ASSOCIATION OF OREGON COMMUNITY MENTAL HEALTH PROGRAMS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ASSOCIATION OF OREGON COMMUNITY MENTAL HEALTH PROGRAMS (EIN 93-0582360)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-08-29
IRS object ID
201312419349300761
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)
Timestamp2013-08-29T18:44:03-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN930802780EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHNSON GLAZE & CO PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13085 RIVER ROAD NAddressLine1
CitySALEMCity
StateORState
ZIP Code97303ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN930582360EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ASSOCIATION OF OREGON COMMUNITY MENTALBusinessNameLine1
Business Name Line2HEALTH PROGRAMSBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlASSONameControl
Phone5033997201Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11201 COURT ST NE SUITE 302AddressLine1
CitySALEMCity
StateORState
ZIP Code97301ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHERRYL L RAMIREZName
TitleEXECUTIVE DIRECTORTitle
Phone5033997201Phone
Date Signed2013-08-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOHN LA'GEREName
PTINP00541597PTIN
Phone5033907880Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHERRYL L RAMIREZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11201 COURT ST NE SUITE 302AddressLine1
CitySALEMCity
StateORState
ZIP Code97301ZIPCode
FieldValueIRS element (for citing)
Gross Receipts512249GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.AOCMHP.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO SUPPORT AND ADVOCATE FOR LOCAL MENTAL HEALTH AUTHORITIES IN THEIR PLANNING AND MANAGEMENT OF MENTAL HEALTH, ADDICTIONS AND DEVELOPMENTAL DISABILITIES PROGRAMS TO ENSURE AN EFFECTIVE LOCAL SYSTEM OF CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body32NbrVotingMembersGoverningBody
Nbr Independent Voting Members32NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year330191ContributionsGrantsPriorYear
Contributions Grants Current Year510568ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16629ProgramServiceRevenuePriorYear
Program Service Revenue CY641ProgramServiceRevenueCY
Investment Income Prior Year1717InvestmentIncomePriorYear
Investment Income Current Year1040InvestmentIncomeCurrentYear
Other Revenue Prior Year2254OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year350791TotalRevenuePriorYear
Total Revenue Current Year512249TotalRevenueCurrentYear
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 Year9878SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year704860OtherExpensePriorYear
Other Expenses Current Year584894OtherExpensesCurrentYear
Total Expenses Prior Year714738TotalExpensesPriorYear
Total Expenses Current Year584894TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-363947RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-72645RevenuesLessExpensesCY
Total Assets BOY380174TotalAssetsBOY
Total Assets EOY302044TotalAssetsEOY
Total Liabilities BOY39248TotalLiabilitiesBOY
Total Liabilities EOY33763TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY340926NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY268281NetAssetsOrFundBalancesEOY
Mission DescriptionOUR MISSION IS TO SUPPORT AND ADVOCATE FOR LOCAL MENTAL HEALTH AUTHORITIES IN THEIR PLANNING AND MANAGEMENT OF MENTAL HEALTH, ADDICTIONS AND DEVELOPMENTAL DISABILITIES PROGRAMS TO ENSURE AN EFFECTIVE LOCAL SYSTEM OF CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense583059Expense
Grants24696Grants
Revenue641Revenue
DescriptionTO SUPPORT AND ADVOCATE FOR LOCAL MENTAL HEALTH AUTHORITIES IN THEIR PLANNING AND MANAGEMENT OF MENTAL HEALTH, ADDICTIONS AND DEVELOPMENTAL DISABILITIES PROGRAMS TO ENSURE AN EFFECTIVE LOCAL SYSTEM OF CARE.Description
Total Program Service Expense583059TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
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 Stmt0IndependentAuditFinancialStmt
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
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
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10963NumberFormsTransmittedWith1096
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members32NbrVotingGoverningBodyMembers
Number Independent Voting Members32NumberIndependentVotingMembers
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 Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy0ConflictOfInterestPolicy
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDIANA BRONSON CANNALLANamePerson
Telephone Number5033997201TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 COURT ST NE SUITE 302AddressLine1
CitySALEMCity
StateORState
ZIP Code97301ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
SHARI SELANDER
BAKER DIRECTOR3.00X000
MITCHELL ANDERSON
BENTON DIRECTOR3.00X000
CINDY BECKER
CLACKAMAS DIRECTOR3.00X000
SUMUER WATKINS
CLATSOP DIRECTOR3.00X000
ROLAND MIGCHIELSEN
COLUMBIA DIRECTOR3.00X000
DAVID GEELS
COOS DIRECTOR3.00X000
SCOTT WILLARD
CROOK DIRECTOR3.00X000
CAROL RAPER INTERIM
CURRY DIRECTOR3.00X000
SCOTT JOHNSON
DESCHUTES DIRECTOR3.00X000
JANET HOLLAND
2ND VICE PRESIDENT/DOUGLAS DIRECTOR3.00X000X
BARB SEATTER
HOOD RIVER, SHERMAN & WASCO DIRECTOR3.00X000
KIMBERLY LINDSAY
GRANT, MORROW, WHEELER, & GILLIAM DIRECTOR3.00X000
CHRIS SIEGNER
PRESIDENT/HARNEY DIRECTOR5.00X000X
MARK ORNDOFF
JACKSON DIRECTOR3.00X000
RICK TRELEAVEN
JEFFERSON DIRECTOR3.00X000
KARLA MCCAFFERTY
JOSEPHINE DIRECTOR3.00X000
AMANDA BUNGER
KLAMATH DIRECTOR3.00X000
BENJAMIN PAZ
LAKE DIRECTOR3.00X000
ALICIA HAYS
LANE DIRECTOR3.00X000
CHERYL CONNELL
LINCOLN DIRECTOR3.00X000
FRANK MOORE
LINN DIRECTOR3.00X000
RAY MILLAR
MALHEUR DIRECTOR3.00X000
ROD CALKINS
MARION DIRECTOR3.00X000
DAVID HIDALGO
1ST VICE PRESIDENT/MULTNOMAH DIRECTOR3.00X000X
GEOFF HEATHERINGTON
POLK DIRECTOR3.00X000
FRANK HANNA-WILLIAMS
TILLAMOOK DIRECTOR3.00X000
CONNIE CAPLINGER
UMATILLA DIRECTOR3.00X000
DWIGHT DILL
UNION DIRECTOR3.00X000
STEPHEN KLIEWER
WALLOWA DIRECTOR3.00X000
SHILO TIPPETT PH D
WARM SPRINGS DIRECTOR3.00X000
KIM BURGESS LCSW
WASHINGTON DIRECTOR3.00X000
SILAS HALLORAN-STEINER
SECRETARY/TREASURER/YAMHILL DIRECTOR3.00X000X
CHERRYL RAMIREZ
EXECUTIVE DIRECTOR40.00X54133016267X
FieldValueIRS element (for citing)
Total Reportable Comp From Org54133TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation16267TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1AOC (ASSOCIATION OF OREGON COUNTIES)BusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11201 COURT ST NE 300AddressLine1
CitySALEMCity
StateORState
ZIP Code97301ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSULTING, IT, & RENTDescriptionOfServices
Compensation410195Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Membership Dues485872MembershipDues
All Other Contributions24696AllOtherContributions
Total Contributions510568TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
TRAVEL EXPENSES REIMBU624100625625
OTHER REVENUE6241001616
FieldValueIRS element (for citing)
Total Program Service Revenue641TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1040TotalRevenueColumn
Exclusion$1,040ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column512249TotalRevenueColumn
Related Or Exempt Function Income641RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,040ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1835Total
Management And General1835ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total458862Total
Program Services367090ProgramServices
Management And General91772ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1497Total
Program Services1497ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20911Total
Program Services20911ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total12378Total
Program Services12378ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total22356Total
Program Services22356ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total748Total
Program Services748ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total1320Total
Program Services1320ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
DUES AND SUBSCRIPTIONS4717547175
TELEPHONE79447944
MISCELLANEOUS EXPENSES36193619
INTERNET AND VIDEO35313531

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2718Total
Program Services2718ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total584894Total
Program Services491287ProgramServices
Management And General93607ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY377912BOY
EOY295704EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY4826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15169LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13655LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2262BOY
EOY1514EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY380174BOY
EOY302044EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39248BOY
EOY33763EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY39248BOY
EOY33763EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY340926BOY
EOY268281EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY340926BOY
EOY268281EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY380174BOY
EOY302044EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-72645ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nondeduct1SubstantiallyAllDuesNondeduct
Only In House Lobbying1OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear

Schedule D IRS990ScheduleD

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15169OtherCostOrOtherBasis
Depreciation13655Depreciation
Book Value1514BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1514TotalOfBookValueLandBuildings

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 7BTHE DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL OF ASSOCIATION OF OREGON COUNTIES.
FORM 990, PART VI, SECTION B, LINE 11THE BOARD WAS GIVEN A COPY OF THE RETURN TO REVIEW BEFORE IT WAS FILED WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 15AN ANNUAL REVIEW IS DONE OF COMPENSATION OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES BY THE BOARD OR INDEPENDENT PERSON AS APPLICABLE. THE INFORMATION GATHERED AND THE DECISIONS MADE ARE DOCUMENTED CONTEMPORANEOUSLY IN THE EMPLOYEE'S FILE AND/OR BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
CHERRYL RAMIREZ WAGES ARE PAID THROUGH A MANAGEMENT COMPANY BUT DISCLOSED IN PART VII.
FORM 990, PART IX, LINE 11GCONSULTATIONS : PROGRAM SERVICE EXPENSES 86,426. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 86,426. PROFESSIONAL SERVICES AGREEMENT : PROGRAM SERVICE EXPENSES 30,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 30,099. AOC INFORMATION SERVICES : PROGRAM SERVICE EXPENSES 1,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,754. PERSONNEL AND RELATED EXPENSES : PROGRAM SERVICE EXPENSES 248,811. MANAGEMENT AND GENERAL EXPENSES 91,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 340,583.OTHER FEES

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