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.") .. | 718,709 | 656,178 | 587,533 | 749,235 | 727,679 | 3,439,334 |
| 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 | 718,709 | 656,178 | 587,533 | 749,235 | 727,679 | 3,439,334 |
| 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) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 3,439,334 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 718,709 | 656,178 | 587,533 | 749,235 | 727,679 | 3,439,334 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 13,118 | 8,966 | 7,111 | 6,596 | 8,661 | 44,452 |
| 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.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 3,483,786 | |||||
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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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990 - ORGANIZATION'S MISSION | TO PROVIDE DIRECT SERVICES, EDUCATION, RESOURCES, AND AWARENESS FOR THOSE WHO NEED ASSISTANCE WITH THEIR HEALTH CARE NEEDS RELATED TO DIABETES SELF- MANAGEMENT, HEARING AND SPEECH ABNORMALITIES, BREAST HEALTH ISSUES, AND SUICIDE PREVENTION. |
| FORM 990, PAGE 2, PART III, LINE 4A | COMMUNITY SERVICES WITH ALL DEAF (CSAD): CSAD FACILITATES EFFECTIVE COMMUNICATION AND PROVIDES COMMUNITY SUPPORT SERVICES TO MEET THE NEEDS OF INDIVIDUALS IN WAYS THAT ARE APPROPRIATE TO THEIR SITUATIONS, WHETHER THEY ARE DEAF, ORAL, LATE DEAFENED OR HARD OF HEARING. WE PROVIDE SERVICES IN SEVERAL COUNTIES IN NORTH CENTRAL INDIANA: ST. JOSEPH, ELKHART, STARKE, MARSHALL, KOSCIUSKO, PULASKI, LAPORTE AND FULTON AS WELL AS PARTS OF SOUTHWEST LOWER MICHIGAN. CSAD STRIVES TO ENHANCE OUR COMMUNITY BY PROVIDING A BRIDGE BETWEEN THE DEAF AND HEARING WORLDS THROUGH ACCESSIBILITY, ADVOCACY, AND ENRICHMENT TO PROMOTE INDEPENDENCE AND OPPORTUNITY WITH PROGRAMS INCLUDING: - SIGN LANGUAGE INTERPRETING: INCLUDING AMERICAN SIGN LANGUAGE (ASL), CERTIFIED DEAF INTERPRETING & ORAL INTERPRETING - CASE MANAGEMENT: ASSISTANCE WITH EMPLOYMENT, EDUCATION AND ACTIVITIES OF DAILY LIVING - IN-SERVICE TRAINING: INCLUDING DEAF AWARENESS, CULTURAL SENSITIVITY AND TRAINING ABOUT THE AMERICANS WITH DISABILITIES ACT (ADA) - AMERICAN SIGN LANGUAGE CLASSES - REFERRAL SERVICES IN 2024 CSAD: - PROVIDED MORE THAN 6,500 HOURS OF INTERPRETING SERVICES - COMPLETED MORE THAN 1,800 ASSIGNMENTS |
| FORM 990, PAGE 2, PART III, LINE 4B | COVERING KIDS & FAMILIES OF UNITED HEALTH SERVICES (CKF-UHS) CKF IS A COALITION OF LOCAL PARTNERS WITH ONE GOAL: TOTAL HEALTH COVERAGE. LOCATED IN NORTH CENTRAL INDIANA, CKF-UHS IS RESPONSIBLE FOR FIVE INDIANA COUNTIES: ELKHART, ST. JOSEPH, MARSHALL, STARKE AND PULASKI. COALITION PARTNERS ARE WORKING COLLABORATIVELY TO REACH AND INSURE RESIDENTS IN HOOSIER HEALTHWISE, HIP, MEDICAID AND MARKETPLACE PLANS. THROUGH THIS PROGRAM WE PROVIDE INDIANA STATE LICENSED AND CERTIFIED NAVIGATORS WHO HELP CONSUMERS WITH QUESTIONS AND ENROLLMENT INTO THE STATE AND FEDERAL INSURANCES AVAILABLE. USING A NAVIGATOR INCREASES THE CHANCES OF THOSE WE SERVE BEING ACCEPTED INTO THE PROGRAM AND PROVIDES FOR PEACE OF MIND DURING THE APPLICATION PROCESS. WITH OUR RESOURCES THROUGH THIS PROGRAM, WE OFTEN HAVE EXTRA INFORMATION TO HELP THOSE SE SERVE TO MAKE BETTER INFORMED DECISIONS. OUR NAVIGATORS MEET IN PERSON AT LOCAL HOSPITALS, HEALTH FAIRS, COMMUNITY EVENTS, AND AT OUR OFFICES IN GRANGER, INDIANA TO NAME A FEW OF OUR MANY OUTREACH EFFORTS. WE ALSO PROVIDE VIRTUAL AND TELEPHONE APPOINTMENTS AND USE AN ONLINE SCHEDULER TO MAKE THE PROCESS EASY AND ACCESSIBLE TO ALL. ADDITIONALLY, CKF-UHS HAS NAVIGATORS WHO SPEAK ENGLISH & SPANISH. IN 2024 CKF OF UHS: - PROCESSED OVER 650 APPLICATIONS FOR HEALTHCARE COVERAGE - SUCCESSFULLY ENROLLED AND HAD ACCEPTED 610 OF THOSE APPLICATIONS - ACHIEVED AND ABOVE AVERAGE 93% APPROVAL RATE ON TOTAL APPLICATIONS - HELD OR ATTENDED OUTREACH EVENTS CONNECTING WITH OVER 3,000 PEOPLE |
| FORM 990, PAGE 2, PART III, LINE 4C | BREAST HEALTH PROGRAMS: IN COORDINATION WITH LOCAL HOSPITALS AND HEALTHCARE PROVIDERS INCLUDING 48 OFFICES, 15 MAMMOGRAM FACILITIES, AND 17 LABS AND RADIOLOGISTS THE BREAST HEALTH PROGRAMS FACILITATE COMMUNITY, STATE AND FEDERAL FUNDS TO PROVIDE FREE MAMMOGRAPHY AND DIAGNOSTIC SERVICES FOR MEDICALLY UNDERSERVED OR UNINSURED MEN AND WOMEN IN THE COMMUNITY. REFERRALS AND NAVIGATION ARE AVAILABLE FOR MEN AND WOMEN DIAGNOSED WITH BREAST CANCER. BREAST CANCER IS NOT JUST A WOMAN'S DISEASE. MEN DO GET BREAST CANCER, THOUGH IT IS RARE. WE PROVIDE INDIANA STATE LICENSED AND CERTIFIED BILINGUAL NAVIGATORS TO GUIDE THROUGH THE SCREENING, DIAGNOSTIC AND DIAGNOSIS PROCESS. FOR NEARLY 28 YEARS UNITED HEALTH SERVICES HAS BEEN A PART OF THE BREAST & CERVICAL CANCER PROGRAM (BCCP). DUE TO OUR TREMENDOUS SUCCESS WITH THIS PROGRAM, WE HAVE GROWN TO SERVING 27 COUNTIES. THROUGH THIS IDOH ONGOING GRANT WE COORDINATE THE BREAST CARE COVERAGE IN THESE COUNTIES FOR WOMEN AGES 30 AND OLDER WHO ARE UNINSURED AND AT OR BELOW 200% OF POVERTY FOR SCREENINGS. INSURED WOMEN 200% OF POVERTY AND BELOW MAY BE ELIGIBLE FOR BCCP TO BE THEIR SECONDARY COVERAGE. THIS PROVIDES COVERAGE FOR PAP/HPV, CLINICAL BREAST EXAMS, SCREENING MAMMOGRAMS, AND DIAGNOSTIC SERVICES BASED ON AGE & CLINICAL CRITERIA. IN 2024 BREAST HEALTH PROGRAMS PROVIDED AND/OR COORDINATED OVER 2,300 AREA WOMEN WITH SERVICES RELATED TO THEIR BREAST OR CERVICAL HEALTH. |
| FORM 990, PAGE 2, PART III, LINE 4D | THE DIABETES RESOURCE CENTER OF UNITD HEALTH SERVICES WORKS ONE ON ONE WITH THOSE IN NEED OF HELP GAINING ACCESS TO HEALTHCARE, ESPECIALLY THEIR DIABETIC MEDICATION AND SUPPLIES. OUR GOAL IS TO RELIEVE IMMEDIATE CRISIS AND THEN ASSIST OUR CLIENTS INTO LONG TERM, STABLE SOLUTIONS AS WE TEACH, PROVIDE SERVICES AND SUPPORT INDIVIDUALS LIVING WITH DIABETES AND THEIR FAMILIES SO THAT THEY CAN ATTAIN A HEALTHY LIFESTYLE. THE DRC CAN ASSIST WITH THE IMMEDIATE NEED OF INSULIN FOR QUALIFIED PEOPLE THAT ARE 250% AT OR BELOW POVERTY GUIDELINES, LIVES IN INDIANA, EXHAUSTED OTHER OPTIONS AS WELL AS PREGNANT AND CHILDREN AT 350% OR BELOW POVERTY GUIDELINES. WITH HELP FROM PHYSICIANS & PHARMACIES ACROSS THE REGION, THE DRC FACILITATES PATIENT ASSISTANCE PROGRAMS & DISCOUNT CARD PROGRAMS FOR MEDICATIONS. OFTEN THIS IS THE ONLY WAY SOME INDIVIDUALS GAIN ACCESS TO NECESSARY MEDICATIONS. THIS ALLOWS LOCAL DIABETICS TO GET THEIR MEDICATIONS DIRECTLY FROM THE PHARMACEUTICAL COMPANY, BRINGING IN THOUSANDS OF DOLLARS' WORTH OF MEDICATION EACH YEAR. EACH COMPANY HAS ITS OWN RULES AND ELIGIBILITY STANDARDS, AND OUR OFFICE WORKS DIRECTLY WITH ANYONE WHO NEED A REFERRAL OR ASSISTANCE. OUR STAFF IS UP TO DATE ON NEW GLUCOSE METERS AND TESTING INFORMATION. WE TRAIN INDIVIDUALS WHO ARE NEWLY TESTING OR SWITCHING DEVICES/MODELS TO ASSURE ACCURATE RESULTS. OFTEN, WE SUPPLY START UP KITS FOR THE NEWLY DIAGNOSED. THE DRC STAFF IS AWARE OF INDIANA AND FEDERAL LAWS REGARDING DIABETICS AND ARE CURRENT ON MEDICARE AND MEDICAID SUPPLY COVERAGE. ANY DRC STAFF MEMBER IS REQUIRED TO BE AN INSURANCE NAVIGATOR SO THEY CAN MITIGATE THE UNNECESSARY USE OF COMMUNITY RESOURCES WHEN PEOPLE ARE ELIGIBLE FOR COVERAGE. IN 2024M DRC PROVIDED OVER 150,000 WORTH OF MEDICATION ASSISTANCE TO 65 INDIVIDUALS. SUICIDE PREVENTION CENTER (SPC) OUR MISSION IS TO PREVENT SUICIDE THROUGH EDUCATION, TRAINING AND COMMUNITY-WIDE AWARENESS AND TO OFFER COMPASSIONATE GRIEF SUPPORT, RESOURCES TO THOSE WHO HAVE LOST A LOVED ONE TO SUICIDE. WE AIM TO REDUCE THE STIGMA ASSOCIATED WITH SUICIDE AND TO ACHIEVE ZERO SUICIDES IN INDIANA. IN WORKING TO ACCOMPLISH OUR MISSION WE HAVE SEVERAL AREAS OF FOCUS THAT INCLUDE AND ARE NOT LIMITED TO: -SUICIDE SURVIVOR SUPPORT GROUP (SSSG) -- FOR THOSE WHO ARE COPING WITH THE LOSS OF SOMEONE TO SUICIDE THIS GROUP MEETS THE LAST TUESDAY OF THE MONTH FROM 6:30 PM TO 7:30 PM AT OUR UNITED HEALTH SERVICES OFFICE IN GRANGER AND PROVIDES FOR A VIRTUAL OPTION. THIS IS AN OPPORTUNITY TO CONNECT WITH OTHERS WHO HAVE LOST A LOVED ONE TO SUICIDE AND A SAFE PLACE TO SHARE EXPERIENCES AND EMOTIONS IN A CARING, WARM AND COMPASSIONATE ENVIRONMENT WITH PEOPLE WHO UNDERSTAND THE PAIN THEY ARE FEELING. - SUICIDE PREVENTION TRAINING INCLUDING: OLIVING WORKS OQPR AND ASIST (TRAINING AVAILABLE FOR A SMALL FEE TO GROUPS OR INDIVIDUALS) OYELLOW RIBBON CAMPAIGN- TO MIDDLE AND HIGH SCHOOLS IN 2024,WE REACHED OVER 1,800 AREA STUDENTS THROUGH ITS YELLOW RIBBON TEEN SUICIDE PREVENTION PROGRAM THROUGH 11 SCHOOLS. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF FORM 990 WAS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO THE OCTOBER 2025 BOARD MEETING BEFORE BEING SIGNED AND FILED BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PAGE 6, PART VI, LINE 12C | IF ANY SITUATION SHOULD ARISE IN WHICH A BOARD MEMBER MAY HAVE CONFLICTS OF INTEREST WITH THE ORGANIZATION, SUCH BOARD MEMBER SHALL PROMPTLY REPORT SUCH CONFLICTS TO THE BOARD OF DIRECTORS AND SHALL BE DISQUALIFIED FROM VOTING OR OTHERWISE ACTING FOR AND ON BEHALF OF THE ORGANIZATION WITH RESPECT TO THE MATTER. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE EXECUTIVE DIRECTOR IS REVIEWED ANNUALLY BY, AND ADJUSTED AT THE DISCRETION OF, THE INDEPENDENT FINANCE COMMITTEE. COMPARABILITY DATA IS USED AND THE PROCESS IS COMTEMPORANEOUSLY SUBSTANTIATED. THIS WAS LAST DONE IN FEBRUARY 2024. |
| FORM 990, PAGE 6, PART VI, LINE 15B | SIMILAR METHODS ARE USED TO DETERMINE THE COMPENSATION OF OTHER EMPLOYEES OF THE ORGANIZATION. |
| 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 | INTERPRETER FEES 247,210 0 0 OTHER FEES 560 23,926 0 OTHER FEES 417 0 0 OTHER FEES 3,285 0 0 TOTAL 251,472 23,926 0 |
| FORM 990, PART XI, LINE 9 | CHANGE IN VALUE OF BENEFICIAL INTEREST IN TRUST 7,373 |
| Software ID: | |
| Software Version: |