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ALZHEIMERS RESEARCH AND PREVENTION FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALZHEIMERS RESEARCH AND PREVENTION FOUNDATION (EIN 86-0735832)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-07-29
IRS object ID
201302109349301250
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)
Timestamp2013-07-29T16:01:04-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861010758EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ADDINGTON & ASSOCIATES PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15431 N ORACLE RD SUITE 101AddressLine1
CityTUCSONCity
StateAZState
ZIP Code85704ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860735832EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALZHEIMER'S RESEARCH AND PREVENTION FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALZHNameControl
Phone5207498374Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 30783AddressLine1
CityTUCSONCity
StateAZState
ZIP Code857510783ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDHARMA SINGH KHALSAName
TitlePRESIDENTTitle
Phone5207498374Phone
Date Signed2013-07-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAUL ADDINGTON CPAName
PTINP00153454PTIN
Phone5208871120Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDHARMA SINGH KHALSANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 30783AddressLine1
CityTUCSONCity
StateAZState
ZIP Code85751ZIPCode
FieldValueIRS element (for citing)
Gross Receipts921204GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALZHEIMERSPREVENTION.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileAZStateLegalDomicile
Activity Or Mission DescriptionTHE RESEARCH AND PREVENTION OF ALZHEIMERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members3NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1017267ContributionsGrantsPriorYear
Contributions Grants Current Year920616ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year672InvestmentIncomePriorYear
Investment Income Current Year588InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1017939TotalRevenuePriorYear
Total Revenue Current Year921204TotalRevenueCurrentYear
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 Year200000SalariesEtcPriorYear
Salaries Etc Current Year250000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year16091TotalFundrsngExpCurrentYear
Other Expense Prior Year519795OtherExpensePriorYear
Other Expenses Current Year226517OtherExpensesCurrentYear
Total Expenses Prior Year719795TotalExpensesPriorYear
Total Expenses Current Year476517TotalExpensesCurrentYear
Revenues Less Expenses Prior Year298144RevenuesLessExpensesPriorYear
Revenues Less Expenses CY444687RevenuesLessExpensesCY
Total Assets BOY2680076TotalAssetsBOY
Total Assets EOY3125563TotalAssetsEOY
Total Liabilities BOY4534TotalLiabilitiesBOY
Total Liabilities EOY5334TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2675542NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3120229NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE RESEARCH AND PREVENTION OF ALZHEIMERS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense439173Expense
DescriptionIN 2012, THE ALZHEIMER'S RESEARCH AND PREVENTION FOUNDATION (ARPF) WAS INVOLVED IN;RESEARCH:FINGER STUDY - THE ARPF IS A PROUD SUPPORTER AND PARTNER OF THE FINGER STUDY (FINNISH GERIATRIC INTERVENTION STUDY TO PREVENT COGNITIVE IMPAIRMENT AND DISABILITY), WHICH IS TAKING PLACE IN FINLAND AS A COLLABORATION BETWEEN THE FINNISH NATIONAL INSTITUTE FOR HEALTH AND WELFARE AND THE ALZHEIMERS DISEASE RESEARCH CENTER AT THE KAROLINSKA INSTITUTE IN STOCKHOLM, SWEDEN. THIS STUDY IS AT THE FOREFRONT OF INTERNATIONAL COLLABORATIVE EFFORTS TO SOLVE THE CLINICAL AND PUBLIC HEALTH PROBLEMS OF EARLY IDENTIFICATION OF INDIVIDUALS AT INCREASED RISK OF LATE-LIFE COGNITIVE IMPAIRMENT AND OF DEVELOPING INTERVENTION STRATEGIES TO PREVENT OR DELAY THE ONSET OF COGNITIVE IMPAIRMENT AND DEMENTIA. PRELIMINARY RESULTS WILL BE AVAILABLE IN LATE 2013.2012 SCIENTIFIC RESEARCH PAPERS:JOURNAL OF ALTERNATIVE AND COMPLEMENTARY MEDICINE - EFFECTS OF AN 8-WEEK MEDITATION PROGRAM ON MOOD AND ANXIETY IN PATIENTS WITH MEMORY LOSS.INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY - A PILOT STUDY OF YOGIC MEDITATION FOR FAMILY DEMENTIA CAREGIVERS WITH DEPRESSIVE SYMPTOMS: EFFECTS ON MENTAL HEALTH, COGNITION AND TELOMERASE ACTIVITY.PSYCHONEUROENDOCRINOLOGY - YOGIC MEDITATION REVERSES NF-KB AND IRF-RELATED TRANSCRIPTOME DYNAMICS IN LEUKOCYTES OF FAMILY DEMENTIA CAREGIVERS IN A RANDOMIZED CONTROLLED TRIAL.AGING HEALTH - A PILOT STUDY ON THE EFFECTS OF MEDITATION ON REGIONAL BRAIN METABOLISM IN DISTRESSED DEMENTIA CAREGIVERS.OUTREACH EVENTS:SENIOR EXPO - ON FEBRUARY 22, 2012, ARPF STAFF EXHIBITED AT THE 3RD ANNUAL ALL THINGS SENIOR EXPO & TRADESHOW AT SCOTTSDALE CENTER FOR THE PERFORMING ARTS IN SCOTTSDALE, ARIZONA, SHARING WITH ATTENDEES THE POSITIVE RESEARCH RESULTS IN BRAIN FUNCTION AND COGNITION WITH REGULAR USE OF THE MEMORY MEDITATION. OUTREACH REP JANE STELBOUM ON MARCH 18, 2012, JANE TAUGHT A SPECIAL CLASS AT THRIVE YOGA STUDIO IN SILVER SPRING, MARYLAND. THE FOCUS WAS ON BREATH AND MEDITATION EXERCISES TO MAINTAIN AND IMPROVE YOUR BRAIN FUNCTION USING THE KIRTAN KRIYA MEMORY EXERCISE. INTERNATIONAL CONFERENCE ON ALZHEIMERS DISEASE - IN JULY 2012, DR. KHALSA ATTENDED THIS INTERNATIONAL CONFERENCE IN VANCOUVER, CANADA WHERE HE PRESENTED A POSTER ON THE RESULTS OF ARPFS INNOVATIVE AND PROMISING RESEARCH, WHICH WAS VERY WELL RECEIVED. THE 9TH ANNUAL TUCSON MEMORY SCREENING DAY THE 9TH ANNUAL MEMORY SCREENING DAY WAS HELD AT THE DOUBLE TREE HOTEL IN TUCSON, ARIZONA ON OCTOBER 26 & 27, 2012, IN PARTNERSHIP WITH THE ROTARY DISTRICT 5500 ANNUAL CONFERENCE. SENIORS PARTICIPATED AND RECEIVED THEIR FREE MEMORY SCREENINGS, AS DID ROTARIANS ATTENDING THE CONFERENCE. ADDITIONALLY, DR. KHALSA GAVE A KEYNOTE PRESENTATION ABOUT THE IMPORTANCE OF A LIFESTYLE APPROACH TO MAXIMIZE COGNITIVE WELLNESS AND THE REDUCTION OF RISK FACTORS FOR ALZHEIMERS THROUGH PROGRAMS LIKE THE ARPF 4 PILLARS OF ALZHEIMERSPREVENTION. ARPF COO KIRTI KHALSA ALSO LED A YOGA CLASS AND SHARED THE 12-MINUTE MEMORY MEDITATION DURING THE CONFERENCE.AARP LIFE@50 ON SEPTEMBER 20-22, 2012, ARPF EXHIBITED AT THE AARP LIFE@50+ CONFERENCE HELD AT THE NEW ORLEANS CONVENTION CENTER. KIRTI KHALSA, ARPF COO AND OUTREACH REP JANE STELBOUM MET WITH ATTENDEES OVER 3 DAYS AND EDUCATED THEM ON THE PROGRAMS OF THE ARPF, INCLUDING THE 4 PILLARS OF ALZHEIMERS PREVENTION, AND SHARED HOW OUR CUTTING EDGE RESEARCH IS CHANGING THE FACE OF ALZHEIMERS PREVENTION. OUTREACH REP CHERYL HAGAR - DURING THE MONTHS OF OCTOBER, NOVEMBER AND DECEMBER OF 2012, CHERYL HAGAR, SILVERSNEAKERS, CARDIOCIRCUIT AND YOGASTRETCH INSTRUCTOR, STARTED ON A JOURNEY THROUGH WACO, TEXAS AND SURROUNDING AREAS, TEACHING SENIORS ABOUT THE IMPORTANT BENEFITS THAT EXERCISE HAS ON THE BRAIN. SHE SHARES, AND MORE IMPORTANTLY LIVES, THE 4 PILLARS OF ALZHEIMERS PREVENTION DAILY AND CONTINUES TO SPREAD THE WORD ABOUT THE IMPORTANT WORK AND RESEARCH OF THE ARPF.OUTREACH TRAINING COORDINATOR RIC KRAUS - IN NOVEMBER, 2012, RIC ATTENDED A HEALTH FAIR IN WASHINGTON, D.C. WHERE HE SHARED THE LIFESTYLE-BASED 4 PILLARS OF ALZHEIMERS PREVENTION AND HOW THEY CAN ENHANCE BRAIN FUNCTION, REDUCE STRESS, INCREASE ENERGY AND IMPROVE OVERALL HEALTH.2012 TELESEMINARS1) HOW YOUR CHOICES TODAY IMPACT YOUR HEALTH TOMORROW, MARCH 22, 20122) NUTRITION AND YOUR BRAIN, JUNE 7, 20123) IN-HOME HEALTH CARE: WHEN DO YOU NEED HELP? SEPTEMBER 13, 2012Description
Total Program Service Expense439173TotalProgramServiceExpense
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 Liabilities1ReportOtherLiabilities
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 Required1ScheduleJRequired
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members3NumberIndependentVotingMembers
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledAZStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIRTI KHALSANamePerson
Telephone Number5207498374TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111901 E CORONADO ROADAddressLine1
CityTUCSONCity
StateAZState
ZIP Code85749ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (5 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
DHARMA SINGH KHALSA MD
PRESIDENT35.00XX25000000
RANDAL BROOKS
VICE PRESIDENT5.00XX000
KIRTI KHALSA
SECRETARY35.00XX000
CAROLYN S SECHLER CPA
TREASURER5.00XX000
CAROLYN LUCZ
DIRECTOR3.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org250000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions920616AllOtherContributions
Total Contributions920616TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column588TotalRevenueColumn
Exclusion$588ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column921204TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$588ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total250000Total
Program Services250000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1951Total
Program Services788ProgramServices
Management And General1163ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11800Total
Management And General11800ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total124658Total
Program Services115278ProgramServices
Management And General1418ManagementAndGeneral
Fundraising7962Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total200Total
Management And General200ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40709Total
Program Services37633ProgramServices
Management And General1371ManagementAndGeneral
Fundraising1705Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4115Total
Program Services2274ProgramServices
Management And General1841ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total13205Total
Program Services13033ProgramServices
Management And General31ManagementAndGeneral
Fundraising141Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1755Total
Program Services1755ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total392Total
Management And General392ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
WEB DEVELOPMENT19664161543510
OTHER EXPENSES8068225827733037

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total476517Total
Program Services439173ProgramServices
Management And General21253ManagementAndGeneral
Fundraising16091Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY857830BOY
EOY1359042EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY572329BOY
EOY572987EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1234936BOY
EOY1184959EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7000BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5915BOY
EOY5803EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7639LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4867LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2066BOY
EOY2772EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2680076BOY
EOY3125563EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3005BOY
EOY3805EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1529BOY
EOY1529EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4534BOY
EOY5334EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2671501BOY
EOY3120229EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4041BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2675542BOY
EOY3120229EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2680076BOY
EOY3125563EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses444687ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years622100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years924595CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years919441CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1017267CurrentTaxYearMinus1Year
Current Tax Year920616CurrentTaxYear
Total4404019Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years622100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years924595CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years919441CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1017267CurrentTaxYearMinus1Year
Current Tax Year920616CurrentTaxYear
Total4404019Total
FieldValueIRS element (for citing)
Public Support Total1704404019PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3306CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1030CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year672CurrentTaxYearMinus1Year
Current Tax Year588CurrentTaxYear
Total6160Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112CurrentTaxYearMinus4Years
Total112Total
FieldValueIRS element (for citing)
Total Support4410291TotalSupport
Public Support Pertcentage1700.99860PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99680PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7639OtherCostOrOtherBasis
Depreciation4867Depreciation
Book Value2772BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2772TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIRS REFUNDDescription
Amount$1,529Amount
FieldValueIRS element (for citing)
Total Of Amounts1529TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt921204TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal921204RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990921204TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt476517TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal476517ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990476517TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonDHARMA SINGH KHALSA MDNamePerson
TitlePRESIDENTTitle
Base Compensation Filing Org250000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org250000TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationCOMPENSATION RECEIVED THROUGH KHALSA INTERNATIONAL. KHALSA INTERNATIONAL IS AN UNRELATED ORGANIZATION, OWNED BY THE PRESIDENT, THAT HAS NO CONTROL OVER THE ORGANIZATION. COMPENSATION PAID TO THE MEDICAL DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE EXCLUDING, THE PRESIDENT AND HIS WIFE WHO IS ALSO THE SECRETARY. THE ORGANIZATION CAN TERMINATE THE CONTRACT WITH A 30 DAY WRITTEN NOTICE.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DR DHARMA SINGH KHALSABusinessNameLine1
FieldValueIRS element (for citing)
RelationshipPRESIDENTRelationship
Amount Of Transaction250000AmountOfTransaction
Description Of TransactionMEDICAL DIRECTORDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 2DR. DHARMA KHALSA, PRESIDENT, AND KIRTI KHALSA, SECRETARY, ARE HUSBAND AND WIFE.
FORM 990, PART VI, SECTION B, LINE 11FORM 990. PAGE 6, PART VI, LINE 11: THE FORM 990 IS REVIEWED BY THE ENTIRE BOARD PRIOR TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CTHE LIST OF VENDORS ARE REVIEWED BY THE BOARD AT THEIR MEETINGS.
FORM 990, PART VI, SECTION B, LINE 15TWO SOURCES OF CORROBORATIVE INFORMATION IS REVIEWED BY THE EXECUTIVE COMMITTEE, EXCLUDING THE PRESIDENT AND SECRETARY, FOR SUPPORT FOR THE PAYMENTS TO THE PRESIDENT'S COMPANY FOR SERVICES AS THE MEDICAL DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19ORGANIZATIONAL AND OTHER GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT LABOR: PROGRAM SERVICE EXPENSES 14,228. MANAGEMENT AND GENERAL EXPENSES 875. FUNDRAISING EXPENSES 962. TOTAL EXPENSES 16,065. COMMUNICATIONS DIRECTOR: PROGRAM SERVICE EXPENSES 54,050. MANAGEMENT AND GENERAL EXPENSES 543. FUNDRAISING EXPENSES 7,000. TOTAL EXPENSES 61,593. PUBLIC AFFAIRS CONSULTANT: PROGRAM SERVICE EXPENSES 47,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,000.OTHER FEES

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