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MICHAEL D MASON FOUNDATION INC: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
MICHAEL D MASON FOUNDATION INC (EIN 45-2990208)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-05
IRS object ID
202241259349201244
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)
Return2022-05-05T12:08:49-04:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN050374225PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROCK ASSOCIATESBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1615 JEFFERSON BLVD A102AddressLine1Txt
CityWARWICKCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02886ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN452990208EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL D MASON FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMICHBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 WAPPING ROADAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02871ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHEATHER MASONPersonNm
Person TitleSECRETARYPersonTitleTxt
Phone5087850649PhoneNum
Signature2022-05-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstHEATHERPersonFirstNm
Person LastMASONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPAMELA L BROCK CPAPreparerPersonNm
PTINP00097254PTIN
Phone4017375900PhoneNum
Preparation2022-05-05PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressNAWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$6,129GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$6,129ContributionsGiftsGrantsEtcAmt
Total Revenue$6,129TotalRevenueAmt
Fees And Other Pymt To Ind Cntrct$900FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$8,629OtherExpensesTotalAmt
Total Expenses$9,529TotalExpensesAmt
Excess Or Deficit For Year-$3,400ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$4,666NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,266NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$4,666BOYAmt
EOY$1,266EOYAmt

Land And Buildings LandAndBuildingsGrp

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

Other Assets Total Detail OtherAssetsTotalDetail

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

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,666BOYAmt
EOY$1,266EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

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

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$4,666BOYAmt
EOY$1,266EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeSEE ATTACHMENT 1PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomSEE ATTACHMENT 2DescriptionProgramSrvcAccomTxt
Program Service Expenses$8,406ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$8,406TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (2 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MICHAEL MASON
PRESIDENT2.00$0$0$0
HEATHER MASON
SECRETARY5.00$0$0$0
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
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonHEATHER C MASONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line124 BROWN AND HOWARD WARF UBIT304AddressLine1Txt
CityNEWPORTCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02840ZIPCd
FieldValueIRS element (for citing)
Phone7819139475PhoneNum
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
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,435CurrentTaxYearMinus1YearAmt
Current Tax Year$6,129CurrentTaxYearAmt
Total$40,806TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,435CurrentTaxYearMinus1YearAmt
Current Tax Year$6,129CurrentTaxYearAmt
Total$40,806TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$40,806PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$6,690CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,945CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,435CurrentTaxYearMinus1YearAmt
Current Tax Year$6,129CurrentTaxYearAmt
Total$40,806TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule G IRS990ScheduleG

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
General explanation attachmentATTACHMENT 1: PAGE 1-990EZ PAGE2, PART IIITHE FOUNDATIONS PRIMARY PURPOSE IS TO PROVIDE FINANCIAL RESOURCES, SUPPORT AND OTHER RESOURCES RELATING TO ADULT ECMO(EXTRACORPOREAL MEMBRANE OXYGENATION)AND CERTAIN PERSONS AND INSTITUTIONS THAT SUPPORT SUCH PERSONS. ATTACHMENT 2: PAGE 1 -990EZ PAGE 3, PART IIITHE FOUNDATION HAS PROVIDED FINANCIAL RESOURCES, SUPPORT AND OTHER RESOURCES RELATED TO ADULT ECMO(EXTRACORPOREAL MEMBRANE OXYGENATION)AND CERTAIN PERSONS AND INSTITUTIONS THAT SUPPORT SUCH PERSONS. ATTACHMENT 3: PAGE 1 - 990EZ PAGE 2, PART IVNAME AND TITLE AVG HOURS COMPENSATION BENEFITS EXPENSE ACCT PER WEEKMICHAEL D MASONPRESIDENT/TREASURER 5 0 0 0HEATHER C MASONCLERK, SECRETARYDIRECTOR 5 0 0 0
Description of other expenses Part I line 16DESCRIPTION AMOUNTBANK FEES 188EVENT FEES HOUSING 3,072FILING FEES 35EVENT FEES MEALS 5,334

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