ACCESS TO HEALTHCARE NETWORK INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ACCESS TO HEALTHCARE NETWORK INC (EIN 72-1619489)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349304509
Schema version
2010v3.4
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)
Timestamp2012-05-15T12:21:45-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KAFOURY ARMSTRONG & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1301 WEST TOLAS PLACEAddressLine1
CityFALLONCity
StateNVState
ZIP Code89406ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN721619489EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ACCESS TO HEALTHCARE NETWORK INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlACCENameControl
Phone7752848989Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14001 S VIRGINIA STREET NO FAddressLine1
CityRENOCity
StateNVState
ZIP Code89502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSHERRI RICEName
TitleCHIEF EXCECUTIVE OFFICERTitle
Phone7752849079Phone
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLAUREL JACKSONName
Phone7754236505Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSHERRIE RICENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14001 S VIRGINIA STREETAddressLine1
CityRENOCity
StateNVState
ZIP Code89502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts4517327GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2006YearFormation
State Legal DomicileNVStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR THE UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS.ActivityOrMissionDescription
Nbr Voting Members Governing Body27NbrVotingMembersGoverningBody
Nbr Independent Voting Members27NbrIndependentVotingMembers
Total Nbr Employees45TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1540057ContributionsGrantsPriorYear
Contributions Grants Current Year3602466ContributionsGrantsCurrentYear
Program Service Revenue Prior Year709353ProgramServiceRevenuePriorYear
Program Service Revenue CY904170ProgramServiceRevenueCY
Investment Income Prior Year-1691InvestmentIncomePriorYear
Investment Income Current Year-10423InvestmentIncomeCurrentYear
Other Revenue Prior Year2719OtherRevenuePriorYear
Other Revenue Current Year10055OtherRevenueCurrentYear
Total Revenue Prior Year2250438TotalRevenuePriorYear
Total Revenue Current Year4506268TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1094814SalariesEtcPriorYear
Salaries Etc Current Year2090962SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1125076OtherExpensePriorYear
Other Expenses Current Year2443605OtherExpensesCurrentYear
Total Expenses Prior Year2219890TotalExpensesPriorYear
Total Expenses Current Year4534567TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30548RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-28299RevenuesLessExpensesCY
Total Assets BOY1890147TotalAssetsBOY
Total Assets EOY1402534TotalAssetsEOY
Total Liabilities BOY1260421TotalLiabilitiesBOY
Total Liabilities EOY903284TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY629726NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY499250NetAssetsOrFundBalancesEOY
Mission DescriptionTHE ORGANIZATION'S MISSION IS TO INCREASE ACCESS TO PRIMARY AND SPECIALTY HEALTHCARE SERVICES FOR UNINSURED AND UNDER-INSURED WORKING-POOR NEVADA RESIDENTS THROUGH SHARED RESPONSIBILITY AND COMMUNITY-WIDE PARTNERSHIPS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2577081Expense
Revenue904170Revenue
DescriptionMEMBER SERVICES: THE ORGANIZATION IS A COMPREHENSIVE NETWORK OF HOSPITALS AND CLINICS, AND PRIMARY, SPECIALTY, ANCILLARY, DENTAL, VISION, PHARMACY AND HEALTH CARE PROFESSIONALS, OFFERING MEDICAL SERVICES TO THE UNINSURED AND UNDER-INSURED MEMBERS OF THE COMMUNITY AT VASTLY REDUCED RATES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1606066Expense
DescriptionPATIENT CARE FUND: THE ORGANIZATION HAS ESTABLISHED A PATIENT CARE FUND FOR THE PURPOSE OF PROVIDING ASSISTANCE TO THOSE MEMBERS WHO ARE UNABLE TO COMPLETELY PAY FOR THEIR MEDICAL NEEDS. PARTNERSHIPS HAVE BEEN FORMED WITH VARIOUS FUNDING SOURCES TO SUBSIDIZE 50% OF THE DISCOUNTED HEALTH CARE FEES FOR SPECIFIC POPULATIONS OR DESIGNATED ILLNESS.Description
FieldValueIRS element (for citing)
Total Program Service Expense4183147TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees45NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members27NbrVotingGoverningBodyMembers
Number Independent Voting Members27NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MIKE O'CARROLLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7752848989TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14001 S VIRGINIA ST SUITE FAddressLine1
CityRENOCity
StateNVState
ZIP Code89502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SHERRI RICE
CHIEF EXECUTIVE OFFICER40.00XXXX17400000
CHRISTINE BOSSE
DIRECTOR1.00X000
VALERIE CLARK
VICE CHAIR5.00XX000
MIKE JOHNSON
DIRECTOR1.00X000
MICHELLE KLING
SECRETARY5.00XX000
KEN RETTERATH
PRESIDENT5.00XX000
MATT ANDERSON
DIRECTOR5.00XX000
BETTY BARKER
DIRECTOR1.00X000
DOREEN BEGLEY
DIRECTOR1.00X000
DAVID BOBZIEN
DIRECTOR1.00X000
MINDI BRENNER
DIRECTOR1.00X000
MARY-ANN BROWN
DIRECTOR1.00X000
NANCY BROWN
TREASURER1.00X000
MYLAN HAWKINS
DIRECTOR1.00X000
SCOTT HEINZE
DIRECTOR1.00X000
RYAN HERRICK
DIRECTOR1.00X000
MARY BETH HUNT
DIRECTOR1.00X000
STEPHANIE KRUSE
DIRECTOR1.00X000
MARTY WAYNE MARTIN
DIRECTOR1.00X000
LARRY MATHEIS
DIRECTOR1.00X000
JOHN PACKHAM
DIRECTOR1.00X000
ROTA ROSASCHI
DIRECTOR1.00X000
BRIGETTE STOVALL
DIRECTOR1.00X000
DANIEL SPOGEN
DIRECTOR1.00X000
ANGIE TAYLOR
DIRECTOR1.00X000
DONALD VANDYKEN
DIRECTOR1.00X000
TY WINDFELDT
DIRECTOR1.00X000
STEVEN ZELL
DIRECTOR1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org174000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants3345719GovernmentGrants
All Other Contributions256747AllOtherContributions
Total Contributions3602466TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEMBERSHIP FEESDescription
Business Code900099BusinessCode
Total Revenue Column904170TotalRevenueColumn
Related Or Exempt Function Income904170RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue904170TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column636TotalRevenueColumn
Exclusion$636ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other11059Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-11059Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11059TotalRevenueColumn
Exclusion-$11,059ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900000BusinessCode
Total Revenue Column10055TotalRevenueColumn
Exclusion$10,055ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10055TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4506268TotalRevenueColumn
Related Or Exempt Function Income904170RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$368ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total174000Total
Program Services147900ProgramServices
Management And General26100ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1596874Total
Program Services1410469ProgramServices
Management And General186405ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total167239Total
Program Services147170ProgramServices
Management And General20069ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total152849Total
Program Services134507ProgramServices
Management And General18342ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26314Total
Program Services23156ProgramServices
Management And General3158ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total47511Total
Program Services41810ProgramServices
Management And General5701ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total121694Total
Program Services107091ProgramServices
Management And General14603ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total96448Total
Program Services84874ProgramServices
Management And General11574ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total162167Total
Program Services142707ProgramServices
Management And General19460ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total28021Total
Program Services24658ProgramServices
Management And General3363ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total23818Total
Program Services20960ProgramServices
Management And General2858ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT MEDICAL CARE16060661606066
RENT1091859608313102
CONTRACT SERVICES1071759431412861
TELEPHONE AND INTERNET49289433745915
DUES AND LICENSES14861130781783

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total51056Total
Program Services44930ProgramServices
Management And General6126ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4534567Total
Program Services4183147ProgramServices
Management And General351420ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY478497BOY
EOY113254EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1132892BOY
EOY451159EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY217953BOY
EOY719130EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4803BOY
EOY16818EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1857BOY
EOY326EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY800BOY
EOY20741EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis120845LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec39739LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY53345BOY
EOY81106EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1890147BOY
EOY1402534EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1094823BOY
EOY316786EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY165598BOY
EOY586498EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1260421BOY
EOY903284EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY433565BOY
EOY131316EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY196161BOY
EOY367934EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY629726BOY
EOY499250EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1890147BOY
EOY1402534EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-28299ReconcilationRevenueExpenses
Reconcilation Other Changes-102177ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years928042CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years989566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1471777CurrentTaxYearMinus1Year
Current Tax Year3602466CurrentTaxYear
Total7031002Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39151CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years928042CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years989566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1471777CurrentTaxYearMinus1Year
Current Tax Year3602466CurrentTaxYear
Total7031002Total
FieldValueIRS element (for citing)
Public Support Total1707031002PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years1256CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2060CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4766CurrentTaxYearMinus1Year
Current Tax Year10691CurrentTaxYear
Total18773Total
FieldValueIRS element (for citing)
Total Support7049775TotalSupport
Public Support Pertcentage1700.99730PublicSupportPertcentage170
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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis120845OtherCostOrOtherBasis
Depreciation39739Depreciation
Book Value81106BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings81106TotalOfBookValueLandBuildings
Total Revenue4506268TotalRevenue
Total Expenses4534567TotalExpenses
Excess Or Deficit For Year-28299ExcessOrDeficitForYear
Prior Period Adjustments-102177PriorPeriodAdjustments
Total Adjustments-102177TotalAdjustments
Excess Or Deficit Per FS-130476ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4506268TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal4506268RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9904506268TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt0TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal0ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9900TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonSHERRI RICENamePerson
Base Compensation Filing Org174000BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org174000TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS REVIEWED AND APPROVED BY THE EXECUTIVE COMMITTEE PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IS MONITORED AND REVIEWED AT THE BOARD OF DIRECTORS' ANNUAL MEETING.FORM 990, PART VI, SECTION B, LINE 12C
THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE APPROVAL PROCESS INCLUDES COMPARABLE DATA DETERMINED BY A STATEWIDE STUDY PUBLISHED AND COMPILED BY THE NEVADA NONPROFIT NEWS. THE ORGANIZATION PERFORMS A NONPROFIT COMPENSATION REVIEW EVERY TWO YEARS THAT IS A COMPARISION STUDY FOR CEOS AND TOP MANAGEMENT STAFF. ALL COMPENSATION PACKAGES FOR KEY MANAGEMENT ARE APPROVED FIRST BY THE EXECUTIVE COMMITTEE OF THE BOARD AND THEN BY THE ENTIRE BOARD OF DIRECTORS.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAKES ITS POLICIES AND FINANCIAL DATA AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:PRIOR PERIOD ADJUSTMENTS: -102,177.FORM 990, PART XI, LINE 5:

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