Siviq Scores
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Balance Sheet
Assets
Flat$2,806
Flat from 2012
Net Assets
$2,806
No earlier filing loaded for comparison.
Liabilities
Down$0
Down $1 (-100%) from 2012
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
Flat$22,931
Flat from 2012
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2012 to Dec 31, 2012
- Signed
- May 2, 2013
- Return Version
- 2012v2.0
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| DEREK LEWIS MD | President | - | $0 | - | - |
| DEREK LEWIS II | Vice President | - | $0 | - | - |
| KAREN LEWIS | Director | - | $0 | - | - |
| LORETTA THOMAS | Treasurer | - | $0 | - | - |
| OLIVER LEWIS | Secretary | - | $0 | - | - |
| BEVERLY RAJPUT | Director | - | $0 | - | - |
| DR BEVERLY WHITE | Director | - | $0 | - | - |
Grants and Assistance
Foundation Grants and Related Investments
| Type | Recipient | Purpose | Status | Location | Amount |
|---|---|---|---|---|---|
| Paid Grant | OMEGA PSI PHI | for scholarshipsprovide money | 501(c)3 | LITTLE ROCK, AR, US | $2,500 |
| Paid Grant | BOYS & GIRLS CLUB OF CENTRAL AR | for children'sprovide moneyprograms | 501 (c) 3 | LITTLE ROCK, AR, US | $1,500 |
| Paid Grant | LITTLE ROCK BLACK NURSES ASSOC | towardsprovide moneyscholarships | 501(c) | LITTLE ROCK, AR, US | $200 |
| Paid Grant | GREATER UNITY MISSIONARY BAPTIST | mission trip | 501(c) (3) | NO LITTLE ROCK, AR, US | $200 |
Filing and Contact Details
Filer
- EIN
- 71-0721251
Raw XML Appendix302 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 |
|---|---|---|
| GeneralExplanationAttachment/GeneralExplanation/Explanation | 0 | THE FOUNDATION HAD ONLY CASH ASSETS (CHECKING ACCOUNT) DURING THE YEAR. THE HIGHTEST BALANCE RECORDED IN THE CHECKING ACCOUNT WAS $7787.43 |
| GeneralExplanationAttachment/GeneralExplanation/Identifier | 0 | Assets During the Year |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/CompOfHghstPaidCntrctNONE | 0 | NONE |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition | 5 | 1.00 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition | 6 | 1.00 |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ExpenseAccountOtherAllowances | 6 | 0 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 0 | DEREK LEWIS MD |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 1 | DEREK LEWIS II |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 2 | KAREN LEWIS |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 3 | LORETTA THOMAS |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 4 | OLIVER LEWIS |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 5 | BEVERLY RAJPUT |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName | 6 | DR BEVERLY WHITE |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 0 | President |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 1 | Vice President |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 2 | director |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 3 | Treasurer |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 4 | Secretary |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 5 | director |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title | 6 | director |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1 | 4 | 4009 LAKEWOOD VALLEY |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1 | 5 | 1 HOT LANE |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1 | 6 | 1904 S VAN BUREN |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State | 0 | AR |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State | 1 | TX |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State | 3 | AR |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State | 4 | AR |
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| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode | 6 | 72204 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/TotNumberOfCntrctPaidOver50k | 0 | 0 |
| IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/TotNumberOfOthEmplPaidOver50k | 0 | 0 |
| IRS990PF/QlfyUndSect4940eForReducedTax/AdjNonchrtblAssetsAndOnePct | 0 | 0 |
| IRS990PF/QlfyUndSect4940eForReducedTax/AverageDistributionRatio | 0 | 0.000000 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear1 | 0 | 0.000000 |
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| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear3 | 0 | 0.000000 |
| IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear4 | 0 | 0.000000 |
| IRS990PF/QlfyUndSect4940eForReducedTax/LiableFor4942Tax | 0 | false |
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| IRS990PF/QlfyUndSect4940eForReducedTax/TotalDistributionRatio | 0 | 0.000000 |
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| IRS990PF/StatementsRegardingActivities/AtLeast5000InAssets | 0 | true |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfBusinessName/BusinessNameLine1 | 0 | DEREK LEWIS |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfPhoneNumber | 0 | 5016635221 |
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| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/City | 0 | LITTLE ROCK |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/State | 0 | AR |
| IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/ZIPCode | 0 | 72204 |
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| IRS990PF/StatementsRegardingActivities/ComplyWithPublicInspectionRqr | 0 | true |
| IRS990PF/StatementsRegardingActivities/ForeignBank | 0 | false |
| IRS990PF/StatementsRegardingActivities/Form1120POLFiled | 0 | false |
| IRS990PF/StatementsRegardingActivities/Form990PFFiledWithAG | 0 | true |
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| IRS990PF/StatementsRegardingActivities/TerminationEtc | 0 | false |
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| IRS990PF/StatementsRegardingActivities/WebsiteAddress | 0 | www.dereklewisfoundation.com |
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| IRS990PF/StatementsRegardingActy4720/BusinessHoldings | 0 | false |
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| IRS990PF/StatementsRegardingActy4720/GrantsToIndividuals | 0 | false |
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| IRS990PF/SummaryOfDirectCharitableActy/Description1 | 0 | Bikes for Kids provides bikes for underprivilged children to ensure they have a giftand to fight childhood obesity throughout the state of Arkansas. We partner with Deptof Human Servicesto provide holiday gifts to children in foster care. |
| IRS990PF/SummaryOfDirectCharitableActy/Description2 | 0 | Community Health & Wellness Expo for minorities & low income families. Objectives: increase healthawareness & disease prevention thru health screenings, educational info;provide disaster preparedness info; increase awarenessof health services/resources;movtivate to make positive health behavior changes, & teach self care practices. |
| IRS990PF/SummaryOfDirectCharitableActy/Expenses1 | 0 | 5626 |
| IRS990PF/SummaryOfDirectCharitableActy/Expenses2 | 0 | 4460 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/FormAndInfoAndMaterials | 0 | PROPOSAL NEEDED FROM INTERESTED ORGANIZATION |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/FormAndInfoAndMaterials | 1 | APPLICANTS SHOULD REQUEST APPLICATION FROM FOUNDATION. |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientName | 0 | DR DEREK LEWIS |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientName | 1 | BEVERLY RAJPUT |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientPhoneNumber | 0 | 5016635221 |
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| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/AddressLine1 | 0 | 6209 W 12TH STREET |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/AddressLine1 | 1 | 1 HOLT LANE |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/City | 0 | LITTLE ROCK |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/City | 1 | BELLA VISTA |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/State | 0 | AR |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/State | 1 | AR |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/ZIPCode | 0 | 72204 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RecipientUSAddress/ZIPCode | 1 | 72715 |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RestrictionsOnAwards | 0 | YOUTH ORIENTED--WITHIN STATE OF ARKANSAS |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/RestrictionsOnAwards | 1 | GRANTS LIMITED TO ARKANSAS, AND PROJECTS SHOULD BE GEARED TOWARD AT RISK YOUTH. |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/SubmissionDeadlines | 0 | AUGUST 1-NOV. 30 FOR SPRING, JAN 1-APR 30 FOR FALL. |
| IRS990PF/SupplementaryInformation/AppicationSubmissionInfo/SubmissionDeadlines | 1 | SUBMISSION SHOULD BE AT LEAST 30 DAYS BEFORE EVENT/NEED. SPRING 2010 BY NOV.30 2009 |
| IRS990PF/SupplementaryInformation/ContributingManager | 0 | NONE |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount | 0 | 2500 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount | 1 | 1500 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount | 2 | 200 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount | 3 | 200 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution | 0 | for scholarshipsprovide money |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution | 1 | for children'sprovide moneyprograms |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution | 2 | towardsprovide moneyscholarships |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution | 3 | mission trip |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1 | 0 | OMEGA PSI PHI |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1 | 1 | BOYS & GIRLS CLUB OF CENTRAL AR |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1 | 2 | LITTLE ROCK BLACK NURSES ASSOC |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1 | 3 | GREATER UNITY MISSIONARY BAPTIST |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus | 0 | 501(c)3 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus | 1 | 501 (c) 3 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus | 2 | 501(c) |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus | 3 | 501(c) (3) |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1 | 0 | P O BOX 164238 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1 | 1 | 1616 W 3RD |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1 | 2 | P O BOX 56314 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1 | 3 | P O BOX 15865 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City | 0 | LITTLE ROCK |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City | 1 | LITTLE ROCK |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City | 2 | LITTLE ROCK |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City | 3 | NO LITTLE ROCK |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State | 0 | AR |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State | 1 | AR |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State | 2 | AR |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State | 3 | AR |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode | 0 | 72216 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode | 1 | 72201 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode | 2 | 72215 |
| IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode | 3 | 72114 |
| IRS990PF/SupplementaryInformation/ShareholderManager | 0 | NONE |
| IRS990PF/SupplementaryInformation/TotGrantOrContriPaidDuringYear | 0 | 4400 |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/LoansOrLoanGuarantees | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PerformanceOfServicesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PurchaseAssetsNoncharitableEO | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/ReimbursementArrangements | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RelationshipsNoncharitableEOs | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RentalOfFacilitiesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SalesOrExchangesOfAssets | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SharingOfFacilitiesEtc | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOfCashToNoncharitableEO | 0 | false |
| IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOthAssetsNoncharitableEO | 0 | false |
| IRS990PF/UndistributedIncome/DistributableAmountAsAdjusted | 0 | 0 |
| IRS990PF/UndistributedIncome/ExcessDistriCarryoverYear5 | 0 | 6760 |
| IRS990PF/UndistributedIncome/ExcessDistriCyovFromYear5 | 0 | 6760 |
| IRS990PF/UndistributedIncome/TotalCorpus | 0 | 6760 |
| IRS990PF/UndistributedIncome/TotalExcessDistriCarryover | 0 | 6760 |
| IRS990PF/UndistributedIncome/UndistributedIncomeCY | 0 | 0 |
| OtherDecreasesSchedule/OtherDecreases/Amount | 0 | -1 |
| OtherDecreasesSchedule/OtherDecreases/Description | 0 | Rounding |
| OtherExpensesSchedule/OtherExpenses/Description | 0 | Answering service |
| OtherExpensesSchedule/OtherExpenses/Description | 1 | Event expenses/supplies |
| OtherExpensesSchedule/OtherExpenses/Description | 2 | Marketing/advertisign expense |
| OtherExpensesSchedule/OtherExpenses/Description | 3 | Office expense |
| OtherExpensesSchedule/OtherExpenses/Description | 4 | Dues & Subscriptions |
| OtherExpensesSchedule/OtherExpenses/Description | 5 | Website Expenses |
| OtherExpensesSchedule/OtherExpenses/Description | 6 | Supplies & materials |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 0 | 704 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 1 | 10699 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 2 | 2988 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 3 | 121 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 4 | 25 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 5 | 2194 |
| OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks | 6 | 237 |
| ReturnHeader/BuildTS | 0 | 2016-02-25 16:41:14Z |
| ReturnHeader/Filer/EIN | 0 | 710721251 |
| ReturnHeader/Filer/Name/BusinessNameLine1 | 0 | DEREK LEWIS FOUNDATION INC |
| ReturnHeader/Filer/NameControl | 0 | DERE |
| ReturnHeader/Filer/Phone | 0 | 5016635221 |
| ReturnHeader/Filer/USAddress/AddressLine1 | 0 | 6209 W 12TH STREET |
| ReturnHeader/Filer/USAddress/City | 0 | LITTLE ROCK |
| ReturnHeader/Filer/USAddress/State | 0 | AR |
| ReturnHeader/Filer/USAddress/ZIPCode | 0 | 72204 |
| ReturnHeader/Officer/AuthorizeThirdParty | 0 | true |
| ReturnHeader/Officer/DateSigned | 0 | 2013-05-02 |
| ReturnHeader/Officer/Name | 0 | DEREK LEWIS |
| ReturnHeader/Officer/Phone | 0 | 5016635221 |
| ReturnHeader/Officer/Title | 0 | PRESIDENT |
| ReturnHeader/Preparer/DatePrepared | 0 | 2013-05-15 |
| ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine1 | 0 | CYNTHIA L CONGER CPA PA |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine1 | 0 | 2300 ANDOVER CT STE 560 |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City | 0 | LITTLE ROCK |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State | 0 | AR |
| ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode | 0 | 72227 |
| ReturnHeader/Preparer/Name | 0 | CYNTHIA L CONGER CPAPFS |
| ReturnHeader/Preparer/Phone | 0 | 5013741174 |
| ReturnHeader/ReturnType | 0 | 990PF |
| ReturnHeader/TaxPeriodBeginDate | 0 | 2012-01-01 |
| ReturnHeader/TaxPeriodEndDate | 0 | 2012-12-31 |
| ReturnHeader/TaxYear | 0 | 2012 |
| ReturnHeader/Timestamp | 0 | 2013-05-15T07:49:17-07:00 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2012 • Form 990PFDetailed filing. Detailed filing data is available for this year.
- Assets
- $2,806
- Liabilities
- $0
- Net assets
- $2,806
- Revenue
- -
- Expenses
- $22,931
- Net income
- -