GOOD SAMARITAN HEALTH SERVICES INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SAMARITAN HEALTH SERVICES INC (EIN 73-1559561)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-22
- IRS object ID
- 201312499349300231
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-22T14:22:38-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203911007 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Minert and Associates PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2250 E 73rd St Suite 650 | AddressLine1 |
| City | Tulsa | City |
| State | OK | State |
| ZIP Code | 74136 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 731559561 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GOOD | NameControl |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1191 | AddressLine1 |
| City | Tulsa | City |
| State | OK | State |
| ZIP Code | 741011191 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN CROUCH | Name |
| Title | president | Title |
| Phone | 9187104222 | Phone |
| Date Signed | 2013-05-11 | DateSigned |
| Authorize Third Party | false | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Tony R Minert | Name |
| PTIN | P00290071 | PTIN |
| Phone | 9187421616 | Phone |
| Date Prepared | 2013-08-22 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JOHN R CROUCH JR MD | NameOfPrincipalOfficerPerson |
| Gross Receipts | 1878016 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.goodsamaritanhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1999 | YearFormation |
| State Legal Domicile | OK | StateLegalDomicile |
| Activity Or Mission Description | GOOD SAMARITAN HEALTH SERVICES, INC PROVIDES QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS WITHIN THE COMMUNITY. THE ORGANIZATION INTEGRATES SUPPORT FROM THE COMMUNITY AND EMPHASIZES A HOLISTIC APPROACH TO HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 5 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 2 | NbrIndependentVotingMembers |
| Total Nbr Employees | 19 | TotalNbrEmployees |
| Total Nbr Volunteers | 292 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1538681 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1874655 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 689 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3361 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1539370 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1878016 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 462956 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 412653 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 8780 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 65375 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1076570 | OtherExpensePriorYear |
| Other Expenses Current Year | 1516808 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1548306 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1929461 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -8936 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -51445 | RevenuesLessExpensesCY |
| Total Assets BOY | 270804 | TotalAssetsBOY |
| Total Assets EOY | 219359 | TotalAssetsEOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 270804 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 219359 | NetAssetsOrFundBalancesEOY |
| Mission Description | GOOD SAMARITAN HEALTH SERVICES, INC PROVIDES QUALITY HEALTH CARE TO THE UNDERSERVED POPULATIONS WITHIN THE COMMUNITY. THE ORGANIZATION INTEGRATES SUPPORT FROM THE COMMUNITY AND EMPHASIZES A HOLISTIC APPROACH TO HEALTH CARE. | MissionDescription |
| Expense | 1643886 | Expense |
| Description | ?Good Samaritan Health services (GSHS) provided more than 6,500 free medical patient visits in 2012. GSHS primarily targets persons and or areas in the community that are financially challenged and are unable to find or pay for their own medical care. GSHS? two medical vehicles are outfitted with patient rooms, lab area and formulary to drive into the neighborhoods of most need in and around the Tulsa, OK area. Partnership with local churches provide over 290 volunteers and the locations to connect patients with medical and companionate care including food and clothing pantries and face to face neighborly counsel at one of the 40 monthly health clinics. The GSHS mobile medical units have become a medical home for hundreds of people in the Tulsa and surrounding areas by meeting emotional and physical needs, providing health education and life-saving medicines in a compassionate environment.? | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 32184 | Expense |
| Description | ?The Good Samaritan Health Services? (GSHS) Well Woman Clinics provide monthly specialty care for women in the greater Tulsa community including: Breast exams, Mammogram coupons (donated through Oklahoma Project Woman), Pap smears to check for cervical cancer, Education on breast health through printed materials, a film, question and answer time, and one-on-one instruction by the doctors. GSHS doctors see an average of 28 women per monthly clinic. Many of the patients have not had a breast exam or mammogram prior to coming to a Well Woman Clinic. Patients with a past history or family history of breast cancer are given follow-up exams. The GSHS Well Woman clinics primarily reach into the Hispanic, Caucasian, Russian, African American, and Burmese communities; many of whom would otherwise not be able to afford these essential exams.? | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1676070 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 19 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 5 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 2 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OK | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GEORGE VALVERDE | NamePerson |
| Telephone Number | 9187104222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1725 E 19TH ST SUITE 103 | AddressLine1 |
| City | Tulsa | City |
| State | OK | State |
| ZIP Code | 74104 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| BOB NASH | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| DAN PEARSON | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| MITCH DUININCK MD | ||||||
| TRUSTEE | 1.00 | X | 0 | 0 | 0 | |
| CHRIS BEACH | ||||||
| CO-VICE PRESIDENT | 1.00 | 0 | 0 | 0 | X | |
| JOHN R CROUCH JR MD | ||||||
| PRESIDENT | 2.00 | 11500 | 0 | 0 | X | |
| LAUREL WILLISTON MD | ||||||
| CO-VICE PRESIDENT | 1.00 | 24000 | 0 | 0 | X | |
| LOUISE WHITLEY | ||||||
| SECRETARY TREASURER | 1.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 35500 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Fundraising Events | 96656 | FundraisingEvents |
| All Other Contributions | 1777999 | AllOtherContributions |
| Total Contributions | 1874655 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3348 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3348 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3348 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3348 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 96656 | CntrbtnsRprtdFundraisingEvents |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1878016 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3361 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 302794 | Total |
| Program Services | 160481 | ProgramServices |
| Management And General | 109006 | ManagementAndGeneral |
| Fundraising | 33307 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8832 | Total |
| Program Services | 7066 | ProgramServices |
| Management And General | 1766 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101027 | Total |
| Program Services | 79811 | ProgramServices |
| Management And General | 21216 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 74699 | Total |
| Program Services | 70964 | ProgramServices |
| Management And General | 3735 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34511 | Total |
| Program Services | 17256 | ProgramServices |
| Management And General | 17255 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1435 | Total |
| Management And General | 1435 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38680 | Total |
| Program Services | 38680 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51268 | Total |
| Program Services | 35887 | ProgramServices |
| Management And General | 15381 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|
| MEDICAL EXPENSES | 43483 | 43483 | |
| SPECIAL EVENTS | 23278 | 2328 | 20950 |
| INKIND | 1181790 | 1181790 | |
| AUTO EXPENSE | 23420 | 23420 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44244 | Total |
| Program Services | 14904 | ProgramServices |
| Management And General | 18222 | ManagementAndGeneral |
| Fundraising | 11118 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1929461 | Total |
| Program Services | 1676070 | ProgramServices |
| Management And General | 188016 | ManagementAndGeneral |
| Fundraising | 65375 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70345 | BOY |
| EOY | 24267 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 657108 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 462016 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 200459 | BOY |
| EOY | 195092 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270804 | BOY |
| EOY | 219359 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 241327 | BOY |
| EOY | 208040 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29477 | BOY |
| EOY | 11319 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270804 | BOY |
| EOY | 219359 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 270804 | BOY |
| EOY | 219359 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -51445 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | true | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAudited |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1633679 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 577301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 931781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1538681 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1874655 | CurrentTaxYear |
| Total | 6556097 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1633679 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 577301 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 931781 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1538681 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1874655 | CurrentTaxYear |
| Total | 6556097 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 1515507 | AmountsSubstContributorsTotal |
| Public Support Total170 | 5040590 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2895 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1220 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 528 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 689 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3366 | CurrentTaxYear |
| Total | 8698 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 6564795 | TotalSupport |
| Public Support Pertcentage170 | 0.76780 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.88320 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 657108 | OtherCostOrOtherBasis |
| Depreciation | 462016 | Depreciation |
| Book Value | 195092 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 195092 | TotalOfBookValueLandBuildings |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GALA | NameOfEvent1 |
| Gross Receipts Event1 | 83900 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 83900 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 415 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 5000 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 12049 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 1850 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 7831 | OtherDirectExpensesEvent1 |
| Name Of Event2 | BREAKFAST | NameOfEvent2 |
| Gross Receipts Event2 | 12756 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 12756 | GrossRevenueEvent2 |
| Entertainment Event2 | 275 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 458 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 96656 | GrossReceiptsTotal |
| Gross Revenue Total Events | 96656 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 415 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 5000 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 12049 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 2125 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 8289 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 27878 | DirectExpenseSummaryEvents |
| Net Income Summary | 68778 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| O01 | Form 990 governing body review Part VI line 11 | THE BOARD WILL REVIEW THE 990 BEFORE IT IS SIGNED AND SUBMITTED TO THE IRS. |
| O02 | Conflict of interest policy compliance Part VI line 12c | THIS IS DICUSSED AT AN ANNUAL BOARD MEETING AND EACH MEMBER IS REQUIRED TO SIGN A DISCLOSURE STATEMENT. |
| O03 | CEO executive director top management comp Part VI line 15a | COMPENSATION DECISIONS ARE MADE BY THE BOARD. |
| O04 | Other officer or key employee compensation Part VI line 15b | COMPENSATION DECISIONS ARE MADE BY THE BOARD. |
| O05 | Governing documents etc available to public Part VI line 19 | GOVERNING DOCUMENTS ARE MADE TO THE PUBLIC UPON REQUEST. |
Comments