KUPONA FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KUPONA FOUNDATION (EIN 26-4371825)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-28
IRS object ID
201313019349300411
Schema version
2012v2.0
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)
Timestamp2013-10-28T07:33:34-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Gary S Eisenkraft CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1271 Madison Avenue Suite 1105AddressLine1
CityNew YorkCity
StateNYState
ZIP Code10016ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN264371825EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KUPONA FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKUPONameControl
Phone6463681929Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1369 7TH STREET 3AddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11215ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameAbbey KocanName
TitleExecutive DirectorTitle
Date Signed2013-10-28DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGary S Eisenkraft CPAName
PTINP00055181PTIN
Phone2126892655Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonYoni BarnhardNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1C/O KUPONA FOUNDATION A CORPOAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10023ZIPCode
FieldValueIRS element (for citing)
Gross Receipts565277GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.kuponafoundation.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionKupona Foundation and its implementing partner, Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) are committed to improving health care in Tanzania, particularly in the area of maternal and neonatal health.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees1TotalNbrEmployees
Total Nbr Volunteers16TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year52898ContributionsGrantsPriorYear
Contributions Grants Current Year555925ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year116InvestmentIncomePriorYear
Investment Income Current Year602InvestmentIncomeCurrentYear
Other Revenue Prior Year8898OtherRevenuePriorYear
Other Revenue Current Year-6236OtherRevenueCurrentYear
Total Revenue Prior Year61912TotalRevenuePriorYear
Total Revenue Current Year550291TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY217642GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year72791BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9775SalariesEtcPriorYear
Salaries Etc Current Year78354SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year46918TotalFundrsngExpCurrentYear
Other Expense Prior Year24956OtherExpensePriorYear
Other Expenses Current Year23537OtherExpensesCurrentYear
Total Expenses Prior Year127522TotalExpensesPriorYear
Total Expenses Current Year319533TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-65610RevenuesLessExpensesPriorYear
Revenues Less Expenses CY230758RevenuesLessExpensesCY
Total Assets BOY88082TotalAssetsBOY
Total Assets EOY319840TotalAssetsEOY
Total Liabilities BOY6000TotalLiabilitiesBOY
Total Liabilities EOY7000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY82082NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY312840NetAssetsOrFundBalancesEOY
Mission DescriptionKupona Foundation and its implementing partner, Comprehensive Community Based Rehabilitation in Tanzania (CCBRT) are committed to improving health care in Tanzania, particularly in the area of maternal and neonatal health. Since its founding as a grassroots organization in 1994, CCBRT has grown to become the largest provider of disability services in the country. It has gained national and international recognition for its innovative and comprehensive approach to providing high quality services to the poorest patients, and in 2007 entered a public-private partnership with the Government of Tanzania to act as a regional leader in transforming the health infrastructure.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense230571Expense
Grants217642Grants
DescriptionKupona Foundation funds supported the activities of CCBRT, Tanzania's largest disability and rehabilitative services provider. The efforts of Kupona Foundation and CCBRT aim to prevent disability, prevent maternal and neonatal mortality and morbidity, provide equitable access to affordable, quality medical and rehabilitative services, empower people with disabilities and their families, facilitate the includsion of disability in mainstream services, and build capacity in managerial, medical, and rehabilitative services. The program areas that received the buld of Kupona Foundation funding in 2012 are (1) CCBRT's program for the treatment of women with obstetric fistula, including surgical treatment and recovery, the identification and transport of patients from more rural areas of the country, and their socioeconomic rehabilitation through skills training and business lessons; (2) the maternal and newborn health program, including both the training of nurses, midwives and doctors in maternal nad neonatal health at sixteen regional health facilities and the creation of a new, specialized maternal and neonatal hospital in Dar es Salaam.Description
Total Program Service Expense230571TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees1NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest
Other Explain In Sch OXOtherExplainInSchO

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonAbbey KocanNamePerson
Telephone Number6463681929TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1369 WEST 7TH STREET 3AddressLine1
CityBROOKLYNCity
StateNYState
ZIP Code11215ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
RP Eddy
Director3.000.00X000
James Mann
Director5.000.00X000
Adrian Stewart
Treasurer10.000.00X000X
Carolyn Chandler
Secretary3.000.00X000X
Yoni Barnhard
President10.000.00X000X
Katherine Flanagan
Executive Dir.40.000.007250000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org72500TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events22507FundraisingEvents
All Other Contributions533418AllOtherContributions
Total Contributions555925TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column602TotalRevenueColumn
Exclusion$602ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events8750GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events22507CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses14986FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-6236TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column550291TotalRevenueColumn
Exclusion$602ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total217642Total
Program Services217642ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total72500Total
Program Services10875ProgramServices
Management And General25375ManagementAndGeneral
Fundraising36250Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total5854Total
Program Services878ProgramServices
Management And General2049ManagementAndGeneral
Fundraising2927Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

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Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

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Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

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Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

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Total0Total

Interest Interest

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Total0Total

Payments To Affiliates PaymentsToAffiliates

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Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3000Total
Program Services429ProgramServices
Management And General1138ManagementAndGeneral
Fundraising1433Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total765Total
Management And General765ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PAYROLL PROCESSING FEES1196179419598
STORAGE1244187435622
PROFESSINAL FEES71607160
TRAVEL MEETINGS AND MEALS762438123812

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2548Total
Program Services381ProgramServices
Management And General891ManagementAndGeneral
Fundraising1276Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total319533Total
Program Services230571ProgramServices
Management And General42044ManagementAndGeneral
Fundraising46918Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY39874BOY
EOY15071EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY23655BOY
EOY202192EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY80000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis787LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec787LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY787BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY23766BOY
EOY21553EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1024EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY88082BOY
EOY319840EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6000BOY
EOY7000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6000BOY
EOY7000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY82082BOY
EOY312840EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82082BOY
EOY312840EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY88082BOY
EOY319840EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses230758ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years173434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years328657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94021CurrentTaxYearMinus1Year
Current Tax Year555925CurrentTaxYear
Total1152037Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Total0Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years173434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years328657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94021CurrentTaxYearMinus1Year
Current Tax Year555925CurrentTaxYear
Total1152037Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year18470CurrentTaxYear
Total18470Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year18470CurrentTaxYear
Total18470Total
FieldValueIRS element (for citing)
Public Support Total5091133567PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Total0Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years173434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years328657CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year94021CurrentTaxYearMinus1Year
Current Tax Year555925CurrentTaxYear
Total1152037Total
FieldValueIRS element (for citing)
First5 Years509XFirst5Years509
Public Support Percentage5090.00000PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage

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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis787OtherCostOrOtherBasis
Depreciation787Depreciation
FieldValueIRS element (for citing)
Tot Revenue Etc Audited Fincl Stmt550291TotRevenueEtcAuditedFinclStmt
Revenue Subtotal550291RevenueSubtotal
Total Revenue Per Form990550291TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt319533TotExpensesEtcAuditedFinclStmt
Expenses Subtotal319533ExpensesSubtotal
Total Expenses Per Form990319533TotalExpensesPerForm990

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSUB - SAHARAN AFRICARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGRANTSTypeOfActivitiesConducted
Total Expenditures217642TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent217642SubtotalAmountSpent
Total Amount Spent217642TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSUB SAHA AFRICARegion
Purpose Of GrantHOSPITALPurposeOfGrant
Amount Of Cash Grant217642AmountOfCashGrant
Manner Of Cash DisbursementBANK TRANSMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are Used in Foreign CountryIdentifier
ExplanationDETAILED REPORTS ARE REQUIRED TO BE SUBMITTED BY THE GRANTEE ORGANIZATION. THE EXECUTIVE DIRECTOR VISITS THE GRANTEE ORGANIZATION AND MONITOR'S IT'S ACTIVITIES.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event131257GrossReceiptsEvent1
Charitable Contributions Event122507CharitableContributionsEvent1
Gross Revenue Event18750GrossRevenueEvent1
Other Direct Expenses Event114986OtherDirectExpensesEvent1
Gross Receipts Total31257GrossReceiptsTotal
Charitable Contributions Total22507CharitableContributionsTotal
Gross Revenue Total Events8750GrossRevenueTotalEvents
Other Direct Expenses Total Events14986OtherDirectExpensesTotalEvents
Direct Expense Summary Events14986DirectExpenseSummaryEvents
Net Income Summary-6236NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 18Form 990, Part VI, Line 18: Explanation of Other Means Forms Available For Public InspectionFinancial statements are posted on the organization's website; all other documents are made available at any request.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessThe treasurer and president review and discuss the 990 with the ED, then present it to the Board.

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