COMMUNITY COUNSELING SOLUTIONS: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY COUNSELING SOLUTIONS (EIN 34-2057513)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-06
IRS object ID
201200669349301365
Schema version
2010v3.2
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)
Timestamp2012-03-06T13:25:55-08:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Nichols & Mitchell CPAs PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12550 BroadwayAddressLine1
CityBaker CityCity
StateORState
ZIP Code97814ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN342057513EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY COUNSELING SOLUTIONSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOMMNameControl
Phone5416769161Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 469 120 S MAIN STAddressLine1
CityHEPPNERCity
StateORState
ZIP Code97836ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARK LEMMONName
TitleChairmanTitle
Date Signed2012-01-23DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameBRUCE A NICHOLSName
Phone5415236471Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnXAmendedReturn
Gross Receipts6372181GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.communitycounselingsolutions.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileORStateLegalDomicile
Activity Or Mission DescriptionADDICTIONS & MENTAL HEALTH SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees71TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4478167ProgramServiceRevenuePriorYear
Program Service Revenue CY6363340ProgramServiceRevenueCY
Investment Income Prior Year19617InvestmentIncomePriorYear
Investment Income Current Year8841InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year4497784TotalRevenuePriorYear
Total Revenue Current Year6372181TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year70476GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY69078GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2315472SalariesEtcPriorYear
Salaries Etc Current Year3048985SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1712644OtherExpensePriorYear
Other Expenses Current Year2040201OtherExpensesCurrentYear
Total Expenses Prior Year4098592TotalExpensesPriorYear
Total Expenses Current Year5158264TotalExpensesCurrentYear
Revenues Less Expenses Prior Year399192RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1213917RevenuesLessExpensesCY
Total Assets BOY3352835TotalAssetsBOY
Total Assets EOY4842308TotalAssetsEOY
Total Liabilities BOY1228486TotalLiabilitiesBOY
Total Liabilities EOY1504042TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2124349NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3338266NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionADDICTIONS & MENTAL HEALTH SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense3209571Expense
Grants69078Grants
DescriptionPROVIDED MENTAL HEALTH SERVICES TO THE GENERAL POPULATION IN THE MORROW,WHEELER, GILLIAM, AND GRANT COUNTY AREAS OF RURAL OREGON.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense647424Expense
DescriptionOTHER MENTAL HEALTH PROGRAMS (PRIVATE CONTRACTS, WARMLINE FUNDING, FOSTER GRANDPARENT PROGRAM)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense640225Expense
DescriptionPROVIDED DEVELOPMENTAL DISABILITIES SERVICES TO THE GENERAL POPULATION IN THE MORROW, WHEELER, GILLIAM, AND GRANT COUNTY AREAS OF RURAL OREGON.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp661044TotalOfOtherProgramServiceExp
Total Program Service Expense5158264TotalProgramServiceExpense
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 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 StmtfalseIndependentAuditFinancialStmt
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 OrganizationstrueGrantsToOrganizations
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 RltnshptrueOfficerEntityWithBsnssRltnshp
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 With109657NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees71NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
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
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHANNON BOORNamePerson
Telephone Number5416769161TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1120 S MAIN STREETAddressLine1
CityHEPPNERCity
StateORState
ZIP Code97836ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
SHERIDAN TARNASKY
Director0.00X000
RAYMOND SMITH
Director0.00X000
MIKE CARROLL
Director0.00X000
MARY ANN ELGUEZABAL
Director0.00X000
MARK WEBB
Director0.00X000
MARK LEMMON
Chairman0.00X000
KIMBERLY LINDSAY
Executive Direc40.008588300X
GARY BETTENCOURT
Director0.00X000
DANA BROOKS
Director0.00X000
AMY KOLLMAN
Director0.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org85883TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME140233140233
Fees & Contracts Gov Agencies58030865803086
CLIENT FEES420021420021
FieldValueIRS element (for citing)
Total Program Service Revenue6363340TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8841TotalRevenueColumn
Exclusion$8,841ExclusionAmount

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 Column6372181TotalRevenueColumn
Related Or Exempt Function Income6363340RelatedOrExemptFunctionIncome
Exclusion$8,841ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total69078Total
Program Services69078ProgramServices

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)
Total85883Total
Program Services85883ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2108027Total
Program Services2108027ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total87530Total
Program Services87530ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total608817Total
Program Services608817ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total158728Total
Program Services158728ProgramServices

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total187Total
Program Services187ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28774Total
Program Services28774ProgramServices

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)
Total809066Total
Program Services809066ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20345Total
Program Services20345ProgramServices

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total39634Total
Program Services39634ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total65753Total
Program Services65753ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total123763Total
Program Services123763ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total51277Total
Program Services51277ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total67719Total
Program Services67719ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total28476Total
Program Services28476ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
VOLUNTEER STIPENDS206219206219
PROGRAM SUPPLIES147551147551
MISCELLANEOUS9672996729
DHS COST ADJUSTMENTS9755397553
BAD DEBTS120806120806

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total136349Total
Program Services136349ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5158264Total
Program Services5158264ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY817561BOY
EOY1602801EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY541033BOY
EOY570223EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY412039BOY
EOY589583EOY

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)
BOY40000BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2205284LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec125583LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1542202BOY
EOY2079701EOY

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)
BOY3352835BOY
EOY4842308EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY417919BOY
EOY492500EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY810567BOY
EOY1011542EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1228486BOY
EOY1504042EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2124349BOY
EOY3338266EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2124349BOY
EOY3338266EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3352835BOY
EOY4842308EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1213917ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years13587CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18943CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18548CurrentTaxYearMinus1Year
Current Tax Year8841CurrentTaxYear
Total59919Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support59919TotalSupport
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis150221OtherCostOrOtherBasis
Book Value150221BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1882036OtherCostOrOtherBasis
Depreciation45112Depreciation
Book Value1836924BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis173027OtherCostOrOtherBasis
Depreciation80471Depreciation
Book Value92556BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2079701TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1COLUMBIA CARE SERVICES INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13587 HEATHROW WAYAddressLine1
CityMEDFORDCity
StateORState
ZIP Code97504ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient810609831EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant69078AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantMENTAL HEALTH SERVICESPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREATER OREGON BEHAVIORAL HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipFUNDING ORGRelationship
Amount Of Transaction1018934AmountOfTransaction
Description Of TransactionFEE FOR SERV CONTRACTSDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Amended ExplanationORIGINAL FORM 990 WAS FILED ERRONEOUSLY BEFORE ALL ACCRUALS HAD BEEN MADE. ADDITIONAL PROGRAM EXPENSES OF $85,381 WERE ACCRUED SUBSEQUENT TO FILING FORM 990 WHICH INCREASED ACCRUED EXPENSES ON LINE 17, PART X (BALANCE SHEET), AND INCREASED EXPENSES ON LINE 4B, PART III (PROGRAM SERVICE ACCOMPLISHMENTS), AS WELL AS LINE 24F, PART IX (FUNCTIONAL EXPENSES).
Form 990, Part VI, Line 19No documents available to the public.Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
Form 990, Part VI, Line 11A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BOARD UPON REQUEST AFTER FILING.Form 990, Part VI, Line 11: Form 990 Review Process
Form 990, Part III, Line 4dOTHER PROGRAM SERVICES 4: PROVIDED PREVENTION SERVICES TO THE GENERAL POPULATION IN THE MORROW,WHEELER, GILLIAM, AND GRANT COUNTY AREAS OF RURAL OREGON. OTHER PROGRAM SERVICES 5: OTHER MENTAL HEALTH PROGRAMS (PRIVATE CONTRACTS, WARMLINE FUNDING, FOSTER GRANDPARENT PROGRAM)Form 990, Part III, Line 4d : Other Program Services Description

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