NATHAN LITTAUER FOUNDATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NATHAN LITTAUER FOUNDATION INC (EIN 14-1638991)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-14
IRS object ID
201322879349300322
Schema version
2012v2.3
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)
Timestamp2013-10-14T11:32:32-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PHILIP BECKETT CPA PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1132 E STATE STREETAddressLine1
CityGLOVERSVILLECity
StateNYState
ZIP Code12078ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN141638991EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATHAN LITTAUER FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATHNameControl
Phone5187735505Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line199 EAST STATE STREETAddressLine1
CityGLOVERSVILLECity
StateNYState
ZIP Code12078ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY SHEELERName
TitleTREASURERTitle
Phone5187735505Phone
Date Signed2013-09-12DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Date Prepared2013-10-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA FINKLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line131 KINGSBORO AVENUEAddressLine1
CityGLOVERSVILLECity
StateNYState
ZIP Code12078ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1888288GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionSUPPORT OF THE NATHAN LITTAUER HOSPITAL AND LOCAL HEALTH CARE FACILITIES AND PROGRAMS THROUGH FUNDRAISING AND PROMOTION.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers36TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year401269ContributionsGrantsPriorYear
Contributions Grants Current Year132353ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year413553InvestmentIncomePriorYear
Investment Income Current Year285434InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year814822TotalRevenuePriorYear
Total Revenue Current Year417787TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year857565GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY846500GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY47146TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year71648TotalFundrsngExpCurrentYear
Other Expense Prior Year65230OtherExpensePriorYear
Other Expenses Current Year72996OtherExpensesCurrentYear
Total Expenses Prior Year922795TotalExpensesPriorYear
Total Expenses Current Year966642TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-107973RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-548855RevenuesLessExpensesCY
Total Assets BOY5699641TotalAssetsBOY
Total Assets EOY5455648TotalAssetsEOY
Total Liabilities BOY2737TotalLiabilitiesBOY
Total Liabilities EOY2985TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5696904NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5452663NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSUPPORT OF THE NATHAN LITTAUER HOSPITAL AND LOCAL HEALTH CARE FACILITIES AND PROGRAMS THROUGH FUNDRAISING AND PROMOTION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense860762Expense
Grants846500Grants
DescriptionDONATIONS TO THE NATHAN LITTAUER HOSPITAL AND FULTON COUNTY HEALTHCARE ORGANIZATIONS THROUGH FUNDRAISING AND PROMOTION.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionDONATIONS TO THE NATHAN LITTAUER HOSPITAL AND FULTON HEALTH CARE ORGANIZATION THROUGH FUNDRAISING AND PROMOTION.Description
FieldValueIRS element (for citing)
Total Program Service Expense860762TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
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 ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
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 EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLARRY SHEELER CPANamePerson
Telephone Number5187257127TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line197 N MAIN STAddressLine1
CityGLOVERSVILLECity
StateNYState
ZIP Code12078ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
ABBIE CHAMBERLAINE
DIRECTOR1.00X000
TIMOTHY DELANEY
DIRECTOR1.00X000
TERRI EASTERLY
DIRECTOR1.00X000
DONALD F STANYON JR
DIRECTOR1.00X000
LAURENCE KELLY
PRESIDENT &1.00X0350205156114
JAMES LANDRIO
DIRECTOR1.00X000
TAMMY MALAGISI
DIRECTOR1.00X000
RONALD OLINSKY
DIRECTOR1.00X000
GEOFF PECK
DIRECTOR1.00X000
RICHARD RUBY
DIRECTOR1.00X000
TODD RULISON
DIRECTOR1.00X000
DAVID SEWARD
DIRECTOR1.00X000
WILLIAM VAUGHN
DIRECTOR1.00X000
JEANNE WILKINSON
DIRECTOR1.00X000
JANINE DYKEMAN
VICE CHAIR2.00000X
DEBRA FINKLE
CHAIRPERSON2.00000X
LARRY SHEELER
TREASURER2.00000X
SAMUEL ZIMMERMAN
SECRETARY2.00000X
SUSAN A KIERNAN
VP/MARKETING1.0009693010829X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs447135TotalReportableCompFrmRltdOrgs
Total Other Compensation166943TotalOtherCompensation
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions132353AllOtherContributions
Total Contributions132353TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column132305TotalRevenueColumn
Exclusion$132,305ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1575692Securities
Other47938Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1470501Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities105191Securities
Other47938Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column153129TotalRevenueColumn
Related Or Exempt Function Income105191RelatedOrExemptFunctionIncome
Exclusion$47,938ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column417787TotalRevenueColumn
Related Or Exempt Function Income105191RelatedOrExemptFunctionIncome
Exclusion$180,243ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total846500Total
Program Services846500ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total9740Total
Management And General9740ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total47146Total
Fundraising47146Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total22753Total
Management And General22753ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total40117Total
Program Services14262ProgramServices
Management And General1353ManagementAndGeneral
Fundraising24502Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total111Total
Management And General111ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionFILING FEESDescription
Total275Total
Management And General275ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total966642Total
Program Services860762ProgramServices
Management And General34232ManagementAndGeneral
Fundraising71648Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY65696BOY
EOY132349EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY47614EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY436434BOY
EOY179635EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY575BOY
EOY575EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis74417LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11887LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY62641BOY
EOY62530EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5120743BOY
EOY5020365EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13552BOY
EOY12580EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5699641BOY
EOY5455648EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2737BOY
EOY2985EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2737BOY
EOY2985EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3723898BOY
EOY4114292EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY929151BOY
EOY294516EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1043855BOY
EOY1043855EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5696904BOY
EOY5452663EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5699641BOY
EOY5455648EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-548855ReconcilationRevenueExpenses
Reconciliation Unrealized Invest304616ReconciliationUnrealizedInvest
Reconcilation Other Changes-2ReconcilationOtherChanges
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 CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2260315CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years434808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15186CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year401269CurrentTaxYearMinus1Year
Current Tax Year132353CurrentTaxYear
Total3243931Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2260315CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years434808CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15186CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year401269CurrentTaxYearMinus1Year
Current Tax Year132353CurrentTaxYear
Total3243931Total
FieldValueIRS element (for citing)
Public Support Total1703243931PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years189814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years129678CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years125371CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138811CurrentTaxYearMinus1Year
Current Tax Year132305CurrentTaxYear
Total715979Total
FieldValueIRS element (for citing)
Total Support3959910TotalSupport
Public Support Pertcentage1700.81920PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86550PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1091341BeginningOfYearBalance
Investment Earnings Or Losses-20175InvestmentEarningsOrLosses
Administrative Expenses4900AdministrativeExpenses
End Of Year Balance1066266EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1103124BeginningOfYearBalance
Investment Earnings Or Losses-6512InvestmentEarningsOrLosses
Administrative Expenses5271AdministrativeExpenses
End Of Year Balance1091341EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1114378BeginningOfYearBalance
Investment Earnings Or Losses-7449InvestmentEarningsOrLosses
Administrative Expenses3804AdministrativeExpenses
End Of Year Balance1103124EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1129765BeginningOfYearBalance
Investment Earnings Or Losses-13063InvestmentEarningsOrLosses
Administrative Expenses2324AdministrativeExpenses
End Of Year Balance1114378EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1117809BeginningOfYearBalance
Investment Earnings Or Losses14231InvestmentEarningsOrLosses
Administrative Expenses2275AdministrativeExpenses
End Of Year Balance1129765EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.02100BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.97900PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis58967OtherCostOrOtherBasis
Book Value58967BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis15450OtherCostOrOtherBasis
Depreciation11887Depreciation
Book Value3563BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings62530TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt722402TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments304616NetUnrealizedGainsInvestments
Other Revenues-1OtherRevenues
Revenue Not Rptd F990304615RevenueNotRptdF990
Revenue Subtotal417787RevenueSubtotal
Total Revenue Per Form990417787TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt966642TotExpensesEtcAuditedFinclStmt
Expenses Subtotal966642ExpensesSubtotal
Total Expenses Per Form990966642TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierREVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERIdentifier
Return ReferenceSCHEDULE D, PAGE 4, PART XI, LINE 2DReturnReference
ExplanationROUNDING -1Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Agreement Ref FundraisingfalseAgreementRefFundraising

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1NATHAN LITTAUER HOSPITAL ASSOCIATIOBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line199 EAST STATE STREETAddressLine1
CityGLOVERSVILLECity
StateNYState
ZIP Code12078ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient141338465EINOfRecipient
IRC Section3IRCSection
Amount Of Cash Grant840000AmountOfCashGrant
Purpose Of GrantEQUIPMENT & PROGRAMSPurposeOfGrant

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
LAURENCE KELLY
PRESIDENT & CEO350205156114506319
SUSAN A KIERNAN
VPMARKETING9693010829107759

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DDONATIONS TO THE NATHAN LITTAUER HOSPITAL AND FULTON HEALTH CARE ORGANIZATION THROUGH FUNDRAISING AND PROMOTION.
ELECTION OF MEMBERS AND THEIR RIGHTSFORM 990, PAGE 6, PART VI, LINE 7AMEMBER ELECT DIRECTORS
DECISIONS SUBJECT TO APPROVAL OF MEMBERSFORM 990, PAGE 6, PART VI, LINE 7BAS PROVIDED FOR IN BYLAWS
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BCOPY PROVIDED TO BOARD MEMBERS
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CANNUAL SURVEY AND REGULAR REMINDERS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AANNUAL REVIEW
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BANNUAL REVIEW
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19UPON REQUEST, FINANCIAL STATEMENTS AVAILABLE ON NYS ATTORNEY GENERAL'S CHARITIES BUREAU WEBSITE
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9ROUNDING -1
OTHER CHANGES IN NET ASSETS EXPLANATIONFORM 990, PART XI, LINE 9ROUNDING 1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NATHAN LITTAUER HOSPITAL ASSOC
99 EAST STATE STREETGLOVERSVILLENY12078HOSPITALNY5013NAfalse
COLONIAL HEALTH CARE CORP
99 EAST STATE STREETGLOVERSVILLENY12078NON-PROFITNY5013COLONIALfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1NATHAN LITTAUER HOSPITAL ASSOCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved840000AmountInvolved
Method Of Amt DeterminationFAIR MARKET VALUEMethodOfAmtDetermination

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