ESPERANZA HEALTH CENTERS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
ESPERANZA HEALTH CENTERS (EIN 32-0115907)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-02-14
IRS object ID
201120459349300532
Schema version
2009v1.7
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)
Timestamp2011-02-14T11:01:12-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Clifton Gunderson LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22nd St Ste 1100AddressLine1
CityOak BrookCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN320115907EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Centro De Salud EsperanzaBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone7735846200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12001 South California Avenue No 100AddressLine1
CityChicagoCity
StateILState
ZIP Code60608ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDaniel FulwilerName
TitleCEOTitle
Phone7735846200Phone
Date Signed2011-02-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGregory S AdamsName
Phone6305738600Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDaniel FulwilerNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12001 South California Avenue No 100AddressLine1
CityChicagoCity
StateILState
ZIP Code60608ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3865371GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Siten/aWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionPrimary Health Care ServicesActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees43TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year593664ContributionsGrantsPriorYear
Contributions Grants Current Year677278ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2258976ProgramServiceRevenuePriorYear
Program Service Revenue CY3188093ProgramServiceRevenueCY
Investment Income Prior Year851InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2853491TotalRevenuePriorYear
Total Revenue Current Year3865371TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1761480SalariesEtcPriorYear
Salaries Etc Current Year2445479SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1412720OtherExpensePriorYear
Other Expenses Current Year1230582OtherExpensesCurrentYear
Total Expenses Prior Year3174200TotalExpensesPriorYear
Total Expenses Current Year3676061TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-320709RevenuesLessExpensesPriorYear
Revenues Less Expenses CY189310RevenuesLessExpensesCY
Total Assets BOY620516TotalAssetsBOY
Total Assets EOY1051044TotalAssetsEOY
Total Liabilities BOY2028807TotalLiabilitiesBOY
Total Liabilities EOY2270025TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-1408291NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-1218981NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide high quality, comprehensive and readily accessible primary healthcare services to the residents of the communities we serve in a culturally appropriate fashion.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3164712Expense
Revenue3188093Revenue
DescriptionTo provide primary health care services to near and mid-southwest side of the city of ChicagoDescription
Total Program Service Expense3164712TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees43NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons0AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CENTRO DE SALUD ESPERANZABusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7735846200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12001 SOUTH CALIFORNIA AVE SUITE 100AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60608ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Tim mccormick
Director1.00X000
Jim Sifuentes
Director1.00X000
Denise Roque-Leon
Director1.00X000
Maria Velazquez
Secretary2.00X000X
Rosa Pulido
Director1.00X000
Francisco Cisneros
Director1.00X000
Jorge Montes
Board Chairman2.00X000X
Jos Saldana
Treasurer2.00X000X
Jorge Girotti
Director1.00X000
Wayne Crawford
Chief financial officer40.002115400X
Dan fulwiler
Chief exectutive officer40.0010459300XX
Alejandro Clavier
Medical Director40.0012584300X
Maria James Silva
Physician40.0011232200X
Estella Hernandez
Physician40.0010979500X
Tracy Vera
Physician40.0016360400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org637311TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions677278AllOtherContributions
Noncash Contributions121460NoncashContributions
Total Contributions677278TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient FeesDescription
Business Code621990BusinessCode
Total Revenue Column3188093TotalRevenueColumn
Related Or Exempt Function Income3188093RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue3188093TotalProgramServiceRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column3865371TotalRevenueColumn
Related Or Exempt Function Income3188093RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total724564Total
Program Services511564ProgramServices
Management And General213000ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1294817Total
Program Services1244817ProgramServices
Management And General50000ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total213050Total
Program Services200612ProgramServices
Management And General12438ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total213048Total
Program Services200611ProgramServices
Management And General12437ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total50242Total
Management And General50242ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total14286Total
Program Services14286ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38396Total
Management And General38396ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total14450Total
Program Services14450ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total8984Total
Management And General8984ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total241023Total
Program Services241023ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total1811Total
Program Services1811ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total273376Total
Program Services252734ProgramServices
Management And General20642ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36367Total
Program Services28729ProgramServices
Management And General7638ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total194413Total
Program Services167927ProgramServices
Management And General26486ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total29955Total
Program Services25786ProgramServices
Management And General4169ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3125Total
Management And General3125ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4590Total
Program Services3993ProgramServices
Management And General597ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total205654Total
Program Services182219ProgramServices
Management And General23435ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Repairs and maintenance3799437994
membership fees14813122952518
Dues and subscriptions1352540699456
equipment rental97639763
freight35393539

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total34276Total
Program Services10029ProgramServices
Management And General24247ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3676061Total
Program Services3164712ProgramServices
Management And General511349ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY186777BOY
EOY164716EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY430536BOY
EOY767747EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY90078EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis34300LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5797LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3203BOY
EOY28503EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY620516BOY
EOY1051044EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY137877BOY
EOY260401EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY66250BOY
EOY137206EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1824680BOY
EOY1630925EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY241493EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2028807BOY
EOY2270025EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-1458291BOY
EOY-1243756EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY50000BOY
EOY24775EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-1408291BOY
EOY-1218981EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY620516BOY
EOY1051044EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years340000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years402409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years558586CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year593664CurrentTaxYearMinus1Year
Current Tax Year551269CurrentTaxYear
Total2445928Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years340000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years402409CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years558586CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year593664CurrentTaxYearMinus1Year
Current Tax Year551269CurrentTaxYear
Total2445928Total
FieldValueIRS element (for citing)
Public Support Total1702445928PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years456CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1139CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1661CurrentTaxYearMinus1Year
Current Tax Year6834CurrentTaxYear
Total11065Total
FieldValueIRS element (for citing)
Total Support2456993TotalSupport
Gross Receipts From Admissions Etc12001456GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99550PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$7,000MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$7,450DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB14450TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis34300InvestmentCostOrOtherBasis
Depreciation5797Depreciation
Book Value28503BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28503TotalOfBookValueLandBuildings
Total Revenue3865371TotalRevenue
Total Expenses3676061TotalExpenses
Excess Or Deficit For Year189310ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS189310ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3865371TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal3865371RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9903865371TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3676061TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal3676061ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903676061TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart X:Identifier
Return ReferenceDescription of Uncertain Tax Positions Under FIN 48:ReturnReference
ExplanationEffective July 1, 2009, the Center adopted the FASB's requirements for accounting for uncertain tax positions. The Center determined that it was not required to record a liability for unrecognized tax benefits as a result of implementing the new requirements. The federal and state tax returns of the Center for 2006, 2007, and 2008 are subject to examination by the Internal Revenue Service and state taxing authorities, generally for three years after they were filed.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Tracy VeraBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org163604BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org163604TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 6ReturnReference
ExplanationThe CEO's compensation package included a bonus of up to $5,000 that was contingent on the net earnings of the organization. During the year, the Organization accrued $5,000 for bonuses that were contingent on the net earnings of the organization.Explanation

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionDebt ForgivenessDescription
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990101234NoncashContribsRptdF990
Method Of Determining RevenuesAmount set forth in agreement among the parties.MethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section B, line 11Form 990 is reviewed in draft form by the Organization's Finance Committee, then sent the entire board before filing.
Form 990, Part VI, Section B, line 12cBoard of Directors complete compliance disclosures upon joining the board.
Form 990, Part VI, Section B, line 15aCEO's compensation is determined by the Board of Directors and is included in the Board minutes. The decision was made using comparison to organizational goals and comparability data of other similar sized organizations.
Form 990, Part VI, Section C, line 19Upon request

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.