HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS: Form 990, tax year 2011
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- Organization
- HEALTH QUEST OF UNION COUNTY INC HEALTH QUEST OF PHARMACEUTICAL ASS (EIN 56-2117596)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-31
- IRS object ID
- 201241529349300004
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-31T07:54:17-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561220683 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | POTTER & COMPANY PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 114 N CHURCH STREET | AddressLine1 |
| City | MONROE | City |
| State | NC | State |
| ZIP Code | 28112 | 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 | 562117596 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHQUEST OF UNION COUNTY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 7042262050 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 EAST FRANKLIN STREET | AddressLine1 |
| City | MONROE | City |
| State | NC | State |
| ZIP Code | 28112 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | HEATHER HORNE | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 7042262050 | Phone |
| Date Signed | 2012-05-30 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BAXTER W STARNES CPA | Name |
| PTIN | P00350775 | PTIN |
| Phone | 7042838189 | 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) |
|---|---|---|
| Name Of Principal Officer Person | HEATHER HORNE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 EAST FRANKLIN STREET | AddressLine1 |
| City | MONROE | City |
| State | NC | State |
| ZIP Code | 28112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 421317 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HEALTHQUESTPHARMACY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 20 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 45 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 356668 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 258283 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 132866 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 160129 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 5877 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2905 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 495411 | TotalRevenuePriorYear |
| Total Revenue Current Year | 421317 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 318835 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 345916 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 47548 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 181784 | OtherExpensePriorYear |
| Other Expenses Current Year | 190492 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 500619 | TotalExpensesPriorYear |
| Total Expenses Current Year | 536408 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5208 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -115091 | RevenuesLessExpensesCY |
| Total Assets BOY | 1012215 | TotalAssetsBOY |
| Total Assets EOY | 900835 | TotalAssetsEOY |
| Total Liabilities BOY | 32776 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 36487 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 979439 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 864348 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HEALTHQUEST OF UNION COUNTY IS A NONPROFIT ORGANIZATION WHOSE MISSION IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING MEDICATIONS TO THOSE WHO CANNOT AFFORD THEM OTHERWISE. THE ORGANIZATION PROVIDES PRESCRIPTION ASSISTANCE TO LOW-INCOME RESIDENTS THAT HAVE NO PRESCRIPTION INSURANCE COVERAGE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 431979 | Expense |
| Grants | 258283 | Grants |
| Revenue | 160129 | Revenue |
| Description | PROVIDED PHARMACEUTICALS AND PRESCRIPTION MEDICATIONS TO INDIVIDUALS THAT HAVE NO PRESCRIPTION INSURANCE AND CANNOT AFFORD THEIR MEDICATIONS OTHERWISE. THE INDIVDUALS SERVED RESIDE IN UNION, ANSON, AND STANLY COUNTIES, NC AND CHESTERFIELD AND LANCASTER COUNTIES, SC. THE ORGANIZATION ASSISTED 1,547 CLIENTS IN 2011 AND FILLED 51,674 PRESCRIPTIONS. | Description |
| Total Program Service Expense | 431979 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 5 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 20 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | SC | StatesWhereCopyOfReturnIsFiled |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JACKIE GASKINS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7042262050 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 415 E FRANKLIN ST | AddressLine1 |
| City | MONROE | City |
| State | NC | State |
| ZIP Code | 28112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| BRENT LAMMERS | ||||||
| CHAIRMAN | 2.00 | X | X | 0 | 0 | 0 |
| BILL ALSTON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JANE AUSTIN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BUDDY BREWER | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RUTH DEASON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KATHY IPAPO | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GARY JEWELL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RICHARD JONES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARGARET MEACHEM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MAX MELTON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| FRANK ELLIOTT | ||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 |
| DON RICHARDSON | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 0 | 0 |
| BILL NORWOOD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LYDIA LYON | ||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 |
| JACKY OLIN | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PATTY PRESLAR | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LYNN RAYE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| LISA STARNES | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVE VAN BLARCOM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JAIME WISE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 258283 | AllOtherContributions |
| Noncash Contributions | 66000 | NoncashContributions |
| Total Contributions | 258283 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CLIENT FEES | Description |
| Business Code | 446110 | BusinessCode |
| Total Revenue Column | 160129 | TotalRevenueColumn |
| Related Or Exempt Function Income | 160129 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 160129 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2905 | TotalRevenueColumn |
| Exclusion | $2,905 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 421317 | TotalRevenueColumn |
| Related Or Exempt Function Income | 160129 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,905 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 260513 | Total |
| Program Services | 198312 | ProgramServices |
| Management And General | 32797 | ManagementAndGeneral |
| Fundraising | 29404 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85403 | Total |
| Program Services | 65012 | ProgramServices |
| Management And General | 10752 | ManagementAndGeneral |
| Fundraising | 9639 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3500 | Total |
| Management And General | 3500 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 235 | Total |
| Management And General | 235 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5169 | Total |
| Program Services | 1809 | ProgramServices |
| Management And General | 2585 | ManagementAndGeneral |
| Fundraising | 775 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1193 | Total |
| Program Services | 894 | ProgramServices |
| Management And General | 239 | ManagementAndGeneral |
| Fundraising | 60 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18116 | Total |
| Program Services | 16304 | ProgramServices |
| Management And General | 1812 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACEUTICALS | 94039 | 94039 | |
| INSURANCE - LIABILITY | 7822 | 7822 | |
| UTILITIES | 7219 | 6497 | 722 |
| MAINTENANCE | 6206 | 6206 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46993 | Total |
| Program Services | 35084 | ProgramServices |
| Management And General | 4239 | ManagementAndGeneral |
| Fundraising | 7670 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536408 | Total |
| Program Services | 431979 | ProgramServices |
| Management And General | 56881 | ManagementAndGeneral |
| Fundraising | 47548 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38173 | BOY |
| EOY | 291759 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255222 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146094 | BOY |
| EOY | 53390 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7597 | BOY |
| EOY | 7636 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 676995 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 128945 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 565129 | BOY |
| EOY | 548050 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012215 | BOY |
| EOY | 900835 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32776 | BOY |
| EOY | 36487 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32776 | BOY |
| EOY | 36487 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 833345 | BOY |
| EOY | 810958 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146094 | BOY |
| EOY | 53390 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 979439 | BOY |
| EOY | 864348 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012215 | BOY |
| EOY | 900835 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -115091 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 | 614854 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 389124 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 430799 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 356668 | CurrentTaxYearMinus1Year |
| Current Tax Year | 258283 | CurrentTaxYear |
| Total | 2049728 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 102595 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 103620 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 118639 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 132866 | CurrentTaxYearMinus1Year |
| Current Tax Year | 160129 | CurrentTaxYear |
| Total | 617849 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 717449 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 492744 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 549438 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 489534 | CurrentTaxYearMinus1Year |
| Current Tax Year | 418412 | CurrentTaxYear |
| Total | 2667577 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 2667577 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6375 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6598 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6506 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5877 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2905 | CurrentTaxYear |
| Total | 28261 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6375 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6598 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6506 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5877 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2905 | CurrentTaxYear |
| Total | 28261 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 723824 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 499342 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 555944 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 495411 | CurrentTaxYearMinus1Year |
| Current Tax Year | 421317 | CurrentTaxYear |
| Total | 2695838 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98950 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98960 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01050 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01040 | 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 | 150000 | OtherCostOrOtherBasis |
| Book Value | 150000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 426648 | OtherCostOrOtherBasis |
| Depreciation | 62447 | Depreciation |
| Book Value | 364201 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48718 | OtherCostOrOtherBasis |
| Depreciation | 21389 | Depreciation |
| Book Value | 27329 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 51629 | OtherCostOrOtherBasis |
| Depreciation | 45109 | Depreciation |
| Book Value | 6520 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 548050 | TotalOfBookValueLandBuildings |
| Total Revenue | 421317 | TotalRevenue |
| Total Expenses | 536408 | TotalExpenses |
| Excess Or Deficit For Year | -115091 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | -115091 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 421317 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 421317 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 421317 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 536408 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 536408 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 536408 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS TAKEN FOR ALL OPEN TAX YEARS. CURRENTLY, THE 2009, 2010 AND 2011 TAX YEARS ARE OPEN AND SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND NORTH CAROLINA DEPARTMENT OF REVENUE. HOWEVER, THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY ANY OF THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEAR END DECEMBER 31, 2011. | Explanation |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SALARIES AND BENEFITS | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 66000 | NoncashContribsRptdF990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | EXECUTIVE DIRECTOR AND EXECUTIVE SECRETARY REVIEW FORM 990 WITH TAX PREPARER BEFORE RETURN IS FILED TO ENSURE CORRECTNESS OF INFORMATION PROVIDED. DRAFT OF FORM 990 IS ALSO REVIEWED BY THE ORGANIZATION'S EXECUTIVE AND FINANCE COMMITTEES BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | REVIEW POLICY WITH NEW BOARD MEMBERS. REVIEWED WITH FULL BOARD ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | REVIEWED ANNUALLY BY BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
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