Civic Intelligence

Broad Ripple Village Association

EIN 35-2093353 • 501(c)3 • Indianapolis, IN

Profile

To support and encourage a spirit of community cooperation in broad ripple village development and beautification and to serve as a community liason to the city of indianapolis.

Refreshing map…

818 Broad Ripple AveIndianapolis, IN 46220-1961

brva.org

Siviq Scores

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

Liabilities / Assets

66th percentile

0.01x

Higher debt load relative to assets than 66% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

70th percentile

0.01x

Higher debt load relative to revenue than 70% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

83rd percentile

33%

Higher net margin than 83% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

97th percentile

$48,000

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 34.7% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

75th percentile

19%

Faster asset growth than 75% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Revenue Growth

70th percentile

17%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2022 to 2024

Assets

Up

$371,216

Up $88,216 (+31%) from 2023

Liabilities

Up

$3,375

Up $1,808 (+115%) from 2023

Net Assets

Up

$367,841

Up $86,408 (+31%) from 2023

Revenue

Up

$261,845

Up $78,028 (+42%) from 2023

Expenses

Up

$175,437

Up $10,091 (+6.1%) from 2023

Net Income

Up

$86,408

Up $67,937 (+368%) from 2023

Trend Graphs

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $23,634Liabilities 2010: $0Net Assets 2010: $23,6342010Assets 2012: $22,235Liabilities 2012: $643Net Assets 2012: $21,5922012Assets 2015: $73,769Liabilities 2015: $346Net Assets 2015: $73,4232015Assets 2016: $104,836Liabilities 2016: $190Net Assets 2016: $104,6462016Assets 2017: $144,355Liabilities 2017: $201Net Assets 2017: $144,1542017Assets 2018: $182,817Liabilities 2018: $236Net Assets 2018: $182,5812018Assets 2019: $230,388Liabilities 2019: $212Net Assets 2019: $230,1762019Assets 2020: $156,831Liabilities 2020: $212Net Assets 2020: $156,6192020Assets 2021: $521,779Liabilities 2021: $330Net Assets 2021: $521,4492021Assets 2022: $264,021Liabilities 2022: $1,059Net Assets 2022: $262,9622022Assets 2023: $283,000Liabilities 2023: $1,567Net Assets 2023: $281,4332023Assets 2024: $371,216Liabilities 2024: $3,375Net Assets 2024: $367,8412024

Highlighted filing

2024

Assets$371,216
Liabilities$3,375
Net Assets$367,841

Operations Trend

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

$600K$400K$200K$0-$200K-$400KExpenses 2010: $28,4522010Expenses 2012: $7,8782012Revenue 2015: $70,015Expenses 2015: $93,281Net Income 2015: -$23,2662015Revenue 2016: $132,799Expenses 2016: $101,576Net Income 2016: $31,2232016Revenue 2017: $138,252Expenses 2017: $98,744Net Income 2017: $39,5082017Revenue 2018: $203,340Expenses 2018: $164,913Net Income 2018: $38,4272018Revenue 2019: $239,084Expenses 2019: $191,489Net Income 2019: $47,5952019Revenue 2020: $133,647Expenses 2020: $207,204Net Income 2020: -$73,5572020Revenue 2021: $525,376Expenses 2021: $160,546Net Income 2021: $364,8302021Revenue 2022: $191,838Expenses 2022: $450,325Net Income 2022: -$258,4872022Revenue 2023: $183,817Expenses 2023: $165,346Net Income 2023: $18,4712023Revenue 2024: $261,845Expenses 2024: $175,437Net Income 2024: $86,4082024

Highlighted filing

2024

Revenue$261,845
Expenses$175,437
Net Income$86,408

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 12, 2025
Return Version
2024v5.0
Gross Receipts
$351,682
Mission and Program Overview

Mission

To support and encourage a spirit of community cooperation in broad ripple village development and beautification and to serve as a community liason to the city of indianapolis.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$281,433$367,841▲ $86,408
Cash and Non-Interest-Bearing Accounts$276,998$365,987▲ $88,989
Inventories for Sale or Use$5,697$4,924▼ $773
Land, Buildings, and Equipment, Net$305$305→ $0
Total Assets$283,000$371,216▲ $88,216
Liabilities
Other Liabilities$1,567$3,375▲ $1,808
Total Liabilities$1,567$3,375▲ $1,808
Net Assets / Fund Balance
Total Net Assets Fund Balance$281,433$367,841▲ $86,408
Total Liabilities and Net Assets / Fund Balance$283,000$371,216▲ $88,216

Asset Categories

AssetBook ValueDepreciationBasis
Equipment-$7,717$7,717
Land$305-$305
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jordan DillonExecutive DiFT$68,041$7,500$75,541

Board Members and Trustees

NameTitle
Matthew HornyakPresident
Anthony BellamyDirector
Bo BoroskiDirector
Catrona DavidDirector
Jarod KrisloffDirector
Kip TewDirector
Mark DemerlyDirector
Richard MichalDirector
Sarah MyersDirector
Sherry SeiwertDirector
Tom DrewDirector
Leigh-ann RichardvilleSecretary
Bryan PhillipsTreasurer
Rachel HickeyVice-presien
Revenue and Support

Revenue Composition

Contributions and Grants
$291,038
Program Service Revenue
$0
Investment Income
$1,104
Other Revenue
$-30,297
All Other Contributions
$35,062
Change in Net Assets
$86,408
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$88,867
Salaries, Compensation, and Employee Benefits$86,570
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$15,108$60,433-$75,541
Fees for Services Other$38,797$12,933-$51,730
Office Expenses$11,745$2,839-$14,584
Occupancy$6,540$2,019-$8,559
Payroll Taxes$1,156$4,623-$5,779
Other Employee Benefits$600$2,400-$3,000
Insurance$298$2,686-$2,984
Pension Plan Contributions$450$1,800-$2,250
Fees for Services Accounting-$975-$975
Advertising$650--$650
Other Expenses$514$616-$514
All Other Expenses$50--$50
Travel-$9-$9
Total Functional Expenses$84,104$91,333$0$175,437
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$62,876
Fundraising Gross Income$33,631
Gaming Direct Expenses$17,276
Gaming Gross Income$14,832
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
River Walk$100,050-$2-
Brfm Summer$52,141$8,011$13,576$-5,565
Total Events$235,604$33,631$62,876$-29,245
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liabilities$2,162
Gift Certificates Liabilities$935
Payroll Liabilities$278
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 7A

Board of directors of the association are elected by the members with terms of the directors to be three years.

Form 990, Page 6, Part VI, Line 11B

Form 990 is held in hard copy format at the company's office. The board is informed when the return is completed by our outside cpa and where it is stored so that access is available. The treasurer reviews all responses to the form 990 checklist and the final form filed to ensure agreement.

Form 990, Page 6, Part VI, Line 12C

The board is required to fill out a compliance form annually that defines conflicts of interest and requires all board members, officers, employees, etc. To clearly disclose potential conflicts as they are aware. These reponses are maintained electronically to prove no conflicts are present. The board is required to notify on an ad-hoc basis once a conflict arises, if it does.

Form 990, Page 6, Part VI, Line 15A

Executive director compensation is approved by the board of directors.

Form 990, Page 6, Part VI, Line 15B

As evaluated by the board of directors on a one on one basis.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
Broad Ripple Village Association
EIN
35-2093353
Phone
3172512782
Address
818 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-1961

Signing Officer

Name
Matthew Hornyak
Title
President
Phone
3172512782
Signed
2025-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Hornyak
Formed
1999
Legal Domicile
In
Voting Board Members
15
Independent Board Members
15
Employees
1
Volunteers
200

Preparer

Firm
L M Henderson & Company Llp
Address
450 E 96TH ST STE 200, INDIANAPOLIS, IN 46240-3797
Preparer
Jude Thompson
Phone
3175661000
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Other support functions for the broad ripple village community.

Form 990, Part IX, Line 11G

Contract services 38,797 12,933 0

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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/OfficeExpensesGrp/ProgramServicesAmt011745
IRS990/OfficeExpensesGrp/TotalAmt014584
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowFASB117Ind0X
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt02400
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt0600
IRS990/OtherEmployeeBenefitsGrp/TotalAmt03000
IRS990/OtherExpensesGrp/Desc0UBIT
IRS990/OtherExpensesGrp/Desc1DUES AND SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc2MEALS AND ENTERTAINMENT
IRS990/OtherExpensesGrp/Desc3REAL ESTATE TAXES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0616
IRS990/OtherExpensesGrp/ProgramServicesAmt01005
IRS990/OtherExpensesGrp/ProgramServicesAmt14728
IRS990/OtherExpensesGrp/ProgramServicesAmt22463
IRS990/OtherExpensesGrp/ProgramServicesAmt3514
IRS990/OtherExpensesGrp/TotalAmt01005
IRS990/OtherExpensesGrp/TotalAmt14728
IRS990/OtherExpensesGrp/TotalAmt23079
IRS990/OtherExpensesGrp/TotalAmt3514
IRS990/OtherLiabilitiesGrp/BOYAmt01567
IRS990/OtherLiabilitiesGrp/EOYAmt03375
IRS990/OtherRevenueMiscGrp/BusinessCd0900099
IRS990/OtherRevenueMiscGrp/Desc0ADVERTISING INCOME
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt01200
IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt01200
IRS990/OtherRevenueTotalAmt01200
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt060433
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt015108
IRS990/OtherSalariesAndWagesGrp/TotalAmt075541
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt04623
IRS990/PayrollTaxesGrp/ProgramServicesAmt01156
IRS990/PayrollTaxesGrp/TotalAmt05779
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01800
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt0450
IRS990/PensionPlanContributionsGrp/TotalAmt02250
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0MATTHEW HORNYAK
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActyOtherGrp/Desc0OTHER SUPPORT FUNCTIONS FOR THE BROAD RIPPLE VILLAGE COMMUNITY.
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0192023
IRS990/PYExcessBenefitTransInd0false
IRS990/PYOtherExpensesAmt083784
IRS990/PYOtherRevenueAmt0-8206
IRS990/PYRevenuesLessExpensesAmt018471
IRS990/PYSalariesCompEmpBnftPaidAmt081562
IRS990/PYTotalExpensesAmt0165346
IRS990/PYTotalRevenueAmt0183817
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt086408
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0281433
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0367841
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER INCOME 121,132
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0291038
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0192023
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0199388
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0521273
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0134854
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01338576
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt01104
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt01104
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt033631
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt042807
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt028543
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt042334
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt07448
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0154763
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.87300
IRS990ScheduleA/PublicSupportPY170Pct00.85780
IRS990ScheduleA/PublicSupportTotal170Amt01338576
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0291038
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0192023
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0199388
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0521273
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0134854
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01338576
IRS990ScheduleA/TotalSupportAmt01533256
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus1YearAmt07806
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus2YearsAmt08695
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus3YearsAmt016357
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/CurrentTaxYearMinus4YearsAmt05955
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt038813
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/DepreciationAmt07717
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt07717
IRS990ScheduleD/LandGrp/BookValueAmt0305
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0305
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt02162
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt1935
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt2278
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0OTHER LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1GIFT CERTIFICATES LIABILITIES
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc2PAYROLL LIABILITIES
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0305
IRS990ScheduleD/TotalLiabilityAmt03375
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt0201973
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt0100050
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt044130
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriOtherEventsAmt057793
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt062876
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt02625
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentOtherEventsAmt01650
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt04275
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0RIVER WALK
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0BRFM SUMMER
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt0175
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageOtherEventsAmt01407
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt01582
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt0100050
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt052141
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsOtherEventsAmt083413
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt0235604
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt08011
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueOtherEventsAmt025620
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt033631
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-29245
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssOtherEventsAmt033126
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt046704
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt02
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt013576
IRS990ScheduleG/FundraisingEventInformationGrp/OtherEventsTotalCnt06
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt03293
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsOtherEventsAmt07022
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt010315
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0OTHER SUPPORT FUNCTIONS FOR THE BROAD RIPPLE VILLAGE COMMUNITY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD OF DIRECTORS OF THE ASSOCIATION ARE ELECTED BY THE MEMBERS WITH TERMS OF THE DIRECTORS TO BE THREE YEARS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS HELD IN HARD COPY FORMAT AT THE COMPANY'S OFFICE. THE BOARD IS INFORMED WHEN THE RETURN IS COMPLETED BY OUR OUTSIDE CPA AND WHERE IT IS STORED SO THAT ACCESS IS AVAILABLE. THE TREASURER REVIEWS ALL RESPONSES TO THE FORM 990 CHECKLIST AND THE FINAL FORM FILED TO ENSURE AGREEMENT.

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