Civic Intelligence

Institute for International

EIN 75-3128625 • 501(c)3 • Liberty, MO

Profile

To educate and train healthcare professionals and healthcare students to serve underserved and forgotten people, through training programs and related conferences, symposiums and service-learning experiences.

963 Yancey StreetLiberty, MO 64068

www.inmed.us

Siviq Scores

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

Liabilities / Assets

55th percentile

0.03x

Higher debt load relative to assets than 55% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Liabilities / Revenue

52nd percentile

0.02x

Higher debt load relative to revenue than 52% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Net Margin

40th percentile

0.1%

Higher net margin than 40% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2025

Top Officer Pay

55th percentile

$0

Higher top officer pay than 55% of similar nonprofits.

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

501(c)3 • $500k-$1M nonprofits • Source year 2025

Asset Growth

60th percentile

7.7%

Faster asset growth than 60% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Revenue Growth

70th percentile

24%

Faster revenue growth than 70% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets55th percentile

Assets

Up

$428,361

Up $30,650 (+7.7%) from 2024

Liabilities

Up

$11,940

Up $7,729 (+184%) from 2024

Net Assets

Up

$416,421

Up $22,921 (+5.8%) from 2024

Operations
Liabilities / Revenue52nd percentileNet Margin40th percentile

Revenue

Up

$657,319

Up $127,942 (+24%) from 2024

Expenses

Up

$656,937

Up $42,982 (+7.0%) from 2024

Net Income

Up

$382

Up $84,960 (+100%) from 2024

Trend Graphs

Balance Sheet Trend

Asset Growth60th percentile

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

$600K$400K$200K$0Assets 2011: $215,223Liabilities 2011: $56,270Net Assets 2011: $158,9532011Assets 2012: $264,540Liabilities 2012: $29,660Net Assets 2012: $234,8802012Assets 2013: $275,896Liabilities 2013: $16,695Net Assets 2013: $259,2012013Assets 2014: $224,678Liabilities 2014: $1,512Net Assets 2014: $223,1662014Assets 2015: $261,133Liabilities 2015: $1,825Net Assets 2015: $259,3082015Assets 2016: $246,420Liabilities 2016: $3,548Net Assets 2016: $242,8722016Assets 2017: $306,317Liabilities 2017: $1,168Net Assets 2017: $305,1492017Assets 2018: $352,628Liabilities 2018: $20,773Net Assets 2018: $331,8552018Assets 2019: $408,132Liabilities 2019: $42,662Net Assets 2019: $365,4702019Assets 2020: $376,697Liabilities 2020: $123,211Net Assets 2020: $253,4862020Assets 2021: $407,469Liabilities 2021: $40,502Net Assets 2021: $366,9672021Assets 2022: $392,788Liabilities 2022: $9,980Net Assets 2022: $382,8082022Assets 2023: $459,288Liabilities 2023: $3,164Net Assets 2023: $456,1242023Assets 2024: $397,711Liabilities 2024: $4,211Net Assets 2024: $393,5002024Assets 2025: $428,361Liabilities 2025: $11,940Net Assets 2025: $416,4212025

Highlighted filing

2025

Assets$428,361
Liabilities$11,940
Net Assets$416,421
Open 2025 Filing

Operations Trend

Revenue Growth70th percentile

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

$1.0M$500K$0-$500KExpenses 2011: $415,0252011Expenses 2012: $391,9062012Expenses 2013: $491,1412013Revenue 2014: $304,810Expenses 2014: $340,845Net Income 2014: -$36,0352014Revenue 2015: $376,996Expenses 2015: $340,854Net Income 2015: $36,1422015Revenue 2016: $608,846Expenses 2016: $625,282Net Income 2016: -$16,4362016Revenue 2017: $732,466Expenses 2017: $670,189Net Income 2017: $62,2772017Revenue 2018: $756,471Expenses 2018: $738,557Net Income 2018: $17,9142018Revenue 2019: $934,600Expenses 2019: $900,708Net Income 2019: $33,8922019Revenue 2020: $596,361Expenses 2020: $713,568Net Income 2020: -$117,2072020Revenue 2021: $581,157Expenses 2021: $498,993Net Income 2021: $82,1642021Revenue 2022: $514,232Expenses 2022: $469,006Net Income 2022: $45,2262022Revenue 2023: $577,450Expenses 2023: $515,495Net Income 2023: $61,9552023Revenue 2024: $529,377Expenses 2024: $613,955Net Income 2024: -$84,5782024Revenue 2025: $657,319Expenses 2025: $656,937Net Income 2025: $3822025

Highlighted filing

2025

Revenue$657,319
Expenses$656,937
Net Income$382
Open 2025 Filing

Filings

Most recent year

2025 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$428,361
Liabilities
$11,940
Net assets
$416,421
Revenue
$657,319
Expenses
$656,937
Net income
$382
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$4.28$0.12$4.16$6.57$6.57$0.00
2024Detailed filing. Detailed filing data is available for this year.$3.98$0.04$3.94$5.29$6.14$0.85
2023Detailed filing. Detailed filing data is available for this year.$4.59$0.03$4.56$5.77$5.15$0.62
2022Detailed filing. Detailed filing data is available for this year.$3.93$0.10$3.83$5.14$4.69$0.45
2021Detailed filing. Detailed filing data is available for this year.$4.07$0.41$3.67$5.81$4.99$0.82
2020Detailed filing. Detailed filing data is available for this year.$3.77$1.23$2.53$5.96$7.14$1.17
2019Detailed filing. Detailed filing data is available for this year.$4.08$0.43$3.65$9.35$9.01$0.34
2018Detailed filing. Detailed filing data is available for this year.$3.53$0.21$3.32$7.56$7.39$0.18
2017Detailed filing. Detailed filing data is available for this year.$3.06$0.01$3.05$7.32$6.70$0.62
2016Detailed filing. Detailed filing data is available for this year.$2.46$0.04$2.43$6.09$6.25$0.16
2015Detailed filing. Detailed filing data is available for this year.$2.61$0.02$2.59$3.77$3.41$0.36
2014Detailed filing. Detailed filing data is available for this year.$2.25$0.02$2.23$3.05$3.41$0.36
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.76$0.17$2.59$4.91
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.65$0.30$2.35$3.92
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.15$0.56$1.59$4.15
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2024 to Jun 30, 2025
Signed
Mar 20, 2026
Return Version
2024v5.0
Gross Receipts
$657,319
Mission and Program Overview

Mission

To educate and train healthcare professionals and healthcare students to serve underserved and forgotten people, through training programs and related conferences, symposiums and service-learning experiences.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$359,326$351,737▼ $7,589
Cash and Non-Interest-Bearing Accounts$27,801$40,672▲ $12,871
Savings and Temporary Cash Investments$6,555$32,786▲ $26,231
Land, Buildings, and Equipment, Net$3,775$2,507▼ $1,268
Total Assets$397,711$428,361▲ $30,650
Other Assets Total$254$659▲ $405
Liabilities
Accounts Payable and Accrued Expenses$4,211$11,940▲ $7,729
Total Liabilities$4,211$11,940▲ $7,729
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$358,500$386,884▲ $28,384
Net Assets With Donor Restrictions$35,000$29,537▼ $5,463
Total Net Assets Fund Balance$393,500$416,421▲ $22,921
Total Liabilities and Net Assets / Fund Balance$397,711$428,361▲ $30,650

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,507$98,324$100,831
Compensation and Service Providers
Top Officer Pay55th percentile

Board Members and Trustees

NameTitle
Timothy Myrick MdChairperson
Nicholas Comninellis MdPresident
Donald Philgreen MdVice Chairpe
Doug DavenportDirector
Judy LemasterDirector
Julie Rosa MdDirector
Marc ShafferDirector
Michelle Kwok MdDirector
Pedro David EspinozaDirector
Roy MoranDirector
Peter Greenspan MdSecretary
Mike Searcy CfpTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$199,787
Program Service Revenue
$433,602
Investment Income
$10,238
Other Revenue
$13,692
All Other Contributions
$199,787
Change in Net Assets
$382

Audited Revenue Reconciliation

Revenue per Audited Statements
$657,319
Revenue Not Reported on Form 990
$154,665
Total Revenue per Audited Statements
$811,984
Total Revenue per Form 990
$657,319
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$469,484
Other Expenses$187,453
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$326,644$59,173-$385,817
Other Employee Benefits$40,866$7,403-$48,269
Information Technology$6,285$23,785-$30,070
Payroll Taxes$23,114$3,894-$27,008
Fees for Services Other$22,208$4,560-$26,768
Fees for Services Management$1,200$24,570-$25,770
Travel$8,851$7,888-$16,739
All Other Expenses$7,294$5,316-$12,610
Conferences and Meetings$7,737$4,357-$12,094
Insurance$6,096$4,532-$10,628
Pension Plan Contributions$7,103$1,287-$8,390
Advertising$3,679$3,245-$6,924
Other Expenses$5,577$36-$5,613
Office Expenses$200$1,477-$1,677
Depreciation Depletion-$1,268-$1,268
Total Functional Expenses$503,154$153,783$0$656,937

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$782,134
Expenses per Audited Statements$656,937
Total Expenses per Form 990$656,937
Expenses Not Reported on Form 990$125,197
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
No
Annual disclosure for covered persons
Yes
Audit committee
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
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
No

Governance Explanations

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

“A draft of the 990 is provided to board members electronically prior to filing.”

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

“Every year, each member of the board of directors is required to complete the conflicts of interest self-disclosure.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public”

Filing and Contact Details

Filer

Filer Name
Institute for International
EIN
75-3128625
Phone
8164446400
Address
963 YANCEY STREET, LIBERTY, MO 64068

Signing Officer

Name
Nicholas Comninellis Md
Title
President
Phone
8164446400
Signed
2026-03-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nicholas Comninellis Md
Formed
2003
Legal Domicile
Mo
Voting Board Members
12
Independent Board Members
12
Employees
7
Volunteers
10

Preparer

Firm
Spilker Mckeone & Nelson Pc
Address
408 SE 3RD ST, LEES SUMMIT, MO 64063-2823
Preparer
Leigh Ann Nelson CPA
Phone
8168751189
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

“In kind rent not exp on return -43,036 in kind course dev not exp on return -76,200 total -119,236”

Financial Statement Notes

Schedule D, Page 4, Part XI, Line 2D

“Cash vs accrual basis - grant inc 5,463 cash vs accrual differences 3,013”

Schedule D, Page 4, Part XII, Line 2D

“Investment management fees 4,414 depreciation 619 misc difference 928”

Raw XML AppendixShowing 400 of 456 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/LandBldgEquipAccumDeprecAmt098324
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IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO EDUCATE AND TRAIN HEALTHCARE PROFESSIONALS AND HEALTHCARE STUDENTS TO SERVE UNDERSERVED AND FORGOTTEN PEOPLE, THROUGH TRAINING PROGRAMS AND RELATED CONFERENCES, SYMPOSIUMS AND SERVICE-LEARNING EXPERIENCES.
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IRS990/NetAssetsOrFundBalancesEOYAmt0416421
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IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0358500
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IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt01477
IRS990/OfficeExpensesGrp/ProgramServicesAmt0200
IRS990/OfficeExpensesGrp/TotalAmt01677
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IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0254
IRS990/OtherAssetsTotalGrp/EOYAmt0659
IRS990/OtherChangesInNetAssetsAmt0-119236
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt07403
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt040866
IRS990/OtherEmployeeBenefitsGrp/TotalAmt048269
IRS990/OtherExpensesGrp/Desc0STUDENT SCHOLARSHIP EXP
IRS990/OtherExpensesGrp/Desc1ACCREDITATION
IRS990/OtherExpensesGrp/Desc2STAFF DEVELOPMENT
IRS990/OtherExpensesGrp/Desc3MISCELLANEOUS EXPENSES
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0992
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt136
IRS990/OtherExpensesGrp/ProgramServicesAmt019866
IRS990/OtherExpensesGrp/ProgramServicesAmt110958
IRS990/OtherExpensesGrp/ProgramServicesAmt25476
IRS990/OtherExpensesGrp/ProgramServicesAmt35577
IRS990/OtherExpensesGrp/TotalAmt019866
IRS990/OtherExpensesGrp/TotalAmt110958
IRS990/OtherExpensesGrp/TotalAmt26468
IRS990/OtherExpensesGrp/TotalAmt35613
IRS990/OtherRevenueMiscGrp/Desc0MEDICARE CASE REVIEW
IRS990/OtherRevenueMiscGrp/Desc1OTHER INCOME
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IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt12252
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IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt059173
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IRS990/OwnWebsiteInd0X
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IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt03894
IRS990/PayrollTaxesGrp/ProgramServicesAmt023114
IRS990/PayrollTaxesGrp/TotalAmt027008
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt01287
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt07103
IRS990/PensionPlanContributionsGrp/TotalAmt08390
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0NICHOLAS COMNINELLIS MD
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0900099
IRS990/ProgramServiceRevenueGrp/Desc0REGISTRATIONS
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IRS990/ProgSrvcAccomActy2Grp/Desc0INMED CME - PROVIDING CONTINUING MEDICAL EDUCATION ACCREDITATION AND MANAGEMENT TO INMED PARTNERS.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt0182584
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt0246278
IRS990/ProgSrvcAccomActy3Grp/Desc0HHC - THE ANNUAL HUMANITARIAN HEALTH CONFERENCE WITH A MISSION TO EQUIP, CONNECT AND GO HEALTH CARE STUDENTS AND PROFESSIONALS TO SERVE IN RESOURCE LIMITED SETTING.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt051622
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt025485
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IRS990/PYContributionsGrantsAmt083750
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IRS990/PYOtherExpensesAmt0189868
IRS990/PYOtherRevenueAmt0736
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IRS990/PYSalariesCompEmpBnftPaidAmt0424087
IRS990/PYTotalExpensesAmt0613955
IRS990/PYTotalRevenueAmt0529377
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IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0382
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IRS990/RelatedEntityInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
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IRS990/SavingsAndTempCashInvstGrp/EOYAmt032786
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt083750
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0136312
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt014835
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt09707
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt04295
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt02495
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0136312
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0534719
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IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleD/DonatedServicesUseFcltsAmt0119236
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IRS990ScheduleD/ExpensesSubtotalAmt0656937
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IRS990ScheduleD/OtherExpensesIncludedAmt05961
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt02507
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt098324
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt0100831
IRS990ScheduleD/OtherRevenueAmt08476
IRS990ScheduleD/RevenueNotReportedAmt0154665
IRS990ScheduleD/RevenueSubtotalAmt0657319
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0CASH VS ACCRUAL BASIS - GRANT INC 5,463 CASH VS ACCRUAL DIFFERENCES 3,013
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1INVESTMENT MANAGEMENT FEES 4,414 DEPRECIATION 619 MISC DIFFERENCE 928
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0SCHEDULE D, PAGE 4, PART XI, LINE 2D
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1SCHEDULE D, PAGE 4, PART XII, LINE 2D
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IRS990ScheduleD/TotalExpensesPerForm990Amt0656937
IRS990ScheduleD/TotalRevenuePerForm990Amt0657319
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0811984
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IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0A DRAFT OF THE 990 IS PROVIDED TO BOARD MEMBERS ELECTRONICALLY PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EVERY YEAR, EACH MEMBER OF THE BOARD OF DIRECTORS IS REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST SELF-DISCLOSURE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3IN KIND RENT NOT EXP ON RETURN -43,036 IN KIND COURSE DEV NOT EXP ON RETURN -76,200 TOTAL -119,236
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt0428361
IRS990/TotalAssetsGrp/BOYAmt0397711
IRS990/TotalAssetsGrp/EOYAmt0428361
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IRS990/TotalContributionsAmt0199787
IRS990/TotalEmployeeCnt07
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IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0153783
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0503154
IRS990/TotalFunctionalExpensesGrp/TotalAmt0656937
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt04211
IRS990/TotalLiabilitiesEOYAmt011940

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