MISSION FRANKFORT CLINIC INC: Form 990EZ, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
MISSION FRANKFORT CLINIC INC (EIN 41-2199345)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-02-16
IRS object ID
202110479349200611
Schema version
2020v4.0
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)
Return2021-02-16T06:39:22-08:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN610567366PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Charles T Mitchell Co PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1229 W MAIN ST SUITE 103AddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN412199345EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MISSION FRANKFORT CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMISSBusinessNameControlTxt
Phone5022274528PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 ST CLAIR STREETAddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHELLE CARROLLPersonNm
Person TitleDirectorPersonTitleTxt
Signature2021-02-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHELLEPersonFirstNm
Person LastCARROLLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJames E Clouse CPAPreparerPersonNm
PTINP00946631PTIN
Phone5022277395PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$156,467GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$155,860ContributionsGiftsGrantsEtcAmt
Investment Income$607InvestmentIncomeAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Special Events Direct Expenses$0SpecialEventsDirectExpensesAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$156,467TotalRevenueAmt
Salaries Other Comp Empl Bnft$55,219SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,150FeesAndOtherPymtToIndCntrctAmt
Other Expenses Total$89,043OtherExpensesTotalAmt
Total Expenses$146,412TotalExpensesAmt
Excess Or Deficit For Year$10,055ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$6,949NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$17,004NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$57,348BOYAmt
EOY$17,839EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$57,348BOYAmt
EOY$17,839EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$50,399BOYAmt
EOY$835EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$6,949BOYAmt
EOY$17,004EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeProvide medical,dental,pharmaceutical services to the uninsured and under-insured.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomASSISTING CITIZENS OF FRANKFORT, KY.DescriptionProgramSrvcAccomTxt
Grants And Allocations$146,412GrantsAndAllocationsAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$146,412TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (7 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
LARRY HADLEY
BOARD MEMBER5.00$0
TAMBRA FEE SHOUSE
BOARD MEMBER1.00$0
ANNE WESLEY MAYS
BOARD MEMBER1.00$0
EDDIE GORDON
BOARD MEMBER1.00$0
KIMBERLY BELL HIND
BOARD MEMBER1.00$0
RUTH RITTER
BOARD MEMBER1.00$0
SALLY BRUNNER
BOARD MEMBER1.00$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
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJULIE CLOUSEPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12691 PEAKS MILL ROADAddressLine1Txt
CityFRANKFORTCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40601ZIPCd
FieldValueIRS element (for citing)
Phone5028757505PhoneNum
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 Minus4 Years$107,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,463CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,474CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,699CurrentTaxYearMinus1YearAmt
Current Tax Year$155,860CurrentTaxYearAmt
Total$601,611TotalAmt

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 Minus4 Years$107,115CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,463CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$122,474CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$95,699CurrentTaxYearMinus1YearAmt
Current Tax Year$155,860CurrentTaxYearAmt
Total$601,611TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$601,611PublicSupportTotal170Amt

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$601,611TotalSupportAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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 (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Other Expenses.1002Office Expenses $6911
Other Expenses.1005Travel $688
Other Expenses.1012Insurance $4385
Other Expenses.1Renovations $26071
Other Expenses.2MEDICAL SERVICES $25366
Other Expenses.3MEDICINES/VACCINATIONS $14218
Other Expenses.4VOLUNTEER RELATIONS $3393
Other Expenses.5MEDICAL SUPPLIES $3162
Other Expenses.6REPAIRS AND MAINTENANCE $2691
Other Expenses.7DENTAL SUPPLIES $927
Other Expenses.8TRANSLATOR $600
Other Expenses.9TAX AND LICENSE $450
Other Expenses.10BANK CHARGES $181
Total Liabilities.1001Accounts Payable and Accrued Expenses - Beginning $399 Accounts Payable and Accrued Expenses - Ending $835
Total Liabilities.1003Deferred Revenue - Beginning $50000 Deferred Revenue - Ending $0

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