COMMUNITY SUPPORTED ACUPUNCTURE: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY SUPPORTED ACUPUNCTURE (EIN 47-5340256)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-13
- IRS object ID
- 202242569349200634
- Schema version
- 2021v4.0
- 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 | 2022-09-13T10:00:06-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475340256 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY SUPPORTED ACUPUNCTURE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 5027120361 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1217 Logan St | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40204 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mateo Bernal | PersonNm |
| Person Title | Executive Director | PersonTitleTxt |
| Phone | 5027515204 | PhoneNum |
| Signature | 2022-09-13 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 11 | OOBSecurityVerificationCd |
| Last Submission Rqr OOB | 0 | LastSubmissionRqrOOBCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | www.csacu.com | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $117,998 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $30,682 | ContributionsGiftsGrantsEtcAmt |
| Program Service Revenue | $87,316 | ProgramServiceRevenueAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Investment Income | $0 | InvestmentIncomeAmt |
| Sale Of Assets Gross | $0 | SaleOfAssetsGrossAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Gain Or Loss From Sale Of Assets | $0 | GainOrLossFromSaleOfAssetsAmt |
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Special Events Net Income Loss | $0 | SpecialEventsNetIncomeLossAmt |
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $2,147 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | -$2,147 | GrossProfitLossSlsOfInvntryAmt |
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
| Total Revenue | $115,851 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $0 | GrantsAndSimilarAmountsPaidAmt |
| Benefits Paid To Or For Members | $48,000 | BenefitsPaidToOrForMembersAmt |
| Salaries Other Comp Empl Bnft | $22,566 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $14,400 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $0 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $0 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $32,995 | OtherExpensesTotalAmt |
| Total Expenses | $117,961 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$2,110 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $18,951 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $16,841 | NetAssetsOrFundBalancesEOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,951 | BOYAmt |
| EOY | $16,841 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,951 | BOYAmt |
| EOY | $16,841 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,951 | BOYAmt |
| EOY | $16,841 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | The primary purpose of the clinic is to offer affordable, individualized acupuncture service, at a pay-as-you-can, sliding scale basis. One day per week (20% of clinic hours) these services are free. In 2012 about 10% of total treatments were on a donation basis only. In addition to acupuncture, other holistic and complementary services such as yoga, tai chi, and meditation as well as naturopathic, homeopathic, and medical consultancy services were offered. 2021 Saw the addition of new providers, including a Doctor of Traditional Chinese Medicine (DTCM), a Naturopathic Doctor (ND) and a Medical Doctor (MD). | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | One day per week (20% of clinic hours) these services are free. In 2012 about 10% of total treatments were on a donation basis only. In addition to acupuncture, other holistic and complementary services such as yoga, tai chi, and meditation as well as naturopathic, homeopathic, and medical consultancy services were offered. 2021 Saw the addition of new providers, including a Doctor of Traditional Chinese Medicine (DTCM), a Naturopathic Doctor (ND) and a Medical Doctor (MD). | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $0 | GrantsAndAllocationsAmt |
| Program Service Expenses | $0 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|
| Mateo Bernal | ||||
| Executive Director | 40 | $48,000 | $0 | $0 |
| Stephanie Wilson | ||||
| President | 5 | $0 | $0 | $0 |
| Alana Maddox | ||||
| Treasurer | 3 | $0 | $0 | $0 |
| Rex Paul Lagerstrom | ||||
| Secretary | 1 | $0 | $0 | $0 |
| Stephon Barbour | ||||
| Vice-president | 3 | $0 | $0 | $0 |
| Sarah Nunez | ||||
| Board Member | 1 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | 0 | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | 0 | OrganizationHadUBIInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Direct Indirect Pltcl Expend | $0 | DirectIndirectPltclExpendAmt |
| Form1120 Pol Filed | 0 | Form1120PolFiledInd |
| Made Loans To From Officers | 0 | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | KY | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mateo Bernal | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1217 Logan St | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 40204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5027120361 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Donor Advised Fnds | 0 | DonorAdvisedFndsInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Tanning Services Provided | 0 | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| School Operating | 0 | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (1) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,105 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,972 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,968 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,682 | CurrentTaxYearAmt |
| Total | $101,886 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,935 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $52,652 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $73,203 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $66,632 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $85,245 | CurrentTaxYearAmt |
| Total | $335,667 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,040 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,811 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,927 | CurrentTaxYearAmt |
| Total | $437,553 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $437,553 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $68,040 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $64,811 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $93,175 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $95,600 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,927 | CurrentTaxYearAmt |
| Total | $437,553 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1 | PublicSupportCY509Pct |
| Public Support PY509 | 1 | PublicSupportPY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
| Investment Income PY | 0 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990-EZ, Part I, Line 8 | Form 990-EZ, Part I, Line 16, Other Expenses: TRAVEL: $923 Form 990-EZ, Part I, Line 16, Other Expenses: SUPPLIES: $8,986 Form 990-EZ, Part I, Line 16, Other Expenses: TELEPHONE: $1,260 Form 990-EZ, Part I, Line 16, Other Expenses: BUSINESS LICENSE: $319 Form 990-EZ, Part I, Line 16, Other Expenses: INSURANCE AND DUES: $673 Form 990-EZ, Part I, Line 16, Other Expenses: CONTINUING EDUCATION: $12,576 Form 990-EZ, Part I, Line 16, Other Expenses: PAYROLL TAX EXPENSE: $5,078 Form 990-EZ, Part I, Line 16, Other Expenses: OFFICE EXPENSES: $1,267 Form 990-EZ, Part I, Line 16, Other Expenses: THEFT: $553 Form 990-EZ, Part I, Line 16, Other Expenses: WEBSITE MAINTENANCE: $1,360 Form 990-EZ, Part III, Line 28 Other Expenses: The primary purpose of the clinic is to offer affordable, individualized acupuncture service, at a pay-as-you-can, sliding scale basis. One day per week (20% of clinic hours) these services are free. In 2012 about 10% of total treatments were on a donation basis only. In addition to acupuncture, other holistic and complementary services such as yoga, tai chi, and meditation as well as naturopathic, homeopathic, and medical consultancy services were offered. 2021 Saw the addition of new providers, including a Doctor of Traditional Chinese Medicine (DTCM), a Naturopathic Doctor (ND) and a Medical Doctor (MD). |
| Form 990-EZ, Part I, Line 16 | Form 990-EZ, Part I, Line 16, Other Expenses: TRAVEL: $923 Form 990-EZ, Part I, Line 16, Other Expenses: SUPPLIES: $8,986 Form 990-EZ, Part I, Line 16, Other Expenses: TELEPHONE: $1,260 Form 990-EZ, Part I, Line 16, Other Expenses: BUSINESS LICENSE: $319 Form 990-EZ, Part I, Line 16, Other Expenses: INSURANCE AND DUES: $673 Form 990-EZ, Part I, Line 16, Other Expenses: CONTINUING EDUCATION: $12,576 Form 990-EZ, Part I, Line 16, Other Expenses: PAYROLL TAX EXPENSE: $5,078 Form 990-EZ, Part I, Line 16, Other Expenses: OFFICE EXPENSES: $1,267 Form 990-EZ, Part I, Line 16, Other Expenses: THEFT: $553 Form 990-EZ, Part I, Line 16, Other Expenses: WEBSITE MAINTENANCE: $1,360 Form 990-EZ, Part III, Line 28 Other Expenses: The primary purpose of the clinic is to offer affordable, individualized acupuncture service, at a pay-as-you-can, sliding scale basis. One day per week (20% of clinic hours) these services are free. In 2012 about 10% of total treatments were on a donation basis only. In addition to acupuncture, other holistic and complementary services such as yoga, tai chi, and meditation as well as naturopathic, homeopathic, and medical consultancy services were offered. 2021 Saw the addition of new providers, including a Doctor of Traditional Chinese Medicine (DTCM), a Naturopathic Doctor (ND) and a Medical Doctor (MD). |
Reasonable Cause Explanation ReasonableCauseExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Please accept my apology for the late filing. I submitted the paper copy and it was received on 3-25-22. I received notice of failure to properly E-file yesterday, 9-12-22 and I am submitting the E-file today. It will not happen in the future. I really appreciate your understanding | ExplanationTxt |