARD MEMBER1.00Yes (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 Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$305,374AllOtherContributionsAmt
Noncash Contributions$72,000NoncashContributionsAmt
Total Contributions$305,374TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescCLIENT FEESDesc
Business446110BusinessCd
Total Revenue Column$192,686TotalRevenueColumnAmt
Related Or Exempt Func Income$192,686RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$192,686TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$410TotalRevenueColumnAmt
Exclusion$410ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$498,470TotalRevenueColumnAmt
Related Or Exempt Func Income$192,686RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$410ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$285,386TotalAmt
Program Services$218,430ProgramServicesAmt
Management And General$35,156ManagementAndGeneralAmt
Fundraising$31,800FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$90,663TotalAmt
Program Services$69,392ProgramServicesAmt
Management And General$11,169ManagementAndGeneralAmt
Fundraising$10,102FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,585TotalAmt
Management And General$3,585ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$480TotalAmt
Management And General$480ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,920TotalAmt
Program Services$3,114ProgramServicesAmt
Management And General$2,768ManagementAndGeneralAmt
Fundraising$1,038FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$984TotalAmt
Program Services$738ProgramServicesAmt
Management And General$197ManagementAndGeneralAmt
Fundraising$49FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,644TotalAmt
Program Services$14,980ProgramServicesAmt
Management And General$1,664ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$137,193$137,193
UTILITIES$8,482$7,634$848
INSURANCE - LIABILITY$6,998$6,998
MEDICAL SUPPLIES$6,490$6,490

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$47,767TotalAmt
Program Services$37,534ProgramServicesAmt
Management And General$4,015ManagementAndGeneralAmt
Fundraising$6,218FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$611,592TotalAmt
Program Services$502,503ProgramServicesAmt
Management And General$59,882ManagementAndGeneralAmt
Fundraising$49,207FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$283,352BOYAmt
EOY$206,539EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$56,848BOYAmt
EOY$38,729EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,603BOYAmt
EOY$7,743EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$680,413LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$162,860LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$530,069BOYAmt
EOY$517,553EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$877,872BOYAmt
EOY$770,564EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,481BOYAmt
EOY$45,295EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,481BOYAmt
EOY$45,295EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$781,543BOYAmt
EOY$686,540EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,848BOYAmt
EOY$38,729EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$838,391BOYAmt
EOY$725,269EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$877,872BOYAmt
EOY$770,564EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$113,122ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$430,799CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$356,668CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$258,283CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$368,349CurrentTaxYearMinus1YearAmt
Current Tax Year$305,374CurrentTaxYearAmt
Total$1,719,473TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$118,639CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$132,866CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$160,129CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$180,719CurrentTaxYearMinus1YearAmt
Current Tax Year$192,686CurrentTaxYearAmt
Total$785,039TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$549,438CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$489,534CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$418,412CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,068CurrentTaxYearMinus1YearAmt
Current Tax Year$498,060CurrentTaxYearAmt
Total$2,504,512TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,504,512PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$605CurrentTaxYearMinus1YearAmt
Current Tax Year$410CurrentTaxYearAmt
Total$16,303TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,506CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,877CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,905CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$605CurrentTaxYearMinus1YearAmt
Current Tax Year$410CurrentTaxYearAmt
Total$16,303TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$555,944CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$495,411CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$421,317CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$549,673CurrentTaxYearMinus1YearAmt
Current Tax Year$498,470CurrentTaxYearAmt
Total$2,520,815TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99350PublicSupportCY509Pct
Public Support PY5090.99110PublicSupportPY509Pct
Investment Income CY0.00650InvestmentIncomeCYPct
Investment Income PY0.00890InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,000OtherCostOrOtherBasisAmt
Book Value$150,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$426,648OtherCostOrOtherBasisAmt
Depreciation$84,327DepreciationAmt
Book Value$342,321BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,718OtherCostOrOtherBasisAmt
Depreciation$27,142DepreciationAmt
Book Value$21,576BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,047OtherCostOrOtherBasisAmt
Depreciation$51,391DepreciationAmt
Book Value$3,656BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$517,553TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$498,470TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$498,470RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$498,470TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$611,592TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$611,592ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$611,592TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2011, 2012 AND 2013 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND NORTH CAROLINA DEPARTMENT OF REVENUE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR END DECEMBER 31, 2012ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescSALARIES ANDDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$72,000NoncashContributionsRptF990Amt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11EXECUTIVE DIRECTOR AND EXECUTIVE SECRETARY REVIEW FORM 990 WITH TAX PREPARER BEFORE RETURN IS FILED TO ENSURE CORRECTNESS OF INFORMATION PROVIDED. DRAFT OF FORM 990 IS ALSO REVIEWED BY THE ORGANIZATION'S EXECUTIVE AND FINANCE COMMITTEES BEFORE FILING.
FORM 990, PART VI, SECTION B, LINE 12CREVIEW POLICY WITH NEW BOARD MEMBERS. REVIEWED WITH FULL BOARD ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15REVIEWED ANNUALLY BY BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19UPON REQUEST
FORM 990, PART XII, LINE 2CTHE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT MEETS TO REVIEW AND APPROVE THE AUDITED FINANCIAL STATEMENTS BEFORE IT IS PRESENTED BEFORE THE FULL BOARD FOR APPROVAL. THE EXECUTIVE COMMITTEE ALSO APPROVES THE SELECTION OF THE AUDITOR.

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