LOGAN-MINGO AREA MENTAL HEALTH INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
LOGAN-MINGO AREA MENTAL HEALTH INC (EIN 55-0523103)
Tax period
2009-07-01 to 2010-06-30
Filed
2010-12-29
IRS object ID
201110129349300066
Schema version
2009v1.3
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)
Timestamp2010-12-29T14:11:38-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS & KAWASH CPA'SBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA ST E STE 300AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253012724ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN550523103EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOGAN-MINGO AREA MENTAL HEALTH INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlLOGANameControl
Phone3047927130Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code256010176ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBERT R MAYSName
TitleEXECUTIVE DIRECTORTitle
Phone3047927130Phone
Date Signed2010-12-27DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT R DENYERName
Phone3043458400Phone
Date Prepared2010-12-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBERT R MAYS JRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code256010176ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6358255GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1970YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionPROVIDE BEHAVIORAL HEALTHCARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees175TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year2159856ContributionsGrantsPriorYear
Contributions Grants Current Year2649344ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4061648ProgramServiceRevenuePriorYear
Program Service Revenue CY3660647ProgramServiceRevenueCY
Investment Income Prior Year18333InvestmentIncomePriorYear
Investment Income Current Year15522InvestmentIncomeCurrentYear
Other Revenue Prior Year72954OtherRevenuePriorYear
Other Revenue Current Year32742OtherRevenueCurrentYear
Total Revenue Prior Year6312791TotalRevenuePriorYear
Total Revenue Current Year6358255TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4211843SalariesEtcPriorYear
Salaries Etc Current Year4074451SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2178111OtherExpensePriorYear
Other Expenses Current Year2266453OtherExpensesCurrentYear
Total Expenses Prior Year6389954TotalExpensesPriorYear
Total Expenses Current Year6340904TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-77163RevenuesLessExpensesPriorYear
Revenues Less Expenses CY17351RevenuesLessExpensesCY
Total Assets BOY2560996TotalAssetsBOY
Total Assets EOY2596528TotalAssetsEOY
Total Liabilities BOY302528TotalLiabilitiesBOY
Total Liabilities EOY320709TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2258468NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2275819NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE BEHAVIORAL HEALTHCARE SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5261062Expense
DescriptionMENTAL HEALTH, MENTAL RETARDATION/DEVELOPMENTALLY DELAYED,AND SUBSTANCE ABUSE SERVICES WERE PROVIDED TO PATIENTS RESIDING IN LOGAN AND MINGO COUNTIES IN WEST VIRGINIADescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense288089Expense
FieldValueIRS element (for citing)
Total Of Other Program Service Exp288089TotalOfOtherProgramServiceExp
Total Program Service Expense5549151TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
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 RequiredtrueScheduleJRequired
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees175NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTAHNEE BRYANTNamePerson
Telephone Number3047927130TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 176AddressLine1
CityLOGANCity
StateWVState
ZIP Code25601ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
MAE STALLARD
PRESIDENTXX000
ROGER BRYANT
VICE PRESIDEXX000
NORMA THOMPSON
SECRETARY/TRXX000
ANN ATHEY
BOARD MEMBERX000
REV GERALD F DOTSON
BOARD MEMBERX000
JIM HATFIELD
BOARD MEMBERX000
JOSEPH HATFIELD
BOARD MEMBERX000
BERNICE JOHNSON
BOARD MEMBERX000
REV THOMAS SCHULER
BOARD MEMBERX000
REV REX THOMPSON
BOARD MEMBERX000
ORVILLE ELLIS JR
BOARD MEMBERX000
ROBERT R MAYS
EXECUTIVE DIX9678901371135.00
JOHN B MAYS
CLINICAL DIRX501910674135.00
JOHN D JUSTICE
PSYCHIATRIST15588901334835.00X
LILLIAN THAMBIDURAI
PSYCHIATRIST13220001273935.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org435069TotalReportableCompFromOrg
Total Other Compensation46539TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Government Grants2649344GovernmentGrants
Total Contributions2649344TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET CLIENT REVENUESDescription
Total Revenue Column3660647TotalRevenueColumn
Related Or Exempt Function Income3660647RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3660647TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15522TotalRevenueColumn
Exclusion$15,522ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCONTRACTED SERVICESDescription
Total Revenue Column32742TotalRevenueColumn
Related Or Exempt Function Income32742RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue32742TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6358255TotalRevenueColumn
Related Or Exempt Function Income3693389RelatedOrExemptFunctionIncome
Exclusion$15,522ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total146980Total
Management And General146980ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2908726Total
Program Services2689444ProgramServices
Management And General219282ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total89614Total
Program Services78529ProgramServices
Management And General11085ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total647663Total
Program Services567547ProgramServices
Management And General80116ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total281468Total
Program Services246650ProgramServices
Management And General34818ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4450Total
Management And General4450ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total40101Total
Management And General40101ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1251981Total
Program Services1097111ProgramServices
Management And General154870ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total7146Total
Program Services6262ProgramServices
Management And General884ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total99374Total
Program Services87081ProgramServices
Management And General12293ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total137812Total
Program Services120765ProgramServices
Management And General17047ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total118344Total
Program Services103705ProgramServices
Management And General14639ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total116895Total
Program Services102435ProgramServices
Management And General14460ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total77448Total
Program Services67868ProgramServices
Management And General9580ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE196910196910
PROVIDER TAXES5900359003
REPAIRS AND MAINTENANCE39715348024913
MISCELLANEOUS395222290516617
DATA PROCESSING26608233173291

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total51144Total
Program Services44817ProgramServices
Management And General6327ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6340904Total
Program Services5549151ProgramServices
Management And General791753ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY253906BOY
EOY322734EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY179166EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY226226BOY
EOY271575EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY594780BOY
EOY372676EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3443533LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2342674LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY967634BOY
EOY1100859EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY518450BOY
EOY349518EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2560996BOY
EOY2596528EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY302528BOY
EOY320709EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY302528BOY
EOY320709EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2258468BOY
EOY2275819EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2258468BOY
EOY2275819EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2560996BOY
EOY2596528EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2153295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2200325CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2063566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2159856CurrentTaxYearMinus1Year
Current Tax Year2649344CurrentTaxYear
Total11226386Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2153295CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2200325CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2063566CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2159856CurrentTaxYearMinus1Year
Current Tax Year2649344CurrentTaxYear
Total11226386Total
FieldValueIRS element (for citing)
Public Support Total17011226386PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17629CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years26202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years30500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18333CurrentTaxYearMinus1Year
Current Tax Year15522CurrentTaxYear
Total108186Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years67412CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years52508CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52882CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year72954CurrentTaxYearMinus1Year
Current Tax Year32742CurrentTaxYear
Total278498Total
FieldValueIRS element (for citing)
Total Support11613070TotalSupport
Gross Receipts From Admissions Etc21241520GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96670PublicSupportPertcentage170
Public Support Pertcent Prior Year0.96510PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 Basis143633OtherCostOrOtherBasis
Book Value143633BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2403475OtherCostOrOtherBasis
Depreciation1722647Depreciation
Book Value680828BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis507796OtherCostOrOtherBasis
Depreciation267152Depreciation
Book Value240644BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis388629OtherCostOrOtherBasis
Depreciation352875Depreciation
Book Value35754BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1100859TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
CERTIFICATES OF DEPOSIT334365
PREPAIDS & DEPOSITS15153
FieldValueIRS element (for citing)
Total Book Value Other Assets349518TotalBookValueOtherAssets
Total Revenue6358255TotalRevenue
Total Expenses6340904TotalExpenses
Excess Or Deficit For Year17351ExcessOrDeficitForYear
Excess Or Deficit Per FS17351ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6358255TotRevenueEtcAuditedFinclStmt
Revenue Subtotal6358255RevenueSubtotal
Total Revenue Per Form9906358255TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6340904TotExpensesEtcAuditedFinclStmt
Expenses Subtotal6340904ExpensesSubtotal
Total Expenses Per Form9906340904TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJOHN D JUSTICENamePerson
Base Compensation Filing Org155889BaseCompensationFilingOrg
Nontaxable Benefits Filing Org13348NontaxableBenefitsFilingOrg
Total Compensation Filing Org169237TotalCompensationFilingOrg

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11MANAGEMENT REVIEWS THE FORM 990 AND REPORTS THE FINDINGS AND RESULTS TO THE BOARD OF DIRECTORS
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ATHE BOARD OF DIRECTORS SETS THE COMPENSATION FOR THESE INDIVIDUALS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST

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