FURP.ORG / PUBLIC DATA EXPLORER

ALLIANCE MEDICAL MINISTRY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ALLIANCE MEDICAL MINISTRY INC (EIN 56-2168673)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-16
IRS object ID
201102289349300510
Schema version
2010v3.2
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)
Timestamp2011-08-16T08:02:27-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GOSPODAREK CPA PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14101 LAKE BOONE TRL STE 215AddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27607ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562168673EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALLIANCE MEDICAL MINISTRY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALLINameControl
Phone9192503320Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27610ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSEAN HARRISONName
TitleEXECUTIVE DIRECTORTitle
Phone9192503320Phone
Date Signed2011-08-12DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVE GOSPODAREKName
Phone9195109399Phone
Date Prepared2011-08-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSEAN R HARRISONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27610ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2385245GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ALLIANCEMEDICALMINISTRY.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Nbr Volunteers229TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2048726ContributionsGrantsPriorYear
Contributions Grants Current Year1687760ContributionsGrantsCurrentYear
Program Service Revenue Prior Year515573ProgramServiceRevenuePriorYear
Program Service Revenue CY588113ProgramServiceRevenueCY
Investment Income Prior Year2694InvestmentIncomePriorYear
Investment Income Current Year944InvestmentIncomeCurrentYear
Other Revenue Prior Year67985OtherRevenuePriorYear
Other Revenue Current Year90059OtherRevenueCurrentYear
Total Revenue Prior Year2634978TotalRevenuePriorYear
Total Revenue Current Year2366876TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1128302SalariesEtcPriorYear
Salaries Etc Current Year1278592SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year48964TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY49923TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year136026TotalFundrsngExpCurrentYear
Other Expense Prior Year1007543OtherExpensePriorYear
Other Expenses Current Year929858OtherExpensesCurrentYear
Total Expenses Prior Year2184809TotalExpensesPriorYear
Total Expenses Current Year2258373TotalExpensesCurrentYear
Revenues Less Expenses Prior Year450169RevenuesLessExpensesPriorYear
Revenues Less Expenses CY108503RevenuesLessExpensesCY
Total Assets BOY5526863TotalAssetsBOY
Total Assets EOY5081034TotalAssetsEOY
Total Liabilities BOY2069556TotalLiabilitiesBOY
Total Liabilities EOY1515224TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3457307NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3565810NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AFFORDABLE PRIMARY MEDICAL CARE TO LOW INCOME, UNINSURED WORKING FAMILIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1905446Expense
Revenue588113Revenue
DescriptionPROVIDE MEDICAL SERVICES FOR UNINSURED LOW INCOME INDIVIDUALSDescription
Total Program Service Expense1905446TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees22NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicyfalseConflictOfInterestPolicy
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSEAN R HARRISONNamePerson
Telephone Number9192503394TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1101 DONALD ROSS DRIVEAddressLine1
CityRALEIGHCity
StateNCState
ZIP Code27610ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SEAN HARRISON
EXECUTIVE DI40.00XX13850008699
SUZANNE GORDON
DIRECTOR3.00X000
DAVID WILSON
BOARD CHAIR5.00XX000
SUSAN T WEAVER MD
DIRECTOR3.00X000
CHARLES MANN MD
DIRECTOR3.00X000
RICK GANNOTTA
DIRECTOR3.00X000
NEIL MORRIS
TREASURER5.00XX000
DANA SIMPSON JD
SECRETARY3.00XX000
JR SHEARIN
DIRECTOR3.00X000
EILEEN HENDREN
DIRECTOR3.00X000
ROBERT HERRINGTON
DIRECTOR3.00X000
MIKE MIZEUR
DIRECTOR3.00X000
MARC NEWMAN
DIRECTOR3.00X000
JAMIE WINSTON
DIRECTOR3.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org138500TotalReportableCompFromOrg
Total Other Compensation8699TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Fundraising Events62835FundraisingEvents
All Other Contributions1624925AllOtherContributions
Noncash Contributions274285NoncashContributions
Total Contributions1687760TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CONTRACT FEES621110374046374046
PATIENT FEES621110214067214067
FieldValueIRS element (for citing)
Total Program Service Revenue588113TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column944TotalRevenueColumn
Exclusion$944ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real78841Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real815Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real78026Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column78026TotalRevenueColumn
Exclusion$78,026ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events28113GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events62835CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses17554FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column10559TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code900099BusinessCode
Total Revenue Column1474TotalRevenueColumn
Exclusion$1,474ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1474TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2366876TotalRevenueColumn
Related Or Exempt Function Income588113RelatedOrExemptFunctionIncome
Exclusion$80,444ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total138500Total
Program Services128805ProgramServices
Management And General4155ManagementAndGeneral
Fundraising5540Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total955730Total
Program Services888829ProgramServices
Management And General28672ManagementAndGeneral
Fundraising38229Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27213Total
Program Services25308ProgramServices
Management And General816ManagementAndGeneral
Fundraising1089Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total73939Total
Program Services68763ProgramServices
Management And General2218ManagementAndGeneral
Fundraising2958Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total83210Total
Program Services77386ProgramServices
Management And General2496ManagementAndGeneral
Fundraising3328Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11800Total
Management And General11800ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total49923Total
Fundraising49923Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total53672Total
Program Services53672ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total18067Total
Program Services6023ProgramServices
Management And General6022ManagementAndGeneral
Fundraising6022Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total95239Total
Management And General95239ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total106962Total
Program Services80221ProgramServices
Management And General26741ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total10588Total
Program Services9847ProgramServices
Management And General318ManagementAndGeneral
Fundraising423Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TEMPORARY STAFF220667220667
LAB COSTS166329166329
MEDICAL SUPPLIES5948259482
UTILITIES4737047370
REPAIRS & MAINTENANCE46810156041560315603

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total92872Total
Program Services57140ProgramServices
Management And General22821ManagementAndGeneral
Fundraising12911Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2258373Total
Program Services1905446ProgramServices
Management And General216901ManagementAndGeneral
Fundraising136026Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY491650BOY
EOY603625EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY268156BOY
EOY134395EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY399400BOY
EOY82001EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5065BOY
EOY5388EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4616378LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec360753LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4362592BOY
EOY4255625EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5526863BOY
EOY5081034EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY39556BOY
EOY35224EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2030000BOY
EOY1480000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2069556BOY
EOY1515224EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY3457307BOY
EOY3565810EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3457307BOY
EOY3565810EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5526863BOY
EOY5081034EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses108503ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years614274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2396326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2483731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2048726CurrentTaxYearMinus1Year
Current Tax Year1687760CurrentTaxYear
Total9230817Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year616226CurrentTaxYear
Total616226Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years614274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2396326CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2483731CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2048726CurrentTaxYearMinus1Year
Current Tax Year2303986CurrentTaxYear
Total9847043Total
FieldValueIRS element (for citing)
Public Support Total5099847043PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5005CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2694CurrentTaxYearMinus1Year
Current Tax Year944CurrentTaxYear
Total40632Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5005CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24066CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7923CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2694CurrentTaxYearMinus1Year
Current Tax Year944CurrentTaxYear
Total40632Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year78500CurrentTaxYear
Total78500Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years619279CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2420392CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2491654CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2051420CurrentTaxYearMinus1Year
Current Tax Year2383430CurrentTaxYear
Total9966175Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98800PublicSupportPercentage509
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis675000OtherCostOrOtherBasis
Book Value675000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3809364OtherCostOrOtherBasis
Depreciation278815Depreciation
Book Value3530549BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis132014OtherCostOrOtherBasis
Depreciation81938Depreciation
Book Value50076BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4255625TotalOfBookValueLandBuildings
Total Revenue2366876TotalRevenue
Total Expenses2258373TotalExpenses
Excess Or Deficit For Year108503ExcessOrDeficitForYear
Excess Or Deficit Per FS108503ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2366876TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2366876RevenueSubtotal
Total Revenue Per Form9902366876TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2258373TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2258373ExpensesSubtotal
Total Expenses Per Form9902258373TotalExpensesPerForm990

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SPRING SOIREENameOfEvent1
Gross Receipts Event163448GrossReceiptsEvent1
Charitable Contributions Event135335CharitableContributionsEvent1
Gross Revenue Event128113GrossRevenueEvent1
Other Direct Expenses Event117554OtherDirectExpensesEvent1
Name Of Event2BAND TOGETHERNameOfEvent2
Gross Receipts Event227500GrossReceiptsEvent2
Charitable Contributions Event227500CharitableContributionsEvent2
Gross Receipts Total90948GrossReceiptsTotal
Charitable Contributions Total62835CharitableContributionsTotal
Gross Revenue Total Events28113GrossRevenueTotalEvents
Other Direct Expenses Total Events17554OtherDirectExpensesTotalEvents
Direct Expense Summary Events17554DirectExpenseSummaryEvents
Net Income Summary10559NetIncomeSummary

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions28NumberOfContributions
Noncash Contribs Rptd F99038539NoncashContribsRptdF990

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions25NumberOfContributions
Noncash Contribs Rptd F990235746NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE 990 WILL BE DISTRIBUTED TO THE BOARD FOR REVIEW AND COMMENT AT THE BOARD MEETING FOLLOWING DISTRIBUTION.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BTHE BOARD HAS OVERSIGHT AND APPROVES EXECUTIVE DIRECTOR COMPENSATION. THE EXECUTIVE DIRECTOR MAKES RECOMMENDATIONS ON KEY EMPLOYEE COMPENSATION WHICH IS APPROVED DURING THE BUDGET PROCESS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST FOR INSPECTION. ALSO THE FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL REPORT SENT IN A NEWSLETTER TO SUPPORTERS(ALSO AVAILABLE UPON REQUEST). THE NEWSLETTER WITH THE ANNUAL REPORT MAY BE DOWNLOADED FROM THE ORGANIZATION'S WEBSITE.
CHANGE IN FINANCIAL REVIEW PROCESSFORM 990, PAGE 12, PART XII, LINE 2CTHERE WAS NO CHANGE DURING THE YEAR IN THE PROCESS OF OVERSEEING THE AUDIT.