2023-11-14T13:48:25-06:00 2022-12-31 161226221 FUSTCHARLES LLP 220 S WARREN STREET SYRACUSE NY 13202 990 2022-01-01 223235671 WILDERNESS HEALTH CARE FOUNDATION INC WILD 3158484264 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 DIERDRA SORRELL CHIEF EXECUTIVE OFFICER 3158484264 2023-11-13 1 DIERDRA SORRELL 999009999 0 PATRICK CAPELLA P01359200 3154463600 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DIERDRA SORRELL 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 91113 0 X N/A X 1993 NY THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF CLIFTON-FINE HOSPITAL. 6 6 0 0 0 0 35000 20000 0 0 11449 1563 75417 63600 121866 85163 52959 65561 0 0 9784 13124 0 0 0 5747 2654 68490 81339 53376 3824 329313 303764 651 1151 328662 302613 THE CORPORATION IS ORGANIZED AND SHALL BE OPERATED EXCLUSIVELY TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF CLIFTON-FINE HOSPITAL. 0 0 68215 65561 TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF CLIFTON-FINE HOSPITAL. 68215 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 6 6 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 0 1 1 0 0 NY X DIERDRA SORRELL 3158484260 1014 OSWEGATCHIE TRAIL RD STAR LAKE NY 13690 ANNE HYNES PRESIDENT 1.00 X X 0 0 0 JOHN BURNS VICE PRESIDENT 1.00 X X 0 0 0 RICHARD REESE TREASURER 1.00 X X 0 0 0 LINDA GARDNER BOARD MEMBER 1.00 X 0 0 0 PAM TESTONE BOARD MEMBER 1.00 X 0 0 0 KATE DABOLL-LAVOIE BOARD MEMBER 1.00 X 0 0 0 ANNE HANLEY EXECUTIVE DIRECTOR 1.00 X 13124 0 0 13124 0 0 0 0 0 0 0 5000 15000 20000 1563 1563 69550 5000 5950 63600 63600 85163 0 0 65163 65561 65561 13124 13124 BANK FEES 2178 2178 MISCELLANEOUS EXPENSE 476 476 81339 68215 13124 0 126800 130219 202513 173545 329313 303764 651 1151 651 1151 X 290690 265920 37972 36693 328662 302613 329313 303764 3824 -29873 0 X X 0 1 X 1 0 X X 1 CLIFTON-FINE HEALTH CARE CORPORATION 900909506 3 1 65561 0 1 65561 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 38629 0 -1279 0 37350 32018 6610 38628 24820 7198 32018 17420 7400 24820 13500 4420 500 17420 0.00000 1.00000 0 0 0 PUBLICLY TRADED SECURITIES 144625 C INVESTMENT HELD IN TRUST 28920 C 173545 X 61240 -23923 -23923 85163 0 85163 87289 5950 5950 81339 0 81339 PART X, LINE 2: THE FOUNDATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2022 AND 2021, THE FOUNDATION DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND NEW YORK STATE TAXING AUTHORITIES ARE 2019-2022. THE FOUNDATION DOES NOT ANTICIPATE THAT THE TOTAL UNRECOGNIZED TAX BENEFITS WILL CHANGE IN THE NEXT TWELVE MONTHS. GOLF TOURNAMENT 74550 5000 69550 1656 739 3555 0 74550 5000 69550 1656 739 3555 5950 63600 0 CLIFTON-FINE HEALTH CARE CORPORATION 1014 OSWEGATCHIE TRAIL STAR LAKE NY 13690 900909506 501(C)(3) 65561 0 EQUIPMENT AND RENOVATIONS TO SUPPORT HEALTHCARE FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION DELEGATED CONTROL OVER MANAGEMENT DUTIES TO THE CONTRACTED EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 6 CLIFTON-FINE HEALTH CARE CORPORATION IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION REQUIRES FOUNDATION BOARD MEMBERS TO BE ELECTED BY THE MEMBER (CLIFTON-FINE HEALTH CARE CORPORATION). FORM 990, PART VI, SECTION B, LINE 11B THE 990 WAS REVIEWED IN DETAIL BY MANAGEMENT AND THE FINAL 990 WAS E-MAILED TO THE BOARD PRIOR TO THE NOVEMBER 15, 2023 FILING DATE. FORM 990, PART VI, SECTION B, LINE 12C WILDERNESS HEALTH CARE FOUNDATION, INC. REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE CONFLICT OF INTEREST STATEMENTS ARE SUMMARIZED AND REVIEWED BY THE EXECUTIVE COMMITTEE TO IDENTIFY POTENTIAL CONFLICTS OF INTERESTS. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS SET AND AGREED UPON BY THE FULL BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. CLIFTON-FINE HEALTH CARE CORPORATION OSWEGATCHIE TRAIL STAR LAKE NY 13690 900909506 TO PROVIDE FUNDS TO OR FOR THE BENEFIT OF WILDERNESS HEALTH CARE FOUNDATION. NY 501(C)(3) LINE 3 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CLIFTON-FINE HEALTH CARE CORPORATION B 65561