CENTRE VOLUNTEERS IN MEDICINE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CENTRE VOLUNTEERS IN MEDICINE (EIN 25-1897969)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201311359349300756
Schema version
2011v1.5
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)
Timestamp2013-05-15T07:50:06-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN232932984EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 REGENT COURT SUITE CAddressLine1
CitySTATE COLLEGECity
StatePAState
ZIP Code16801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251897969EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRE VOLUNTEERS IN MEDICINEBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone8142314043Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVE NO DAddressLine1
CitySTATE COLLEGECity
StatePAState
ZIP Code16803ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHERYL WHITEName
TitleEXECUTIVE DIRECTORTitle
Phone8142314043Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRICK BAIR CPAName
PTINP00062995PTIN
Phone8142376586Phone
Date Prepared2013-05-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHERYL WHITENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVE NO DAddressLine1
CitySTATE COLLEGECity
StatePAState
ZIP Code16803ZIPCode
FieldValueIRS element (for citing)
Gross Receipts821592GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CVIM.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionCENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Nbr Volunteers222TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year741394ContributionsGrantsPriorYear
Contributions Grants Current Year745167ContributionsGrantsCurrentYear
Program Service Revenue Prior Year141525ProgramServiceRevenuePriorYear
Program Service Revenue CY32791ProgramServiceRevenueCY
Investment Income Prior Year3864InvestmentIncomePriorYear
Investment Income Current Year2448InvestmentIncomeCurrentYear
Other Revenue Prior Year48738OtherRevenuePriorYear
Other Revenue Current Year10089OtherRevenueCurrentYear
Total Revenue Prior Year935521TotalRevenuePriorYear
Total Revenue Current Year790495TotalRevenueCurrentYear
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 Year469730SalariesEtcPriorYear
Salaries Etc Current Year476625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year94753TotalFundrsngExpCurrentYear
Other Expense Prior Year386834OtherExpensePriorYear
Other Expenses Current Year355900OtherExpensesCurrentYear
Total Expenses Prior Year856564TotalExpensesPriorYear
Total Expenses Current Year832525TotalExpensesCurrentYear
Revenues Less Expenses Prior Year78957RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-42030RevenuesLessExpensesCY
Total Assets BOY873760TotalAssetsBOY
Total Assets EOY827955TotalAssetsEOY
Total Liabilities BOY26137TotalLiabilitiesBOY
Total Liabilities EOY27514TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY847623NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY800441NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCENTRE VOLUNTEERS IN MEDICINE WILL SERVE AND ADVOCATE FOR THE MEDICALLY UNDERSERVED RESIDENTS OF CENTRE COUNTY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense175569Expense
Revenue1390Revenue
DescriptionPROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE PREVENTATIVE AND ACUTE PRIMARY HEALTH CARE: IN FY 2012 PROVIDED 717 UNIQUE PATIENTS IN THE MEDICAL CLINIC WITH 2,485 PATIENT VISITS, INCLUDING 1,796 APPOINTMENTS WITH VOLUNTEER PHYSICIANS. OTHER VISITS INCLUDED NURSE APPOINTMENTS, ELIGIBILITY/ENROLLMENT APPOINTMENTS, DISEASE MANAGEMENT EDUCATION AND LAB DRAWS. STAFF AND VOLUNTEERS UTILIZE A REFERRAL NETWORK TO ASSIST PATIENTS TO ACCESS ANCILLARY SERVICES SUCH AS X-RAY, ULTRASOUND AND OTHER DIAGNOSTIC TESTING, AND SPECIALTY SERVICES SUCH AS ORTHOPEDIST, CARDIOLOGIST AND OPTOMETRIST CARE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense158108Expense
Revenue5000Revenue
DescriptionPROVIDE UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY WITH ACCESS TO FREE RESTORATIVE AND ACUTE PRIMARY DENTAL CARE: IN FY 2012, PROVIDED 628 UNIQUE PATIENTS IN THE DENTAL CLINIC WITH 1,079 PATIENT VISITS. DENTISTS AND DENTAL HYGIENISTS (MANY VOLUNTEERS) PROVIDED EMERGENCY EVALUATIONS OF PATIENTS WITH SEVERE DENTAL PAIN, EXTRACTED TEETH DECAYED BEYOND SALVAGING, RESTORED TEETH THAT COULD BE SALVAGED, AND PROVIDED REGULAR CLEANING AND HYGIENE SERVICES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense126784Expense
Revenue15942Revenue
DescriptionPROVIDE FREE PRESCRIPTION MEDICATIONS TO PATIENTS THAT ARE PURCHASED DIRECTLY BY CVIM ($13,580 IN FY 2012), DONATED OR APPLIED FOR THROUGH THE MEDICATION ASSISTANCE PROGRAM (MAP). MAP IS A TEAM OF VOLUNTEERS WHO APPLY TO FREE MEDICATION PROGRAMS AT DRUG COMPANIES ON BEHALF OF CVIM PATIENTS. IN FY 2012, MAP ACCESSED APPROXIMATELY $795,808 WORTH OF MEDICATIONS FROM PHARMACEUTICAL COMPANIES TO BE PROVIDED TO CVIM PATIENTS. THE VALUE OF THESE PRESCRIPTION MEDICATIONS IS NOT CONSIDERED A DONATION TO THE ORGANIZATION, RATHER A DONATION TO THE PATIENT AND THUS IS NOT REFLECTED IN FINANCIAL STATEMENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense83448Expense
Revenue13248Revenue
DescriptionPROVIDE ACCESS TO FREE CASE MANAGEMENT SERVICES TO ASSIST UNINSURED AND UNDERINSURED RESIDENTS OF CENTRE COUNTY TO ENROLL IN AND UTILIZE EXISTING MEDICAL ASSISTANCE AND OTHER SOCIAL SERVICE PROGRAMS SUCH AS HEAT AND RENT ASSISTANCE, THE FOOD BANK, AND OFFICE OF VOCATIONAL REHABILITATION SERVICES. IN FY 2012, 459 UNIQUE PATIENTS WERE PROVIDED 635 VISITS FOR THESE SERVICES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp83448TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev13248TotalOfOtherProgramServiceRev
Total Program Service Expense543909TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Activities1FundraisingActivities
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 With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees18NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
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 Enforcement0RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CHERYL WHITEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8142314043TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12520 GREEN TECH DRIVEAddressLine1
CitySTATE COLLEGECity
StatePAState
ZIP Code16803ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
KAY SALVINO
CHAIR5.00XX000
GRACE GIANTURCO GORENFLO
VICE CHAIR3.00XX000
TED MCDOWELL
SECRETARY3.00XX000
NICOLE L JOHN
TREASURER3.00XX000
JOSEPH FAULKNER
DIRECTOR1.00X000
MARLENE BANNON
DIRECTOR1.00X000
TOM CALI
DIRECTOR1.00X000
JANINE GISMONDI
DIRECTOR1.00X000
SUSAN HARTMAN
DIRECTOR1.00X000
WILLIAM JAMES JR
DIRECTOR1.00X000
LAUREN LUBUS
DIRECTOR1.00X000
BILL JOSEPH
DIRECTOR1.00X000
LOUISE SANDMEYER
DIRECTOR1.00X000
SARA SONGER
DIRECTOR1.00X000
RICH WISNIEWSKI
DIRECTOR1.00X000
SUSAN YOUTZ
DIRECTOR1.00X000
JIM CONNELLY
DIRECTOR1.00X000
JOHN DOMICO
DIRECTOR1.00X000
CHERYL WHITE
EXECUTIVE DIRECTOR40.00X6816501428
FieldValueIRS element (for citing)
Total Reportable Comp From Org68165TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1428TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events88615FundraisingEvents
All Other Contributions656552AllOtherContributions
Total Contributions745167TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDICAL & DENTALDescription
Business Code621110BusinessCode
Total Revenue Column32791TotalRevenueColumn
Related Or Exempt Function Income32791RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue32791TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2448TotalRevenueColumn
Exclusion$2,448ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events38397GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events88615CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses31097FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column7300TotalRevenueColumn
Exclusion$7,300ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column2789TotalRevenueColumn
Related Or Exempt Function Income2789RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2789TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column790495TotalRevenueColumn
Related Or Exempt Function Income35580RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$9,748ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total70449Total
Management And General42269ManagementAndGeneral
Fundraising28180Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total344539Total
Program Services234705ProgramServices
Management And General72956ManagementAndGeneral
Fundraising36878Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25272Total
Program Services17340ProgramServices
Management And General6898ManagementAndGeneral
Fundraising1034Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total36365Total
Program Services20954ProgramServices
Management And General9722ManagementAndGeneral
Fundraising5689Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total13180Total
Program Services3607ProgramServices
Management And General9573ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1306Total
Program Services862ProgramServices
Management And General222ManagementAndGeneral
Fundraising222Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total31015Total
Program Services15492ProgramServices
Management And General13600ManagementAndGeneral
Fundraising1923Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total170389Total
Program Services136871ProgramServices
Management And General28107ManagementAndGeneral
Fundraising5411Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1080Total
Program Services540ProgramServices
Management And General540ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44956Total
Program Services40010ProgramServices
Management And General4496ManagementAndGeneral
Fundraising450Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total18665Total
Program Services13589ProgramServices
Management And General4695ManagementAndGeneral
Fundraising381Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
PHARMACEUTICAL SUPPLIES4483344833
FUNDRAISING ACTIVITIES1380013800
OTHER SUPPLIES1108811088
VOLUNTEER APPRECIATION37342464635635

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1854Total
Program Services1554ProgramServices
Management And General150ManagementAndGeneral
Fundraising150Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total832525Total
Program Services543909ProgramServices
Management And General193863ManagementAndGeneral
Fundraising94753Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3683BOY
EOY10221EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY507426BOY
EOY563884EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY56266BOY
EOY33104EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2874BOY
EOY1289EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39344BOY
EOY8067EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26190BOY
EOY36348EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis414116LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec339743LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY117274BOY
EOY74373EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY105821BOY
EOY100669EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14882BOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY873760BOY
EOY827955EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY26137BOY
EOY27514EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY26137BOY
EOY27514EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY766631BOY
EOY724907EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY80992BOY
EOY75534EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY847623BOY
EOY800441EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY873760BOY
EOY827955EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-42030ReconcilationRevenueExpenses
Reconcilation Other Changes-5152ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years537967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years540965CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years685911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year804264CurrentTaxYearMinus1Year
Current Tax Year745167CurrentTaxYear
Total3314274Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years537967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years540965CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years685911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year804264CurrentTaxYearMinus1Year
Current Tax Year745167CurrentTaxYear
Total3314274Total
FieldValueIRS element (for citing)
Public Support Total1703314274PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-7551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28933CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37920CurrentTaxYearMinus1Year
Current Tax Year2448CurrentTaxYear
Total88628Total
FieldValueIRS element (for citing)
Total Support3402902TotalSupport
Gross Receipts From Admissions Etc626597GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.97400PublicSupportPertcentage170
Public Support Pertcent Prior Year0.78710PublicSupportPertcentPriorYear
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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance105821BeginningOfYearBalance
Investment Earnings Or Losses-5152InvestmentEarningsOrLosses
End Of Year Balance100669EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance92523BeginningOfYearBalance
Investment Earnings Or Losses17911InvestmentEarningsOrLosses
Grants Or Scholarships3042GrantsOrScholarships
Administrative Expenses1571AdministrativeExpenses
End Of Year Balance105821EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance84935BeginningOfYearBalance
Investment Earnings Or Losses12565InvestmentEarningsOrLosses
Grants Or Scholarships3456GrantsOrScholarships
Administrative Expenses1521AdministrativeExpenses
End Of Year Balance92523EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis141545OtherCostOrOtherBasis
Depreciation141545Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis272571OtherCostOrOtherBasis
Depreciation198198Depreciation
Book Value74373BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings74373TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINTEREST IN ASSET HELD BY OTHERSDescription
Book Value100669BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities100669TotalOfBookValueSecurities
Total Revenue790495TotalRevenue
Total Expenses832525TotalExpenses
Excess Or Deficit For Year-42030ExcessOrDeficitForYear
Net Unrealized GL On Investments-5152NetUnrealizedGLOnInvestments
Total Adjustments-5152TotalAdjustments
Excess Or Deficit Per FS-47182ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1541306TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-5152NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities724866DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990719714RevenueNotRptdF990
Revenue Subtotal821592RevenueSubtotal
Other Revenues Not Included-31097OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-31097RevenueNotRptdOnFinStmt
Total Revenue Per Form990790495TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1588488TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities724866DonatedServicesUseOfFacilities
Other Expenses Included31097OtherExpensesIncluded
Expenses Not Rptd F990755963ExpensesNotRptdF990
Expenses Subtotal832525ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990832525TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:A PERCENTAGE OF THE ENDOWMENT FUND EARNINGS ARE TO BE USED TO HELP FUND CVIM'S OPERATIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD JUNE 30, 2012 AND 2011. THE ORGANIZATION FEDERAL INCOME TAX RETURNS FOR THE YEARS ENDED JUNE 30, 2011, 2010, AND 2009 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE.
PART XII, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE -31097.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE 31097.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1BATTLE OF THE MINDSNameOfEvent1
Gross Receipts Event1107324GrossReceiptsEvent1
Charitable Contributions Event168927CharitableContributionsEvent1
Gross Revenue Event138397GrossRevenueEvent1
Cash Prizes Event1928CashPrizesEvent1
Food And Beverage Event123909FoodAndBeverageEvent1
Entertainment Event12615EntertainmentEvent1
Other Direct Expenses Event12840OtherDirectExpensesEvent1
Name Of Event2CYCLING FOR CARENameOfEvent2
Gross Receipts Event219688GrossReceiptsEvent2
Charitable Contributions Event219688CharitableContributionsEvent2
Other Direct Expenses Event2805OtherDirectExpensesEvent2
Gross Receipts Total127012GrossReceiptsTotal
Charitable Contributions Total88615CharitableContributionsTotal
Gross Revenue Total Events38397GrossRevenueTotalEvents
Cash Prizes Total Events928CashPrizesTotalEvents
Food And Beverage Total Events23909FoodAndBeverageTotalEvents
Entertainment Total Events2615EntertainmentTotalEvents
Other Direct Expenses Total Events3645OtherDirectExpensesTotalEvents
Direct Expense Summary Events31097DirectExpenseSummaryEvents
Net Income Summary7300NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 IS PROVIDED AND REVIEWED BY THE BOARD OR DIRECTORS PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST AND GUIDESTAR WEBSITE.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -5152.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XI, LINE 2CNO CHANGE IN THE OVERSIGHT PROCESS IN THE CURRENT YEAR.

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