HEALTHNOW FOUNDATION OF POLK COUNTY: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HEALTHNOW FOUNDATION OF POLK COUNTY (EIN 27-0542330)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-03-24
IRS object ID
202210839349100616
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

FieldValueIRS element (for citing)
Return2022-03-24T12:51:25-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN863820053PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RAMOS & FLOYD CPAS PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14215 OLD ROAD 37AddressLine1Txt
CityLAKELANDCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33813ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270542330EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HEALTHNOW FOUNDATION OF POLK COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHEALBusinessNameControlTxt
Phone8639046961PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 S FLORIDA AVE SUITE 800AddressLine1Txt
CityLAKELANDCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33801ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARL MUEHLBERGERPersonNm
Person TitleTREASURERPersonTitleTxt
Phone8639046961PhoneNum
Signature2022-01-25SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKARLPersonFirstNm
Person LastMUEHLBERGERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRISHA M FLOYD CPAPreparerPersonNm
PTINP01712849PTIN
Phone8637017885PhoneNum
Preparation2022-01-25PreparationDt
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,564FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Total Rev And Expnss$0TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$704AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$352AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$352AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$61OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$31OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$30OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$765TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$383TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$382TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$765TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$383TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$382TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$765ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$4,328CashBOYAmt
Cash EOY$3,563CashEOYAmt
Cash EOYFMV$3,564CashEOYFMVAmt
Total Assets BOY$4,328TotalAssetsBOYAmt
Total Assets EOY$3,563TotalAssetsEOYAmt
Total Assets EOYFMV$3,564TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$4,328NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$3,563NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$4,328TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,563TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,328TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,563TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,328TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$765ExcessRevenueOverExpensesAmt
Subtotal$3,563SubtotalAmt
Tot Net Ast Or Fund Balances EOY$3,563TotNetAstOrFundBalancesEOYAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsfalseAtLeast5000InAssetsInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksKARL MUEHLBERGERIndividualWithBooksNm
Phone8639046961PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1500 S FLORIDA AVE SUITE 800AddressLine1Txt
CityLAKELANDCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33801ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID ROBINSON
PO BOX 93160LAKELANDFL33804PRESIDENT1.00$0$0$0
ED GOODEMOTE
6023 PIER PLACE DRIVELAKELANDFL33813SECRETARY1.00$0$0$0
KARL MUEHLBERGER
500 SOUTH FLORIDA AVELAKELANDFL33801TREASURER1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,945AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,945TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$3,945AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$59CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,886NetVlNoncharitableAssetsAmt
Minimum Investment Return$194MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$194MinimumInvestmentReturnAmt
Distributable Before Adj$194DistributableBeforeAdjAmt
Distributable Before Ded$194DistributableBeforeDedAmt
Distributable As Adjusted$194DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$382ExpensesAndContributionsAmt
Qualifying Distributions$382QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$194DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$229,142ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr3$505ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$72ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$229,719TotalExcessDistributionCyovAmt
Qualifying Distributions$382QualifyingDistributionsAmt
Applied To Current Year$194AppliedToCurrentYearAmt
Remaining Distri From Corpus$188RemainingDistriFromCorpusAmt
Total Corpus$229,907TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$229,142ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$765ExcessDistriCyovToNextYrAmt
Excess From Year3$505ExcessFromYear3Amt
Excess From Year2$72ExcessFromYear2Amt
Excess From Current Year$188ExcessFromCurrentYearAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$704Amt
Net Investment Income$352NetInvestmentIncomeAmt
Disbursements Charitable Prps$352DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXPENSES
LICENSES$61$31$30

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