AMPLIFY INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
AMPLIFY INC (EIN 06-0935780)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-14
IRS object ID
201443189349306849
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)
Return2014-11-14T12:47:53-08:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Adam P Cohen CPA LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line181 South Main St Suite 9AddressLine1
CityWest HartfordCity
StateCTState
ZIP Code061072405ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060935780EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1North Central Connecticut RegionalBusinessNameLine1
Business Name Line2Mental Health Board IncBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone8606676388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1367 Russell RoadAddressLine1
CityNewingtonCity
StateCTState
ZIP Code06111ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMarcia DuForePersonNm
Person TitleExecutive Dir.PersonTitleTxt
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAdam P CohenPreparerPersonNm
PTINP00046319PTIN
Phone8605216400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMarcia DuFore Exec DirectorPrincipalOfficerNm
Gross Receipts$377,216GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ncrmhb.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionThe Organization's mission is to establish a system of regionalized services for care and treatment of the mentally ill, and to provide community mental health services, research and education.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent20VotingMembersIndependentCnt
Total Employee3TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$69,248PYContributionsGrantsAmt
CY Contributions Grants$65,552CYContributionsGrantsAmt
PY Program Service Revenue$176,807PYProgramServiceRevenueAmt
CY Program Service Revenue$310,256CYProgramServiceRevenueAmt
PY Investment Income$991PYInvestmentIncomeAmt
CY Investment Income$1,408CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$247,046PYTotalRevenueAmt
CY Total Revenue$377,216CYTotalRevenueAmt
CY Grants And Similar Paid$14,530CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$187,654PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$239,077CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$5,599CYTotalFundraisingExpenseAmt
PY Other Expenses$72,993PYOtherExpensesAmt
CY Other Expenses$65,750CYOtherExpensesAmt
PY Total Expenses$260,647PYTotalExpensesAmt
CY Total Expenses$319,357CYTotalExpensesAmt
PY Revenues Less Expenses-$13,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$57,859CYRevenuesLessExpensesAmt
Total Assets BOY$230,127TotalAssetsBOYAmt
Total Assets EOY$292,457TotalAssetsEOYAmt
Total Liabilities BOY$16,657TotalLiabilitiesBOYAmt
Total Liabilities EOY$21,128TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$213,470NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$271,329NetAssetsOrFundBalancesEOYAmt
MissionThe Organization's mission is to establish a system of regionalized services for care and treatment of the mentally ill, and to provide community mental health services, research and education.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$272,370ExpenseAmt
Grant$14,530GrantAmt
DescPlanning and supersion of programs coordinated with the State of Connecticut Department of Mental Health and Addiction Services and Department of Transportation, and the federal Substance Abuse and Mental Health Administration.Desc
Total Program Service Expenses$272,370TotalProgramServiceExpensesAmt
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 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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
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
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member20IndependentVotingMemberCnt
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 PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMarcia DuForePersonNm
Phone8606676388PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1367 Russell RoadAddressLine1
CityNewingtonCity
StateCTState
ZIP Code061111521ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
Larry Pittinger
Board Member1.000.00Yes (X)$0$0$0
Denise Dauray
Chairperson3.000.00Yes (X)$0$0$0Yes (X)
Dennis Keenan
Treasurer3.000.00Yes (X)$0$0$0Yes (X)
Beryl Cole
Board Member1.000.00Yes (X)$0$0$0
Don Miller
Board Member1.000.00Yes (X)$0$0$0
Alicia Woodsby
Board Member1.000.00Yes (X)$0$0$0
Carol Gilbert
Vice President3.000.00Yes (X)$0$0$0Yes (X)
Judith Shaw
Board Member1.000.00Yes (X)$0$0$0
Leslie Woods
Board Member1.000.00Yes (X)$0$0$0
Erica Bodden
Board member1.000.00Yes (X)$0$0$0
Lila Coddington
Board Member1.000.00Yes (X)$0$0$0
Marissa Walls
Board Member1.000.00Yes (X)$0$0$0
Jay Cummings
Board Member1.000.00Yes (X)$0$0$0
Tina Inferrera
ViceChairperson3.000.00Yes (X)$0$0$0Yes (X)
Benita Toussaint
Board Member1.000.00Yes (X)$0$0$0
Sewerun Borecki
Board Member1.000.00Yes (X)$0$0$0
Gayle Gaudreau
Board member1.000.00Yes (X)$0$0$0
Eileen Swan
Secretary3.000.00Yes (X)$0$0$0Yes (X)
Mary Hess
Board Member1.000.00Yes (X)$0$0$0
Mui Mui Hin-McCormick
Board Member1.000.00Yes (X)$0$0$0
Linda Howard-Sorrell
Board member1.000.00Yes (X)$0$0$0
Sarah Perez
Board member1.000.00Yes (X)$0$0$0
Marcia DuFore
Executive Dir.40.000.00$60,000$0$15,600Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$60,000TotalReportableCompFromOrgAmt
Total Other Compensation$15,600TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$50,570GovernmentGrantsAmt
All Other Contributions$14,982AllOtherContributionsAmt
Total Contributions$65,552TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Conferences and meetings$6,502$6,502
Government grants$303,754$303,754
FieldValueIRS element (for citing)
Total Program Service Revenue$310,256TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,408TotalRevenueColumnAmt
Exclusion$1,408ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$377,216TotalRevenueColumnAmt
Related Or Exempt Func Income$310,256RelatedOrExemptFuncIncomeAmt
Exclusion$1,408ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,530TotalAmt
Program Services$14,530ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$51,000ProgramServicesAmt
Management And General$6,000ManagementAndGeneralAmt
Fundraising$3,000FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$115,896TotalAmt
Program Services$109,567ProgramServicesAmt
Management And General$5,793ManagementAndGeneralAmt
Fundraising$536FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$8,218TotalAmt
Program Services$7,502ProgramServicesAmt
Management And General$551ManagementAndGeneralAmt
Fundraising$165FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$37,231TotalAmt
Program Services$33,986ProgramServicesAmt
Management And General$2,496ManagementAndGeneralAmt
Fundraising$749FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$17,732TotalAmt
Program Services$16,186ProgramServicesAmt
Management And General$1,189ManagementAndGeneralAmt
Fundraising$357FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,188TotalAmt
Management And General$9,188ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Management And General$10,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,938TotalAmt
Program Services$4,853ProgramServicesAmt
Management And General$708ManagementAndGeneralAmt
Fundraising$377FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,679TotalAmt
Program Services$2,445ProgramServicesAmt
Management And General$180ManagementAndGeneralAmt
Fundraising$54FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,456TotalAmt
Program Services$4,068ProgramServicesAmt
Management And General$298ManagementAndGeneralAmt
Fundraising$90FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$12,288TotalAmt
Program Services$12,288ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,095TotalAmt
Program Services$1,000ProgramServicesAmt
Management And General$73ManagementAndGeneralAmt
Fundraising$22FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,993TotalAmt
Program Services$3,493ProgramServicesAmt
Management And General$469ManagementAndGeneralAmt
Fundraising$31FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Printing and Publications$9,126$8,331$612$183
Repairs and maintenance$4,369$1,521$2,848
Postage and Shipping$1,752$1,600$117$35
Dues and subscriptions$866$866

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$319,357TotalAmt
Program Services$272,370ProgramServicesAmt
Management And General$41,388ManagementAndGeneralAmt
Fundraising$5,599FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$196,749BOYAmt
EOY$242,959EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$29,992BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$723BOYAmt
EOY$38,911EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,233BOYAmt
EOY$3,163EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$34,121LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$26,697LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$430BOYAmt
EOY$7,424EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$230,127BOYAmt
EOY$292,457EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$16,657BOYAmt
EOY$21,128EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,657BOYAmt
EOY$21,128EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$213,470BOYAmt
EOY$271,329EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$213,470BOYAmt
EOY$271,329EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$230,127BOYAmt
EOY$292,457EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$57,859ReconcilationRevenueExpnssAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$71,119CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$57,685CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$66,865CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$69,248CurrentTaxYearMinus1YearAmt
Current Tax Year$65,552CurrentTaxYearAmt
Total$330,469TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$602,100CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$439,348CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$187,927CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$176,807CurrentTaxYearMinus1YearAmt
Current Tax Year$310,256CurrentTaxYearAmt
Total$1,716,438TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,000CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,000CurrentTaxYearMinus1YearAmt
Current Tax Year$12,000CurrentTaxYearAmt
Total$60,000TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$685,219CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$509,033CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$266,792CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$258,055CurrentTaxYearMinus1YearAmt
Current Tax Year$387,808CurrentTaxYearAmt
Total$2,106,907TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,106,907PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$991CurrentTaxYearMinus1YearAmt
Current Tax Year$1,408CurrentTaxYearAmt
Total$5,128TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,163CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$519CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$991CurrentTaxYearMinus1YearAmt
Current Tax Year$1,408CurrentTaxYearAmt
Total$5,128TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$686,382CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$510,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$267,311CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$259,046CurrentTaxYearMinus1YearAmt
Current Tax Year$389,216CurrentTaxYearAmt
Total$2,112,035TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99760PublicSupportCY509Pct
Public Support PY5090.99470PublicSupportPY509Pct
Investment Income CY0.00240InvestmentIncomeCYPct
Investment Income PY0.00530InvestmentIncomePYPct
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

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,121OtherCostOrOtherBasisAmt
Depreciation$26,697DepreciationAmt
Book Value$7,424BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,424TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$389,216TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$12,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$12,000RevenueNotReportedAmt
Revenue Subtotal$377,216RevenueSubtotalAmt
Total Revenue Per Form990$377,216TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$331,357TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$12,000DonatedServicesUseFcltsAmt
Expenses Not Reported$12,000ExpensesNotReportedAmt
Expenses Subtotal$319,357ExpensesSubtotalAmt
Total Expenses Per Form990$319,357TotalExpensesPerForm990Amt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe organization's independent accountant prepared the Form 990 following completion of the review of its financial statements. The CPA then reviewed the draft Form 990 with the Executive Director and the Finance Committee. The Form 990 was then circulated to the Board of Directors.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Board of Directors monitors compliance with its conflict of interest policy by requesting and reviewing directors' COI disclosures.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Board provides governing documents, conflict-of-interest policy and financial statements, in accordance with state law.

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