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 | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 415,190 | 244,542 | 254,843 | 232,877 | 163,491 | 1,310,943 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 415,190 | 244,542 | 254,843 | 232,877 | 163,491 | 1,310,943 |
| 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) .. | 99,419 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 1,211,524 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 415,190 | 244,542 | 254,843 | 232,877 | 163,491 | 1,310,943 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 372 | 446 | 2,161 | 5,969 | 4,628 | 13,576 |
| 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.).. | 1,002 | 2,247 | 455 | 23,248 | 656 | 27,608 |
| 11 | Total support. Add lines 7 through 10 | 1,352,127 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (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 on 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, 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 2024. 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 2025. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| PART II, LINE 10 | MISCELLANEOUS 27,608 |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MENTAL HEALTH ASSOCIATION IN FORSYTH COUNTY IS A NON-PROFIT, NON- GOVERNMENTAL AGENCY THAT IS DEDICATED TO IMPROVING THE QUALITY OF LIFE FOR PERSONS AFFECTED BY MENTAL ILLNESS THROUGH ADVOCACY, EDUCATION AND SUPPORT SERVICES. |
| FORM 990, PAGE 2, PART III, LINE 4A | CONSUMER SUPPORT IS COMPOSED OF 8 PROGRAMS. (1) HOSPITAL OUTREACH PROGRAM - VOLUNTEERS AND STAFF PROVIDE INFORMATION AND RESOURCE ASSISTANCE TO PATIENTS AND THEIR FAMILIES AT LOCAL HOSPITALS AND AT MENTAL HEALTH FACILITIES ABOUT COMMUNITY SUPPORT SERVICES INFORMATION PRIOR TO THEIR DISCHARGE. THE ASSOCIATION RESPONDS TO SPECIAL REQUESTS FROM HOSPITAL PSYCHIATRIC STAFF AS NEEDED. (2) MOOD DISORDERS SUPPORT - TIDES IS A SUPPORT GROUP FOR PEOPLE WITH MOOD DISORDERS INCLUDING CLINICAL DEPRESSION, BI-POLAR DISORDER OR OTHER MOOD DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON TUESDAY EVENINGS TO SHARE INFORMATION, RESOURCE ASSISTANCE AND TO DEVELOP SELF-ADVOCACY SKILLS. AN ADDITIONAL TIDES GROUP MEETS EVERY FRIDAY MORNING FOR ANYONE WITH A MOOD DISORDER, BUT IS ALSO OPEN TO ANYONE WITH ANY MENTAL HEALTH AND/OR SUBSTANCE ABUSE ISSUES. (3) ANXIETY DISORDERS - THIS SUPPORT GROUP IS FOR PEOPLE WITH PANIC DISORDER, AGORAPHOBIA, OBSESSIVE COMPULSIVE DISORDER, POSTTRAUMATIC STRESS DISORDER, ACUTE STRESS DISORDER OR GENERALIZED ANXIETY DISORDER. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY EVENINGS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT ANXIETY DISORDERS, TREATMENTS AND MEDICATION. (4) PSYCHOTIC DISORDERS - THIS SUPPORT GROUP IS FOR ADULTS WITH PSYCHOTIC DISORDERS, SCHIZOPHRENIA AND SCHIZOAFFECTIVE DISORDERS. SUPPORT GROUPS MEET TWICE A MONTH ON THURSDAY AFTERNOONS TO HELP PARTICIPANTS LEARN COPING SKILLS AND UP-TO-DATE INFORMATION ABOUT PSYCHOTIC DISORDERS, TREATMENTS AND MEDICATION. (5) THRIVE - THIS SUPPORT GROUP IS FOR YOUNG ADULTS AGES 18-30 WITH ANY MENTAL HEALTH ISSUE. SUPPORT GROUPS MEET EVERY SECOND AND FOURTH TUESDAY EVENINGS EACH MONTH AT THE ASSOCIATION'S OFFICE. (6) SPEAKER MEETINGS - MENTAL HEALTH SPEAKER, EDUCATIONAL MEETINGS ARE DEVOTED SOLELY TO THE FIFTH TUESDAYS AND/OR FIFTH FRIDAYS IN A GIVEN MONTH. SPEAKER TOPICS VARY AND HAVE INCLUDED: STRESS AND CHANGE, NUTRITION, SMOKING CESSATION AND UPDATES ON SPECIFIC MENTAL DISORDERS SUCH AS DEPRESSION, OBSESSIVE-COMPULSIVE DISORDER AND BORDERLINE PERSONALITY DISORDER. TOPICS ARE CHOSEN FROM FEEDBACK FROM SUPPORT GROUP PARTICIPANTS AND OTHERS. (7) OPERATION SANTA CLAUS - HOLIDAY CHEER IN THE FORM OF GOODY BAGS AND/OR UNIT GIFTS ARE PROVIDED TO MENTAL HEALTH PATIENTS (CHILDREN AND ADULTS) AT LOCAL INPATIENT AND OUTPATIENT MENTAL HEALTH FACILITIES, INCLUDING OLD VINEYARD BEHAVIORAL HEALTH, FORSYTH MEDICAL CENTER/NOVANT, WAKE FOREST BAPTIST HEALTH, BRENNER'S CHILDREN'S HOSPITAL, FORSYTH MENTAL HEALTH COURT CLIENTS AND, WHEN APPLICABLE, OTHER MENTAL HEALTH AGENCIES. COMMUNITY GROUPS, LOCAL BUSINESSES, CHURCHES/HOUSES OF WORSHIP, CIVIC AND FRATERNAL GROUPS DONATE THEIR TIME, MONEY AND GIFTS TO HELP MAKE THE HOLIDAYS A LITTLE BRIGHTER FOR THOSE RECEIVING TREATMENT IN OUR LOCAL MENTAL HEALTH FACILITIES. (8) REPRESENTATIVE PAYEE SERVICES - THROUGH REFERRALS, THIS PROGRAM BENEFITS PEOPLE WITH SEVERE MENTAL ILLNESS WHO RECEIVE SOCIAL SECURITY DISABILITY AND/OR SUPPLEMENTARY SECURITY INCOME OR OTHER ENTITLEMENTS, SUCH AS RAILROAD RETIREMENT, AND CANNOT MANAGE THEIR OWN FUNDS. THE ASSOCIATION BECOMES THE CLIENT'S PAYEE BY SETTING UP A BUDGET FOR EACH CLIENT AND MANAGING HIS OR HER FUNDS TO PAY HIS OR HER RENT, UTILITIES, MEDICATIONS, FOOD AND OTHER BASIC NECESSITIES. |
| FORM 990, PAGE 2, PART III, LINE 4B | FAMILY SUPPORT IS COMPOSED OF 3 PROGRAMS. (1) COURT ASSISTANCE PROGRAM - THE ASSOCIATION MONITORS THE OUTCOMES OF THE WEEKLY JUDICIAL HOSPITALIZATION HEARINGS (INVOLUNTARY COMMITMENT HEARINGS) AND REPORTS PAPERWORK AND OTHER CLERICAL ERRORS TO APPROPRIATE HOSPITAL OR PROVIDER STAFF. IF FAMILY MEMBERS ARE PRESENT, THE ASSOCIATION OFFERS INFORMATION, REFERRALS, AND RESOURCE ASSISTANCE. (2) FAMILY / CONSUMER ADVOCACY AND OUTREACH - THE ASSOCIATION PROVIDES FREE INDIVIDUAL AND FAMILY ADVOCACY SERVICES, RESOURCE ASSISTANCE AND SERVICE COORDINATION. THE ASSOCIATION WORKS DIRECTLY WITH CHILDREN AND ADULTS WITH MENTAL HEALTH NEEDS, THEIR FAMILIES, FRIENDS AND SERVICE PROVIDERS TO ENSURE THAT THEY LIVE FULL AND PRODUCTIVE LIVES. THE ASSOCIATION IS INVOLVED IN "CRISIS INTERVENTION TEAM" TRAININGS TO LAW ENFORCEMENT PERSONNEL TO HELP THEM RECOGNIZE THE SIGNS AND SYMPTOMS OF PERSONS EXPERIENCING A MENTAL HEALTH CRISIS, TO HELP THEM DE-ESCALATE A PERSON HAVING A MENTAL HEALTH CRISIS IN A SAFE AND HUMANE MANNER AND TO HELP INDIVIDUALS IN CRISIS ACCESS SERVICES. (3) WELLNESS RECOVERY ACTION PLAN (WRAP) TRAININGS - THE ASSOCIATION OFFERS WRAP TRAININGS, WHICH IS A 4-DAY, 20 HOUR TRAINING TO PERSONS LIVING WITH MENTAL ILLNESS DESIGNED TO HELP THEM IDENTIFY AND UNDERSTAND THEIR OWN PERSONAL WELLNESS AND TO DEVELOP AN INDIVIDUALIZED PLAN IN THE EVENT OF A MENTAL HEALTH CRISIS, INCLUDING ADVANCE DIRECTIVES. WRAP IS A SAMHSA- APPROVED TRAINING DESIGNED TO HELP THOSE LIVING WITH MENTAL ILLNESS BECOME THEIR OWN ADVOCATE BY ENCOURAGING: PERSONAL RESPONSIBILITY, EMOTIONAL REGULATION AND HOPE. |
| FORM 990, PAGE 2, PART III, LINE 4C | COMMUNITY EDUCATION IS COMPOSED OF 7 PROGRAMS. (1) INFORMATION AND REFERRAL - THIS AGENCY PROVIDES INFORMATION/REFERRAL SERVICES TO CALLERS, E-MAIL INQUIRIES, AND WALK-IN VISITORS AS WELL AS TO AREA PROFESSIONALS ON VARIOUS TOPICS SUCH AS, BUT NOT LIMITED TO: SPECIFIC MENTAL HEALTH DISORDERS, COMMUNITY MENTAL HEALTH SERVICES, MEDICATION INFORMATION, COMMUNITY SUPPORT PROGRAMS AND/OR SUBSTANCE ABUSE SERVICES. THE ASSOCIATION MAINTAINS A DATABASE OF OVER 200 LOCAL MENTAL HEALTH PROVIDERS FOR THOSE INTERESTED IN SEEING A PROVIDER IN THE PRIVATE OR PUBLIC SECTORS AND PROVIDES REFERRALS BASED ON A PERSON'S MENTAL HEALTH AND/OR FINANCIAL NEEDS. (2) RESOURCE CENTER - THE ASSOCIATION MAINTAINS EDUCATIONAL MATERIALS, FACT SHEETS, PAMPHLETS, BROCHURES FOR THE GENERAL PUBLIC ABOUT MENTAL ILLNESS AND RELATED TOPICS. THESE MATERIALS ALSO INCLUDE LOCAL RESOURCE INFORMATION, SUCH AS: HOW TO ACCESS MENTAL HEALTH SERVICES, LOCAL MENTAL HEALTH CRISIS & WALK-IN CENTERS, LOCAL COUNSELING CENTERS THAT OFFER SLIDING SCALE FEES AND/OR FINANCIAL ASSISTANCE, AND A LISTING OF LOCAL MENTAL HEALTH FAMILY SUPPORT GROUPS. (3) SPEAKERS BUREAU - STAFF PROVIDES EDUCATIONAL PROGRAMS ON MENTAL HEALTH TOPICS TO BUSINESSES, CLUBS, SCHOOLS AND CHURCHES IN FORSYTH AND SURROUNDING COUNTIES. TOPICS INCLUDE: "MENTAL HEALTH 101", COPING WITH HOLIDAY STRESS, SEASONAL AFFECTIVE DISORDER, DEPRESSION AND ANXIETY DISORDERS AND SUICIDE AWARENESS. (4) MENTAL HEALTH AND MENTAL ILLNESS AWARENESS CAMPAIGNS - PROMOTIONAL CAMPAIGNS ARE HELD TWICE A YEAR TO SPREAD AWARENESS, UNDERSTANDING HEIGHTEN SENSITIVITY AND WORK TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL ILLNESS. SERVICES INCLUDE: DEPRESSION AND ANXIETY SCREENINGS, RADIO AND TELEVISION INTERVIEWS AND PANEL DISCUSSIONS. THE ASSOCIATION SPONSORS FREE SEMINARS, TOWN HALL MEETINGS AND PANEL DISCUSSIONS AIMED TO HELP THE GENERAL PUBLIC BETTER UNDERSTAND MENTAL ILLNESS. (5) SYSTEMS ADVOCACY - THE ASSOCIATION CONTINUALLY ADVOCATES ON THE LOCAL, STATE AND NATIONAL LEVELS TO GOVERNMENTAL AND LEGISLATIVE BODIES IN ORDER IMPROVE, ADVOCATE AND EXPAND MENTAL HEALTH AND RELATED SERVICES. (6) MENTAL HEALTH AFRICAN-AMERICAN OUTREACH - THE ASSOCIATION PROVIDES EDUCATION, AWARENESS AND SPECIAL EVENTS TO HELP REMOVE THE STIGMA OF MENTAL ILLNESS PASSED DOWN THROUGH GENERATIONS WITHIN THE AFRICAN-AMERICAN COMMUNITY. (7) EDUCATION OUTREACH ON BULLYING - THE ASSOCIATION IS COMMITTED TO HELPING THE GENERAL PUBLIC BETTER UNDERSTAND THE MENTAL HEALTH IMPACT ON BULLYING AND THOSE WHO ARE VICTIMS OF BULLYING THROUGH EDUCATION, OUTREACH AND SPECIAL EVENTS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS DISTRIBUTED TO THE FULL BOARD OF DIRECTORS ELECTRONICALLY BEFORE IT IS FILED. THE PRESIDENT AND EXECUTIVE DIRECTOR REVIEW THE FORM 990 BEFORE IT IS FILED TO CHECK FOR ACCURACY. THE PRESIDENT AND EXECUTIVE DIRECTOR CO-SIGN AND DATE THE FORM 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICT OF INTEREST POLICY REQUIRES EACH BOARD MEMBER TO SIGN TO VERIFY THAT THEY HAVE READ AND UNDERSTOOD THE AGENCY'S CONFLICT OF INTEREST POLICY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS FACILITATES AN ANNUAL PERFORMANCE REVIEW TO DETERMINE THE COMPENSATION AND BENEFITS OF THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES 22,999 3,619 440 |
| Software ID: | |
| Software Version: |