CAMDEN AREA DISTRICT NURSING ASSOCIATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CAMDEN AREA DISTRICT NURSING ASSOCIATION (EIN 01-0212434)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-06-28
- IRS object ID
- 201201809349300610
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-06-28T06:55:57-07:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baldwin & Lloyd Associates | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 32 Washington Street Suite 223 | AddressLine1 |
| City | Camden | City |
| State | ME | State |
| ZIP Code | 04843 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212434 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Camden Area District Nursing Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CAMD | NameControl |
| Phone | 2072306272 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 547 | AddressLine1 |
| City | Camden | City |
| State | ME | State |
| ZIP Code | 04843 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CHRISTOPHER MCINTOSH | Name |
| Title | Treasurer | Title |
| Date Signed | 2012-06-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Martin E Lloyd EA | Name |
| Phone | 2072369687 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 180969 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Activity Or Mission Description | Provide health services to the Camden Area community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 0 | NbrIndependentVotingMembers |
| Total Nbr Employees | 7 | TotalNbrEmployees |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 194592 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 141160 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 31376 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 38110 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 997 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1699 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 226965 | TotalRevenuePriorYear |
| Total Revenue Current Year | 180969 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 105928 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 105346 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 1863 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 1810 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 8311 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19485 | OtherExpensePriorYear |
| Other Expenses Current Year | 19004 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 127276 | TotalExpensesPriorYear |
| Total Expenses Current Year | 126160 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 99689 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 54809 | RevenuesLessExpensesCY |
| Total Assets BOY | 172739 | TotalAssetsBOY |
| Total Assets EOY | 237860 | TotalAssetsEOY |
| Total Liabilities BOY | 11991 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 11991 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 160748 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 225869 | NetAssetsOrFundBalancesEOY |
| Mission Description | Provide health services to the Camden Area community. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 106098 | Expense |
| Revenue | 38110 | Revenue |
| Description | The District Nurses provide visits to patients and conducts numerous health related clinics in the Camden, Maine area. | Description |
| Total Program Service Expense | 106098 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | false | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | false | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 7 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Form990-T Filed | false | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Quid Pro Quo Disclosure | false | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 0 | NumberOf8282Filed |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 0 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | false | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | false | RegularMonitoringEnforcement |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHRISTOPHER MCINTOSH | NamePerson |
| Telephone Number | 2072362169 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 547 | AddressLine1 |
| City | CAMDEN | City |
| State | ME | State |
| ZIP Code | 04843 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Sheila McFarland | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Rosemary Winslow | |||||||
| Trustee | 8.00 | X | 0 | 0 | 0 | ||
| Brenda Richardson | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| LINDA ANNIS | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Christopher Hardy | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| ELIZABETH LOWELL | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| JOHN LONG | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| JULIE CLEMENT | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Julia Libby | |||||||
| Trustee | 5.00 | X | 0 | 0 | 0 | ||
| Robert McKeown | |||||||
| President | 1.00 | 0 | 0 | 0 | X | ||
| ANN FEENEY | |||||||
| Executive Direc | 30.00 | 43946 | 0 | 0 | X | ||
| Elaine Davis | |||||||
| Vice President | 1.00 | 0 | 0 | 0 | X | ||
| CHRISTOPHER MCINTOSH | |||||||
| Treasurer | 5.00 | 0 | 0 | 0 | X | ||
| JUDITH LYDON | |||||||
| 15.00 | 20637 | 0 | 0 | X | |||
| BARBARA M FORTI | |||||||
| 30.00 | 9418 | 0 | 0 | X | |||
| FRANCES A SIMS | |||||||
| 25.00 | 8502 | 0 | 0 | X | |||
| HAZEL J BOOBAR | |||||||
| ADMINISTRATOR | 20.00 | 9468 | 0 | 0 | X | ||
| ROSEANN CHIACCHIO | |||||||
| 15.00 | 1297 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 93268 | TotalReportableCompFromOrg |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 141160 | AllOtherContributions |
| Total Contributions | 141160 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Care Revenue | Description |
| Total Revenue Column | 38110 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38110 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 38110 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1699 | TotalRevenueColumn |
| Exclusion | $1,699 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 180969 | TotalRevenueColumn |
| Related Or Exempt Function Income | 38110 | RelatedOrExemptFunctionIncome |
| Exclusion | $1,699 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43946 | Total |
| Program Services | 37354 | ProgramServices |
| Management And General | 4395 | ManagementAndGeneral |
| Fundraising | 2197 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50383 | Total |
| Program Services | 42826 | ProgramServices |
| Management And General | 5038 | ManagementAndGeneral |
| Fundraising | 2519 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3800 | Total |
| Program Services | 3230 | ProgramServices |
| Management And General | 380 | ManagementAndGeneral |
| Fundraising | 190 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7217 | Total |
| Program Services | 6134 | ProgramServices |
| Management And General | 722 | ManagementAndGeneral |
| Fundraising | 361 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2712 | Total |
| Program Services | 2712 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1810 | Total |
| Fundraising | 1810 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1028 | Total |
| Program Services | 822 | ProgramServices |
| Management And General | 103 | ManagementAndGeneral |
| Fundraising | 103 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 556 | Total |
| Program Services | 444 | ProgramServices |
| Management And General | 56 | ManagementAndGeneral |
| Fundraising | 56 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 998 | Total |
| Program Services | 798 | ProgramServices |
| Management And General | 100 | ManagementAndGeneral |
| Fundraising | 100 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2549 | Total |
| Program Services | 2549 | ProgramServices |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158 | Total |
| Management And General | 158 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3136 | Total |
| Program Services | 2665 | ProgramServices |
| Management And General | 314 | ManagementAndGeneral |
| Fundraising | 157 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| TELEPHONE | 425 | 361 | 43 | 21 |
| Repair | 540 | 432 | 108 | |
| Printing and Publications | 2550 | 1530 | 255 | 765 |
| Medical supplies | 1340 | 1340 | ||
| Liability Insurance | 2455 | 2455 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 557 | Total |
| Program Services | 446 | ProgramServices |
| Management And General | 79 | ManagementAndGeneral |
| Fundraising | 32 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 126160 | Total |
| Program Services | 106098 | ProgramServices |
| Management And General | 11751 | ManagementAndGeneral |
| Fundraising | 8311 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53542 | BOY |
| EOY | 84053 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13991 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4328 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4328 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158 | BOY |
| EOY | 0 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105048 | BOY |
| EOY | 153807 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 172739 | BOY |
| EOY | 237860 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11991 | BOY |
| EOY | 11991 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11991 | BOY |
| EOY | 11991 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160748 | BOY |
| EOY | 225869 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160748 | BOY |
| EOY | 225869 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 172739 | BOY |
| EOY | 237860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 54809 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 10312 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Audit Committee | false | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 92307 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 94231 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 69211 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 194592 | CurrentTaxYearMinus1Year |
| Current Tax Year | 141160 | CurrentTaxYear |
| Total | 591501 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26221 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 40198 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31376 | CurrentTaxYearMinus1Year |
| Current Tax Year | 38110 | CurrentTaxYear |
| Total | 162312 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 118714 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 120452 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 109409 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 225968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 179270 | CurrentTaxYear |
| Total | 753813 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 64605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39592 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43882 | CurrentTaxYearMinus1Year |
| Current Tax Year | 75778 | CurrentTaxYear |
| Total | 277815 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 64605 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 53958 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 39592 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 43882 | CurrentTaxYearMinus1Year |
| Current Tax Year | 75778 | CurrentTaxYear |
| Total | 277815 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 475998 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 915 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 631 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 997 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1699 | CurrentTaxYear |
| Total | 5695 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 915 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 631 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 997 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1699 | CurrentTaxYear |
| Total | 5695 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 120167 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 121367 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 110040 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 226965 | CurrentTaxYearMinus1Year |
| Current Tax Year | 180969 | CurrentTaxYear |
| Total | 759508 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.62670 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.62430 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00750 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00810 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 105049 | BeginningOfYearBalance |
| Contributions | 52730 | Contributions |
| Investment Earnings Or Losses | 1426 | InvestmentEarningsOrLosses |
| Other Expenditures | 4370 | OtherExpenditures |
| Administrative Expenses | 1028 | AdministrativeExpenses |
| End Of Year Balance | 153807 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 105000 | Contributions |
| Investment Earnings Or Losses | 531 | InvestmentEarningsOrLosses |
| Administrative Expenses | 482 | AdministrativeExpenses |
| End Of Year Balance | 105049 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3305 | OtherCostOrOtherBasis |
| Depreciation | 3305 | Depreciation |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1023 | OtherCostOrOtherBasis |
| Depreciation | 1023 | Depreciation |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PAYROLL TAXES PAYABLE | $3,051 |
| Accrued Retirement | $8,940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11991 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part V, Line 4 | Identifier |
| Return Reference | Part V, Line 4: Intended uses of the endowment fund. | ReturnReference |
| Explanation | PROCEEDS TO BE USED TO HELP PAY FOR ROUTINE OPERATING AND ADMINISTRATIVE EXPENSES OF THE ORGANIZATION EACH YEAR. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Form 990, Part VI, Line 19 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | No documents available to the public. |
| Form 990, Part VI, Line 15b | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | BOARD OF DIRECTORS APPROVAL OF COMPENSATION REQUIRED BY MAJORITY VOTE. |
| Form 990, Part VI, Line 11 | Form 990, Part VI, Line 11: Form 990 Review Process | FORM 990 AND ATTACHMENTS REVIEWED BY TREASURER PRIOR TO SUBMISSION. |
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