MARYS PLACE INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MARYS PLACE INC (EIN 30-0436392)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-12-15
- IRS object ID
- 202233499349300528
- 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 | 2022-12-15T11:39:34-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592749653 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGRAW & TATTERSALL PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1020 N ORLANDO AVE STE 400 | AddressLine1Txt |
| City | MAITLAND | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 327514514 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300436392 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY'S PLACE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 3214224168 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 MAITLAND AVE | AddressLine1Txt |
| City | ALTAMONTE SPRINGS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID TAYLOR | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 3214224168 | PhoneNum |
| Signature | 2022-12-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | TAYLOR | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BRIAN D MCGRAW CPA | PreparerPersonNm |
| PTIN | P00285571 | PTIN |
| Phone | 4078942272 | PhoneNum |
| Preparation | 2022-12-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LIFE CHOICES MEDICAL CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BOB NETTLES | PrincipalOfficerNm |
| Gross Receipts | $475,778 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.LIFECHOICESFL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2007 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | OUR MISSION IS TO PROVIDE MEDICAL SERVICES, EDUCATION, SPIRITUAL, EMOTIONAL AND MATERIAL SUPPORT EMPOWERING WOMEN AND MEN TO MAKE LIFE-AFFIRMING DECISIONS AS THEY ENCOUNTER THE LOVE OF CHRIST. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 3 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $183,577 | PYContributionsGrantsAmt |
| CY Contributions Grants | $441,821 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $495 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,072 | CYInvestmentIncomeAmt |
| CY Other Revenue | $7,588 | CYOtherRevenueAmt |
| PY Total Revenue | $184,072 | PYTotalRevenueAmt |
| CY Total Revenue | $455,481 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $93,605 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $108,124 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $81,325 | PYOtherExpensesAmt |
| CY Other Expenses | $81,894 | CYOtherExpensesAmt |
| PY Total Expenses | $174,930 | PYTotalExpensesAmt |
| CY Total Expenses | $190,018 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,142 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $265,463 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $282,597 | TotalAssetsBOYAmt |
| Total Assets EOY | $539,177 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $39,148 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $30,265 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $243,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $508,912 | NetAssetsOrFundBalancesEOYAmt |
| Mission | OUR MISSION IS TO PROVIDE MEDICAL SERVICES, EDUCATION, SPIRITUAL, EMOTIONAL AND MATERIAL SUPPORT EMPOWERING WOMEN AND MEN TO MAKE LIFE-AFFIRMING DECISIONS AS THEY ENCOUNTER THE LOVE OF CHRIST. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $62,705 | ExpenseAmt |
| Desc | EDUCATION - 1312 NEW EXPECTING MOTHERS AND MANY CLIENTS FROM PREVIOUS YEARS UTILIZED COUNSELING AND WERE TAUGHT PRENATAL AND PARENTING SKILLS TO EMPOWER THEM TO MAKE LIFE AFFIRMING CHOICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $62,705 | ExpenseAmt |
| Desc | PHILANTHROPIC - IN ADDITION TO THE 590 NEW CLIENTS THAT WERE SERVED IN 2021, WE HAD 722 ADDITIONAL RETURNING CLIENTS. 217 CLIENTS UTILIZE MOM MENTORING PROGRAM AFTER GIVING BIRTH. PARTICIPANTS EARNED BOUTIQUE BUCKS TO BUY BABY ITEMS(DIAPERS, WIPES, FORMULA, BABY FOOD, CAR SEATS, CRIBS, STROLLERS, ETC.) CASE MANAGEMENT FOLLOW UP, INCLUSIVE OF CALL & CORRESPONDENCE TO CHECK ON CLIENT'S HEALTH AND WELLNESS FOR 2539 CLIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $64,608 | ExpenseAmt |
| Desc | PERFORMED 575 FREE PREGNANCY TESTS (480 POSITIVE, 82 NEGATIVE AND 13 INCONCLUSIVE), PERFORMED 387 FREE ULTRASOUNDS (169 AT RISK PREGNANCIES). PROVIDING THESE SERVICES GIVES US THE ABILITY TO SHOW CLIENTS THE TRUTH ABOUT LIFE AND WHAT IS HAPPENING INSIDE THE BODY. PROVIDED COUNSELING FOR 792 CLIENTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $190,018 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 3 | EmployeeCnt |
| Employment Tax Returns Filed | false | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID TAYLOR | PersonNm |
| Phone | 3214224168 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N MAITLAND AVE | AddressLine1Txt |
| City | ALTAMONTE SPRINGS | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| CHRISTINE LYONS | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LES PHILIP | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT RASCH | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MAUREEN SALERNO | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JAMIE TAGLIA | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| VALERIE CASKO | ||||||
| SECRETARY | 6.00 | $0 | $0 | $0 | Yes (X) | |
| BOB NETTLES | ||||||
| PRESIDENT | 6.00 | $0 | $0 | $0 | Yes (X) | |
| DAVID TAYLOR | ||||||
| TREASURER | 6.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $123,341 | FundraisingAmt |
| All Other Contributions | $318,480 | AllOtherContributionsAmt |
| Noncash Contributions | $16,985 | NoncashContributionsAmt |
| Total Contributions | $441,821 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,399 | TotalRevenueColumnAmt |
| Exclusion | $2,399 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,043 | SecuritiesAmt |
| Other | $3,458 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $828 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $215 | SecuritiesAmt |
| Other | $3,458 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,673 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,458 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $215 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $14,450 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $123,341 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $19,469 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,019 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Total Revenue Column | $12,607 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,607 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,607 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $455,481 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,065 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $2,614 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,440 | TotalAmt |
| Program Services | $100,440 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,684 | TotalAmt |
| Program Services | $7,684 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,736 | TotalAmt |
| Program Services | $4,736 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,558 | TotalAmt |
| Program Services | $1,558 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,180 | TotalAmt |
| Program Services | $4,180 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,400 | TotalAmt |
| Program Services | $50,400 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,016 | TotalAmt |
| Program Services | $1,016 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,413 | TotalAmt |
| Program Services | $3,413 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,355 | TotalAmt |
| Program Services | $3,355 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| UTILITIES | $3,581 | $3,581 |
| CREDIT CARD PAYPAL CHARGE | $2,123 | $2,123 |
| LABORATORY EXPENSES | $1,663 | $1,663 |
| INTERNET SERVICE | $1,380 | $1,380 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,489 | TotalAmt |
| Program Services | $4,489 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,018 | TotalAmt |
| Program Services | $190,018 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,764 | BOYAmt |
| EOY | $305,262 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,063 | BOYAmt |
| EOY | $77,806 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $89,361 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $84,703 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,070 | BOYAmt |
| EOY | $4,658 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,000 | BOYAmt |
| EOY | $146,307 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,700 | BOYAmt |
| EOY | $5,144 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,597 | BOYAmt |
| EOY | $539,177 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,548 | BOYAmt |
| EOY | $3,599 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,600 | BOYAmt |
| EOY | $26,666 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,148 | BOYAmt |
| EOY | $30,265 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,449 | BOYAmt |
| EOY | $508,912 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,449 | BOYAmt |
| EOY | $508,912 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,597 | BOYAmt |
| EOY | $539,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $265,463 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $142,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $173,800 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $183,577 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $441,821 | CurrentTaxYearAmt |
| Total | $1,160,653 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,150 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year | $27,057 | CurrentTaxYearAmt |
| Total | $37,207 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $218,928 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $147,527 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178,950 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $183,577 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $468,878 | CurrentTaxYearAmt |
| Total | $1,197,860 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,197,860 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,027 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,399 | CurrentTaxYearAmt |
| Total | $6,360 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $637 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,027 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,802 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,399 | CurrentTaxYearAmt |
| Total | $6,360 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $219,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $148,554 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $180,752 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $184,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $471,277 | CurrentTaxYearAmt |
| Total | $1,204,220 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99470 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99510 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,361 | OtherCostOrOtherBasisAmt |
| Depreciation | $84,703 | DepreciationAmt |
| Book Value | $4,658 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,658 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| US TREASURY GOVT LOAN PAYABLE | $25,000 |
| DIRECT DEPOSIT PAYABLE | $1,666 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $26,666 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | BANQUET | Event1Nm |
| Gross Receipts Event1 | $137,791 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $123,341 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,450 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $15,937 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $3,532 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $137,791 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $123,341 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $14,450 | GrossRevenueTotalEventsAmt |
| Food And Beverage Total Events | $15,937 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $3,532 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $19,469 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$5,019 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, ITEM C | LIFE CHOICES MEDICAL CENTER |
| FORM 990 | VOLUNTEER HOURS VOLUNTEERS WORKED 4,604 HOURS IN 2021 TO FURTHER THE MISSION OF LIFE CHOICES MEDICAL CLINIC. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE TREASURER REVIEWS FORM 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE GOVERNING DOCUMENTS OF THE ORGANIZATION ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
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