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COLUMBUS-LOWDES FREE MEDICAL CLINIC INC: Form 990EZ, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
COLUMBUS-LOWDES FREE MEDICAL CLINIC INC (EIN 64-0926626)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202433209349203518
Schema version
2023v5.1
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

FieldValueIRS element (for citing)
Return2024-11-15T10:06:12-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN640575804PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1T E LOTT & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 471AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39703ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN640926626EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COLUMBUS-LOWNDES FREE MEDICAL CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOLUBusinessNameControlTxt
Phone6622440044PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 661AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39703ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN DAVISPersonNm
Person TitleCHAIRMAN OF THE BOARDPersonTitleTxt
Phone6623285387PhoneNum
Signature2024-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT WHITAKER CPAPreparerPersonNm
PTINP01707206PTIN
Phone6623285387PhoneNum
Preparation2024-11-15PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$56,187GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$53,396ContributionsGiftsGrantsEtcAmt
Program Service Revenue$20ProgramServiceRevenueAmt
Investment Income$2,771InvestmentIncomeAmt
Total Revenue$56,187TotalRevenueAmt
Grants And Similar Amounts Paid$2,172GrantsAndSimilarAmountsPaidAmt
Salaries Other Comp Empl Bnft$68,144SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$1,450FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$4,293OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$655PrintingPublicationsPostageAmt
Other Expenses Total$15,997OtherExpensesTotalAmt
Total Expenses$92,711TotalExpensesAmt
Excess Or Deficit For Year-$36,524ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$181,334NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$144,810NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$181,740BOYAmt
EOY$146,313EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
BOY$2,016BOYAmt
EOY$1,619EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$183,756BOYAmt
EOY$147,932EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,422BOYAmt
EOY$3,122EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$181,334BOYAmt
EOY$144,810EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposePROVIDE PRIMARY HEALTH CARE FOR APPROXIMATELY 200 INDIGENT PATIENTS, AS WELL AS PROVIDE PRESCRIPTION DRUGS OBTAINED PRIMARILY FROM THE MANUFACTURERS WITH PATIENT CARE PLANS, AND SECURED MAMMOGRAMS FOR FEMALE PATIENTS.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROVIDE PRIMARY HEALTH CARE FOR APPROXIMATELY 200 INDIGENT PATIENTS, AS WELL AS PROVIDE PRESCRIPTION DRUGS OBTAINED PRIMARILY FROM THE MANUFACTURERS WITH PATIENT CARE PLANS, AND SECURED MAMMOGRAMS FOR FEMALE PATIENTS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$2,172GrantsAndAllocationsAmt
Program Service Expenses$71,271ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$71,271TotalProgramServiceExpensesAmt
Info In Schedule O Part IVYes (X)InfoInScheduleOPartIVInd

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
WILLIAM ROSENBLATT
CHAIRMAN, BOARD OF DIRECTORS2.00$0$0$0
JOHN DAVIS
VICE-CHAIR BOARD OF DIRECTORS2.00$0$0$0
RONNY ROBERTS
SECRETARY BOARD OF DIRECTORS2.00$0$0$0
BILL WEST
TREASURER, BOARD OF DIRECTORS2.00$0$0$0
MAXINE GILMER
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
JOHNNY JUDSON
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
RICK GARNER
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
ROBERT WHITE
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
SAMMY SMITH
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
RANDY BURRIS
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
STEVE PORTER
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
MARY ELLEN SUMRALL
MEMBER, BOARD OF DIRECTORS1.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldMSStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BILL WESTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 661AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationMSStateAbbreviationCd
ZIP39703ZIPCd
FieldValueIRS element (for citing)
Phone6622440044PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,525CurrentTaxYearMinus1YearAmt
Current Tax Year$53,396CurrentTaxYearAmt
Total$455,053TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$94,784CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$99,609CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$99,525CurrentTaxYearMinus1YearAmt
Current Tax Year$53,396CurrentTaxYearAmt
Total$455,053TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$179,974SubstantialContributorsTotAmt
Public Support Total170$275,079PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$707CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$454CurrentTaxYearMinus1YearAmt
Current Tax Year$2,771CurrentTaxYearAmt
Total$4,335TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$30CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25CurrentTaxYearMinus1YearAmt
Current Tax Year$20CurrentTaxYearAmt
Total$75TotalAmt
FieldValueIRS element (for citing)
Total Support$459,463TotalSupportAmt
Public Support CY1700.59870PublicSupportCY170Pct
Public Support PY1700.59030PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS INCOME - 2021 AMOUNT: $ 30. 2022 AMOUNT: $ 25. 2023 AMOUNT: $ 20.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST INCOME. AMOUNT: 2,771. TOTAL TO FORM 990-EZ, LINE 14: 4,293.
FORM 990-EZ, PART I, LINE 14DESCRIPTION: DEPRECIATION. AMOUNT: 395. DESCRIPTION: OTHER EXPENSES. AMOUNT: 3,898.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: BANK CHARGES . AMOUNT: 36. DESCRIPTION: INSURANCE. AMOUNT: 3,487. DESCRIPTION: PAYROLL TAX EXPENSE . AMOUNT: 4,833. DESCRIPTION: SUPPLIES. AMOUNT: 543. DESCRIPTION: OFFICE EXPENSE. AMOUNT: 990. DESCRIPTION: INFORMATION TECHNOLOGY. AMOUNT: 1,322. DESCRIPTION: TELEPHONE AND INTERNET. AMOUNT: 4,786. TOTAL TO FORM 990-EZ, LINE 16: 15,997.
FORM 990-EZ, PART II, LINE 24 - OTHER ASSETSDESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 2,016. END OF YEAR AMOUNT: 1,619.
FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIESDESCRIPTION: PAYROLL TAX LIABILITIES. BEG. OF YEAR AMOUNT: 2,422. END OF YEAR AMOUNT: 3,122.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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