CLARIS HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CLARIS HEALTH (EIN 95-4806856)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-15
IRS object ID
201121669349301102
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)
Timestamp2011-06-15T17:56:55-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES L ULVOG CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18780 19TH ST STE 305AddressLine1
CityALTA LOMACity
StateCAState
ZIP Code91701ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954806856EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTSIDE PREGNANCY CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlWESTNameControl
Phone3102688400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC BLVDAddressLine1
Address Line2ROOM/SUITE 570AddressLine2
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTALITHA PHILLIPSName
TitleCEOTitle
Phone3102688400Phone
Date Signed2011-06-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJAMES L ULVOGName
Phone9099487363Phone
Date Prepared2011-06-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTALITHA PHILIPSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC BLVD STE 570AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode
FieldValueIRS element (for citing)
Gross Receipts612772GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.WPCLINIC.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2000YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionOPERATION OF MEDICAL CLINIC, INCLUDING COUNSELING AND SUPPORT SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body6NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees17TotalNbrEmployees
Total Nbr Volunteers60TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year736911ContributionsGrantsPriorYear
Contributions Grants Current Year601058ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8194ProgramServiceRevenuePriorYear
Program Service Revenue CY11279ProgramServiceRevenueCY
Investment Income Prior Year1052InvestmentIncomePriorYear
Investment Income Current Year435InvestmentIncomeCurrentYear
Other Revenue Prior Year-7930OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year738227TotalRevenuePriorYear
Total Revenue Current Year612772TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year350456SalariesEtcPriorYear
Salaries Etc Current Year414124SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year1775TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY1225TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year126640TotalFundrsngExpCurrentYear
Other Expense Prior Year268785OtherExpensePriorYear
Other Expenses Current Year331343OtherExpensesCurrentYear
Total Expenses Prior Year621016TotalExpensesPriorYear
Total Expenses Current Year746692TotalExpensesCurrentYear
Revenues Less Expenses Prior Year117211RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-133920RevenuesLessExpensesCY
Total Assets BOY445774TotalAssetsBOY
Total Assets EOY310673TotalAssetsEOY
Total Liabilities BOY38830TotalLiabilitiesBOY
Total Liabilities EOY37649TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY406944NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY273024NetAssetsOrFundBalancesEOY
Mission DescriptionOPERATION OF MEDICAL CLINIC, INCLUDING COUNSELING AND SUPPORT SERVICESMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense550598Expense
Revenue11279Revenue
DescriptionCLINIC SERVES TO EMPOWER INDIVIDUALS TO MAKE INFORMED PREGNANCY AND SEXUAL HEALTH CHOICES.Description
Total Program Service Expense550598TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
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 DQPtrueLoanToOfficerOrDQP
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 With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees17NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members6NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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 PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonsfalseAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementfalseRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTALITHA PHILLIPSNamePerson
Telephone Number3102688400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111500 W OLYMPIC STE 570AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90064ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
SPENCER HART
PRESIDENT1.00XX000
ERIN BARNHILL
SECRETARY1.00X000
JASON GHASSEMI
BOARD MEMBER1.00X000
KATHERINE MAKINNEY
BOARD MEMBER1.00X000
TOM BARRON
TREASURER1.00XX000
RICK BROMLEY
BOARD MEMBER1.00X000
JOSIE COLEMAN
SECRETARY1.00XX000
TALITHA PHILLIPS
CEO40.00X6081600
VICKY POWELL
TREASURER1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org60816TotalReportableCompFromOrg
Formers ListedtrueFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions601058AllOtherContributions
Total Contributions601058TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEDI-CAL PAYMENTSDescription
Total Revenue Column11279TotalRevenueColumn
Related Or Exempt Function Income11279RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue11279TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column435TotalRevenueColumn
Exclusion$435ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column612772TotalRevenueColumn
Related Or Exempt Function Income11279RelatedOrExemptFunctionIncome
Exclusion$435ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total60816Total
Program Services47567ProgramServices
Management And General6965ManagementAndGeneral
Fundraising6284Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total302612Total
Program Services236686ProgramServices
Management And General34655ManagementAndGeneral
Fundraising31271Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16870Total
Program Services13194ProgramServices
Management And General1933ManagementAndGeneral
Fundraising1743Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33826Total
Program Services26457ProgramServices
Management And General3874ManagementAndGeneral
Fundraising3495Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3948Total
Management And General3948ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total1225Total
Fundraising1225Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5572Total
Program Services5572ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total5205Total
Program Services5205ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total42318Total
Program Services33741ProgramServices
Management And General2305ManagementAndGeneral
Fundraising6272Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2817Total
Program Services148ProgramServices
Fundraising2669Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total153080Total
Program Services141268ProgramServices
Management And General6241ManagementAndGeneral
Fundraising5571Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1352Total
Program Services976ProgramServices
Fundraising376Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1501Total
Program Services1501ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total292Total
Program Services292ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total33412Total
Program Services30980ProgramServices
Management And General1286ManagementAndGeneral
Fundraising1146Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total8588Total
Program Services6688ProgramServices
Management And General1574ManagementAndGeneral
Fundraising326Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
FUNDRAISING EVENTS6621066210
BANK & CREDIT CARD FEES42934293
BOARD TRAINING23202320
OTHER4355260323

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total746692Total
Program Services550598ProgramServices
Management And General69454ManagementAndGeneral
Fundraising126640Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY198880BOY
EOY168506EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY70000BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY118BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis184120LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec84504LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY124225BOY
EOY99616EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY40000BOY
EOY30000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY12551BOY
EOY12551EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY445774BOY
EOY310673EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2292BOY
EOY626EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY10000BOY
EOY7500EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13333BOY
EOY10000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13205BOY
EOY19523EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38830BOY
EOY37649EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY322694BOY
EOY273024EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY84250BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY406944BOY
EOY273024EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY445774BOY
EOY310673EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-133920ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years348037CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years445885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years512864CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year736911CurrentTaxYearMinus1Year
Current Tax Year601058CurrentTaxYear
Total2644755Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years348037CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years445885CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years512864CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year736911CurrentTaxYearMinus1Year
Current Tax Year601058CurrentTaxYear
Total2644755Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total32158AmountsSubstContributorsTotal
Public Support Total1702612597PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years526CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2105CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3508CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1052CurrentTaxYearMinus1Year
Current Tax Year435CurrentTaxYear
Total7626Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years23104CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16951CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8194CurrentTaxYearMinus1Year
Current Tax Year11279CurrentTaxYear
Total64725Total
FieldValueIRS element (for citing)
Total Support2717106TotalSupport
Gross Receipts From Admissions Etc11279GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.96150PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99080PublicSupportPertcentPriorYear
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 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

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis111054OtherCostOrOtherBasis
Depreciation64900Depreciation
Book Value46154BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis73066OtherCostOrOtherBasis
Depreciation19604Depreciation
Book Value53462BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings99616TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionCERTIFICATE OF DEPOSITDescription
Book Value30000BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities30000TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEFERRED RENTDescription
Amount$19,523Amount
FieldValueIRS element (for citing)
Total Of Amounts19523TotalOfAmounts

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 PersonVICKY POWELLNamePerson

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Purpose Of LoanPurposeOfLoanLoan To OrganizationLoanToOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
BOARD MEMBER
TO FUND CD WHICH IS LEASE COLLATERAX$10,0005000falsetruefalse
BOARD MEMBER
TO FUND CD WHICH IS LEASE COLLATERAX$5,0002500falsetruefalse
FieldValueIRS element (for citing)
Total Balance Due7500TotalBalanceDue

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE CEO AND BOARD TREASURER REVIEW AND APPROVE THE 990 BEFORE IT IS FILED. THE 990 IS ALSO PROVIDED TO BOARD MEMBERS FOR COMMENT PRIOR TO BEING FILED.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AAT TIME OF LAST RAISE FOR THE CEO, THE INDEPENDENT BOARD MEMBERS REVIEWED COMPENSATION LEVEL USING COMPARABILITY DATA FROM AN OUTSIDE SOURCE AND DOCUMENTED THEIR DECISION IN THE MINUTES.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BN/A - NO OTHER OFFICERS OR KEY EMPLOYEES
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS AVAILABLE IN PERSON UPON REQUEST.

Comments

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