Liabilities / Assets
36th percentile
Higher debt load relative to assets than 36% of similar nonprofits.
Crisp Regional Hospital Development Foundation Inc.
990 • Fiscal year 2017 • EIN 58-2175984
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.03x
Liabilities / Revenue
73rd percentile
Higher debt load relative to revenue than 73% of similar nonprofits.
Net Margin
11th percentile
Higher net margin than 11% of similar nonprofits.
Top Officer Pay
96th percentile
Higher top officer pay than 96% of similar nonprofits.
Top officer pay equals 199.5% of source-year revenue.
Asset Growth
25th percentile
Faster asset growth than 25% of similar nonprofits.
Revenue Growth
88th percentile
Faster revenue growth than 88% of similar nonprofits.
Balance Sheet
Assets
Down$2,050,292
Down $67,258 (-3.2%) from 2016
Net Assets
Down$1,984,281
Down $58,292 (-2.9%) from 2016
Liabilities
Down$66,011
Down $8,966 (-12%) from 2016
Revenue And Expenses
Revenue
Up$180,039
Up $67,234 (+60%) from 2016
Expenses
Up$227,545
Up $180,721 (+386%) from 2016
Net Income
Down-$47,506
Down $113,487 (-172%) from 2016
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2016 to Jun 30, 2017
- Signed
- May 15, 2018
- Return Version
- 2016v3.1
- Gross Receipts
- $1,336,295
Mission and Program Overview
Mission
The foundation is organized for the benefit of the general public through its support of quality health services provided by crisp regional hospital, inc a 501(c)(3) organization.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $1,409,685 | $1,431,214 | ▲ $21,529 |
| Cash and Non-Interest-Bearing Accounts | $627,248 | $546,915 | ▼ $80,333 |
| Land, Buildings, and Equipment, Net | $73,959 | $65,558 | ▼ $8,401 |
| Total Assets | $2,117,550 | $2,050,292 | ▼ $67,258 |
| Other Assets Total | $6,658 | $6,605 | ▼ $53 |
| Liabilities | |||
| Other Liabilities | $74,977 | $66,011 | ▼ $8,966 |
| Total Liabilities | $74,977 | $66,011 | ▼ $8,966 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $2,042,573 | $1,984,281 | ▼ $58,292 |
| Total Net Assets Fund Balance | $2,042,573 | $1,984,281 | ▼ $58,292 |
| Total Liabilities and Net Assets / Fund Balance | $2,117,550 | $2,050,292 | ▼ $67,258 |
Asset Categories
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $65,558 | $18,455 | $84,013 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Steve Gautney | President/ce | - | $359,224 | $359,224 |
| Jessica Carter | Vice Preside | - | $234,482 | $234,482 |
| Ashley Marshall | Hosp Cr/fnd | PT | $16,267 | $16,267 |
Board Members and Trustees
| Name | Title |
|---|---|
| Noel Williams Jr | Chairman |
| Steve Gautney | President/CEO |
| Jessica Carter | Vice President/CFO |
| Ben Benford | Member |
| Bob Evans | Member |
| Bobby Shepard | Member |
| Gail Wade | Member |
| Jerry Carney | Member |
| Pegg Mccardel | Member |
| Shelvia Koontz | Member |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $133,976
- Program Service Revenue
- $0
- Investment Income
- $47,261
- Other Revenue
- $-1,198
- All Other Contributions
- $106,930
- Change in Net Assets
- $-47,506
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $175,242 |
| Total Fundraising Expense | $34,014 |
| Other Expenses | $27,553 |
| Professional Fundraising Fees | $24,750 |
| Salaries, Compensation, and Employee Benefits | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $175,242 | - | - | $175,242 |
| Fees for Services Professional Fundraising | - | - | $24,750 | $24,750 |
| Fees for Service Investment Mgmnt Fees | - | $12,301 | - | $12,301 |
| Depreciation Depletion | - | - | $8,401 | $8,401 |
| Office Expenses | $2,081 | $149 | - | $2,230 |
| Fees for Services Accounting | - | $2,000 | - | $2,000 |
| Fees for Services Other | $1,758 | - | - | $1,758 |
| Other Expenses | - | - | $65 | $65 |
| Total Functional Expenses | $179,081 | $14,450 | $34,014 | $227,545 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Crisp Regional Hospital Inc | Cordele, GA | 3 | Oncology Expansion | $175,242 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- Yes
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $24,750 |
| Fundraising Direct Expenses | $5,438 |
| Fundraising Gross Income | $4,240 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Golf Tournament | $31,286 | $4,240 | $473 | $3,767 |
| Total Events | $31,286 | $4,240 | $5,438 | $-1,198 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Due to Related Parties | $66,011 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- 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
- Yes
- Key decisions subject to board approval
- Yes
- Management duties delegated
- No
Governance Explanations
Form 990, Page 6, Part VI, Line 7A
“The board members of the filing organization are appointed by the board of directors of crh, the supported organization.”
Form 990, Page 6, Part VI, Line 7B
“The full and entire management of the affairs of the foundation are vested in the board of directors who shall and may exercise all the powers that may be exercised or performed by the foundation. However, amendment of the bylaws may be accomplished by a majority vote of the foundation's board only with the approval of the governing body of crisp regional health services, inc., a related organization.”
Form 990, Page 6, Part VI, Line 11B
“All board members receive a copy of the form 990 before it is filed. If any member has any concerns, they must inform administration. An extensive review is performed by management. The board members perform only a basic review of the return.”
Form 990, Page 6, Part VI, Line 12C
“The conflict of interest policy is directed not only to directors and officers, but to all employees who can influence the actions of crisp regional hospital development foundation, inc. A conflicting interest may be defined as an interest, direct or indirect, with any persons or firms. It is the policy of the board that the existence of any of the interests shall be disclosed before any transaction is consummated. It shall be the continuing responsibility of the board, officers, and management employees to scrutinize their transactions and outside business interests and relationships for potential conflicts and to immediately make such disclosures. Disclosures of conflicts should be made to the board or a committee thereof, who will determine whether a conflict exists, and in the case of an existing conflict, determine appropriate action. The individual with the conflict of interest is excluded from the discussion and approval of such transactions.”
Form 990, Page 6, Part VI, Line 19
“The organization will make available its governing documents, conflict of interest policy, and financial statements to any member of the public who presents their request at the administrative office of the filing entity.”
Filing and Contact Details
Filer
- Filer Name
- Crisp Regional Hospital Development
- EIN
- 58-2175984
- Phone
- 2292763130
- Address
- PO BOX 5007, CORDELE, GA 31010-5007
Signing Officer
- Name
- Steve Gautney
- Title
- President/CEO
- Phone
- 2292763132
- Signed
- 2018-05-15
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Steve Gautney
- Formed
- 1995
- Legal Domicile
- Ga
- Voting Board Members
- 8
- Independent Board Members
- 8
- Employees
- 0
- Volunteers
- 9
Preparer
- Firm
- Draffin & Tucker Llp
- Address
- PO BOX 71309, ALBANY, GA 31708-1309
- Preparer
- Jacqueline G Atkins
- Phone
- 2298837878
Supplemental Narrative
Additional Explanations
Form 990, Page 1, Part I, Line 6
“Volunteers are housed at crisp regional hospital ("crh"), the supported entity. They devote their time to foundation activities on an as needed basis. Therefore, the total number of volunteers (with the exception of the volunteer board members) is reported on the hospital's return.”
Financial Statement Notes
Schedule D, Page 3, Part X
“Crisp regional health services, inc., crisp regional hospital, inc. And crisp regional development foundation. Inc. Are not-for-profit corporations that have been recognized as tax-exempt pursuant to section 501(c)(3) of the internal revenue code. The corporations apply accounting policies that prescribe when to recognize and how to measure the financial statement effects of income tax positions taken or expected to be taken on its income tax returns. These rules require management to evaluate the likelihood that, upon examination by the relevant taxing jurisdictions, those income tax positions would be sustained. Based on that evaluation, they only recognize the maximum benefit of each income tax position that is more than 50% likely of being sustained. To the extent that all or a portion of the benefits of an income tax position are not recognized, a liability would be recognized for the unrecognized benefits, along with any interest and penalties that would result from disallowance of the position. Should any such penalties and interest be incurred, they would be recognized as operating expenses. Based on the results of management's evaluation, no liability is recognized in the accompanying balance sheet for unrecognized income tax positions. Further, no interest or penalties have been accrued or charged to expense as of june 30, 2017 and 2016 or for the years then ended. The corporation's tax returns are subject to possible examination by the taxing authorities. For federal income tax purposes, the tax returns essentially remain open for possible examination for a period of three years after the respective filing deadlines of those returns.”
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| IRS990/Desc | 0 | THE FOUNDATION PLAYS A KEY ROLE IN MOBILIZING COMMUNITY SUPPORT FOR NEW FACILITIES, TECHNOLOGIES, EQUIPMENT AND SERVICES FOR CRISP REGIONAL HOSPITAL, A 501(C)(3) NOT-FOR-PROFIT ORGANIZATION. CRH INVESTS DONATIONS INTO CRITICAL AND ESSENTIAL PROJECTS THAT ENSURE COMMUNITY ACCESS TO QUALITY HEALTHCARE. THROUGHOUT THE YEAR, THE FOUNDATION HOSTS SEVERAL EVENTS, INCLUDING THE ANNUAL GOLF TOURNAMENT. |
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| IRS990/MissionDesc | 0 | THE FOUNDATION IS ORGANIZED FOR THE BENEFIT OF THE GENERAL PUBLIC THROUGH ITS SUPPORT OF QUALITY HEALTH SERVICES PROVIDED BY CRISP REGIONAL HOSPITAL, INC A 501(C)(3) ORGANIZATION. |
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| IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt | 0 | PART I, LINE 11G, COLUMN (VI) THE FOUNDATION PROVIDES FUNDRAISING SERVICES THAT BENEFIT THE SUPPORTED ORGANIZATION BY PROVIDING FUNDS FOR CAPITAL AND OPERATIONAL PURPOSES. CURRENTLY, THE FOUNDATION HAS EARMARKED ITS FUNDS TO FINANCE THE HOSPITAL'S ONCOLOGY RENOVATION. APPROXIMATELY 175,000 WAS TRANSFERRED TO THE HOSPITAL FOR THIS RENOVATION PROJECT IN FY 2017. |
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| IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt | 0 | CRISP REGIONAL HOSPITAL INC |
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| IRS990ScheduleD/FootnoteTextInd | 0 | X |
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| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | DUE TO RELATED PARTIES |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | CRISP REGIONAL HEALTH SERVICES, INC., CRISP REGIONAL HOSPITAL, INC. AND CRISP REGIONAL DEVELOPMENT FOUNDATION. INC. ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CORPORATIONS APPLY ACCOUNTING POLICIES THAT PRESCRIBE WHEN TO RECOGNIZE AND HOW TO MEASURE THE FINANCIAL STATEMENT EFFECTS OF INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON ITS INCOME TAX RETURNS. THESE RULES REQUIRE MANAGEMENT TO EVALUATE THE LIKELIHOOD THAT, UPON EXAMINATION BY THE RELEVANT TAXING JURISDICTIONS, THOSE INCOME TAX POSITIONS WOULD BE SUSTAINED. BASED ON THAT EVALUATION, THEY ONLY RECOGNIZE THE MAXIMUM BENEFIT OF EACH INCOME TAX POSITION THAT IS MORE THAN 50% LIKELY OF BEING SUSTAINED. TO THE EXTENT THAT ALL OR A PORTION OF THE BENEFITS OF AN INCOME TAX POSITION ARE NOT RECOGNIZED, A LIABILITY WOULD BE RECOGNIZED FOR THE UNRECOGNIZED BENEFITS, ALONG WITH ANY INTEREST AND PENALTIES THAT WOULD RESULT FROM DISALLOWANCE OF THE POSITION. SHOULD ANY SUCH PENALTIES AND INTEREST BE INCURRED, THEY WOULD BE RECOGNIZED AS OPERATING EXPENSES. BASED ON THE RESULTS OF MANAGEMENT'S EVALUATION, NO LIABILITY IS RECOGNIZED IN THE ACCOMPANYING BALANCE SHEET FOR UNRECOGNIZED INCOME TAX POSITIONS. FURTHER, NO INTEREST OR PENALTIES HAVE BEEN ACCRUED OR CHARGED TO EXPENSE AS OF JUNE 30, 2017 AND 2016 OR FOR THE YEARS THEN ENDED. THE CORPORATION'S TAX RETURNS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES. FOR FEDERAL INCOME TAX PURPOSES, THE TAX RETURNS ESSENTIALLY REMAIN OPEN FOR POSSIBLE EXAMINATION FOR A PERIOD OF THREE YEARS AFTER THE RESPECTIVE FILING DEADLINES OF THOSE RETURNS. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE D, PAGE 3, PART X |
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| IRS990ScheduleG/FundraiserActivityInfoGrp/PersonNm | 0 | J KNOWLTON FUND DEVELOPMENT |
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| IRS990ScheduleG/PhoneSolicitationsInd | 0 | X |
| IRS990ScheduleG/SolicitationOfNonGovtGrantsInd | 0 | X |
| IRS990ScheduleG/SpecialFundraisingEventsInd | 0 | X |
| IRS990ScheduleG/SupplementalInformationDetail/ExplanationTxt | 0 | PART I, LINE 2B1 THE ORGANIZATION ENTERED INTO A CONTRACT WITH J. KNOWLTON, FUND DEVELOPMENT STRATEGIST, TO PROVIDE FUNDRAISING CONSULTING SERVICES. THE CONSULTING SERVICE INCLUDES TRAINING AND DEVELOPMENT, STRATEGIC PLANNING, PROJECT DEVELOPMENT, GOAL SETTING, COMMITTEE ORIENTATIONS AND DIRECTION, RETREATS AND OTHER RELATED ADVICE AND SUPPORT SERVICES. THE ORGANIZATION PAID A MONTHLY FEE OF 2,063 FOR ALL EXPENSES CONNECTED WITH THE SERVICES PROVIDED. |
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| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | true |
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| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 3 |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | ONCOLOGY EXPANSION |
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| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 582175978 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt | 0 | 902 7TH STREET NORTH |
| IRS990ScheduleI/RecipientTable/USAddress/CityNm | 0 | CORDELE |
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| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | THE ORGANIZATION MONITORS THE USE OF FUNDS THROUGH A COMMON MANAGEMENT TEAM. |
| IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | SCHEDULE I, PAGE 1, PART I, LINE 2 |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
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| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 1 | JESSICA CARTER |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | PRESIDENT/CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 1 | VICE PRESIDENT/CFO |
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| IRS990ScheduleJ/SeverancePaymentInd | 0 | false |
| IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt | 0 | THE FOUNDATION DOES NOT COMPENSATE ANY OFFICERS OR EMPLOYEES, WHO ARE SHARED EMPLOYEES COMPENSATED BY CRISP REGIONAL HOSPITAL (CRH). THE FILING ORGANIZATION INSTEAD RELIES ON THE METHODS USED BY THE SUPPORTED ORGANIZATION, CRH, TO ESTABLISH COMPENSATION OF THE CEO AND EXECUTIVE OFFICERS. COMPENSATION DETERMINATION BY CRH INCLUDES AN INDEPENDENT COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT AND SURVEYS, AND BOARD APPROVAL. THESE METHODS ARE WELL DOCUMENTED. |
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| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | VOLUNTEERS ARE HOUSED AT CRISP REGIONAL HOSPITAL ("CRH"), THE SUPPORTED ENTITY. THEY DEVOTE THEIR TIME TO FOUNDATION ACTIVITIES ON AN AS NEEDED BASIS. THEREFORE, THE TOTAL NUMBER OF VOLUNTEERS (WITH THE EXCEPTION OF THE VOLUNTEER BOARD MEMBERS) IS REPORTED ON THE HOSPITAL'S RETURN. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE BOARD MEMBERS OF THE FILING ORGANIZATION ARE APPOINTED BY THE BOARD OF DIRECTORS OF CRH, THE SUPPORTED ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE FULL AND ENTIRE MANAGEMENT OF THE AFFAIRS OF THE FOUNDATION ARE VESTED IN THE BOARD OF DIRECTORS WHO SHALL AND MAY EXERCISE ALL THE POWERS THAT MAY BE EXERCISED OR PERFORMED BY THE FOUNDATION. HOWEVER, AMENDMENT OF THE BYLAWS MAY BE ACCOMPLISHED BY A MAJORITY VOTE OF THE FOUNDATION'S BOARD ONLY WITH THE APPROVAL OF THE GOVERNING BODY OF CRISP REGIONAL HEALTH SERVICES, INC., A RELATED ORGANIZATION. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | ALL BOARD MEMBERS RECEIVE A COPY OF THE FORM 990 BEFORE IT IS FILED. IF ANY MEMBER HAS ANY CONCERNS, THEY MUST INFORM ADMINISTRATION. AN EXTENSIVE REVIEW IS PERFORMED BY MANAGEMENT. THE BOARD MEMBERS PERFORM ONLY A BASIC REVIEW OF THE RETURN. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | THE CONFLICT OF INTEREST POLICY IS DIRECTED NOT ONLY TO DIRECTORS AND OFFICERS, BUT TO ALL EMPLOYEES WHO CAN INFLUENCE THE ACTIONS OF CRISP REGIONAL HOSPITAL DEVELOPMENT FOUNDATION, INC. A CONFLICTING INTEREST MAY BE DEFINED AS AN INTEREST, DIRECT OR INDIRECT, WITH ANY PERSONS OR FIRMS. IT IS THE POLICY OF THE BOARD THAT THE EXISTENCE OF ANY OF THE INTERESTS SHALL BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT SHALL BE THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURES OF CONFLICTS SHOULD BE MADE TO THE BOARD OR A COMMITTEE THEREOF, WHO WILL DETERMINE WHETHER A CONFLICT EXISTS, AND IN THE CASE OF AN EXISTING CONFLICT, DETERMINE APPROPRIATE ACTION. THE INDIVIDUAL WITH THE CONFLICT OF INTEREST IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF SUCH TRANSACTIONS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE ORGANIZATION WILL MAKE AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO ANY MEMBER OF THE PUBLIC WHO PRESENTS THEIR REQUEST AT THE ADMINISTRATIVE OFFICE OF THE FILING ENTITY. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PAGE 1, PART I, LINE 6 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PAGE 6, PART VI, LINE 7A |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PAGE 6, PART VI, LINE 7B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PAGE 6, PART VI, LINE 11B |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | FORM 990, PAGE 6, PART VI, LINE 12C |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2017 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $2,050,292
- Liabilities
- $66,011
- Net assets
- $1,984,281
- Revenue
- $180,039
- Expenses
- $227,545
- Net income
- -$47,506