RURAL HEALTH NETWORK OF SCNY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH NETWORK OF SCNY INC (EIN 22-3568461)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-09
IRS object ID
201103139349301130
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)
Timestamp2011-11-09T09:48:28-08:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Johnson Lauder & Savidge LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 Court Street 2nd FloorAddressLine1
CityBinghamtonCity
StateNYState
ZIP Code13901ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223568461EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE RURAL HEALTH NETWORK OF SCNY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRURANameControl
Phone6076927669Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 416AddressLine1
CityWHITNEY POINTCity
StateNYState
ZIP Code13862ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYNN VERDUINName
TitlePresidentTitle
Date Signed2011-11-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTheresa AllenName
Phone6077238216Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts746840GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.RURALHEALTHNETWORK.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionThe Rural Health Network of SCNY, Inc. believes that all rural residents should have access to adequate and affordable health care, by improving access to health care for rural residents through education, innovation and the rural health services corp.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees56TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year568591ContributionsGrantsPriorYear
Contributions Grants Current Year467578ContributionsGrantsCurrentYear
Program Service Revenue Prior Year177758ProgramServiceRevenuePriorYear
Program Service Revenue CY278305ProgramServiceRevenueCY
Investment Income Prior Year234InvestmentIncomePriorYear
Investment Income Current Year431InvestmentIncomeCurrentYear
Other Revenue Prior Year2400OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year748983TotalRevenuePriorYear
Total Revenue Current Year746314TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year580912SalariesEtcPriorYear
Salaries Etc Current Year522154SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3656TotalFundrsngExpCurrentYear
Other Expense Prior Year166661OtherExpensePriorYear
Other Expenses Current Year214915OtherExpensesCurrentYear
Total Expenses Prior Year747573TotalExpensesPriorYear
Total Expenses Current Year737069TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1410RevenuesLessExpensesPriorYear
Revenues Less Expenses CY9245RevenuesLessExpensesCY
Total Assets BOY227174TotalAssetsBOY
Total Assets EOY355185TotalAssetsEOY
Total Liabilities BOY98632TotalLiabilitiesBOY
Total Liabilities EOY217398TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY128542NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY137787NetAssetsOrFundBalancesEOY
Mission DescriptionThe Agency works with health and human service providers throughout a three-county service area and has extensive knowledge of services available. Additionally, the Agency improves access to health care for rural residents through the following programs: Education - Classes and social support for wellness and healthy lifestyle choices; Innovation - Investment in region-wide collaboration through programs like the Rural Health Service Corps; Community empowerment through programs like walking/bicycle trail development; and Closing the Gap - reducing financial barriers to needed health services for rural families through prescription assistance and facilitated health insurance enrollment and reducing geographic barriers to needed services through a directory of area transportation services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense603638Expense
DescriptionPROMOTE AND IMPROVE HEALTH OF RURAL COMMUNITIES AND STRENGTHEN EACH COMMUNITY'S CAPACITY TO RESPOND TO HEALTH NEEDS BY REDUCING BARRIERS AND IMPROVING ACCESS AND USE OF HEALTH AND HUMAN SERVICES THROUGH ADVOCACY, COMMUNICATION AND PARTNERSHIPSDescription
Total Program Service Expense603638TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
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 LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10968NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees56NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
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
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJOHN C SALONamePerson
Telephone Number6076927669TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 416AddressLine1
CityWHITNEY POINTCity
StateNYState
ZIP Code13862ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficer
JOHN C SALO
Executive Direc40.00X5600000
LYNN VERDUIN
President0.75000XX
JAMES SKIFF
Director0.75000X
KATHLEEN SPANN
Treasurer0.75000XX
KATHLEEN BUNNELL
Director0.75000X
MURPHEE HAYES
Secretary0.75000X
ANDY FAGAN
Director0.75000X
SUE ROMANCZUK-SMELCER
Director0.75000X
PATRICIA FELL
Director0.75000X
DELANA SPAULDING
Director0.75000X
JUDITH QUARANTA
Director0.75000X
LUCY BIANCO
Director0.75000X
DAVID J PATAK
Director0.75000X
RICHARD MCCARTHY
Vice President0.75000X
SHAWN YETTER
Director1.50000XX
AMY KENYON
Director0.75000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org56000TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants432854GovernmentGrants
All Other Contributions34724AllOtherContributions
Total Contributions467578TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS42234223
INKIND PROGRAM DONATIONS4627946279
LOCAL MATCH - HOST AGENCY6848468484
PROGRAM RELATED GRANTS159319159319
FieldValueIRS element (for citing)
Total Program Service Revenue278305TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column957TotalRevenueColumn
Exclusion$957ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other526Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-526Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-526TotalRevenueColumn
Exclusion-$526ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column746314TotalRevenueColumn
Related Or Exempt Function Income278305RelatedOrExemptFunctionIncome
Exclusion$431ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total56000Total
Program Services39900ProgramServices
Management And General13300ManagementAndGeneral
Fundraising2800Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total382195Total
Program Services337701ProgramServices
Management And General44494ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total83959Total
Program Services67057ProgramServices
Management And General16861ManagementAndGeneral
Fundraising41Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total23400Total
Management And General23400ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total7905Total
Program Services5929ProgramServices
Management And General1976ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11357Total
Program Services8518ProgramServices
Management And General2839ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total20600Total
Program Services15450ProgramServices
Management And General5150ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total38765Total
Program Services31012ProgramServices
Management And General7753ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4041Total
Management And General4041ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DUES & SUBSCRIPTIONS519431162078
Utilities740055501850
INSURANCE1160187012900
TRAINING & SEMINARS1614516145
PROGRAM CONSULTING5799657996

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total10511Total
Program Services6563ProgramServices
Management And General3133ManagementAndGeneral
Fundraising815Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total737069Total
Program Services603638ProgramServices
Management And General129775ManagementAndGeneral
Fundraising3656Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2074BOY
EOY495EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY60183BOY
EOY140538EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY137032BOY
EOY191079EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9361BOY
EOY8367EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis69983LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec55277LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18524BOY
EOY14706EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY227174BOY
EOY355185EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5367BOY
EOY4915EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY39879BOY
EOY177555EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53386BOY
EOY34928EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY98632BOY
EOY217398EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY128542BOY
EOY137787EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128542BOY
EOY137787EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY227174BOY
EOY355185EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses9245ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years339422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years369826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years514900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year746349CurrentTaxYearMinus1Year
Current Tax Year745883CurrentTaxYear
Total2716380Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years339422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years369826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years514900CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year746349CurrentTaxYearMinus1Year
Current Tax Year745883CurrentTaxYear
Total2716380Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1702716380PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years44CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years478CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2634CurrentTaxYearMinus1Year
Current Tax Year957CurrentTaxYear
Total4138Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support2720518TotalSupport
Public Support Pertcentage1700.99850PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99840PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis810OtherCostOrOtherBasis
Depreciation684Depreciation
Book Value126BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis69173OtherCostOrOtherBasis
Depreciation54593Depreciation
Book Value14580BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14706TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
PAYROLL LIABILITIES$68
ADVANCED PAYMENTS$19,158
ACCRUED PAYROLL$6,639
ACCRUED COMPENSATED ABSENCES$9,063
FieldValueIRS element (for citing)
Total Of Amounts34928TotalOfAmounts
Total Revenue746314TotalRevenue
Total Expenses737069TotalExpenses
Excess Or Deficit For Year9245ExcessOrDeficitForYear
Excess Or Deficit Per FS9245ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt746314TotRevenueEtcAuditedFinclStmt
Revenue Subtotal746314RevenueSubtotal
Total Revenue Per Form990746314TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt737069TotExpensesEtcAuditedFinclStmt
Expenses Subtotal737069ExpensesSubtotal
Total Expenses Per Form990737069TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationThe Agency is exempt from federal income tax as a nonprofit organization under the provisions of Section 501(c)(3) of the Internal Revenue Code as well as from New York State income tax under comparable laws. Professional standards provide detailed guidance for the financial statement recognition, measurement and disclosure of uncertain tax positions recognized in the Agency's financial statements. In accordance with the standard, the Agency discloses the expected future tax consequences of uncertain tax positions presuming the taxing authorities' full knowledge of the facts. It requires the Agency to recognize the financial statement impact of a tax position when it is more likely than not that the position will not be sustained upon examination. Interest and penalties associated with any tax liabilities would be reflected as separate liabilities. For tax-exempt entities, their tax-exempt status itself is deemed to be a tax position subject to uncertainty. Management has assessed significant tax positions against the criteria established by the professional standards and believes there are no such tax positions requiring recognition or disclosure in the financial statements. Tax years for filed returns prior to June 30, 2008 are closed to examination by taxing authorities.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Agency makes all applicable documents available through the following: inspection at local office, providing copies upon request and posting on Guidestar and NYS Charities websites.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe President/Executive Committee are responsible to review the performance of the Executive Director. Increases are also subject to control of the approved annual operating budget.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Agency mandates that all Board of Directors and key employees complete a disclosure statement regarding Conflict of Interest annually and more frequently, if warranted.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessA draft copy of the Form 990 is presented to the Board for their review and approval. Upon acceptance the President/Treasurer are authorized to sign the applicable Federal and state filings.

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