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CRYSTAL COAST CANCER REHAB CENTER: Form 990EZ, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CRYSTAL COAST CANCER REHAB CENTER (EIN 83-1656630)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202223189349204502
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)
Return2022-11-14T10:21:18-08:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223491267PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LEAF MIELE MANGANELLI FORTUNATO & ENGELBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1310 PASSAIC AVEAddressLine1Txt
CityFAIRFIELDCityNm
State AbbreviationNJStateAbbreviationCd
ZIP07004ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN831656630EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CRYSTAL COAST CANCER REHAB CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCRYSBusinessNameControlTxt
Phone2528085623PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14913 BRIDGES STREET EXTAddressLine1Txt
CityMOREHEAD CITYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28557ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAYME LIMBAUGHPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJAYMEPersonFirstNm
Person LastLIMBAUGHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonScott Hagaman CPAPreparerPersonNm
PTINP00184266PTIN
Phone9738089500PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Name ChangeYes (X)NameChangeInd
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website Addresswww.nccancerrehab.orgWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$156,711GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$146,250ContributionsGiftsGrantsEtcAmt
Program Service Revenue$2,914ProgramServiceRevenueAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$7,547FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$7,547SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$156,711TotalRevenueAmt
Salaries Other Comp Empl Bnft$64,273SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$25FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$13,726OccupancyRentUtltsAndMaintAmt
Other Expenses Total$17,722OtherExpensesTotalAmt
Total Expenses$95,746TotalExpensesAmt
Excess Or Deficit For Year$60,965ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$13,216NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$74,181NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$23,216BOYAmt
EOY$84,181EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,216BOYAmt
EOY$84,181EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$10,000EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$13,216BOYAmt
EOY$74,181EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO PROVIDE ONCOLOGY PATIENTS, WHO MAY BE STUGGLING FINANCIALLY, WITH AFFORDABLE ACCESS TO EXCERCISE PHYSIOLOGY THERAPY CARE IN ORDER TO IMPROVE THEIR QUALITY OF LIFE AND OFFSET SYMPTOMS OR SIDE EFFECTS OF THEIR DIAGNOSIS, TREATMENT OR PRIOR MEDICAL HISTORY.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomWORKING WITH REFERRALS FROM 3 LOCAL COUNTIES IN NORTH CAROLINA, THE ORGANIZATION PROVIDED INDIVIDUALIZED ANALYSIS AND EXCERCISE REHABILITATION THERAPY FOR 19 ONCOLOGY PATIENTS/SURVIVORS.DescriptionProgramSrvcAccomTxt
Program Service Expenses$90,991ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$90,991TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (5 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
JAYME LIMBAUGH
President20.00$15,110
PAULINE SHIVER
Secretary20.00$15,110
KAT SURALIK
Director1.00$0
MARYBETH LOYNES
Director1.00$0
NORMA SKINNER
Treasurer2.00$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
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAYME LIMBAUGHPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14913 BRIDGES STREET EXTAddressLine1Txt
CityMOREHEAD CITYCityNm
State AbbreviationNCStateAbbreviationCd
ZIP285578978ZIPCd
FieldValueIRS element (for citing)
Phone2528085623PhoneNum
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
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$15,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,192CurrentTaxYearMinus1YearAmt
Current Tax Year$146,250CurrentTaxYearAmt
Total$177,823TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$15,381CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,192CurrentTaxYearMinus1YearAmt
Current Tax Year$146,250CurrentTaxYearAmt
Total$177,823TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$177,823PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$177,823TotalSupportAmt
First5 Years170Yes (X)First5Years170Ind
Public Support CY1700.00000PublicSupportCY170Pct

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 (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1001Advertising and Promotion $626
Other Expenses.1002Office Expenses $471
Other Expenses.1COMPUTER EXPENSES $5369
Other Expenses.2SOFTWARE $5345
Other Expenses.3UTILITIES $2228
Other Expenses.4FUNDAISING SUPPLIES $1530
Other Expenses.5PAYROLL SERVICE FEES $762
Other Expenses.6WORKER COMP INSURANCE $491
Other Expenses.7INTERNET/PHONE $370
Other Expenses.8DUES & SUBSCRIPTIONS $335
Other Expenses.9EDUCATION AND TRAINING $195
Total Liabilities.1008Unsecured Notes and Loans Payable - Beginning $10000 Unsecured Notes and Loans Payable - Ending $10000

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