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

FieldValueIRS element (for citing)
Timestamp2012-06-28T06:55:57-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Baldwin & Lloyd AssociatesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line132 Washington Street Suite 223AddressLine1
CityCamdenCity
StateMEState
ZIP Code04843ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010212434EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Camden Area District Nursing AssociationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCAMDNameControl
Phone2072306272Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 547AddressLine1
CityCamdenCity
StateMEState
ZIP Code04843ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCHRISTOPHER MCINTOSHName
TitleTreasurerTitle
Date Signed2012-06-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMartin E Lloyd EAName
Phone2072369687Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts180969GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Activity Or Mission DescriptionProvide health services to the Camden Area community.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year194592ContributionsGrantsPriorYear
Contributions Grants Current Year141160ContributionsGrantsCurrentYear
Program Service Revenue Prior Year31376ProgramServiceRevenuePriorYear
Program Service Revenue CY38110ProgramServiceRevenueCY
Investment Income Prior Year997InvestmentIncomePriorYear
Investment Income Current Year1699InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year226965TotalRevenuePriorYear
Total Revenue Current Year180969TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year105928SalariesEtcPriorYear
Salaries Etc Current Year105346SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1863TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1810TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year8311TotalFundrsngExpCurrentYear
Other Expense Prior Year19485OtherExpensePriorYear
Other Expenses Current Year19004OtherExpensesCurrentYear
Total Expenses Prior Year127276TotalExpensesPriorYear
Total Expenses Current Year126160TotalExpensesCurrentYear
Revenues Less Expenses Prior Year99689RevenuesLessExpensesPriorYear
Revenues Less Expenses CY54809RevenuesLessExpensesCY
Total Assets BOY172739TotalAssetsBOY
Total Assets EOY237860TotalAssetsEOY
Total Liabilities BOY11991TotalLiabilitiesBOY
Total Liabilities EOY11991TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY160748NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY225869NetAssetsOrFundBalancesEOY
Mission DescriptionProvide health services to the Camden Area community.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense106098Expense
Revenue38110Revenue
DescriptionThe District Nurses provide visits to patients and conducts numerous health related clinics in the Camden, Maine area.Description
Total Program Service Expense106098TotalProgramServiceExpense
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 EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
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 Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 PolicyfalseConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHRISTOPHER MCINTOSHNamePerson
Telephone Number2072362169TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 547AddressLine1
CityCAMDENCity
StateMEState
ZIP Code04843ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Sheila McFarland
Trustee1.00X000
Rosemary Winslow
Trustee8.00X000
Brenda Richardson
Trustee1.00X000
LINDA ANNIS
Trustee1.00X000
Christopher Hardy
Trustee1.00X000
ELIZABETH LOWELL
Trustee1.00X000
JOHN LONG
Trustee1.00X000
JULIE CLEMENT
Trustee1.00X000
Julia Libby
Trustee5.00X000
Robert McKeown
President1.00000X
ANN FEENEY
Executive Direc30.004394600X
Elaine Davis
Vice President1.00000X
CHRISTOPHER MCINTOSH
Treasurer5.00000X
JUDITH LYDON
15.002063700X
BARBARA M FORTI
30.00941800X
FRANCES A SIMS
25.00850200X
HAZEL J BOOBAR
ADMINISTRATOR20.00946800X
ROSEANN CHIACCHIO
15.00129700X
FieldValueIRS element (for citing)
Total Reportable Comp From Org93268TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions141160AllOtherContributions
Total Contributions141160TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Care RevenueDescription
Total Revenue Column38110TotalRevenueColumn
Related Or Exempt Function Income38110RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue38110TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1699TotalRevenueColumn
Exclusion$1,699ExclusionAmount

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 Column180969TotalRevenueColumn
Related Or Exempt Function Income38110RelatedOrExemptFunctionIncome
Exclusion$1,699ExclusionAmount

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)
Total43946Total
Program Services37354ProgramServices
Management And General4395ManagementAndGeneral
Fundraising2197Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50383Total
Program Services42826ProgramServices
Management And General5038ManagementAndGeneral
Fundraising2519Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3800Total
Program Services3230ProgramServices
Management And General380ManagementAndGeneral
Fundraising190Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7217Total
Program Services6134ProgramServices
Management And General722ManagementAndGeneral
Fundraising361Fundraising

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)
Total2712Total
Program Services2712ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1810Total
Fundraising1810Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1028Total
Program Services822ProgramServices
Management And General103ManagementAndGeneral
Fundraising103Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total556Total
Program Services444ProgramServices
Management And General56ManagementAndGeneral
Fundraising56Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total998Total
Program Services798ProgramServices
Management And General100ManagementAndGeneral
Fundraising100Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total2549Total
Program Services2549ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total158Total
Management And General158ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3136Total
Program Services2665ProgramServices
Management And General314ManagementAndGeneral
Fundraising157Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TELEPHONE4253614321
Repair540432108
Printing and Publications25501530255765
Medical supplies13401340
Liability Insurance24552455

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total557Total
Program Services446ProgramServices
Management And General79ManagementAndGeneral
Fundraising32Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total126160Total
Program Services106098ProgramServices
Management And General11751ManagementAndGeneral
Fundraising8311Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY53542BOY
EOY84053EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13991BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4328LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4328LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY158BOY
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY105048BOY
EOY153807EOY

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)
BOY172739BOY
EOY237860EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11991BOY
EOY11991EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11991BOY
EOY11991EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY160748BOY
EOY225869EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY160748BOY
EOY225869EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY172739BOY
EOY237860EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses54809ReconcilationRevenueExpenses
Reconcilation Other Changes10312ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years92307CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94231CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years69211CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year194592CurrentTaxYearMinus1Year
Current Tax Year141160CurrentTaxYear
Total591501Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26407CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26221CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year31376CurrentTaxYearMinus1Year
Current Tax Year38110CurrentTaxYear
Total162312Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years118714CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years120452CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years109409CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year225968CurrentTaxYearMinus1Year
Current Tax Year179270CurrentTaxYear
Total753813Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43882CurrentTaxYearMinus1Year
Current Tax Year75778CurrentTaxYear
Total277815Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64605CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53958CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43882CurrentTaxYearMinus1Year
Current Tax Year75778CurrentTaxYear
Total277815Total
FieldValueIRS element (for citing)
Public Support Total509475998PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years915CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year997CurrentTaxYearMinus1Year
Current Tax Year1699CurrentTaxYear
Total5695Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1453CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years915CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years631CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year997CurrentTaxYearMinus1Year
Current Tax Year1699CurrentTaxYear
Total5695Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years120167CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years121367CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years110040CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year226965CurrentTaxYearMinus1Year
Current Tax Year180969CurrentTaxYear
Total759508Total
FieldValueIRS element (for citing)
Public Support Percentage5090.62670PublicSupportPercentage509
Prior Year Support Percentage0.62430PriorYearSupportPercentage
Investment Income Percentage0.00750InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00810PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance105049BeginningOfYearBalance
Contributions52730Contributions
Investment Earnings Or Losses1426InvestmentEarningsOrLosses
Other Expenditures4370OtherExpenditures
Administrative Expenses1028AdministrativeExpenses
End Of Year Balance153807EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Contributions105000Contributions
Investment Earnings Or Losses531InvestmentEarningsOrLosses
Administrative Expenses482AdministrativeExpenses
End Of Year Balance105049EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3305OtherCostOrOtherBasis
Depreciation3305Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1023OtherCostOrOtherBasis
Depreciation1023Depreciation

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYROLL TAXES PAYABLE$3,051
Accrued Retirement$8,940
FieldValueIRS element (for citing)
Total Of Amounts11991TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart V, Line 4Identifier
Return ReferencePart V, Line 4: Intended uses of the endowment fund.ReturnReference
ExplanationPROCEEDS 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesBOARD OF DIRECTORS APPROVAL OF COMPENSATION REQUIRED BY MAJORITY VOTE.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 AND ATTACHMENTS REVIEWED BY TREASURER PRIOR TO SUBMISSION.

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