VERANOVA HEALTH FOUNDATION: Form 990, tax year 2023
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- Organization
- VERANOVA HEALTH FOUNDATION (EIN 83-2917524)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202443209349310739
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T11:41:38-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 311488076 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOBE & LUCAS CPAS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6000 FREEDOM SQUARE DRIVE 550 | AddressLine1Txt |
| City | INDEPENDENCE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44131 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832917524 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRESNEL SHORES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FRES | BusinessNameControlTxt |
| Phone | 3126261600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21887 LORAIN ROAD 241 | AddressLine1Txt |
| City | FAIRVIEW PARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44126 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY E JAKUBISIN | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3126261600 | PhoneNum |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JAMES P GERO | PreparerPersonNm |
| PTIN | P00727405 | PTIN |
| Phone | 2165248900 | PhoneNum |
| Preparation | 2024-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TIMOTHY E JAKUBISIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21881 MARIAN CIRCLE | AddressLine1Txt |
| City | FAIRVIEW PARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $132,442 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | FRESNELSHORES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2020 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | PROMOTING AND SUPPORTING INITIATIVES WHICH EDUCATE THE GENERAL PUBLIC ABOUT AND FACILITATE NATURAL FAMILY PLANNING. PROMOTING AND SUPPORTING QUALIFIED HEALTHCARE FACILIIES WHICH PROVIDE CARE TO WOMEN AND FAMILIES IN ACCORDANCE WITH THE ROMAN CATHOLIC CHURCH | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 7 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $185,630 | PYContributionsGrantsAmt |
| CY Contributions Grants | $131,643 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $309 | PYInvestmentIncomeAmt |
| CY Investment Income | $799 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $185,939 | PYTotalRevenueAmt |
| CY Total Revenue | $132,442 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $195,900 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $278,053 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $750 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $750 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,705 | PYOtherExpensesAmt |
| CY Other Expenses | $11,128 | CYOtherExpensesAmt |
| PY Total Expenses | $206,605 | PYTotalExpensesAmt |
| CY Total Expenses | $289,931 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$20,666 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$157,489 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $352,135 | TotalAssetsBOYAmt |
| Total Assets EOY | $200,642 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $318 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,314 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $351,817 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $194,328 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SUPPORT AND PROMOTE INITIATIVES THAT SUPPORT THE PROCREATIVE POTENTIAL OF THE HUMAN PERSON AND NUCLEAR FAMILIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $282,574 | ExpenseAmt |
| Desc | PROMOTING AND SUPPORTING QUALIFIED HEALTHCARE FACILITIES WHICH PROVIDE CARE TO WOMEN AND NATURAL FAMILY PLANNING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant | $278,053 | GrantAmt |
| Desc | VERANOVA HEALTH NON PROFIT CORPORATION | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $282,574 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | 0 | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VICTOR A MEZACAPA IV | PersonNm |
| Phone | 4407322173 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21881 MARIAN CIR | AddressLine1Txt |
| City | FAIRVIEW PARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| TIMOTHY E JAKUBISIN | ||||||
| PRESIDENT | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY ELLEN JAKUBISIN | ||||||
| VICE PRESIDENT | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THOMAS MANION | ||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JESSICA TRAHEY | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| VICTOR A MEZACAPA IV | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $131,643 | AllOtherContributionsAmt |
| Total Contributions | $131,643 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $799 | TotalRevenueColumnAmt |
| Exclusion | $799 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $132,442 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $799 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $278,053 | TotalAmt |
| Program Services | $278,053 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,600 | TotalAmt |
| Management And General | $1,600 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $750 | TotalAmt |
| Fundraising | $750 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21 | TotalAmt |
| Management And General | $21 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,999 | TotalAmt |
| Program Services | $3,000 | ProgramServicesAmt |
| Management And General | $2,999 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,770 | TotalAmt |
| Program Services | $885 | ProgramServicesAmt |
| Management And General | $885 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,067 | TotalAmt |
| Management And General | $1,067 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PROCESSING CHARGES | $437 | $569 | -$132 |
| BANK CHARGES | $134 | $67 | $67 |
| REGULATORY FEES & LICEN | $100 | $100 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $289,931 | TotalAmt |
| Program Services | $282,574 | ProgramServicesAmt |
| Management And General | $6,607 | ManagementAndGeneralAmt |
| Fundraising | $750 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $329,329 | BOYAmt |
| EOY | $178,763 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,175 | BOYAmt |
| EOY | $5,096 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,149 | BOYAmt |
| EOY | $2,071 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,349 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,341 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,778 | BOYAmt |
| EOY | $4,008 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,704 | BOYAmt |
| EOY | $10,704 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,135 | BOYAmt |
| EOY | $200,642 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318 | BOYAmt |
| EOY | $3,999 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,315 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318 | BOYAmt |
| EOY | $6,314 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,817 | BOYAmt |
| EOY | $194,328 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $351,817 | BOYAmt |
| EOY | $194,328 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,135 | BOYAmt |
| EOY | $200,642 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$157,489 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | 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 | $28,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $94,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $282,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $131,643 | CurrentTaxYearAmt |
| Total | $722,444 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,200 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $94,474 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $282,497 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $185,630 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $131,643 | CurrentTaxYearAmt |
| Total | $722,444 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $541,334 | SubstantialContributorsTotAmt |
| Public Support Total170 | $181,110 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $309 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $800 | CurrentTaxYearAmt |
| Total | $1,121 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $300 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $976 | CurrentTaxYearMinus2YearsAmt |
| Total | $1,276 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $724,841 | TotalSupportAmt |
| Public Support CY170 | 0.24990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.54970 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests PY170 | Yes (X) | ThirtyThrPctSuprtTestsPY170Ind |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | FRESNEL SHORES IS MOST-CORRECTLY TREATED AS A PUBLIC CHARITY BECAUSE THE ORGANIZATION IS ORGANIZED AND OPERATED SO AS TO ATTRACT NEW AND ADDITIONAL PUBLIC OR GOVERNMENTAL SUPPORT ON A CONTINUOUS BASIS. THIS IS DONE IN TWO WAYS:1. BY MAINTAINING A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC, COMMUNITY, OR MEMBERSHIP GROUP INVOLVED." THIS IS EVIDENCED BY 1) MAINTENANCE OF A PUBLIC WEBSITE WWW.FRESNELSHORES.ORG WHICH SITE INCLUDES A DONATION PAGE. 2) MAINTENANCE OF A DONOR DATABASE, BLOOMERANG, IN WHICH THE FOUNDATION TRACKS DONORS AND PRODUCES SOLICITATION BULLETINS, 3) THE DISTRIBUTION OF AN ANNUAL FUND APPEAL TO A CURRENT LIST OF APPROXIMATELY 125 SUPPORTERS, AND DISTRIBUTION OF A QUARTERLY NEWSLETTERS AND FUND APPEALS TO A MAILING LIST OF APPROXIMATELY 500 SUPPORTERS, 4) LISTING FOR SOLICITATIONS IN THE BENEVITY CORPORATE MATCHING PROGRAM, 5) LISTING FOR DONATIONS IN THE "YOUR.CAUSE" CORPORATE MATCHING PROGRAM, 6 )LISTING FOR SOLICITATION FOR DONATIONS IN THE "WE GIVE CATHOLIC" DONATION SOLICITATIONS PROGRAM2. BY CARRYING ON ACTIVITIES DESIGNED TO ATTRACT SUPPORT FROM GOVERNMENTAL UNITS OR OTHER PUBLIC CHARITIES. " THIS IS EVIDENCED BY THE BROAD APPEAL OF OUR MISSION TO CREATE INSTITUTIONS TO SERVE WOMEN AND FAMILIES BY PROVIDING HEALTHCARE WITH A FOCUS ON MAINTAINING AND RESTORING FERTILITY HEALTH. IN RECOGNITION OF THIS GOAL, THE FOUNDATION RECEIVED GRANTS FROM A LARGE PUBLIC CHARITY. AN IMPORTANT ADDITIONAL CONSIDERATION IS THAT DURING THE FOUNDATION'S FIRST FIVE-YEAR PERIOD THE COVID19 PANDEMIC SUBSTANTIALLY HAMPERED THE FOUNDATION FROM CONDUCTING ONE-ON-ONE MEETINGS WITH DONORS, AND IN-PERSON MEETINGS TO RECRUIT BOARD MEMBERS AND TO TRAIN THEM ON HOW TO CONDUCT SOLICITATION ENCOUNTERS. DESPITE THIS UNUSUAL AND PROLONGED EVENT, THE FOUNDATION HAS ACHIEVED SUBSTANTIAL SUCCESS TOWARDS ITS GOALS.MULTI-FACTOR ANALYSIS. THE ORGANIZATION WILL SHOW THAT IT IS IN THE NATURE OF A PUBLICLY SUPPORTED ORGANIZATION, BY CONSIDERING THE FOLLOWING FOUR FACTORS.1) PERCENTAGE OF FINANCIAL SUPPORT. WHILE THE PUBLIC SUPPORT OF THE FOUNDATION IS NOT YET 33.3%, IT HAS ATTAINED 25% PUBLIC SUPPORT LEVEL. IT CAN BE CONSIDERED THAT THE AREA OF MEDICINE BEING ADVOCATED BY THE FOUNDATION, I.E. RESTORATIVE REPRODUCTIVE MEDICINE (RRM) IS A NEW FIELD, AND PUBLIC EDUCATION IS NECESSARY FOR A PROPER UNDERSTANDING OF RESTORATIVE REPRODUCTIVE MEDICINE (RRM'S) ADVANTAGES OVER CONVENTIONAL APPROACHES TO REPRODUCTIVE HEALTH SUCH AS CONTRACEPTIVES, AND IVF. AN ADDITIONAL FACTOR IS THAT THE PRIMARY OBJECTIVE OF THE FOUNDATION IS TO CREATE AND GOVERN CLINICS THAT PROVIDE MEDICAL SERVICES TO WOMEN AND FAMILIES. THESE CLINICS THEMSELVES ARE / WILL BE NON-PROFIT 501(C)(3) ORGANIZATIONS. AS THE FOUNDATIONS FIRST SUCH CLINIC OPENED (VERANOVA HEALTH, FEIN 84-3198821), FRESNEL SHORES DONORS WERE ENCOURAGED TO ALSO SUPPORT THAT ENTITY, SOMEWHAT REDUCING CONTRIBUTIONS TO THE SOLE MEMBER GOVERNING BODY, FRESNEL SHORES. 2) SOURCES OF SUPPORT. THE FOUNDATION HAD THIRTY-EIGHT DONORS UNRELATED TO THE FOUNDERS; OF THESE NINETEEN MADE DONATIONS BETWEEN $500 AND $15,000 DURING THE FIVE-YEAR TEST PERIOD. ONE NATIONAL NON-PROFIT CHARITY MADE DONATIONS TO THE FOUNDATION EXCEEDING $20,000. THE FOUNDATION'S BOARD HAS BEEN MULTI-TASKING, FOCUSING ON FUND-RAISING, BUT TO A LARGER EXTENT ON MISSION. DUE TO THE SUCCESS IN OPENING THE FIRST CLINIC, WHICH ALREADY HAS 1200 PATIENTS AND HAS HAD NUMEROUS LIVE BIRTHS TO PREVIOUSLY INFERTILE COUPLES, THE BOARD HAS BEGUN TO TRANSITION ITS FOCUS BACK TO FUND-RAISING AND GRANT APPLICATION TO FUND THE NEXT PHASE OF ITS EFFORTS. THESE NEW EFFORTS TO BUILD THE DONOR BASE ARE EXPECTED TO BE WELL RECEIVED SINCE THE BOARD CAN POINT TO ITS SUCCESS IN CREATING THE VERANOVA HEALTH CLINIC MODEL.3) THE FOUNDATION HAS A REPRESENTATIVE GOVERNING BODY. ASIDE FROM THE FOUNDING COUPLE, THE BOARD OF THE FOUNDATION HAS CONSISTED OF A MEDICAL DOCTOR AND PERSONS TRAINED-IN, AND TEACHING, FERTILITY AWARENESS -BASED METHODS (FABM'S). THE BOARD'S MIX HAS BEEN BOTH MALE AND FEMALE BOARD MEMBERS AGED FROM MID-TWENTIES TO MID-SIXTIES, AND, RELATED TO ITS MISSION AND THE WIDE-SPECTRUM OF THE POPULATION IT SERVES, WOMEN BOTH ABLE AND UNABLE TO ACHIEVE LIVE BIRTHS.4. AVAILABILITY OF PUBLIC FACILITIES OR SERVICES; PUBLIC PARTICIPATION IN PROGRAMS OR POLICIES. THE FOUNDATION PROVIDES SERVICES TO THE BROAD PUBLIC IN SEVERAL WAYS:" THE VERANOVA HEALTH CLINICS FORMED / OR TO BE FORMED, BY FRESNEL SHORES FOUNDATION ARE OPEN TO ALL PEOPLE, INCLUDING BY TELEHEALTH, AND TAKE ALL FORMS OF INSURANCE INCLUDING MEDICAID, " THE FOUNDATION'S GRANTS FOR EDUCATION IN RESTORATIVE REPRODUCTIVE MEDICINE ARE OPEN TO ALL MEDICAL PROFESSIONALS SEEKING SKILLS TO PROVIDE RRM AND ARE ADVERTISED ON ITS WEBSITE AND AT MEDICAL CONVENTIONS." THE FOUNDATION FOSTERS WIDE-SPREAD INTEREST IN RRM AND FABMS THROUGH ITS DEVELOPMENT OF NEO-NFP (NORTHEAST OHIO NATURAL FAMILY PLANNING) WEBSITE (NEO-NFP.ORG) AND FUN FAMILY ACTIVITIES WHICH CAN BE FOUND AT WWW.MEETUP.COM/NEO-NFP | FactsAndCircumstancesTestTxt |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2019 AMOUNT: $ 300. OTHER INCOME - 2021 AMOUNT: $ 976. | ExplanationTxt |
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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,349 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,341 | DepreciationAmt |
| Book Value | $4,008 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,008 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY | Desc |
| Book Value | $10,704 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,704 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DONATION COLLECTIONS | Desc |
| Amt | $2,315 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,315 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERANOVA HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21887 LORAIN RD | AddressLine1Txt |
| City | FAIRVIEW PARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 843198821 | RecipientEIN |
| IRC Section | 501C3 | IRCSectionDesc |
| Cash Grant | $278,053 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | TO PROVIDE FUNDING NECESSARY TO ESTABLISH MEDICAL CLINIC | PurposeOfGrantTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | MARRIED SPOUSES TIM & MARY ELLEN JAKUBISIN |
| FORM 990, PART VI, SECTION B, LINE 11B | COPY OF 990 IS PROVIDED TO BOARD MEMBERS AND IS APPROVED AT BOARD MEETING |
| FORM 990, PART VI, SECTION C, LINE 18 | UPON REQUEST |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERNOVA HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21887 LORAIN RD | AddressLine1Txt |
| City | FAIRVIEW PARK | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 44126 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 843198821 | EIN |
| Primary Activities | FAMILY PRACTICE | PrimaryActivitiesTxt |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Public Charity Status | LINE 3 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FRESNEL SHORES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERANOVA HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Method Of Amount Determination | CASH | MethodOfAmountDeterminationTxt |
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