Civic Intelligence

Idaho Elks Rehabilitation Charitable Trust

EIN 93-6196367 • 501(c)3 • Boise, ID

Profile

To provide financial assistance for the health care costs of indigent individuals.

PO Box 1100Boise, ID 83701

n/A

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2017

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

1st percentile

-24692%

Higher net margin than 1% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

44th percentile

$26,300

Higher top officer pay than 44% of similar nonprofits.

Top officer pay equals 248.4% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

2nd percentile

-100%

Faster asset growth than 2% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

4th percentile

-59%

Faster revenue growth than 4% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$0

Down $2,464,282 (-100%) from 2016

Liabilities

Flat

$0

Flat from 2016

Net Assets

Down

$0

Down $2,464,282 (-100%) from 2016

Revenue

Down

$10,587

Down $14,973 (-59%) from 2016

Expenses

Up

$2,624,749

Up $2,619,858 (+53565%) from 2016

Net Income

Down

-$2,614,162

Down $2,634,831 (-12748%) from 2016

Trend Graphs

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2010: $2,049,566Liabilities 2010: $0Net Assets 2010: $2,049,5662010Assets 2011: $2,092,248Liabilities 2011: $0Net Assets 2011: $2,092,2482011Assets 2012: $2,065,791Liabilities 2012: $0Net Assets 2012: $2,065,7912012Assets 2013: $2,208,334Liabilities 2013: $0Net Assets 2013: $2,208,3342013Assets 2014: $2,295,045Liabilities 2014: $0Net Assets 2014: $2,295,0452014Assets 2015: $2,366,830Liabilities 2015: $0Net Assets 2015: $2,366,8302015Assets 2016: $2,464,282Liabilities 2016: $0Net Assets 2016: $2,464,2822016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$4.0M$2.0M$0-$2.0M-$4.0MExpenses 2010: $86,7412010Expenses 2011: $86,2432011Expenses 2012: $93,2582012Revenue 2013: $147,567Expenses 2013: $5,024Net Income 2013: $142,5432013Revenue 2014: $91,151Expenses 2014: $4,440Net Income 2014: $86,7112014Revenue 2015: $64,130Expenses 2015: $4,533Net Income 2015: $59,5972015Revenue 2016: $25,560Expenses 2016: $4,891Net Income 2016: $20,6692016Revenue 2017: $10,587Expenses 2017: $2,624,749Net Income 2017: -$2,614,1622017

Highlighted filing

2017

Revenue$10,587
Expenses$2,624,749
Net Income-$2,614,162

Filings

Latest Detailed Filing

The latest 2017 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2015 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
May 12, 2016
Return Version
2015v2.1
Gross Receipts
$800,706
Mission and Program Overview

Mission

To provide financial assistance to indigent individuals with health care costs.

To provide financial assistance for the health care costs of indigent individuals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$1,369,828$1,441,613▲ $71,785
Investments in Publicly Traded Securities$1,567,189$1,326,432▼ $240,757
Savings and Temporary Cash Investments$727,403$1,039,909▲ $312,506
Cap Stk Tr Prin Current Funds$925,217$925,217→ $0
Cash and Non-Interest-Bearing Accounts$453$489▲ $36
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Total Assets$2,295,045$2,366,830▲ $71,785
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,295,045$2,366,830▲ $71,785
Total Liabilities and Net Assets / Fund Balance$2,295,045$2,366,830▲ $71,785
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-AdministratorPT-$27,692$27,692
Keith MillsTrustee-$4,533-$4,533

Board Members and Trustees

NameTitle
Charles RobertsDirector
Curt NeelyDirector
John EvansDirector
Kevin PoorDirector
Robert ShawDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$64,130
Other Revenue
$0
Change in Net Assets
$59,597
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$4,533
Grants and Similar Amounts Paid$0
Other Expenses$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$4,533-$4,533
Total Functional Expenses$0$4,533$0$4,533
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
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, Part VI, Section A, Line 7A

The board members of idaho elks rehabilitation hospital serve as board members of the idaho elks rehabilitation charitable trust.

Form 990, Part VI, Section A, Line 8B

The organization does not have any committees with the authority to take action or act on behalf of the governing body.

Form 990, Part VI, Section B, Line 11

A copy of form 990 is distributed electronically to each board member.

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

Any conflicts that arise during the year or with the annual disclosure are reviewed by the chairman of the board.

Form 990, Part VI, Section C, Line 19

The organization makes documents available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Idaho Elks Rehabilitation Charitable
EIN
93-6196367
Phone
2084894660
Address
PO BOX 1100, BOISE, ID 83701

Signing Officer

Name
Keith Mills
Title
Administrator
Phone
2084894663
Signed
2016-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Keith Mills
Formed
1987
Legal Domicile
Id
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
6

Preparer

Firm
Eide Bailly Llp
Address
877 W MAIN ST STE 800, BOISE, ID 83702
Preparer
Kim Hunwardsen CPA
Phone
2083447150
Raw XML Appendix346 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
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO PROVIDE FINANCIAL ASSISTANCE FOR THE HEALTH CARE COSTS OF INDIGENT INDIVIDUALS.
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0CLIFTON LARSON ALLEN LLP
IRS990/BooksInCareOfDetail/PhoneNum02083876400
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0800 W MAIN STREET STE 1220
IRS990/BooksInCareOfDetail/USAddress/CityNm0BOISE
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0ID
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IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
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IRS990/CreditCounselingInd00
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IRS990/CYOtherExpensesAmt00
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IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd00
IRS990/Desc0ALL GRANTS ARE GIVEN TO THE IDAHO ELKS REHABILITATION HOSPITAL TO HELP PAY FOR HEALTH CARE COSTS OF INDIGENT INDIVIDUALS. GRANT FUNDING WAS ON A TEMPORARY HOLD DURING 2015 AS THE IDAHO ELKS REHABILITATION HOSPITAL TRANSITIONED FROM OPERATING A REHABILITATION HOSPITAL TO SUPPORTING REHABILITATION SERVICES IN THE COMMUNITY.
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IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.50
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt620.00
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/PersonNm0JOHN EVANS
IRS990/Form990PartVIISectionAGrp/PersonNm1KEVIN POOR
IRS990/Form990PartVIISectionAGrp/PersonNm2ROBERT SHAW
IRS990/Form990PartVIISectionAGrp/PersonNm3CURT NEELY
IRS990/Form990PartVIISectionAGrp/PersonNm4CHARLES ROBERTS
IRS990/Form990PartVIISectionAGrp/PersonNm5KEITH MILLS
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt54533
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt627692
IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5TRUSTEE
IRS990/Form990PartVIISectionAGrp/TitleTxt6ADMINISTRATOR
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr01987
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0413
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt06
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0736989
IRS990/GrossReceiptsAmt0800706
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt063717
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt063717
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt01567189
IRS990/InvestmentsPubTradedSecGrp/EOYAmt01326432
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0ID
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0736576
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO PROVIDE FINANCIAL ASSISTANCE FOR THE HEALTH CARE COSTS OF INDIGENT INDIVIDUALS.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt02295045
IRS990/NetAssetsOrFundBalancesEOYAmt02366830
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0413
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0413
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-119993
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrgDoesNotFollowSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt04533
IRS990/OtherSalariesAndWagesGrp/TotalAmt04533
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/BOYAmt00
IRS990/PdInCapSrplsLandBldgEqpFundGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0KEITH MILLS
IRS990/PriorPeriodAdjustmentsAmt0132181
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt091151
IRS990/PYOtherExpensesAmt03
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt086711
IRS990/PYSalariesCompEmpBnftPaidAmt04437
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IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
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IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
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IRS990ScheduleA/SupportedOrganizationsTotalCnt01
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IRS990ScheduleA/SupportingOrgType2Ind0X
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IRS990/ScheduleBRequiredInd00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BOARD MEMBERS OF IDAHO ELKS REHABILITATION HOSPITAL SERVE AS BOARD MEMBERS OF THE IDAHO ELKS REHABILITATION CHARITABLE TRUST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES WITH THE AUTHORITY TO TAKE ACTION OR ACT ON BEHALF OF THE GOVERNING BODY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2A COPY OF FORM 990 IS DISTRIBUTED ELECTRONICALLY TO EACH BOARD MEMBER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ANY CONFLICTS THAT ARISE DURING THE YEAR OR WITH THE ANNUAL DISCLOSURE ARE REVIEWED BY THE CHAIRMAN OF THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE ORGANIZATION MAKES DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0820302317
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0ID
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROVIDES SUPPORT FOR COMMUNITY REHABILITATION SERVICES
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0BOISE
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IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
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IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
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IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt00
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IRS990/TotalGrossUBIAmt00
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IRS990/TotalLiabilitiesEOYAmt00
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IRS990/TotalOtherCompensationAmt00
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IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
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IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt06
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt02295045
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt02366830
IRS990/TotReportableCompRltdOrgAmt027692
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 1100
IRS990/USAddress/CityNm0BOISE
IRS990/USAddress/StateAbbreviationCd0ID
IRS990/USAddress/ZIPCd083701
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02016-09-27 15:27:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0KEITH MILLS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0ADMINISTRATOR
ReturnHeader/BusinessOfficerGrp/PhoneNum02084894663
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0IDAHO ELKS REHABILITATION CHARITABLE
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0TRUST
ReturnHeader/Filer/BusinessNameControlTxt0IDAH
ReturnHeader/Filer/EIN0936196367
ReturnHeader/Filer/PhoneNum02084894660
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 1100
ReturnHeader/Filer/USAddress/CityNm0BOISE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0ID
ReturnHeader/Filer/USAddress/ZIPCd083701
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0450250958
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0EIDE BAILLY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0877 W MAIN ST STE 800
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0BOISE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0ID
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd083702
ReturnHeader/PreparerPersonGrp/PhoneNum02083447150
ReturnHeader/PreparerPersonGrp/PreparationDt02016-05-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0KIM HUNWARDSEN CPA
ReturnHeader/ReturnTs02016-05-13T12:01:52-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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