Civic Intelligence

Hie Montgomery County

EIN 27-4529189 • 501(c)3 • Montgomery, TX

Profile

Electronic exchange of health information

550 Club DriveMontgomery, TX 77316

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2014

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $205,112 (-100%) from 2013

Liabilities

Down

$0

Down $1,917 (-100%) from 2013

Net Assets

Down

$0

Down $203,195 (-100%) from 2013

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $327,374 (-100%) from 2013

Expenses

Down

$107,864

Down $224,124 (-68%) from 2013

Net Income

Down

-$107,864

Down $103,250 (-2238%) from 2013

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2013: $205,112Liabilities 2013: $1,917Net Assets 2013: $203,1952013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue Growth3rd percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2013: $327,374Expenses 2013: $331,988Net Income 2013: -$4,6142013Revenue 2014: $0Expenses 2014: $107,864Net Income 2014: -$107,8642014

Highlighted filing

2014

Revenue$0
Expenses$107,864
Net Income-$107,864
Open 2014 Filing

Filings

Most recent year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$107,864
Net income
-$107,864
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.00$1.08$1.08
2013Detailed filing. Detailed filing data is available for this year.$2.05$0.02$2.03$3.27$3.32$0.05
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Sep 15, 2015
Return Version
2014v5.0
Gross Receipts
$0
Mission and Program Overview

Mission

Electronic exchange of health information

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$198,297--
Land, Buildings, and Equipment, Net$6,804--
Accounts Receivable$11--
Total Assets$205,112$0▼ $205,112
Liabilities
Accounts Payable and Accrued Expenses$1,917--
Total Liabilities$1,917$0▼ $1,917
Net Assets / Fund Balance
Unrestricted Net Assets$203,195--
Total Net Assets Fund Balance$203,195$0▼ $203,195
Total Liabilities and Net Assets / Fund Balance$205,112$0▼ $205,112
Compensation and Service Providers
Top Officer PayScore unavailable

Board Members and Trustees

NameTitle
Dr Stephen L MckernanBoard President
Randy JohnsonVice Chair
-General Board Member
Evan RobersonGeneral Board Memeber
Thomas HoltTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-107,864
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$73,917
Other Expenses$33,947
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$0$52,528$0$52,528
Occupancy$0$20,773$0$20,773
Other Salaries and Wages$0$11,290$0$11,290
Fees for Services Legal$0$8,748$0$8,748
Other Employee Benefits$0$5,124$0$5,124
Payroll Taxes$0$4,975$0$4,975
Fees for Services Accounting$0$2,250$0$2,250
Depreciation Depletion$0$1,219$0$1,219
All Other Expenses$0$622$0$622
Other Expenses$0$149$0$149
Travel$0$145$0$145
Office Expenses$0$33$0$33
Total Functional Expenses$0$107,864$0$107,864
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Hie Montgomery County
EIN
27-4529189
Phone
9365827282
Address
550 CLUB DRIVE, MONTGOMERY, TX 77316

Signing Officer

Name
Thomas Holt
Title
Treasurer
Phone
9365827282
Signed
2015-09-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Thomas Holt
Formed
2011
Legal Domicile
TX
Voting Board Members
0
Independent Board Members
0
Employees
2
Volunteers
0

Preparer

Firm
Alan W Todd CPA
Address
406 N THOMPSON SUITE 203, CONROE, TX 77301
Preparer
Kristy Law
Phone
9367602354
Supplemental Narrative

Additional Explanations

Pt VI, Line 6

“The organization has a board of directors”

Pt VI, Line 7A

“The organization has a board of directors”

Pt VI, Line 11B

“All members of the board of directors receive a copy of 990 before filing”

Pt VI, Line 15A

“Board members review and research all key employee salaries before making an offer”

Pt VI, Line 15B

“Board members review and research all key employee salaries before making an offer”

Form 990, Part IX, Line 24F

“Penalties and fines 0. 0. 0. 0. Consulting - general 0. 0. 0. 0. Payroll service 222. 222. 0. Telephone/internet services 444. 444. Telephone - cell service 269. 269. Hosting -529. -529. Other taxes 216. 216.”

Raw XML Appendix363 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.

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IRS990/BooksInCareOfDetail/PhoneNum09365397413
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IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0true
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IRS990/ConservationEasementsInd0false
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IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
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IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
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IRS990/FeesForServicesLegalGrp/ProgramServicesAmt00
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IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt02.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt12.00
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt52.00
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IRS990/Form990PartVIISectionAGrp/BusinessName/BusinessNameLine1Txt1DR JACK LESCH
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/PersonNm0DR STEPHEN L MCKERNAN
IRS990/Form990PartVIISectionAGrp/PersonNm1RANDY JOHNSON
IRS990/Form990PartVIISectionAGrp/PersonNm2THOMAS HOLT
IRS990/Form990PartVIISectionAGrp/PersonNm3EVAN ROBERSON
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/TitleTxt0BOARD PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3GENERAL BOARD MEMEBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4GENERAL BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5GENERAL BOARD MEMBER
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02011
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt00
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipBasisNetGrp/BOYAmt06804
IRS990/LegalDomicileStateCd0TX
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0true
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0ELECTRONIC EXCHANGE OF HEALTH INFORMATION
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0203195
IRS990/NetAssetsOrFundBalancesEOYAmt00
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0true
IRS990/NondeductibleContriDisclInd0false
IRS990/OccupancyGrp/FundraisingAmt00
IRS990/OccupancyGrp/ManagementAndGeneralAmt020773
IRS990/OccupancyGrp/ProgramServicesAmt00
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IRS990/OfficeExpensesGrp/FundraisingAmt00
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IRS990/OfficeExpensesGrp/ProgramServicesAmt00
IRS990/OfficeExpensesGrp/TotalAmt033
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt05124
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt05124
IRS990/OtherExpensesGrp/Desc0APPLICATION FEE - 501c(3)
IRS990/OtherExpensesGrp/Desc1MEETING EXPENSES
IRS990/OtherExpensesGrp/Desc2MEMBERSHIP DUES - THIEC
IRS990/OtherExpensesGrp/Desc3MISCELLANEOUS
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IRS990/OtherExpensesGrp/FundraisingAmt10
IRS990/OtherExpensesGrp/FundraisingAmt20
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IRS990/OtherWebsiteInd0X
IRS990/OwnWebsiteInd0X
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt04975
IRS990/PayrollTaxesGrp/ProgramServicesAmt00
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IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0THOMAS HOLT
IRS990/ProfessionalFundraisingInd0false
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IRS990/ReconcilationRevenueExpnssAmt0-107864
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IRS990/RelatedOrganizationCtrlEntInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
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IRS990ScheduleA/HospitalNameAndAddressGrp/StateAbbreviationCd0TX
IRS990ScheduleA/HospitalNameAndAddressGrp/SupportedOrganizationName/BusinessNameLine1Txt0CONROE REGIONAL MEDICAL CENTER
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/MedicalResearchOrganizationInd0X
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IRS990ScheduleA/PublicSupportCY509Pct00
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IRS990/ScheduleJRequiredInd0false
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/AttorneyGeneralNotifiedInd0true
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IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1COMPUTER EQUIPMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-02-15
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-02-15
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt1995
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501C(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501c(3)
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0501C3 ORGANIZATION
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm1501C3 ORGANIZATION
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt1LOCALLY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0CONROE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1CONROE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0TX
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1TX
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd077380
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd177380
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0true
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION HAS A BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION HAS A BOARD OF DIRECTORS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL MEMBERS OF THE BOARD OF DIRECTORS RECEIVE A COPY OF 990 BEFORE FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD MEMBERS REVIEW AND RESEARCH ALL KEY EMPLOYEE SALARIES BEFORE MAKING AN OFFER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOARD MEMBERS REVIEW AND RESEARCH ALL KEY EMPLOYEE SALARIES BEFORE MAKING AN OFFER
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PENALTIES AND FINES 0. 0. 0. 0. CONSULTING - GENERAL 0. 0. 0. 0. PAYROLL SERVICE 222. 222. 0. TELEPHONE/INTERNET SERVICES 444. 444. TELEPHONE - CELL SERVICE 269. 269. HOSTING -529. -529. OTHER TAXES 216. 216.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Pt VI, Line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part IX, Line 24f
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IRS990/TerminateOperationsInd0true
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IRS990/TotalAssetsGrp/EOYAmt00
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IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt01917
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt01917
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0203195
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0205112
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt0145
IRS990/TravelGrp/ProgramServicesAmt00
IRS990/TravelGrp/TotalAmt0145
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0203195
IRS990/UponRequestInd0X
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IRS990/USAddress/CityNm0CONROE
IRS990/USAddress/StateAbbreviationCd0TX
IRS990/USAddress/ZIPCd077304
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0THOMAS HOLT
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum09365827282
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-09-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HIE MONTGOMERY COUNTY
ReturnHeader/Filer/BusinessNameControlTxt0HIEM
ReturnHeader/Filer/EIN0274529189
ReturnHeader/Filer/PhoneNum09365827282
ReturnHeader/Filer/USAddress/AddressLine1Txt0550 CLUB DRIVE
ReturnHeader/Filer/USAddress/CityNm0MONTGOMERY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0TX
ReturnHeader/Filer/USAddress/ZIPCd077316
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ALAN W TODD CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0406 N THOMPSON SUITE 203
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0CONROE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0TX
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd077301
ReturnHeader/PreparerPersonGrp/PhoneNum09367602354
ReturnHeader/PreparerPersonGrp/PreparationDt02015-11-02
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KRISTY LAW
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02015-11-02T19:35:05-08:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-12-31
ReturnHeader/TaxYr02014

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