PRC MEDICAL OF DOUGLAS COUNTY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: PRC MEDICAL OF DOUGLAS COUNTY INC (EIN 58-1821544)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-05-15
IRS object ID: 201241369349301674
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-15T08:08:01-07:00	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	Lawrence See & Beavers	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3133 Golf Ridge Blvd Ste 102	AddressLine1
City	Douglasville	City
State	GA	State
ZIP Code	30135	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	581821544	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	PREGNANCY RESOURCE CENTER OF DOUGLAS	BusinessNameLine1
Business Name Line2	COUNTY INC	BusinessNameLine2

Field	Value	IRS element (for citing)
Name Control	PREG	NameControl
Phone	7709201001	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5668	AddressLine1
City	DOUGLASVILLE	City
State	GA	State
ZIP Code	30154	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JUDI DAVIS	Name
Title	Executive Direc	Title
Date Signed	2012-05-11	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Lewis C Beavers	Name
Phone	7709425197	Phone

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	524032	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1985	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	Assist those with crisis pregnancies	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	6	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	355953	ContributionsGrantsPriorYear
Contributions Grants Current Year	458445	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	204	InvestmentIncomePriorYear
Investment Income Current Year	99	InvestmentIncomeCurrentYear
Other Revenue Prior Year	47999	OtherRevenuePriorYear
Other Revenue Current Year	65488	OtherRevenueCurrentYear
Total Revenue Prior Year	404156	TotalRevenuePriorYear
Total Revenue Current Year	524032	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	198804	SalariesEtcPriorYear
Salaries Etc Current Year	176722	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	4697	TotalFundrsngExpCurrentYear
Other Expense Prior Year	159333	OtherExpensePriorYear
Other Expenses Current Year	190741	OtherExpensesCurrentYear
Total Expenses Prior Year	358137	TotalExpensesPriorYear
Total Expenses Current Year	367463	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	46019	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	156569	RevenuesLessExpensesCY
Total Assets BOY	561214	TotalAssetsBOY
Total Assets EOY	653266	TotalAssetsEOY
Total Liabilities BOY	247824	TotalLiabilitiesBOY
Total Liabilities EOY	183307	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	313390	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	469959	NetAssetsOrFundBalancesEOY
Mission Description	Assist those with crisis pregnancies	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	308291	Expense
Revenue	524032	Revenue
Description	Attending to physical, emotional, and spiritual needs of those affected by unplanned pregnancies through hope and compassion.	Description
Total Program Service Expense	308291	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	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	true	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	true	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	true	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	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	6	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	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
Own Website	X	OwnWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JUDI DAVIS	NamePerson
Telephone Number	7709201001	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	CHAPEL HILL RD	AddressLine1
City	DOUGLASVILLE	City
State	GA	State
ZIP Code	30135	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer
JOYCE NELSON
Director	20.00	13150	0	0
DAWN BROWN
Director	20.00	12195	0	0
ALISON THORNTON
Director	20.00	15066	0	0
SALLY BUCKNER
DIR OPERATIONS	40.00	41790	0	0
JOYCE SPINDLER
ADMINISTRATOR	40.00	32370	0	0
PAULA MCKENZIE
VOL COORDINATOR	40.00	29766	0	0
PHIL POWELL
Director	5.00	0	0	0	X
BARRY TYSOR
Director	5.00	0	0	0	X
KATHY SLEEK
Director	5.00	0	0	0	X
J RUTH MORGAN
Director	5.00	0	0	0	X
MARCUS MORGAN
Director	5.00	0	0	0	X
GARY MCMANUS
Director	5.00	0	0	0	X
JUDI DAVIS
Executive Direc	32.00	19800	0	0	X	X
BEAU MCCLAIN
Director	5.00	0	0	0	X
JIM LANTZ
Chairman	5.00	0	0	0	X
JULIAN CARTER
Director	5.00	0	0	0	X
BARBARA CALDWELL
Director	5.00	0	0	0	X
BEN LANG
Director	5.00	0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	164137	TotalReportableCompFromOrg
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

CompensationCompensation
TAMBRA WATKINS
7389
ALISON THORNTON
854
BATEMAN
2520

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	458445	AllOtherContributions
Noncash Contributions	138700	NoncashContributions
Total Contributions	458445	TotalContributions
Total Program Service Revenue	0	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	99	TotalRevenueColumn
Related Or Exempt Function Income	99	RelatedOrExemptFunctionIncome

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

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	65488	GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	65488	TotalRevenueColumn
Exclusion	$65,488	ExclusionAmount

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	524032	TotalRevenueColumn
Related Or Exempt Function Income	99	RelatedOrExemptFunctionIncome
Exclusion	$65,488	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	164137	Total
Program Services	121856	ProgramServices
Management And General	37584	ManagementAndGeneral
Fundraising	4697	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	0	Total

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	0	Total

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12585	Total
Program Services	12585	ProgramServices

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	2500	Total
Program Services	2500	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	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3160	Total
Program Services	3160	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	12068	Total
Management And General	12068	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	4237	Total
Program Services	4237	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	24416	Total
Program Services	24416	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	2658	Total
Program Services	2658	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	6578	Total
Program Services	6578	ProgramServices

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	17326	Total
Program Services	17326	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	20680	Total
Program Services	20680	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Progam service cost	71951	71951
Printing and Publications	7682	7682
Postage	4377		4377
Contract Services	10761	10761
Affiliation Fees	1350	1350

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	997	Total
Program Services	551	ProgramServices
Management And General	446	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	367463	Total
Program Services	308291	ProgramServices
Management And General	54475	ManagementAndGeneral
Fundraising	4697	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	80064	BOY
EOY	35229	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
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)
BOY	638	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	605486	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	126149	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	480512	BOY
EOY	479337	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
EOY	0	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	138700	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	561214	BOY
EOY	653266	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3450	BOY
EOY	1639	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	244374	BOY
EOY	178547	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
EOY	3121	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	247824	BOY
EOY	183307	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	313390	BOY
EOY	469959	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	313390	BOY
EOY	469959	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	561214	BOY
EOY	653266	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	156569	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	true	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	299262	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	254745	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	319770	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	410835	CurrentTaxYearMinus1Year
Current Tax Year	319745	CurrentTaxYear
Total	1604357	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Total	0	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	299262	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	254745	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	319770	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	410835	CurrentTaxYearMinus1Year
Current Tax Year	319745	CurrentTaxYear
Total	1604357	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	66178	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20407	CurrentTaxYearMinus3Years
Current Tax Year	33290	CurrentTaxYear
Total	119875	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Current Tax Year	84981	CurrentTaxYear
Total	84981	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	66178	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	20407	CurrentTaxYearMinus3Years
Current Tax Year	118271	CurrentTaxYear
Total	204856	Total

Field	Value	IRS element (for citing)
Public Support Total509	1399501	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	126	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	204	CurrentTaxYearMinus1Year
Current Tax Year	99	CurrentTaxYear
Total	429	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 Minus2 Years	126	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	204	CurrentTaxYearMinus1Year
Current Tax Year	99	CurrentTaxYear
Total	429	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	299262	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	254745	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	319896	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	411039	CurrentTaxYearMinus1Year
Current Tax Year	319844	CurrentTaxYear
Total	1604786	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.87210	PublicSupportPercentage509
Prior Year Support Percentage	0.90250	PriorYearSupportPercentage
Investment Income Percentage	0.00030	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00020	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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	58052	OtherCostOrOtherBasis
Book Value	58052	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	472500	OtherCostOrOtherBasis
Depreciation	90765	Depreciation
Book Value	381735	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38285	OtherCostOrOtherBasis
Depreciation	7586	Depreciation
Book Value	30699	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	36649	OtherCostOrOtherBasis
Depreciation	27798	Depreciation
Book Value	8851	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	479337	TotalOfBookValueLandBuildings
Total Of Book Value Program Related	138700	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	PAYROLL LIABILITIES	Description
Amount	$3,121	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	3121	TotalOfAmounts

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	false	AgreementRefFundraising

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	WALK FOR LIFE	NameOfEvent1
Gross Receipts Event1	49654	GrossReceiptsEvent1
Gross Revenue Event1	49654	GrossRevenueEvent1
Name Of Event2	GOLF TOURNAMENT	NameOfEvent2
Gross Receipts Event2	8457	GrossReceiptsEvent2
Gross Revenue Event2	8457	GrossRevenueEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	6927	GrossReceiptsOtherEvents
Gross Revenue Other Events	6927	GrossRevenueOtherEvents
Gross Receipts Total	65038	GrossReceiptsTotal
Gross Revenue Total Events	65038	GrossRevenueTotalEvents
Net Income Summary	65038	NetIncomeSummary

Schedule M IRS990ScheduleM

Real Estate Residential RealEstateResidential

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	138700	NoncashContribsRptdF990
Method Of Determining Revenues	SELL VALUE	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	All governing documents, conflict of interest policy and financial statements are available at the Organization's office for review by the public.
Form 990, Part VI, Line 11	Form 990, Part VI, Line 11: Form 990 Review Process	Organization's Treasurer and Finance Committee reviews the return prior to filing.