Civic Intelligence

Good Samaritan Home Foundation

990 • Fiscal year 2017 • EIN 46-1945910

Oct 01, 2016 to Sep 30, 2017 • Filed on Feb 01, 2018

2130 Harrison StQuincy, IL 62301

(217) 223-8717

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

20th percentile

0.02x

Higher debt load relative to assets than 20% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Liabilities / Revenue

69th percentile

0.53x

Higher debt load relative to revenue than 69% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Net Margin

1st percentile

-220%

Higher net margin than 1% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Top Officer Pay

12th percentile

$0

Higher top officer pay than 12% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2017

Asset Growth

26th percentile

-1.4%

Faster asset growth than 26% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2017

Revenue Growth

1st percentile

-80%

Faster revenue growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2017

Assets

Down

$13,305,510

Down $393,075 (-2.9%) from 2015

Net Assets

Down

$12,983,859

Down $684,726 (-5.0%) from 2015

Liabilities

Up

$321,651

Up $291,651 (+972%) from 2015

Revenue

Down

$603,563

Down $14,012,958 (-96%) from 2015

Expenses

Up

$1,930,742

Up $1,724,262 (+835%) from 2015

Net Income

Down

-$1,327,179

Down $15,737,220 (-109%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$20M$15M$10M$5.0M$0Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $13,698,585Liabilities 2015: $30,000Net Assets 2015: $13,668,5852015Assets 2017: $13,305,510Liabilities 2017: $321,651Net Assets 2017: $12,983,8592017Assets 2018: $13,738,205Liabilities 2018: $0Net Assets 2018: $13,738,2052018Assets 2019: $13,820,072Liabilities 2019: $0Net Assets 2019: $13,820,0722019Assets 2020: $15,220,098Liabilities 2020: $0Net Assets 2020: $15,220,0982020Assets 2021: $16,632,009Liabilities 2021: $0Net Assets 2021: $16,632,0092021Assets 2022: $13,460,054Liabilities 2022: $0Net Assets 2022: $13,460,0542022Assets 2023: $13,276,670Liabilities 2023: $1,125Net Assets 2023: $13,275,5452023Assets 2024: $12,480,249Liabilities 2024: $4,496Net Assets 2024: $12,475,7532024

Highlighted filing

2017

Assets$13,305,510
Liabilities$321,651
Net Assets$12,983,859

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$15M$10M$5.0M$0-$5.0MRevenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $14,616,521Expenses 2015: $206,480Net Income 2015: $14,410,0412015Revenue 2017: $603,563Expenses 2017: $1,930,742Net Income 2017: -$1,327,1792017Revenue 2018: $598,668Expenses 2018: $350,405Net Income 2018: $248,2632018Revenue 2019: $694,119Expenses 2019: $605,786Net Income 2019: $88,3332019Revenue 2020: $752,075Expenses 2020: $300,531Net Income 2020: $451,5442020Revenue 2021: $1,661,762Expenses 2021: $722,342Net Income 2021: $939,4202021Revenue 2022: $900,429Expenses 2022: $699,366Net Income 2022: $201,0632022Revenue 2023: $1,001,629Expenses 2023: $1,742,064Net Income 2023: -$740,4352023Revenue 2024: $1,859,310Expenses 2024: $3,749,116Net Income 2024: -$1,889,8062024

Highlighted filing

2017

Revenue$603,563
Expenses$1,930,742
Net Income-$1,327,179
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Feb 1, 2018
Return Version
2016v3.1
Gross Receipts
$3,188,285
Mission and Program Overview

Mission

To support the Good Samaritan Home of Quuincy

To support the mission of the good samaritan home of quincy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$13,029,379$12,966,080▼ $63,299
Savings and Temporary Cash Investments$364,226$322,888▼ $41,338
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$13,410,147$13,305,510▼ $104,637
Other Assets Total$16,542$16,542→ $0
Liabilities
Other Liabilities$0$321,651▲ $321,651
Accounts Payable and Accrued Expenses$0$0→ $0
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$0$321,651▲ $321,651
Net Assets / Fund Balance
Unrestricted Net Assets$13,410,147$12,983,859▼ $426,288
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$13,410,147$12,983,859▼ $426,288
Total Liabilities and Net Assets / Fund Balance$13,410,147$13,305,510▼ $104,637
Compensation and Service Providers

Board Members and Trustees

NameTitle
Dennis WilliamsPresident
Mike BickhausVice President
Andrew CashmanDirector
Bob JohnsonDirector
Jerry JacksonDirector
Steve WaveringDirector
Michael DuffyCEO
Stephanie ErwinCFO
Judy GrahamCFO Ending 12/2016
Todd MooreSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$128,937
Program Service Revenue
$0
Investment Income
$474,626
Other Revenue
$0
All Other Contributions
$128,937
Change in Net Assets
$-1,327,179
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,706,457
Other Expenses$224,285
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,706,457--$1,706,457
Fees for Services Management-$120,000-$120,000
Fees for Service Investment Mgmnt Fees-$95,538-$95,538
Depreciation Depletion-$8,747-$8,747
Total Functional Expenses$1,706,457$224,285$0$1,930,742
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Good Samaritan Home of QuincyQuincy, IL501(c)(3)Support$1,706,457
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Pledges Payable$321,651
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 2

Business relationships: michael duffy (ceo), judy graham (cfo ending 12/16), and stephanie erwin (cfo) are employed by good samaritan home of quincy.

Form 990, Part VI, Section A, Line 3

Delegation of management duties: good samaritan home of quincy provides management services to good samaritan home foundation under a management contract to operate and assist with fundraising needs of the foundation.

Form 990, Part VI, Section B, Line 11B

Review of the form 990: the form 990 is prepared by an independent accounting firm based on the information provided by the accounting department of the organization. A draft of the return is reviewed by the board before being finalized.

Form 990, Part VI, Section B, Line 12C

MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: Each board member is required to sign a conflict of interest statement & confidentiality agreement. IF ANY CONFLICTS/ISSUES ARISE, IT IS IMMEDIATELY DEALT WITH BY THE EXECUTIVE COMMITTEE, ADMINISTRATION AND OR BOTH.

Form 990, Part VI, Section C, Line 19

Document disclosure: governing documents, conflict of interest and financial statements are made available by request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Home Foundation
EIN
46-1945910
In Care Of
% GOOD SAMARITAN HOME - QUINCY
Phone
2172238717
Address
2130 HARRISON ST, QUINCY, IL 62301

Signing Officer

Name
Dennis Williams
Title
President
Phone
2172238717
Signed
2018-02-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Dennis Williams
Formed
2013
Legal Domicile
Il
Voting Board Members
7
Independent Board Members
7
Employees
0
Volunteers
7

Preparer

Firm
Bkd Llp
Address
910 E ST LOUIS 200/PO BOX 1190, SPRINGFIELD, MO 65806-2523
Preparer
Brian D Todd
Phone
4178658701
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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/TotalAmt00
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt016542
IRS990/OtherAssetsTotalGrp/EOYAmt016542
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt0321651
IRS990/OtherRevenueTotalAmt00
IRS990/OtherSalariesAndWagesGrp/TotalAmt00
IRS990/OthNotesLoansReceivableNetGrp/BOYAmt00
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt00
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0DENNIS WILLIAMS
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt051735
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt01292300
IRS990/PYInvestmentIncomeAmt036189
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0184913
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0-1389289
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01477213
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt087924
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/BOYAmt00
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/BOYAmt00
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0-1327179
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/PersonalAmt00
IRS990/RentalIncomeOrLossGrp/RealAmt00
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0true
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt00
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0364226
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0322888
IRS990ScheduleA/First5Years170Ind0X
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0128937
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt051735
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt014550396
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt014731068
IRS990ScheduleA/GovtFurnSrvcFcltsVl170Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0474626
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0262633
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt066125
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0803384
IRS990ScheduleA/OtherIncome170Grp/TotalAmt00
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.00000
IRS990ScheduleA/PublicSupportTotal170Amt0495361
IRS990ScheduleA/SubstantialContributorsTotAmt014235707
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0128937
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt051735
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt014550396
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt014731068
IRS990ScheduleA/TotalSupportAmt015534452
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
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/FederalIncomeTaxLiabilityAmt00
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt0321651
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Pledges Payable
IRS990ScheduleD/TotalLiabilityAmt0321651
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt01706457
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOME OF QUINCY
IRS990ScheduleI/RecipientTable/RecipientEIN0370724112
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0QUINCY
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IL
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd062301
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0MONITORING USE OF GRANT FUNDS: GOOD SAMARITAN HOME FOUNDATION MAINTAINS A CLOSE RELATIONSHIP WITH GOOD SAMARITAN HOME OF QUINCY WHICH ENABLES THE ORGANIZATION TO MONITOR THE USE OF ASSISTANCE PROVIDED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE I, PART I, LINE 2
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0BUSINESS RELATIONSHIPS: MICHAEL DUFFY (CEO), JUDY GRAHAM (CFO ENDING 12/16), AND STEPHANIE ERWIN (CFO) ARE EMPLOYED BY GOOD SAMARITAN HOME OF QUINCY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1DELEGATION OF MANAGEMENT DUTIES: GOOD SAMARITAN HOME OF QUINCY PROVIDES MANAGEMENT SERVICES TO GOOD SAMARITAN HOME FOUNDATION UNDER A MANAGEMENT CONTRACT TO OPERATE AND ASSIST WITH FUNDRAISING NEEDS OF THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2REVIEW OF THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. A DRAFT OF THE RETURN IS REVIEWED BY THE BOARD BEFORE BEING FINALIZED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: Each board member is required to sign a conflict of interest statement & confidentiality agreement. IF ANY CONFLICTS/ISSUES ARISE, IT IS IMMEDIATELY DEALT WITH BY THE EXECUTIVE COMMITTEE, ADMINISTRATION AND OR BOTH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DOCUMENT DISCLOSURE: GOVERNING DOCUMENTS, CONFLICT OF INTEREST AND FINANCIAL STATEMENTS ARE MADE AVAILABLE BY REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondLiabilitiesGrp/BOYAmt00
IRS990/TaxExemptBondLiabilitiesGrp/EOYAmt00
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt00
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt00
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt013410147
IRS990/TotalAssetsEOYAmt013305510
IRS990/TotalAssetsGrp/BOYAmt013410147
IRS990/TotalAssetsGrp/EOYAmt013305510
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0128937
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0224285

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