FURP.ORG / PUBLIC DATA EXPLORER

ST CROIX REGIONAL FAMILY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST CROIX REGIONAL FAMILY HEALTH CENTER (EIN 01-0467073)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-15
IRS object ID
201300469349302200
Schema version
2011v1.2
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)
Timestamp2013-02-15T13:33:38-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010442893EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RON L BEAULIEU & CO CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line141 BATES STREETAddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010467073EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Croix Regional Family Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTCRNameControl
Phone2077965014Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1
CityPrincetonCity
StateMEState
ZIP Code04668ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHarry BaileyName
TitleChairTitle
Phone2077965014Phone
Date Signed2013-02-12DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRon L Beaulieu CPAName
PTINP00291424PTIN
Phone2077751717Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonHarry BaileyNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1
CityPrincetonCity
StateMEState
ZIP Code04668ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1132298GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1991YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionPrimary health care services.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees14TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year995171ProgramServiceRevenuePriorYear
Program Service Revenue CY1130843ProgramServiceRevenueCY
Investment Income Prior Year346InvestmentIncomePriorYear
Investment Income Current Year287InvestmentIncomeCurrentYear
Other Revenue Prior Year466OtherRevenuePriorYear
Other Revenue Current Year1168OtherRevenueCurrentYear
Total Revenue Prior Year995983TotalRevenuePriorYear
Total Revenue Current Year1132298TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year525573SalariesEtcPriorYear
Salaries Etc Current Year625598SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year374356OtherExpensePriorYear
Other Expenses Current Year425706OtherExpensesCurrentYear
Total Expenses Prior Year899929TotalExpensesPriorYear
Total Expenses Current Year1051304TotalExpensesCurrentYear
Revenues Less Expenses Prior Year96054RevenuesLessExpensesPriorYear
Revenues Less Expenses CY80994RevenuesLessExpensesCY
Total Assets BOY1395925TotalAssetsBOY
Total Assets EOY1426200TotalAssetsEOY
Total Liabilities BOY402830TotalLiabilitiesBOY
Total Liabilities EOY352111TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY993095NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1074089NetAssetsOrFundBalancesEOY
Mission DescriptionPrimary health care services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense571775Expense
Revenue1132011Revenue
DescriptionProviding medical services for the residents of the downeast region of Maine.Description
Total Program Service Expense571775TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109612NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees14NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sharon BhadeliaBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2077965014TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1136 Mill StreetAddressLine1
CityPrincetonCity
StateMEState
ZIP Code04668ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Harry Bailey
Chair2.00XX000
Arlene Borm
Vice Chair2.00XX000
David Borm
Secretary/Treasurer2.00XX000
Linda Bailey
Member2.00X000
Charles Murphy
Member2.00X000
Nancy Marshall
Member2.00X000
Sandra Bailey
Member2.00X000
Michael Marshall
Member2.00X000
Angela Hanson
Member2.00X000
Susan Murphy
Member2.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient fees621110641837641837
Medicaid/Medicare621110489006489006
FieldValueIRS element (for citing)
Total Program Service Revenue1130843TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column287TotalRevenueColumn
Exclusion$287ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther incomeDescription
Business Code561000BusinessCode
Total Revenue Column1168TotalRevenueColumn
Related Or Exempt Function Income1168RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1168TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1132298TotalRevenueColumn
Related Or Exempt Function Income1132011RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$287ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total521492Total
Program Services270093ProgramServices
Management And General251399ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9342Total
Program Services1395ProgramServices
Management And General7947ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total49371Total
Management And General49371ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45393Total
Program Services20091ProgramServices
Management And General25302ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18107Total
Management And General18107ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4660Total
Management And General4660ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total29510Total
Program Services24428ProgramServices
Management And General5082ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total32985Total
Program Services26766ProgramServices
Management And General6219ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1009Total
Program Services1009ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total832Total
Program Services663ProgramServices
Management And General169ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13836Total
Program Services13836ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total95221Total
Program Services63887ProgramServices
Management And General31334ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11880Total
Program Services11880ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Contracted and purchase132719132719
Utilities2713927139
Maintenance and repairs2170521705
Indirect allocation0-5082650826

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total36103Total
Program Services6990ProgramServices
Management And General29113ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1051304Total
Program Services571775ProgramServices
Management And General479529ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY88940BOY
EOY95982EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY69154BOY
EOY78085EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10411BOY
EOY8449EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1736978LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec530063LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1190908BOY
EOY1206915EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36512BOY
EOY36769EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1395925BOY
EOY1426200EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61960BOY
EOY62713EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY31733BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY309137BOY
EOY289398EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY402830BOY
EOY352111EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY962895BOY
EOY1043692EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY30200BOY
EOY30397EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY993095BOY
EOY1074089EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1395925BOY
EOY1426200EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses80994ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee0AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years518494CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year407174CurrentTaxYearMinus1Year
Current Tax Year489006CurrentTaxYear
Total1414674Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1026881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years935780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years654368CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year587997CurrentTaxYearMinus1Year
Current Tax Year641837CurrentTaxYear
Total3846863Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1026881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years935780CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1172862CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year995171CurrentTaxYearMinus1Year
Current Tax Year1130843CurrentTaxYear
Total5261537Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5095261537PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year346CurrentTaxYearMinus1Year
Current Tax Year287CurrentTaxYear
Total4084Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1630CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1225CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years596CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year346CurrentTaxYearMinus1Year
Current Tax Year287CurrentTaxYear
Total4084Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1966CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2410CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year466CurrentTaxYearMinus1Year
Current Tax Year1168CurrentTaxYear
Total8781Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1031282CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years938971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1175868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year995983CurrentTaxYearMinus1Year
Current Tax Year1132298CurrentTaxYear
Total5274402Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99760PublicSupportPercentage509
Prior Year Support Percentage0.98990PriorYearSupportPercentage
Investment Income Percentage0.00080InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00110PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis22249OtherCostOrOtherBasis
Book Value22249BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1232869OtherCostOrOtherBasis
Depreciation463446Depreciation
Book Value769423BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis437002OtherCostOrOtherBasis
Depreciation66617Depreciation
Book Value370385BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis44858OtherCostOrOtherBasis
Book Value44858BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1206915TotalOfBookValueLandBuildings
Total Revenue1132298TotalRevenue
Total Expenses1051304TotalExpenses
Excess Or Deficit For Year80994ExcessOrDeficitForYear
Excess Or Deficit Per FS80994ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1132298TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1132298RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9901132298TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1051304TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal1051304ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901051304TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 2Arlene and David Borm have a family relationship. Harry and Sandra Bailey have a family relationship. Michael and Nancy Marshall have a family relationship. Charles and Susan Murphy have a family relationship.
Form 990, Part VI, Section B, line 11The Board Treasurer reviews the 990 and provides a copy to all the Board Members, before it is submitted to the IRS.
Form 990, Part VI, Section B, line 12cEach Board Member must read the conflict of interest policy and each Member must sign off that they understand the policy.
Form 990, Part VI, Section C, line 19All documents are available to the public.