AUGUSTA CARE PREGNANCY CENTER INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
AUGUSTA CARE PREGNANCY CENTER INC (EIN 58-1461982)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-08
IRS object ID
201301289349301050
Schema version
2012v2.1
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)
Timestamp2013-05-08T10:06:58-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RHODEN CPA FIRMBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1808 GREENE STREET SUITE 201AddressLine1
CityAUGUSTACity
StateGAState
ZIP Code309010220ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581461982EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AUGUSTA CARE PREGNANCY CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAUGUNameControl
Phone7067245531Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11298 1/2 BROAD STAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code309011116ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN SWANSONName
TitleDIRECTORTitle
Phone7067245531Phone
Date Signed2013-04-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSHELLEY ALDREDName
Phone7067247979Phone
Date Prepared2013-04-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSUSAN SWANSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11298 1/2 BROAD STAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts311765GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COUNSELING AND PREGNANCY TESTINGActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees21TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI1485TotalGrossUBI
Net Unrelated Business Txbl Income-456NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year172135ContributionsGrantsPriorYear
Contributions Grants Current Year160487ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year89093OtherRevenuePriorYear
Other Revenue Current Year96800OtherRevenueCurrentYear
Total Revenue Prior Year261228TotalRevenuePriorYear
Total Revenue Current Year257287TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13998GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY23039GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year100515SalariesEtcPriorYear
Salaries Etc Current Year111880SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1700TotalFundrsngExpCurrentYear
Other Expense Prior Year123113OtherExpensePriorYear
Other Expenses Current Year125763OtherExpensesCurrentYear
Total Expenses Prior Year237626TotalExpensesPriorYear
Total Expenses Current Year260682TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23602RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3395RevenuesLessExpensesCY
Total Assets BOY513227TotalAssetsBOY
Total Assets EOY512699TotalAssetsEOY
Total Liabilities BOY228445TotalLiabilitiesBOY
Total Liabilities EOY231312TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY284782NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY281387NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COUNSELING AND PREGNANCY TESTINGMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense174012Expense
Grants23039Grants
DescriptionTO PROVIDE COUNSELING AND PREGNANCY TESTING TO THOSE IN NEED IN AUGUSTA AND THE SURROUNDING AREAS. TESTED APPROX. 1,053 CLIENTS; COUNSELED APPROX. 1,272 CLIENTS AND TRAINED APPROXIMATELY 43 VOLUNTEERSDescription
Total Program Service Expense174012TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees21NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSUSAN SWANSONNamePerson
Telephone Number7067243733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11298 1/2 BROAD STAddressLine1
CityAUGUSTACity
StateGAState
ZIP Code30901ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationBusiness Name Line2NameBusiness/BusinessNameLine2OfficerOfficer
DAN BUTLER
BOARD MEMBER2.00X000
BLASE MANCINE JR
V. CHAIRMAN2.00X000
DAVID MCTIER
CHAIRMAN2.00X000
NANCY BRUSH
BOARD MEMBER2.00X000
GEORGE LIVELY
SECRETARY/TR2.00X000GEORGE LIVELY
SUSAN SWANSON
EXECUTIVE DI40.002481000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org24810TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions160487AllOtherContributions
Total Contributions160487TotalContributions

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real14575Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real10980Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3595Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3595TotalRevenueColumn
Related Or Exempt Function Income2110RelatedOrExemptFunctionIncome
Unrelated Business Revenue1485UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Gross Income Fundraising Events136661GrossIncomeFundraisingEvents
Fundraising Direct Expenses43498FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column93163TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionREFUNDSDescription
Total Revenue Column42TotalRevenueColumn
Related Or Exempt Function Income42RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue42TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column257287TotalRevenueColumn
Related Or Exempt Function Income2152RelatedOrExemptFunctionIncome
Unrelated Business Revenue1485UnrelatedBusinessRevenue

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total23039Total
Program Services23039ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total24810Total
Management And General24810ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total78545Total
Program Services53542ProgramServices
Management And General25003ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8525Total
Program Services5595ProgramServices
Management And General2930ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total2575Total
Management And General2575ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1700Total
Fundraising1700Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16528Total
Program Services9917ProgramServices
Management And General6611ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total16367Total
Program Services16367ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total444Total
Program Services444ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total27748Total
Program Services21138ProgramServices
Management And General6610ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total3475Total
Program Services2085ProgramServices
Management And General1390ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total14189Total
Program Services8513ProgramServices
Management And General5676ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total5426Total
Program Services3256ProgramServices
Management And General2170ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
TELEPHONE CHARGES796347783185
TRAINING EXPENSE62156215
LITERATURE AND PAMPHLETS50095009
TRI-COUNTY CPC ALLENDALE45864586

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13538Total
Program Services9528ProgramServices
Management And General4010ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total260682Total
Program Services174012ProgramServices
Management And General84970ManagementAndGeneral
Fundraising1700Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY39959BOY
EOY39431EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis473268LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY473268BOY
EOY473268EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY513227BOY
EOY512699EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY201649BOY
EOY194654EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY26796BOY
EOY36658EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY228445BOY
EOY231312EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY284782BOY
EOY281387EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY284782BOY
EOY281387EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY513227BOY
EOY512699EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-3395ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years203906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172135CurrentTaxYearMinus1Year
Current Tax Year160487CurrentTaxYear
Total900755Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years203906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years190886CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year172135CurrentTaxYearMinus1Year
Current Tax Year160487CurrentTaxYear
Total900755Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total69668AmountsSubstContributorsTotal
Public Support Total170831087PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years22241CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9696CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years19626CurrentTaxYearMinus2Years
Total51563Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3009CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years160CurrentTaxYearMinus2Years
Total3169Total
FieldValueIRS element (for citing)
Total Support955487TotalSupport
Gross Receipts From Admissions Etc143303GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.86980PublicSupportPertcentage170
Public Support Pertcent Prior Year0.88920PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis473268OtherCostOrOtherBasis
Book Value473268BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings473268TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
AMERICAN EXPRESS - 23002$26,960
CHASE - 4894$8,084
FICA TAXES WITHHELD$910
FEDERAL TAXES WITHHELD$510
STATE TAXES WITHHELD$114
STATE UNEMPLOYMENT TAX$80
FieldValueIRS element (for citing)
Total Of Amounts36658TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BANQUETNameOfEvent1
Gross Receipts Event192944GrossReceiptsEvent1
Gross Revenue Event192944GrossRevenueEvent1
Other Direct Expenses Event135667OtherDirectExpensesEvent1
Name Of Event2WALK-A-THONNameOfEvent2
Gross Receipts Event234328GrossReceiptsEvent2
Gross Revenue Event234328GrossRevenueEvent2
Other Direct Expenses Event27812OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events7150GrossReceiptsOtherEvents
Gross Revenue Other Events7150GrossRevenueOtherEvents
Other Direct Expenses Other Events19OtherDirectExpensesOtherEvents
Gross Receipts Total134422GrossReceiptsTotal
Gross Revenue Total Events134422GrossRevenueTotalEvents
Other Direct Expenses Total Events43498OtherDirectExpensesTotalEvents
Direct Expense Summary Events43498DirectExpenseSummaryEvents
Net Income Summary90924NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDIRECT FINANCIAL AIDTypeOfGrant
Amount Of Cash Grant23039AmountOfCashGrant

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BEXECUTIVE DIRECTOR AND CHAIRMAN OF THE BOARD WILL REVIEW RETURN.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CINQUIRY IS MADE WHEN FINANCIAL MATTERS ARE VOTED ON. BOARD MEMBERS FILL OUT A DISCLOSURE FORM.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19GOVERNING DOCUMENTS AVAILABLE UPON REQUEST AND RELEASED UPON APPROVAL OF ANY OFFICER.

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