Diversity in Nurse Anesthesia Mentorship Program
990T • Fiscal year 2021 • EIN 26-2992301
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Balance Sheet
Assets
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Net Assets
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Liabilities
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Revenue And Expenses
Revenue
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Expenses
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Net Income
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Filing Snapshot
- Filing Period
- Jan 1, 2021 to Dec 31, 2021
- Signed
- Nov 10, 2022
- Return Version
- 2021v4.3
Mission and Program Overview
Mission
This organization's mission is to inform, empower, and mentor underserved diverse poplulations with information to prepare for a successful career in nurse anesthesia.
Filing and Contact Details
Filer
- Filer Name
- Diversity in Nurse Anesthesia
- EIN
- 26-2992301
- Phone
- 5712458686
- Address
- 39 W WOLFERT STATION RD, MICKELTON, NJ 08056
Signing Officer
- Name
- Wallena Gould
- Title
- CEO, Founder
- Phone
- 8565998853
- Signed
- 2022-11-10
- Discuss with paid preparer
- Yes
Preparer
- Firm
- Business Accounting Systems Pc
- Address
- 943 KINGS HWY STE 204, WEST DEPTFORD, NJ 08066
- Preparer
- Leon a Elwell Pa Ea
- Phone
- 8568535422
Raw XML Appendix68 raw XML fields
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990T/BooksInCareOfDetail/PersonNm | 0 | WALLENA GOULD |
| IRS990T/BooksInCareOfDetail/PhoneNum | 0 | 5712458686 |
| IRS990T/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 39 W WOLFERT STATION RD |
| IRS990T/BooksInCareOfDetail/USAddress/CityNm | 0 | MICKLETON |
| IRS990T/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | NJ |
| IRS990T/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 08056 |
| IRS990T/BookValueAssetsEOYAmt | 0 | 206542 |
| IRS990T/ChangeInMethodOfAccountingInd | 0 | false |
| IRS990T/ForeignAccountsQuestionInd | 0 | false |
| IRS990T/ForeignTrustQuestionInd | 0 | false |
| IRS990T/Form990TScheduleAAttachedCnt | 0 | 1 |
| IRS990T/NetOperatingLossDeductionAmt | 0 | 0 |
| IRS990T/Organization501cCorporationInd | 0 | X |
| IRS990T/Organization501IndicatorGrp/Organization501cTypeTxt | 0 | c3 |
| IRS990T/Organization501IndicatorGrp/Organization501Ind | 0 | X |
| IRS990TScheduleA/AdvertisingIncmPeriodicalGrp/AdvertisedPeriodicalNameTxt | 0 | APPAREL & LOGO MERCHANDISE |
| IRS990TScheduleA/OtherDeductionsAmt | 0 | 11838 |
| IRS990TScheduleA/OtherIncomeAmt | 0 | 12356 |
| IRS990TScheduleA/PrincipalBusinessActivityCd | 0 | 448000 |
| IRS990TScheduleA/SequenceReferenceNum | 0 | 1 |
| IRS990TScheduleA/SequenceTotalNum | 0 | 1 |
| IRS990TScheduleA/TotalDeductionsAmt | 0 | 11838 |
| IRS990TScheduleA/TotNetUnrltTrdBusIncmAmt | 0 | 12356 |
| IRS990TScheduleA/TotUnrltTrdBusIncmAmt | 0 | 12356 |
| IRS990TScheduleA/TotUnrltTrdBusIncmExpnssAmt | 0 | 0 |
| IRS990TScheduleA/TradeOrBusinessDesc | 0 | LOGO APPAREL & MISC ITEMS |
| IRS990TScheduleA/UBIBeforeNOLDedAmt | 0 | 518 |
| IRS990TScheduleA/UnrelatedBusinessTaxblIncmAmt | 0 | 518 |
| IRS990T/SpecificDeductionAmt | 0 | 1000 |
| IRS990T/SubsidiaryCorporationInd | 0 | false |
| IRS990T/TaxableCorporationAmt | 0 | 0 |
| IRS990T/TaxableTrustAmt | 0 | 0 |
| IRS990T/TotalDeductionAmt | 0 | 1000 |
| IRS990T/TotalUBTIAmt | 0 | 0 |
| IRS990T/TotalUBTIBeforeNOLSpecificAmt | 0 | 518 |
| IRS990T/TotalUBTIBeforeSection199AAmt | 0 | 518 |
| IRS990T/TotalUBTIComputedAmt | 0 | 518 |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | WALLENA GOULD |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CEO, FOUNDER |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 8565998853 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2022-11-10 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | DIVERSITY IN NURSE ANESTHESIA |
| ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt | 0 | MENTORSHIP PROGRAM |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | DIVE |
| ReturnHeader/Filer/EIN | 0 | 262992301 |
| ReturnHeader/Filer/PhoneNum | 0 | 5712458686 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | 39 W WOLFERT STATION RD |
| ReturnHeader/Filer/USAddress/CityNm | 0 | MICKELTON |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | NJ |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 08056 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 222002088 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | BUSINESS ACCOUNTING SYSTEMS PC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 943 KINGS HWY STE 204 |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | WEST DEPTFORD |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | NJ |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 08066 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 8568535422 |
| ReturnHeader/PreparerPersonGrp/PreparationDt | 0 | 2022-11-10 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | LEON A ELWELL PA EA |
| ReturnHeader/ReturnTs | 0 | 2022-11-10T17:31:32-05:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990T |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm | 0 | WALLENA |
| ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm | 0 | GOULD |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2021-01-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2021-12-31 |
| ReturnHeader/TaxYr | 0 | 2021 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2021 • Form 990TFacts available. Structured filing facts are available, but richer extracted sections are limited.
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