NORTHERN NEVADA CHILDRENS CANCER FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN NEVADA CHILDRENS CANCER FOUNDATION INC (EIN 20-8623503)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-03-11
IRS object ID
201230719349300203
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)
Timestamp2012-03-11T11:14:33-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Melvin S Ray CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line16900 South McCarran Blvd Suite 1040AddressLine1
CityRenoCity
StateNVState
ZIP Code895096133ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN208623503EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northern Nevada ChildrensBusinessNameLine1
Business Name Line2Cancer FoundationBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone7753276275Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13550 Barron Way 5AAddressLine1
CityRenoCity
StateNVState
ZIP Code89511ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDebbie StricklandName
TitleExecutive DirectorTitle
Date Signed2012-03-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMELVIN S RAY CPAName
Phone7753220671Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts797361GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.childcancer.org/chapters/renoWebSite
Activity Or Mission DescriptionNorthern Nevada Children's Cancer Foundation (NNCCF) is dedicated to helping families with children who are being treated for cancer, by providing direct financial assistance and emotional support as they cope with their child's illness. Our mission is to enhance the quality of life for children with cancer and their families by providing financial assistance and compassionate support programs while advocating for increased research funds and raising public awareness. NNCCF is the only organization dedicated solely to supporting children with cancer and their families in northern Nevada and the Eastern Sierra region.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year388502ContributionsGrantsPriorYear
Contributions Grants Current Year466007ContributionsGrantsCurrentYear
Program Service Revenue Prior Year38021ProgramServiceRevenuePriorYear
Program Service Revenue CY29338ProgramServiceRevenueCY
Investment Income Prior Year3138InvestmentIncomePriorYear
Investment Income Current Year-17340InvestmentIncomeCurrentYear
Other Revenue Prior Year98526OtherRevenuePriorYear
Other Revenue Current Year147737OtherRevenueCurrentYear
Total Revenue Prior Year528187TotalRevenuePriorYear
Total Revenue Current Year625742TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year282790BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY238078BenefitsPaidToMembersCY
Salaries Etc Prior Year120281SalariesEtcPriorYear
Salaries Etc Current Year117604SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year12331TotalFundrsngExpCurrentYear
Other Expense Prior Year50002OtherExpensePriorYear
Other Expenses Current Year40065OtherExpensesCurrentYear
Total Expenses Prior Year453073TotalExpensesPriorYear
Total Expenses Current Year395747TotalExpensesCurrentYear
Revenues Less Expenses Prior Year75114RevenuesLessExpensesPriorYear
Revenues Less Expenses CY229995RevenuesLessExpensesCY
Total Assets BOY404891TotalAssetsBOY
Total Assets EOY642595TotalAssetsEOY
Total Liabilities EOY11209TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY404891NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY631386NetAssetsOrFundBalancesEOY
Mission DescriptionNorthern Nevada Children's Cancer Foundation (NNCCF) is dedicated to helping families with children who are being treated for cancer, by providing direct financial assistance and emotional support as they cope with their child's illness. Our mission is to enhance the quality of life for children with cancer and their families by providing financial assistance and compassionate support programs while advocating for increased research funds and raising public awareness. NNCCF is the only organization dedicated solely to supporting children with cancer and their families in northern Nevada and the Eastern Sierra region.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense368334Expense
DescriptionDuring 2011, NNCCF's Family Assistance Fund aided eighty eight families, spending $170,600 in direct financial support by providing coverage for a variety of expenses related to treatment, including: medical expenses, insurance deductibles, uncovered procedures, household living expenses, mortgage payments, rent, food, utilities, travel expenses. Over 50 patients, siblings and family members attended support group events such as Reel Kids Fly Fishing day. NNCCF raised $147,000 to help fund a cure. Over the holidays NNCCF had 342 familiy members attend the annual Holiday Party and had 31 families adopted for Christmas.Description
Total Program Service Expense368334TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
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 ActivitiestrueFundraisingActivities
GamingtrueGaming
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 Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
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 Members15NbrVotingGoverningBodyMembers
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 BodyfalseMinutesOfGoverningBody
Minutes Of CommitteesfalseMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDebbie StricklandNamePerson
Telephone Number7753276275TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13550 Barron Way 5AAddressLine1
CityRenoCity
StateNVState
ZIP Code89511ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Taylor Wondries
Member0.00000
Steve De Long
MEMBER0.00000
Shirley-Folkins-Roberts
Secretary0.00000
Pat Schlosser
Member0.00000
Meagon Noin
Member0.00000
Matt Clafton
Vice President0.00000
Kyle Larkin
MEMBER0.00000
Kathleen M Taylor
Member0.00000
Joel Grace
Member0.00000
Dr Robin White
Member0.00000
Doug Roberts
Treasurer0.00000
Daniel Buhrmann
President0.00000
Christy Smith
Member0.00000
Cariann Champagne
Member0.00000
Amy Riley
Member0.00000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants5000GovernmentGrants
All Other Contributions461007AllOtherContributions
Noncash Contributions20012NoncashContributions
Total Contributions466007TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionCommunity PartnersDescription
Total Revenue Column29338TotalRevenueColumn
Related Or Exempt Function Income29338RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue29338TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5703TotalRevenueColumn
Related Or Exempt Function Income5703RelatedOrExemptFunctionIncome

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

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities68258Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities91301Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-23043Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-23043TotalRevenueColumn
Related Or Exempt Function Income-23043RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events186704GrossIncomeFundraisingEvents
Fundraising Direct Expenses63441FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column123263TotalRevenueColumn
Exclusion$120,979ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming41351GrossIncomeGaming
Gaming Direct Expenses16877GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column24474TotalRevenueColumn
Exclusion$24,474ExclusionAmount

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 Column625742TotalRevenueColumn
Related Or Exempt Function Income11998RelatedOrExemptFunctionIncome
Exclusion$145,453ExclusionAmount

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)
Total238078Total
Program Services238078ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total109247Total
Program Services91560ProgramServices
Management And General8004ManagementAndGeneral
Fundraising9683Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total8357Total
Program Services6866ProgramServices
Management And General819ManagementAndGeneral
Fundraising672Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total235Total
Program Services188ProgramServices
Management And General35ManagementAndGeneral
Fundraising12Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total756Total
Program Services605ProgramServices
Management And General113ManagementAndGeneral
Fundraising38Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total6043Total
Program Services4834ProgramServices
Management And General907ManagementAndGeneral
Fundraising302Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total609Total
Program Services487ProgramServices
Management And General92ManagementAndGeneral
Fundraising30Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1081Total
Program Services865ProgramServices
Management And General162ManagementAndGeneral
Fundraising54Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

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)
Total7083Total
Program Services5666ProgramServices
Management And General1063ManagementAndGeneral
Fundraising354Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2290Total
Program Services1832ProgramServices
Management And General344ManagementAndGeneral
Fundraising114Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Repair & Maintenance26302104395131
Dues & Subscriptions40833266613204
Contracted Services42113369632210
Board Expenses23831906358119
Advocacy20201616303101

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6641Total
Program Services5092ProgramServices
Management And General1242ManagementAndGeneral
Fundraising307Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total395747Total
Program Services368334ProgramServices
Management And General15082ManagementAndGeneral
Fundraising12331Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY56799BOY
EOY48866EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY114644BOY
EOY184971EOY

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)
BOY700BOY
EOY7074EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY8274BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis150495LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16649LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY135708BOY
EOY133846EOY

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)
BOY88766BOY
EOY267838EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY404891BOY
EOY642595EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
EOY11209EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY11209EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY401391BOY
EOY631386EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3500BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY404891BOY
EOY631386EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY404891BOY
EOY642595EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses229995ReconcilationRevenueExpenses
Reconcilation Other Changes-3500ReconcilationOtherChanges
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 Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year388502CurrentTaxYearMinus1Year
Current Tax Year466007CurrentTaxYear
Total854509Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year388502CurrentTaxYearMinus1Year
Current Tax Year466007CurrentTaxYear
Total854509Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170854509PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support854509TotalSupport
First5 Years170XFirst5Years170
Public Support Pertcentage1700.00000PublicSupportPertcentage170

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis135000OtherCostOrOtherBasis
Depreciation8812Depreciation
Book Value126188BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10495OtherCostOrOtherBasis
Depreciation5128Depreciation
Book Value5367BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5000OtherCostOrOtherBasis
Depreciation2709Depreciation
Book Value2291BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings133846TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionRoundingDescription
Book Value3BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets267838TotalBookValueOtherAssets

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XI, Line 8Identifier
Return ReferencePart XI, Line 8: Other Changes in Net Assets or Fund BalancesReturnReference
ExplanationRelease of temporarily restricted funds $ -3500Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event1172610GrossReceiptsEvent1
Gross Revenue Event1172610GrossRevenueEvent1
Rent Facility Costs Event125375RentFacilityCostsEvent1
Food And Beverage Event19531FoodAndBeverageEvent1
Entertainment Event12000EntertainmentEvent1
Other Direct Expenses Event114725OtherDirectExpensesEvent1
Name Of Event2Elevate Life CampaignNameOfEvent2
Gross Receipts Event214094GrossReceiptsEvent2
Gross Revenue Event214094GrossRevenueEvent2
Food And Beverage Event2488FoodAndBeverageEvent2
Other Direct Expenses Event29714OtherDirectExpensesEvent2
Gross Receipts Total186704GrossReceiptsTotal
Gross Revenue Total Events186704GrossRevenueTotalEvents
Rent Facility Costs Total Events25375RentFacilityCostsTotalEvents
Food And Beverage Total Events10019FoodAndBeverageTotalEvents
Entertainment Total Events2000EntertainmentTotalEvents
Other Direct Expenses Total Events24439OtherDirectExpensesTotalEvents
Direct Expense Summary Events61833DirectExpenseSummaryEvents
Net Income Summary124871NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming41351GrossRevenueOtherGaming
Rent Facility Costs Other Gaming11720RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming2250OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming41351GrossRevenueTotalGaming
Rent Facility Costs Total Gaming11720RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming2250OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming13970DirectExpenseSummaryGaming
Net Gaming Income Summary27381NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedNVStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 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 11Form 990, Part VI, Line 11: Form 990 Review ProcessNo review was or will be conducted.

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