Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990-EZ, Part I, Line 16, Other Expenses | Travel 382 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Conferences, conventions, and meetings 649 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Equipment rental and maintenance 78 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Interest 40 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Supplies 176 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Telephone 2,033 |
| Form 990-EZ, Part I, Line 16, Other Expenses | IAF Northwest Affiliation Fees 24,000 |
| Form 990-EZ, Part I, Line 16, Other Expenses | Business Bank Fees 605 |
| Form 990-EZ, Part II, Line 24, Other Assets | Accounts Receivable Beginning of year 8,900, End of year 33,224 |
| Form 990-EZ, Part II, Line 26, Liabilities | Accounts Payable Accrued Expenses Beginning of year 16,422, End of year 29,818 |
| Form 990-EZ, Part II, Line 26, Liabilities | Loan from Disinterested Person Beginning of year 10,000, End of year 10,000 |
| Form 990-EZ, Part III, Line 28 | LEADERSHIP DEVELOPMENT cont. Throughout the year we developed leadership with a cohort of Medical Residents so they could bring new community organizing skills to their work. We concluded our social connection project which built relationships with isolated populations during the Covid-19 pandemic. |
| Form 990-EZ, Part V, Line 35 | UNRELATED BUSINESS INCOME. We did not report the income from Part I, Line 6 on a Form 990-T because it was raised through a fundraising event that is not regularly carried on. |
| Software ID: | 21013554 |
| Software Version: | 21.0.5.0 |