Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 8,742,954 | 11,520,774 | 11,902,234 | 11,114,791 | 12,162,325 | 55,443,078 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 8,742,954 | 11,520,774 | 11,902,234 | 11,114,791 | 12,162,325 | 55,443,078 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | 7,948,342 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 47,494,736 | |||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 8,742,954 | 11,520,774 | 11,902,234 | 11,114,791 | 12,162,325 | 55,443,078 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 3,494 | 3,848 | 4,201 | 2,804 | 5,696 | 20,043 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 55,463,121 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2015 | (b) 2016 | (c) 2017 | (d) 2018 | (e) 2019 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2019 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2019 |
(iii) Distributable Amount for 2019 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2019 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2019: | ||||
| a From 2014....... | ||||
| b From 2015....... | ||||
| c From 2016....... | ||||
| d From 2017....... | ||||
| e From 2018....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2019 distributable amount | ||||
|
i
Carryover from 2014 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2019 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2019 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2020. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2015..... | ||||
| b Excess from 2016..... | ||||
| c Excess from 2017..... | ||||
| d Excess from 2018..... | ||||
| e Excess from 2019..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I, LINE 1 | MISSION STATEMENT: ACCESSHEALTH IS DEDICATED TO EXCELLENCE IN PROVIDING INTEGRATED HEALTH CARE SERVICES TO IMPROVE THE QUALITY OF LIFE IN THE COMMUNITIES IT SERVES. VISION STATEMENT: ACCESSHEALTH WILL ENABLE PATIENTS TO ACHIEVE A PERSONAL STATE OF WELLNESS THROUGH THE OFFERING OF HIGH QUALITY SERVICES WITH COMPASSION, COMPETENCE AND INTEGRITY, WHICH WILL ADDRESS THEIR PHYSICAL, SOCIAL, AND PSYCHOLOGICAL NEEDS. TO THAT END, THE CENTER'S CARE PROVIDERS, EMPLOYEES, VOLUNTEERS, AND BOARD MEMBERS WILL COLLABORATE WITH PATIENTS, THEIR FAMILIES, AND OTHER COMMUNITY ORGANIZATIONS TO ACHIEVE ITS MISSION. VALUES DIVERSITY: ACCESSHEALTH VALUES THE DIVERSITY OF THE COMMUNITY AND THE ENRICHMENT THIS BRINGS TO THE RELATIONSHIPS WITH EACH OTHER AND CLIENTS. ACCESSHEALTH VALUES INDIVIDUAL OPINIONS AND RECOGNIZES THEIR IMPORTANCE IN ACCOMPLISHING ITS GOALS. INTEGRITY: ACCESSHEALTH PRACTICES AND PROMOTES THE PRINCIPLES OF TRUST, RESPONSIBILITY AND HONESTY. ACCESSHEALTH RECOGNIZES ITS ROLE AS A STEWARD OF PUBLIC AND PRIVATE RESOURCES AND PLEDGES TO OPERATE WITH EFFICIENCY AND ACCOUNTABILITY. RESPECT: ACCESSHEALTH BELIEVES THAT ALL INDIVIDUALS DESERVE TO BE TREATED WITH DIGNITY, FAIRNESS, AND PRIVACY. ACCESSHEALTH RESPECTS EMPLOYEES AS THE AGENCY'S MOST VALUABLE ASSET. EXCELLENCE: ACCESSHEALTH WORKS TO IMPROVE THE QUALITY OF SERVICES PROVIDED. ACCESSHEALTH PROMOTES PROFESSIONAL GROWTH AND EDUCATION IN PURSUIT OF EXCELLENCE. COMPASSION: ACCESSHEALTH SERVES CLIENTS WITH KINDNESS, PUTTING THEIR NEEDS AS THE FIRST PRIORITY. ACCESSHEALTH OFFERS THE BEST TO ALL, USING KINDNESS AND COMPASSION IN INTERACTIONS WITH EACH OTHER, WITH CLIENTS, AND THE COMMUNITY. TEAMWORK: ACCESSHEALTH RECOGNIZES THE VALUE OF EACH MEMBER OF THE TEAM - THEY NEED EACH OTHER TO ACCOMPLISH THE MISSION. ACCESSHEALTH VALUES THE STRENGTH THAT COMES FROM A UNIFIED PURPOSE. |
| FORM 990, PART III, LINE 4A | EXEMPT PURPOSE ACHIEVEMENTS: ACCESSHEALTH IS A PRIVATE, NOT-FOR-PROFIT ORGANIZATION FOCUSING ON PROVIDING PRIMARY HEALTH CARE SERVICES FOR THE LOW-INCOME POPULATION OF FORT BEND AND WALLER COUNTIES, BUT OPENS ITS DOORS TO ALL WHO WISH TO RECEIVE CARE WITHOUT REGARD TO INCOME OR CIRCUMSTANCE. ACCESSHEALTH WAS INCORPORATED ON DECEMBER 8, 1975. FUNDING TO ESTABLISH THE WIC PROGRAM WAS OBTAINED IN JULY 1976. IN JANUARY 1977, ACCESSHEALTH BECAME A FUNDED AGENCY OF THE UNITED WAY OF GREATER HOUSTON. THE COMMUNITY PEDIATRIC CLINIC WAS ESTABLISHED IN 1980, A COMPREHENSIVE MATERNITY PROGRAM WAS ESTABLISHED IN JULY 1984, AND AN ADULT CLINIC WAS OPENED IN AUGUST 1989. ACCESSHEALTH BEGAN PROVIDING MEDICAL SERVICES IN A NEW CLINIC SITE IN STAFFORD, TEXAS, IN SEPTEMBER 1994. A FORTY-FOOT MOBILE CLINIC BECAME OPERATIONAL IN SUMMER 2001. ACCESSHEALTH EXPANDED SERVICE DELIVERY TO WALLER COUNTY THROUGH THE MOBILE CLINIC IN MARCH 2002. THE MOBILE CLINIC IS CURRENTLY STATIONED AT THE UNITED WAY SERVICE CENTER IN BROOKSHIRE, WALLER COUNTY, TEXAS. BEHAVIORAL HEALTH SERVICES ARE PROVIDED BY CLINICAL SOCIAL WORKERS, AND LICENSED PROFESSIONAL COUNSELORS. A FULL-SERVICE DENTAL CLINIC OPENED IN ACCESSHEALTH'S STAFFORD CENTER LOCATION IN FEBRUARY 2005. A FAMILY PRACTICE MEDICAL CLINIC WAS OPENED IN MISSOURI CITY, FORT BEND COUNTY, TEXAS IN JULY 2011. MEDICAL SERVICES INCLUDE COMPREHENSIVE PRIMARY HEALTH CARE, PREVENTIVE HEALTH SERVICES, TRANSLATION, LABORATORY, RADIOLOGY, PHARMACY, AND MEDICAL CASE MANAGEMENT FOR PERSONS WHO ARE HIV-POSITIVE. THE DENTAL CLINIC PROVIDES PREVENTIVE, RESTORATIVE AND EMERGENCY SERVICES. BEHAVIORAL HEALTH SERVICES ARE INTEGRATED WITH PRIMARY HEALTH SERVICES AND INCLUDE PSYCHOTHERAPY AND CARE COORDINATION. THE MAIN OFFICE OF ACCESSHEALTH IS LOCATED IN RICHMOND, FORT BEND COUNTY, TEXAS. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, IMMUNIZATIONS, WELLNESS VISITS, FAMILY PLANNING, PRENATAL CARE, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, NUTRITION EDUCATION, LABORATORY, PHARMACY, BEHAVIORAL HEALTH SERVICES, MEDICAL CASE MANAGEMENT, AND REFERRAL. THE SECOND DELIVERY SITE IS LOCATED IN THE UNITED WAY SERVICE CENTER IN STAFFORD, FORT BEND COUNTY, TEXAS. THE SERVICES INCLUDE A PEDIATRIC CLINIC, THE DENTAL CLINIC AND THE WIC PROGRAM. THE THIRD DELIVERY SITE IS IN WALLER COUNTY. WE MOVED OUR OPERATION FROM A MOBILE CLINIC TO A MODULAR BUILDING IN BROOKSHIRE, TEXAS, IN SEPTEMBER 2015. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, IMMUNIZATIONS, WELLNESS VISITS, FAMILY PLANNING, PRENATAL CARE, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, LABORATORY, PHARMACY, AND REFERRAL. THE FOURTH DELIVERY SITE IS IN MISSOURI CITY, FORT BEND COUNTY, TEXAS, CO-LOCATED IN A COUNTY PRECINCT BUILDING. THE SERVICES INCLUDE PRIMARY HEALTH CARE FOR ALL AGE GROUPS WITH AN EMPHASIS ON PREVENTION, WELLNESS VISITS, FAMILY PLANNING, ACUTE CARE, CHRONIC DISEASE MANAGEMENT, CANCER SCREENING, LABORATORY, PHARMACY AND REFERRAL, AND HIV SERVICES. |
| FORM 990, PART III, LINE 4B | EXEMPT PURPOSE ACHIEVEMENTS: THE WIC NUTRITION PROGRAM PROVIDES NUTRITION EDUCATION AND COUNSELING, NUTRITIOUS SUPPLEMENTAL FOODS (I.E., EGGS, MILK, CHEESE, INFANT FORMULA, BABY FOOD, FRESH AND FROZEN FRUITS AND VEGETABLES, JUICE, DRIED BEANS, WHOLE GRAIN CEREALS, BREADS AND TORTILLAS, TOFU, SOY MILK, AND CANNED FISH), AND HELPS PREGNANT, POSTPARTUM AND BREASTFEEDING WOMEN, INFANTS AND CHILDREN UNDER AGE FIVE ACCESS HEALTH CARE SERVICES IN ORDER TO IMPROVE THEIR HEALTH AND NUTRITIONAL STATUS. |
| FORM 990, PART VI, SECTION B, LINE 11B | 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE FINANCE DEPARTMENT OF THE ORGANIZATION. THE ORGANIZATION'S CFO AND DIRECTOR OF FISCAL RESOURCES WILL REVIEW THE FORM 990 IN DETAIL, THEN A COPY WILL BE PRESENTED TO THE CEO AND EACH MEMBER OF THE FINANCE COMMITTEE FOR REVIEW DURING THE FINANCE COMMITTEE MEETING. FINALLY, THE FULL BOARD RECEIVES A COPY TO REVIEW AND IT IS DISCUSSED AND APPROVED AT THE BOARD OF DIRECTORS MEETING PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST: ALL STAFF AND BOARD OF DIRECTORS OF THE CORPORATION HAVE AN OBLIGATION TO CONDUCT BUSINESS WITHIN GUIDELINES THAT PROHIBIT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. TRANSACTIONS WITH OUTSIDE FIRMS MUST BE CONDUCTED WITHIN A FRAMEWORK ESTABLISHED AND CONTROLLED BY THE EXECUTIVE LEVEL OF THE CORPORATION. BUSINESS DEALINGS WITH OUTSIDE FIRMS SHOULD NOT RESULT IN UNUSUAL GAINS FOR THOSE FIRMS. UNUSUAL GAIN REFERS TO BRIBES, PRODUCT BONUSES, SPECIAL FRINGE BENEFITS, UNUSUAL PRICE BREAKS, AND OTHER WINDFALLS DESIGNED TO ULTIMATELY BENEFIT EITHER THE EMPLOYER, EMPLOYEE, OR BOTH. PROMOTIONAL PLANS THAT COULD BE INTERPRETED TO INVOLVE UNUSUAL GAIN REQUIRE SPECIFIC EXECUTIVE-LEVEL APPROVAL. THE CORPORATION SHALL NOT EMPLOY BOARD MEMBERS OR THEIR RELATIVES, WHETHER RELATED BY BLOOD OR MARRIAGE. AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST OCCURS WHEN AN EMPLOYEE OR BOARD MEMBER IS IN A POSITION TO INFLUENCE A DECISION THAT MAY RESULT IN A PERSONAL GAIN FOR THAT EMPLOYEE, BOARD MEMBER, OR RELATIVE. NO PRESUMPTION OF GUILT IS CREATED BY THE MERE EXISTENCE OF A RELATIONSHIP WITH OUTSIDE FIRMS. IF AN EMPLOYEE OR BOARD MEMBER HAS ANY INFLUENCE ON TRANSACTIONS INVOLVING PURCHASES, CONTRACTS, OR LEASES, IT IS IMPERATIVE THAT HE OR SHE DISCLOSE TO AN OFFICER OF THE CORPORATION AS SOON AS POSSIBLE THE EXISTENCE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST SO THAT SAFEGUARDS CAN BE ESTABLISHED TO PROTECT ALL PARTIES. ANY BOARD MEMBER OR EMPLOYEE WHO FAILS TO IDENTIFY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST WILL BE SUBJECT TO DISCIPLINARY ACTION, UP TO AND INCLUDING POSSIBLE TERMINATION OF EMPLOYMENT, BOARD MEMBERSHIP, AND LEGAL ACTION. DIRECTORS OR OFFICERS WHO MAY HAVE A FINANCIAL INTEREST IN SUCH A TRANSACTION SHALL ABSTAIN FROM VOTING IN ANY DECISION THAT INVOLVES SUCH CONTRACT OR TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINES 15A & 15B | COMPENSATION SETTING PROCEDURES: THE ORGANIZATION HAS A COMMITTEE OF THE BOARD RESPONSIBLE FOR PERFORMING AN EVALUATION OF THE CEO. THIS COMMITTEE EVALUATES THE COMPARABILITY DATA AND EVALUATION AND MAKES A RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD IS THEN RESPONSIBLE FOR THE APPROVAL OF THE RECOMMENDATION. COMPARABILITY DATA IS USED FOR BOTH THE CEO AND OTHER KEY OFFICERS. THE DATA INCLUDES A REVIEW CONDUCTED BY THE DIRECTOR OF HUMAN RESOURCES THROUGH A NATIONAL SALARY STUDY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS BASED ON MANY VARIABLES: POSITION, URBAN/RURAL/MIXED, BUDGET SIZE, REGION BY REGION, ETC. COMPARISONS TO LOCAL MARKETS (HOUSTON, TEXAS) ARE ALSO MADE FOR POSITIONS OF SIMILAR RESPONSIBILITY IN SIMILAR ORGANIZATIONS. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2017. THE CEO AND THE HUMAN RESOURCES DIRECTOR CONDUCT SALARY COMPARISONS USING ANNUAL SALARY SURVEY INFORMATION FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THE UNITED WAY OF GREATER HOUSTON. THE MOST RECENT COMPENSATION REVIEW WAS CONDUCTED IN 2017. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND WILL BE MAILED TO THE REQUESTER. |
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| Software Version: |