MELLICK FOUNDATION INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MELLICK FOUNDATION INC (EIN 85-2540259)
Tax period
2021-01-01 to 2021-12-31
Filed
2023-04-15
IRS object ID
202301049349202120
Schema version
2021v4.2
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)
Return2023-04-15T01:07:20ZReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN431871840PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HRB TAX GROUP INCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1812 HORIZON S PKWYAddressLine1Txt
CityGROVETOWNCityNm
State AbbreviationGAStateAbbreviationCd
ZIP30813ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN852540259EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MELLICK FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMELLBusinessNameControlTxt
Phone9045249602PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11248 HERON LAKES CIRCLEAddressLine1Txt
CityMOBILECityNm
State AbbreviationALStateAbbreviationCd
ZIP36693ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLARRY MELLICKPersonNm
Person TitlePRINCIPAL OFFICERPersonTitleTxt
Phone9045249602PhoneNum
Signature2023-04-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLARRYPersonFirstNm
Person LastMELLICKPersonLastNm

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDeborah CranataPreparerPersonNm
PTINP00016075PTIN
Phone7068600718PhoneNum
Preparation2023-04-14PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Type Of Organization OtherFOUNDATIONTypeOfOrganizationOtherDesc
Gross Receipts$83,292GrossReceiptsAmt
Contributions Gifts Grants Etc$83,280ContributionsGiftsGrantsEtcAmt
Investment Income$12InvestmentIncomeAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Total Revenue$83,292TotalRevenueAmt
Grants And Similar Amounts Paid$15,788GrantsAndSimilarAmountsPaidAmt
Printing Publications Postage$3,479PrintingPublicationsPostageAmt
Other Expenses Total$25OtherExpensesTotalAmt
Total Expenses$19,292TotalExpensesAmt
Excess Or Deficit For Year$64,000ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances EOY$64,000NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
EOY$63,976EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$63,976EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$63,976EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO HELP THE MEDICALLY DISENFRANCHISED, FREE MEDICAL CLINICS, AND MEDICAL EDUCATION.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomTO HELP THE MEDICALLY DISENFRANCHISED FREE MEDICAL CLINICS AND AND MEDICAL EDUCATION.DescriptionProgramSrvcAccomTxt
Grants And Allocations$15,788GrantsAndAllocationsAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp

FieldValueIRS element (for citing)
PersonLARRY MELICKPersonNm
TitleFOUNDERTitleTxt
Average Hrs Per Wk Devoted To Pos0.00AverageHrsPerWkDevotedToPosRt
Compensation$0CompensationAmt
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE MELLICK FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11248 HERON LAKES CIRCLEAddressLine1Txt
CityMobileCityNm
State AbbreviationALStateAbbreviationCd
ZIP36693ZIPCd
FieldValueIRS element (for citing)
Phone9045249602PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$83,280CurrentTaxYearAmt
Total$83,280TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$83,280CurrentTaxYearAmt
Total$83,280TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$83,280PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$83,280CurrentTaxYearAmt
Total$83,280TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

FieldValueIRS element (for citing)
Form And Line ReferenceDONATIONS TO MISSIONS, NURSES, SAMARITANS PURSE AND YOUTH MISSIONSFormAndLineReferenceDesc
ExplanationDONATIONSExplanationTxt

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationFIRST FULL YEAR OF OPERATIONS AND ORGANIZATION FILLED OUT THE POST CARD AND THOUGHT THAT MEANT THEY DID NOT HAVE TO FILE THE ACTUALL 990. HOWEVER, INCOME WAS ABOVE POSTCARD AMOUNT.ExplanationTxt

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