COMMUNITY INCLUSION INC: Form 990EZ, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY INCLUSION INC (EIN 31-1676018)
- Tax period
- 2021-07-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202213199349201021
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T08:08:32-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 264006060 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAXTON KOCUR AND ASSOCIATES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 301 E 2ND ST SUITE 303 | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 147015409 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311676018 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY INCLUSION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 7166614747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 DUNHAM AVENUE | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICIA PERLEE | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 7166611519 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PATRICIA | PersonFirstNm |
| Person Last | PERLEE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LUCINDA M SAXTON CPA | PreparerPersonNm |
| PTIN | P00476541 | PTIN |
| Phone | 7164836109 | PhoneNum |
| Preparation | 2022-11-10 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Other Expenses Total | $10,318 | OtherExpensesTotalAmt |
| Total Expenses | $10,318 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$10,318 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $10,318 | NetAssetsOrFundBalancesBOYAmt |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,318 | BOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,318 | BOYAmt |
| EOY | $0 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,318 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Primary Exempt Purpose | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENT ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENT ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. | DescriptionProgramSrvcAccomTxt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| PATRICIA PERLEE | ||
| PRESIDENT | 1.00 | $0 |
| RICHARD ERICKSON | ||
| VICE PRESIDE | 1.00 | $0 |
| TODD JACOBSON | ||
| TREASURER | 1.00 | $0 |
| DAWN COLUMBARE | ||
| SECRETARY | 1.00 | $0 |
| REBECCA HAMLET KAPPLE | ||
| DIRECTOR | 1.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | Yes (true) | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY INCLUSION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 DUNHAM AVENUE | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166611519 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
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 Minus3 Years | $10 | CurrentTaxYearMinus3YearsAmt |
| Total | $10 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $10 | CurrentTaxYearMinus3YearsAmt |
| Total | $10 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $10 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1 | CurrentTaxYearMinus2YearsAmt |
| Total | $11 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $21 | TotalSupportAmt |
| Public Support CY170 | 0.47620 | PublicSupportCY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | CHARITABLE DONATION | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2021-07-31 | DistributionDt |
| Fair Market Value Of Asset | $10,318 | FairMarketValueOfAssetAmt |
| EIN | 223360489 | EIN |
| Person | FILLING THE GAP INC | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 92 FAIRMOUNT AVENUE | AddressLine1Txt |
| City | JAMESTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501C3 | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | false | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | false | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | false | OwnerOfSuccessor2Ind |
| Receive Compensation2 | false | ReceiveCompensation2Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE N | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION HAS BEEN DORMANT FOR SEVERAL YEARS. DURING THE CURRENT FISCAL YEAR, THE ORGANIZATION DONATED ALL OF ITS ASSETS TO ANOTHER NOT FOR PROFIT CORPORATION. THE ORGANIZATION WILL CHANGE ITS STATED CHARITABLE PURPOSE AND BEGIN OPERATIONS UNDER A NEW BOARD OF DIRECTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES CONTRIBUTIONS 10,318 TOTAL 10,318 |
| FORM 990-EZ, PART III | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENT ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. |
| FORM 990-EZ, PART III, LINE 28 | TO PROVIDE HIGH QUALITY, COST EFFECTIVE, COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH CARE IN THE COMMUNITIES WE SERVE. WE ARE DEDICATED TO THE CONTINUOUS IMPROVEMENT IN SERVICES BEING PROVIDED TO DECREASE HEALTH DISPARITIES REGARDLESS OF PATIENT ABILITY TO PAY. WE ARE FURTHER DEDICATED TO BEING A WORLD-CLASS PROVIDER OF SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES. |
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