CLARIS HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CLARIS HEALTH (EIN 95-4806856)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-08
IRS object ID
201221299349302062
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)
Timestamp2012-05-08T19:27:08-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES L ULVOG CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18780 19TH ST STE 305AddressLine1
CityALTA LOMACity
StateCAState
ZIP Code91701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954806856EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTSIDE PREGNANCY CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3102688400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC BLVDAddressLine1
Address Line2ROOM/SUITE 570AddressLine2
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTALITHA PHILLIPSName
TitleCEOTitle
Phone3102688400Phone
Date Signed2012-05-08DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES L ULVOGName
Date Prepared2012-05-08DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTALITHA PHILIPSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC BLVD STE 570AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode
FieldValueIRS element (for citing)
Gross Receipts978817GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WPCLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF MEDICAL CLINIC, INCLUDING COUNSELING AND SUPPORT SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year601058ContributionsGrantsPriorYear
Contributions Grants Current Year950706ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11279ProgramServiceRevenuePriorYear
Program Service Revenue CY11900ProgramServiceRevenueCY
Investment Income Prior Year435InvestmentIncomePriorYear
Investment Income Current Year211InvestmentIncomeCurrentYear
Other Revenue Current Year-402OtherRevenueCurrentYear
Total Revenue Prior Year612772TotalRevenuePriorYear
Total Revenue Current Year962415TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year414124SalariesEtcPriorYear
Salaries Etc Current Year423189SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1225TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year121124TotalFundrsngExpCurrentYear
Other Expense Prior Year331343OtherExpensePriorYear
Other Expenses Current Year339978OtherExpensesCurrentYear
Total Expenses Prior Year746692TotalExpensesPriorYear
Total Expenses Current Year763167TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-133920RevenuesLessExpensesPriorYear
Revenues Less Expenses CY199248RevenuesLessExpensesCY
Total Assets BOY310673TotalAssetsBOY
Total Assets EOY505843TotalAssetsEOY
Total Liabilities BOY37649TotalLiabilitiesBOY
Total Liabilities EOY33571TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY273024NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY472272NetAssetsOrFundBalancesEOY
Mission DescriptionOPERATION OF MEDICAL CLINIC, INCLUDING COUNSELING AND SUPPORT SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense582406Expense
Revenue11900Revenue
DescriptionCLINIC SERVES TO EMPOWER INDIVIDUALS TO MAKE INFORMED PREGNANCY AND SEXUAL HEALTH CHOICES.Description
Total Program Service Expense582406TotalProgramServiceExpense
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 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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
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 With10966NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees18NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTALITHA PHILLIPSNamePerson
Telephone Number3102688400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC STE 570AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
SPENCER HART
PRESIDENT1.00XX000
JASON GHASSEMI
TREASURER1.00XX000
TOM BARRON
BOARD MEMBER1.00X000
MARC LITTLE
BOARD MEMBER1.00X000
RICK BROMLEY
SECRETARY1.00XX000
SCOTT MEHL
BOARD MEMBER1.00X000
CHRISTINE METZLER
BOARD MEMBER1.00X000
VALERIE AMADOR
BOARD MEMBER1.00X000
TALITHA PHILLIPS
CEO40.00X6321600
ERIN BARNHILL
SECRETARY1.00000X
KATHERINE MAKINNEY
BOARD MEMBER1.00000X
JOSIE COLEMAN
SECRETARY1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org63216TotalReportableCompFromOrg
Formers ListedtrueFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events9213FundraisingEvents
All Other Contributions941493AllOtherContributions
Total Contributions950706TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDI-CAL PAYMENTSDescription
Total Revenue Column11900TotalRevenueColumn
Related Or Exempt Function Income11900RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11900TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column211TotalRevenueColumn
Exclusion$211ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events16000GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events9213CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses16402FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-402TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column962415TotalRevenueColumn
Related Or Exempt Function Income11900RelatedOrExemptFunctionIncome
Exclusion$211ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total63216Total
Program Services50074ProgramServices
Management And General6522ManagementAndGeneral
Fundraising6620Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total309206Total
Program Services244924ProgramServices
Management And General31904ManagementAndGeneral
Fundraising32378Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16001Total
Program Services12674ProgramServices
Management And General1652ManagementAndGeneral
Fundraising1675Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total34766Total
Program Services27538ProgramServices
Management And General3588ManagementAndGeneral
Fundraising3640Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3442Total
Management And General3442ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4652Total
Program Services2062ProgramServices
Fundraising2590Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total6159Total
Program Services6159ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total33622Total
Program Services26897ProgramServices
Management And General967ManagementAndGeneral
Fundraising5758Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total334Total
Program Services334ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total163997Total
Program Services157682ProgramServices
Management And General3134ManagementAndGeneral
Fundraising3181Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total709Total
Program Services709ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3997Total
Program Services3997ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33844Total
Program Services31513ProgramServices
Management And General1157ManagementAndGeneral
Fundraising1174Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total7597Total
Program Services6155ProgramServices
Management And General1186ManagementAndGeneral
Fundraising256Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
FUNDRAISING EVENTS6383063830
BANK & CREDIT CARD FEES59885988
OTHER567422975555
VOLUNTEER APPRECIATION34443444

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2689Total
Program Services2689ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total763167Total
Program Services582406ProgramServices
Management And General59637ManagementAndGeneral
Fundraising121124Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY168506BOY
EOY338290EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY59318EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY8864EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis185167LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec118347LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY99616BOY
EOY66820EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY30000BOY
EOY20000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12551BOY
EOY12551EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY310673BOY
EOY505843EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY626BOY
EOY2491EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY7500BOY
EOY5001EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY10000BOY
EOY6666EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY19523BOY
EOY19413EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY37649BOY
EOY33571EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY273024BOY
EOY397954EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY74318EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY273024BOY
EOY472272EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY310673BOY
EOY505843EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses199248ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years445885CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years512864CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years736911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year601058CurrentTaxYearMinus1Year
Current Tax Year950706CurrentTaxYear
Total3247424Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years445885CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years512864CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years736911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year601058CurrentTaxYearMinus1Year
Current Tax Year950706CurrentTaxYear
Total3247424Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total126170AmountsSubstContributorsTotal
Public Support Total1703121254PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2105CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year435CurrentTaxYearMinus1Year
Current Tax Year211CurrentTaxYear
Total7311Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5197CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8194CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11279CurrentTaxYearMinus1Year
Current Tax Year11900CurrentTaxYear
Total53521Total
FieldValueIRS element (for citing)
Total Support3308256TotalSupport
Gross Receipts From Admissions Etc27900GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.94350PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96150PublicSupportPertcentPriorYear
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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis112102OtherCostOrOtherBasis
Depreciation83277Depreciation
Book Value28825BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73065OtherCostOrOtherBasis
Depreciation35070Depreciation
Book Value37995BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings66820TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$19,413Amount
FieldValueIRS element (for citing)
Total Of Amounts19413TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event125213GrossReceiptsEvent1
Charitable Contributions Event19213CharitableContributionsEvent1
Gross Revenue Event116000GrossRevenueEvent1
Rent Facility Costs Event112196RentFacilityCostsEvent1
Other Direct Expenses Event14206OtherDirectExpensesEvent1
Gross Receipts Total25213GrossReceiptsTotal
Charitable Contributions Total9213CharitableContributionsTotal
Gross Revenue Total Events16000GrossRevenueTotalEvents
Rent Facility Costs Total Events12196RentFacilityCostsTotalEvents
Other Direct Expenses Total Events4206OtherDirectExpensesTotalEvents
Direct Expense Summary Events16402DirectExpenseSummaryEvents
Net Income Summary-402NetIncomeSummary

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

ERIN BARNHILL
KATHERINE MAKINNEY
JOSIE COLEMAN

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
BOARD MEMBER
TO FUND CD WHICH IS LEASE COLLATERAX$10,0003333falsetruefalse
BOARD MEMBER
TO FUND CD WHICH IS LEASE COLLATERAX$5,0001668falsetruefalse
FieldValueIRS element (for citing)
Total Balance Due5001TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO AND BOARD TREASURER REVIEW AND APPROVE THE 990 BEFORE IT IS FILED. THE 990 IS ALSO PROVIDED TO BOARD MEMBERS FOR COMMENT PRIOR TO BEING FILED.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAT TIME OF LAST RAISE FOR THE CEO, THE INDEPENDENT BOARD MEMBERS REVIEWED COMPENSATION LEVEL USING COMPARABILITY DATA FROM AN OUTSIDE SOURCE AND DOCUMENTED THEIR DECISION IN THE MINUTES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BN/A - NO OTHER OFFICERS OR KEY EMPLOYEES
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS AVAILABLE IN PERSON UPON REQUEST.

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