LIFESOUTH COMMUNITY FOUNDATION INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LIFESOUTH COMMUNITY FOUNDATION INC (EIN 27-2091960)
- Tax period
- 2022-06-01 to 2023-05-31
- Filed
- 2024-01-30
- IRS object ID
- 202430309349301368
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-01-30T16:12:53-05:00 | ReturnTs |
| Tax Period End | 2023-05-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 590548468 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PURVIS GRAY & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 NORTH EAST FIRST STREET | AddressLine1Txt |
| City | GAINESVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-06-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272091960 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFESOUTH COMMUNITY FOUNDATIONINC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LIFE | BusinessNameControlTxt |
| Phone | 3522241600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4039 NEWBERRY ROAD | AddressLine1Txt |
| City | GAINESVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 326072342 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KIMBERLY E KINSELL | PersonNm |
| Person Title | PRESIDENT / CEO | PersonTitleTxt |
| Phone | 3522241600 | PhoneNum |
| Signature | 2024-01-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KIMBERLY | PersonFirstNm |
| Person Last | KINSELL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RACHEL A CLEMENTS-ADCOCK CPA | PreparerPersonNm |
| PTIN | P01315098 | PTIN |
| Phone | 3523782461 | PhoneNum |
| Preparation | 2024-01-29 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KIMBERLY E KINSELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4039 NEWBERRY ROAD | AddressLine1Txt |
| City | GAINESVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 326072342 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $436,640 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIFESOUTHCOMMUNITYFOUNDATION.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES, INCLUDING, FOR SUCH PURPOSES, RAISING AWARENESS OF THE WAYS TO SHARE LIFE WITH OTHERS THROUGH THE DONATION OF BLOOD, MARROW, CORD BLOOD, ORGAN AND TISSUE, IN COOPERATION WITH BLOOD CENTERS, ORGAN PROCUREMENT ORGANIZATIONS, MARROW REGISTRIES, FEDERAL AND STATE AGENCIES, AND COMMUNITY ORGANIZATIONS TO EDUCATE CITIZENS ABOUT LIFESAVING DONATIONS, AND TO PROMOTE SAID AWARENESS AND EDUCATION VIA VARIOUS COMMUNICATION VENUES, INCLUDING, BUT NOT LIMITED TO, THE INTERNET, WEBSITES, BLOGS, VIDEOS, FORUMS, CHAT ROOMS, AND ACTIVITIES RELATED TO THE CORPORATION'S EDUCATIONAL CURRICULUM, THROUGH THE LIFESOUTH COMMUNITY FOUNDATION BICYCLE RIDES, MARATHONS, AND OTHER SPORTING EVENTS, WHEN PRACTICABLE, ADVERTISING MEDIA PAID FOR BY THE CORPORATION OR THROUGH SPONSORS, AND THROUGH OTHER MEANS CONSISTENT WITH THE CORPORATION'S CHARITABLE, EDUCATIONAL, AND SCIENTIFIC PURPOSES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 40 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $482,073 | PYContributionsGrantsAmt |
| CY Contributions Grants | $427,275 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $43,158 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,980 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,608 | PYOtherRevenueAmt |
| CY Other Revenue | $385 | CYOtherRevenueAmt |
| PY Total Revenue | $529,839 | PYTotalRevenueAmt |
| CY Total Revenue | $436,640 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $309,432 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $282,868 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $76,210 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,506 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $601 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $125,763 | PYOtherExpensesAmt |
| CY Other Expenses | $57,388 | CYOtherExpensesAmt |
| PY Total Expenses | $511,405 | PYTotalExpensesAmt |
| CY Total Expenses | $347,762 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,434 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $88,878 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $102,952 | TotalAssetsBOYAmt |
| Total Assets EOY | $205,572 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,633 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35,375 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $81,319 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $170,197 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO EDUCATE AND RAISE AWARENESS ON THE FIVE WAYS TO SHARE LIFE WITH OTHERS THROUGH LIFESAVING DONATIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $315,463 | ExpenseAmt |
| Grant | $282,868 | GrantAmt |
| Revenue | $8,980 | RevenueAmt |
| Desc | THE LIFESOUTH COMMUNITY FOUNDATION COMMITS TO INCREASING LIFESAVING BLOOD DONATIONS BY PROMOTING COMMUNITY EDUCATION, PARTNERSHIPS, AWARENESS AND HEALTH. THE LIFESOUTH COMMUNITY FOUNDATION HELD THE LIFESOUTH COMMUNITY FOUNDATION HELD THEIR ANNUAL 5K AND PARTY IN THE PLAZA ON SATURDAY, FEBRUARY 18, 2023. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RAISING AWARENESS OF THE WAYS TO SHARE LIFE WITH OTHERS THROUGH THE DONATION OF BLOOD, MARROW, CORD BLOOD, ORGAN AND TISSUE. PROMOTING AWARENESS THROUGH PRESENTATIONS AND DISTRIBUTION OF EDUCATION MATERIALS IN VARIOUS SCHOOLS. LIFESOUTH COMMUNITY FOUNDATION IN THE CLASSROOM PROGRAM IS TAUGHT AT SCHOOLS AND REACHES CHILDREN AGES 5 TO 18 THROUGH CURRICULUM DESIGNED FOR SPECIFIC AGE GROUPS. THE CURRICULUM IS DELIVERED IN ONE CLASS PERIOD AND EXPLORES THE SCIENCE BEHIND DONATION THROUGH HANDS-ON, INTERACTIVE ELEMENTS AND THE SOCIAL RESPONSIBILITY OF DONATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $315,463 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | GA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL R GALASSO | PersonNm |
| Phone | 3522241600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4039 NEWBERRY ROAD | AddressLine1Txt |
| City | GAINESVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32607 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| KIMBERLY E KINSELL | |||||||
| PRESIDENT / | 6.00 | 40.00 | Yes (X) | Yes (X) | $0 | $531,845 | $51,571 |
| GARY BROOKS | |||||||
| VICE PRESIDE | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RODNEY FORD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHERINE LAURENZANO MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR RONALD SPITZNAGEL | |||||||
| TREASURER | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THOMAS KENNEDY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DAVID WAGNER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DR BRUCE STECHMILLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JIM ECKERT | |||||||
| SECRETARY TH | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES D PETTYJOHN | |||||||
| SECRETARY BE | 2.00 | 40.00 | Yes (X) | Yes (X) | $0 | $247,207 | $46,779 |
| KEVIN MADDOX | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Reportable Comp Rltd Org | $779,052 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $98,350 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Related Organizations | $400,000 | RelatedOrganizationsAmt |
| All Other Contributions | $27,275 | AllOtherContributionsAmt |
| Noncash Contributions | $4,166 | NoncashContributionsAmt |
| Total Contributions | $427,275 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EVENT FEES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,980 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,980 | TotalProgramServiceRevenueAmt |
| Gross Sales Of Inventory | $385 | GrossSalesOfInventoryAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $385 | TotalRevenueColumnAmt |
| Exclusion | $385 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $436,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,980 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $385 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,368 | TotalAmt |
| Program Services | $280,368 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500 | TotalAmt |
| Program Services | $2,500 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,840 | TotalAmt |
| Program Services | $4,680 | ProgramServicesAmt |
| Management And General | $1,612 | ManagementAndGeneralAmt |
| Fundraising | $548 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $666 | TotalAmt |
| Program Services | $456 | ProgramServicesAmt |
| Management And General | $157 | ManagementAndGeneralAmt |
| Fundraising | $53 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,174 | TotalAmt |
| Management And General | $12,174 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,900 | TotalAmt |
| Management And General | $7,900 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,105 | TotalAmt |
| Program Services | $4,355 | ProgramServicesAmt |
| Management And General | $750 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97 | TotalAmt |
| Program Services | $53 | ProgramServicesAmt |
| Management And General | $44 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196 | TotalAmt |
| Management And General | $196 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000 | TotalAmt |
| Management And General | $1,000 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EVENT PRODUCTION | $13,550 | $13,400 | $150 |
| MATERIALS & SUPPLIES | $9,130 | $9,130 | |
| MISCELLANEOUS EXPENSES | $7,542 | $521 | $7,021 |
| DONOR RECOGNITION | $694 | $694 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $347,762 | TotalAmt |
| Program Services | $315,463 | ProgramServicesAmt |
| Management And General | $31,698 | ManagementAndGeneralAmt |
| Fundraising | $601 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,650 | BOYAmt |
| EOY | $205,155 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,215 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,357 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,940 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417 | BOYAmt |
| EOY | $417 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,670 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,952 | BOYAmt |
| EOY | $205,572 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,633 | BOYAmt |
| EOY | $15,754 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $19,621 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,633 | BOYAmt |
| EOY | $35,375 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,319 | BOYAmt |
| EOY | $170,197 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,319 | BOYAmt |
| EOY | $170,197 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,952 | BOYAmt |
| EOY | $205,572 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $88,878 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $212,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $199,491 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $482,073 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $427,275 | CurrentTaxYearAmt |
| Total | $1,457,629 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $212,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $199,491 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $136,283 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $482,073 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $427,275 | CurrentTaxYearAmt |
| Total | $1,457,629 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,457,629 | PublicSupportTotal170Amt |
| Total Support | $1,457,629 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $195,536 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 1.00000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99810 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,940 | DepreciationAmt |
| Book Value | $417 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $417 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO AFFILIATE - LIFESOUTH | Desc |
| Amt | $19,621 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,621 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $436,640 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $436,640 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $436,640 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $347,762 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $347,762 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $347,762 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE FOUNDATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN THE UNITED STATES. AS OF MAY 31, 2023, THE ORGANIZATION DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO EXAMINATION BY THE APPROPRIATE TAXING JURISDICTIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|
| KIMBERLY E KINSELL | ||||||
| PRESIDENT / CEO | $426,345 | $85,000 | $20,500 | $28,500 | $23,071 | $583,416 |
| JAMES D PETTYJOHN | ||||||
| SECRETARY BEG 11/22 | $205,162 | $25,025 | $17,020 | $23,683 | $23,096 | $293,986 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PAGE 1, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE CHIEF EXECUTIVE OFFICER'S COMPENSATION IS ESTABLISHED BY THE LIFESOUTH COMMUNITY BLOOD CENTERS INC. BOARD OF DIRECTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 2 | KIMBERLY E. KINSELL JIM ECKERT PRES/CEO SECRETARY FAMILY RELATIONSHIP |
| FORM 990, PAGE 6, PART VI, LINE 3 | THERE ARE CERTAIN OVERSIGHT FUNCTIONS THAT ARE DELEGATED TO THE GOVERANCE, FINANCE, AND EXECUTIVE COMMITTEE OF THE RELATED ORGANIZATION LIFESOUTH COMMUNITY BLOOD CENTERS, INC. |
| FORM 990, PAGE 6, PART VI, LINE 7B | CERTAIN CORPORATE GOVERNANCE DECISIONS OF THE GOVERNING BODY ARE APPROVED BY THE GOVERNANCE, FINANCE, AND EXECUTIVE COMMITTEE OF THE RELATED ORGANIZATION LIFESOUTH COMMUNITY BLOOD CENTERS, INC. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE COMPLETED FORM 990 WILL BE REVIEWED BY THE BOARD OF DIRECTORS AT THE ANNUAL MEETING FOR REVIEW. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUALLY, EACH BOARD MEMBER IS REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE AND RETURN THE CONFLICT OF INTEREST DISCLOSURE FORM. EACH BOARD MEMBER HAS A CONTINUING OBLIGATION TO DISCLOSE ANY REAL OR APPARENT CONFLICTS THROUGHOUT THE YEAR. THE PROCESS FOR THE ANNUAL REVIEW AND APPROVAL OF THE DISCLOSURE FORMS RECEIVED HAS BEEN DELEGATED TO THE GOVERNANCE COMMITTEE OF THE AFFILIATED ORGANIZATION LIFESOUTH COMMUNITY BLOOD CENTERS, INC. THE GOVERNANCE COMMITTEE THEN SUBMITS SUCH INFORMATION TO THE EXECUTIVE COMMITTEE OF THE RELATED ORGANIZATION FOR REVIEW AND APPROVAL AS DICTATED BY THE POLICY AND PROCEDURES MANUAL. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFESOUTH COMMUNITY BLOOD CENTERS | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4039 W NEWBERRY ROAD | AddressLine1Txt |
| City | GAINESVILLE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32607 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 591545914 | EIN |
| Primary Activities | BLOOD SVCS | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 10 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | false | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| LIFESOUTH HOLDINGS INC | |||||||||
| 4039 NEWBERRY ROAD | GAINESVILLE | FL | 32607 | 853043810 | SCH R, VII | FL | SCH R VII | C CORP | false |
| STEMVIVO INC | |||||||||
| 4039 NEWBERRY ROAD | GAINESVILLE | FL | 32607 | 853048103 | SCH R, VII | FL | SCH R VII | C CORP | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFESOUTH COMMUNITY BLOOD CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $400,000 | InvolvedAmt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R | FormAndLineReferenceDesc |
| Explanation | SCHEDULE R, PART IV LIFESOUTH HOLDINGS, INC. (85-3043810) PRIMARY ACTIVITY - HOLD AND MANAGE OTHER ENTITIES DIRECT CONTROLLING ENTITY - LIFESOUTH COMMUNITY BLOOD CENTERS, INC. STEMVIVO, INC. (85-3048103) PRIMARY ACTIVITY - PROCESSING, MANUFACTURING, TESTING AND/OR SELLING BIOLOGIC PRODUCTS AND RELATED SERVICES DIRECT CONTROLLING ENTITY - LIFESOUTH HOLDINGS, INC. | ExplanationTxt |
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