Aviva Qalicb
- Assets
- $23.0m
- Revenue
- $7.2m
- Investments
- $0.0
- Employees
- 0
- Location
- Roseburg, OR
- Founding
- Data as of
- 12/2021
- EIN
- 85-3172690
Organization Overview
Aviva Qalicb is located in Roseburg, OR. According to its NTEE Classification (S99) the organization is classified as: Community Improvement & Capacity Building N.E.C., under the broad grouping of Community Improvement & Capacity Building and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Aviva Qalicb is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
TO BENEFIT AND CARRY OUT THE PURPOSES FOR AVIVA HEALTH (UMPQUA COMMUNITY HEALTH CENTER, INC.).
Describe the Organization's Program Activity:
Part 3 - Line 4a
AVIVA QALICB WAS FORMED IN DECEMBER 2020, IN CONJUNCTION WITH THE NEW MARKETS TAX CREDIT FINANCING TRANSACTION THAT CLOSED ON DECEMBER 2020. AVIVA QALICB HOLDS THE AVIVA HEALTH ROSEBURG CLINIC BUILDING AND UNDERLYING LAND AS ASSETS AND WILL LEASE THE BUILDING TO COMMUNITY ORGANIZATIONS AND OTHER ENTITIES FOR PERFORMANCE, GATHERING, REHEARSAL, MEETING AND OFFICE SPACE.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Leah Hamilton President (as Of August 2021) | OfficerTrustee | 10 | $0 |
Gary Hunt President (through August 2021) | OfficerTrustee | 10 | $0 |
Betty Kay Tamm Secretary | OfficerTrustee | 1 | $0 |
Micah Watters Board Member | Trustee | 1 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $7,164,912 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $3,175,665 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $7,164,912 |
| Total Program Service Revenue | $0 |
| Investment income | $64,132 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | $0 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | $7,229,044 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $68,900 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $123,775 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $0 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $189,400 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $344,530 |
| Insurance | $0 |
| All other expenses | $0 |
| Total functional expenses | $726,605 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $101,000 |
| Savings and temporary cash investments | $8,594,203 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $0 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $0 |
| Net Land, buildings, and equipment | $14,297,236 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $0 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $22,992,439 |
| Accounts payable and accrued expenses | $0 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $16,490,000 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $0 |
| Total liabilities | $16,490,000 |
| Net assets without donor restrictions | $6,502,439 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $22,992,439 |
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