RURAL HEALTH NETWORK OF SCNY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH NETWORK OF SCNY INC (EIN 22-3568461)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-13
IRS object ID
201333179349302503
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)
Timestamp2013-11-13T09:16:16-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Johnson Lauder & Savidge LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Court Street 2nd FloorAddressLine1
CityBinghamtonCity
StateNYState
ZIP Code13901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223568461EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE RURAL HEALTH NETWORK OF SCNY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRURANameControl
Phone6076927669Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 416AddressLine1
CityWHITNEY POINTCity
StateNYState
ZIP Code13862ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJUDITH QUARANTAName
TitlePresidentTitle
Date Signed2013-11-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTheresa AllenName
PTINP01218642PTIN
Phone6077238216Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts1082003GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.RURALHEALTHNETWORK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe Rural Health Network of SCNY, Inc. believes that all rural residents should have access to adequate and affordable health care, by improving access to health care for rural residents through education, innovation and the rural health services corp.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees67TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year453213ContributionsGrantsPriorYear
Contributions Grants Current Year837813ContributionsGrantsCurrentYear
Program Service Revenue Prior Year438322ProgramServiceRevenuePriorYear
Program Service Revenue CY244180ProgramServiceRevenueCY
Investment Income Prior Year273InvestmentIncomePriorYear
Investment Income Current Year10InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year891808TotalRevenuePriorYear
Total Revenue Current Year1082003TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year566138SalariesEtcPriorYear
Salaries Etc Current Year646506SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3877TotalFundrsngExpCurrentYear
Other Expense Prior Year307579OtherExpensePriorYear
Other Expenses Current Year410054OtherExpensesCurrentYear
Total Expenses Prior Year873717TotalExpensesPriorYear
Total Expenses Current Year1056560TotalExpensesCurrentYear
Revenues Less Expenses Prior Year18091RevenuesLessExpensesPriorYear
Revenues Less Expenses CY25443RevenuesLessExpensesCY
Total Assets BOY311051TotalAssetsBOY
Total Assets EOY267526TotalAssetsEOY
Total Liabilities BOY155173TotalLiabilitiesBOY
Total Liabilities EOY86205TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY155878NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY181321NetAssetsOrFundBalancesEOY
Mission DescriptionThe Agency works with health and human service providers throughout a three-county service area and has extensive knowledge of services available. Additionally, the Agency improves access to health care for rural residents through the following programs: Education - Classes and social support for wellness and healthy lifestyle choices; Innovation - Investment in region-wide collaboration through programs like the Rural Health Service Corps; Community empowerment through programs like walking/bicycle trail development; and Closing the Gap - reducing financial barriers to needed health services for rural families through prescription assistance and facilitated health insurance enrollment and reducing geographic barriers to needed services through a directory of area transportation services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense914407Expense
DescriptionTHE RURAL HEALTH NETWORK OF SCNY, INC.'S MISSION IS TO ADVANCE THE HEALTH AND WELL BEING OF RURAL PEOPLE AND COMMUNITIES.Description
Total Program Service Expense914407TotalProgramServiceExpense
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
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 RequiredtrueScheduleORequired
Number Forms Transmitted With109614NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees67NumberOfEmployees
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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 PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
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 PersonJOHN C SALONamePerson
Telephone Number6076927669TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 416AddressLine1
CityWHITNEY POINTCity
StateNYState
ZIP Code13862ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
LYNN VERDUIN
Director0.750.00X000
DELANA SPAULDING
Director0.750.00X000
JOHANNES PEETERS
Director0.750.00X000
SISTER KATHLEEN NATWIN
Director0.750.00X000
MARY MCFADDEN
Director0.750.00X000
SONIA JANISZEWSKI
Director0.750.00X000
NANCY FRANK
Director0.750.00X000
MALLORY EVANS
Director0.750.00X000
NANCY ECKSTROM
Director0.750.00X000
SARA DELAFIELD
Director0.750.00X000
DRUE BRENNER
Director0.750.00X000
MURPHEE HAYES
Secretary0.750.00000X
KATHLEEN BUNNELL
Treasurer0.750.00000X
JUDITH QUARANTA
Vice President0.750.00000X
RICHARD MCCARTHY
President0.750.00000X
JOHN C SALO
EXECUTIVE DIRECTOR40.000.006184000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org61840TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants624792GovernmentGrants
All Other Contributions213021AllOtherContributions
Total Contributions837813TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS43374337
PROGRAM SERVICE FEES90009000
LOCAL MATCH - HOST AGENCY8113781137
INKIND PROGRAM DONATIONS149706149706
FieldValueIRS element (for citing)
Total Program Service Revenue244180TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column10TotalRevenueColumn
Exclusion$10ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
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

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column1082003TotalRevenueColumn
Related Or Exempt Function Income244180RelatedOrExemptFunctionIncome
Exclusion$10ExclusionAmount

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)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total61840Total
Program Services44061ProgramServices
Management And General14687ManagementAndGeneral
Fundraising3092Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total493606Total
Program Services430520ProgramServices
Management And General63086ManagementAndGeneral

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)
Total91060Total
Program Services69333ProgramServices
Management And General21682ManagementAndGeneral
Fundraising45Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37019Total
Program Services36279ProgramServices
Fundraising740Fundraising

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

FieldValueIRS element (for citing)
Total19849Total
Program Services14887ProgramServices
Management And General4962ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9399Total
Program Services7049ProgramServices
Management And General2350ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18824Total
Program Services14118ProgramServices
Management And General4706ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total21367Total
Program Services17094ProgramServices
Management And General4273ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total287Total
Management And General287ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11254Total
Management And General11254ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total7596Total
Program Services5697ProgramServices
Management And General1899ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Utilities707953091770
MISCELLANEOUS EXPENSE819263681824
TRAINING & SEMINARS1236012360
PROGRAM CONSULTING238364238364

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total18464Total
Program Services12968ProgramServices
Management And General5496ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1056560Total
Program Services914407ProgramServices
Management And General138276ManagementAndGeneral
Fundraising3877Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY36035BOY
EOY28214EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY55448BOY
EOY1337EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY186816BOY
EOY195941EOY

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)
BOY11441BOY
EOY9415EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis98429LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65810LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21311BOY
EOY32619EOY

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)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY311051BOY
EOY267526EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10758BOY
EOY21429EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY100405BOY
EOY44695EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44010BOY
EOY20081EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY155173BOY
EOY86205EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY155878BOY
EOY181321EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY155878BOY
EOY181321EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY311051BOY
EOY267526EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses25443ReconcilationRevenueExpenses
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 Years514900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years746349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years745883CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year891535CurrentTaxYearMinus1Year
Current Tax Year1081993CurrentTaxYear
Total3980660Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years514900CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years746349CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years745883CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year891535CurrentTaxYearMinus1Year
Current Tax Year1081993CurrentTaxYear
Total3980660Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1703980660PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2634CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year273CurrentTaxYearMinus1Year
Current Tax Year10CurrentTaxYear
Total3899Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support3984559TotalSupport
Public Support Pertcentage1700.99900PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99870PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis810OtherCostOrOtherBasis
Depreciation792Depreciation
Book Value18BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis97619OtherCostOrOtherBasis
Depreciation65018Depreciation
Book Value32601BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32619TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED SEP CONTRIBUTION$660
PAYROLL LIABILITIES$39
ACCRUED PAYROLL$10,353
ACCRUED COMPENSATED ABSENCES$9,029
FieldValueIRS element (for citing)
Total Of Amounts20081TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1082003TotRevenueEtcAuditedFinclStmt
Revenue Subtotal1082003RevenueSubtotal
Total Revenue Per Form9901082003TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1056560TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1056560ExpensesSubtotal
Total Expenses Per Form9901056560TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Agency is exempt from federal income tax as a nonprofit organization under the provisions of Section 501(c)(3) of the Internal Revenue Code as well as from New York State income tax under comparable laws. Professional standards provide detailed guidance for the financial statement recognition, measurement and disclosure of uncertain tax positions recognized in the Agency's financial statements. In accordance with the standard, the Agency discloses the expected future tax consequences of uncertain tax positions presuming the taxing authorities' full knowledge of the facts. It requires the Agency to recognize the financial statement impact of a tax position when it is more likely than not that the position will not be sustained upon examination. Interest and penalties associated with any tax liabilities would be reflected as separate liabilities. For tax-exempt entities, their tax-exempt status itself is deemed to be a tax position subject to uncertainty. Management has assessed significant tax positions against the criteria established by the professional standards and believes there are no such tax positions requiring recognition or disclosure in the financial statements. Tax years for filed returns prior to June 30, 2010 are closed to examination by taxing authorities.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Agency makes all applicable documents available through the following: inspection at local office, providing copies upon request and posting on Guidestar and NYS Charities websites.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe President/Executive Committee are responsible to review the performance of the Executive Director. Increases are also subject to control of the approved annual operating budget.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Agency mandates that all Board of Directors and key employees complete a disclosure statement regarding Conflict of Interest annually and more frequently, if warranted.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessA draft copy of the Form 990 is presented to the Board for their review and approval. Upon acceptance the President/Treasurer are authorized to sign the applicable Federal and state filings.

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